The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth
(2018) In Child Psychiatry and Human Development 49(2). p.234-243- Abstract
We evaluated the clinical utility of the Swedish SCARED-R in child- and adolescent psychiatric outpatients (n = 239) and validated it against Longitudinal Expert All Data (LEAD) DSM IV diagnoses based on the Children’s Schedule for Affective Disorders and Schizophrenia (KSADS) and subsequent clinical work-up and treatment outcome. The SCARED-R total score and subscales had acceptable sensitivity/specificity for child and parent reports for cut-offs based on Receiver Operating Characteristics (ROC) curves, with mostly moderate area under the curve. Sensitivity ranged from 75% (parent rated social anxiety) to 79% [child rated Generalized Anxiety Disorder (GAD)]. Specificity, ranged from 60% for child-rated GAD to 88% for parent rated... (More)
We evaluated the clinical utility of the Swedish SCARED-R in child- and adolescent psychiatric outpatients (n = 239) and validated it against Longitudinal Expert All Data (LEAD) DSM IV diagnoses based on the Children’s Schedule for Affective Disorders and Schizophrenia (KSADS) and subsequent clinical work-up and treatment outcome. The SCARED-R total score and subscales had acceptable sensitivity/specificity for child and parent reports for cut-offs based on Receiver Operating Characteristics (ROC) curves, with mostly moderate area under the curve. Sensitivity ranged from 75% (parent rated social anxiety) to 79% [child rated Generalized Anxiety Disorder (GAD)]. Specificity, ranged from 60% for child-rated GAD to 88% for parent rated social anxiety. Parent-child agreement was moderate, and each informant provided unique information contributing to most diagnoses. In conclusion, the SCARED-R is useful for screening anxiety symptoms in clinical populations. However, it cannot replace interview based diagnoses, nor is it adequate to use just one informant.
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- author
- Ivarsson, Tord ; Skarphedinsson, Gudmundur ; Andersson, Markus LU and Jarbin, Håkan LU
- organization
- publishing date
- 2018-04
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Anxiety disorder, Concurrent validity, Discriminant validity, LEAD diagnosis, Parent rating scale, Self-rating scale
- in
- Child Psychiatry and Human Development
- volume
- 49
- issue
- 2
- pages
- 234 - 243
- publisher
- Springer
- external identifiers
-
- pmid:28756556
- scopus:85026487003
- ISSN
- 0009-398X
- DOI
- 10.1007/s10578-017-0746-8
- language
- English
- LU publication?
- yes
- id
- 234788c4-8ce1-4717-8b03-561cd032372f
- date added to LUP
- 2017-08-24 14:02:45
- date last changed
- 2024-09-16 07:03:05
@article{234788c4-8ce1-4717-8b03-561cd032372f, abstract = {{<p>We evaluated the clinical utility of the Swedish SCARED-R in child- and adolescent psychiatric outpatients (n = 239) and validated it against Longitudinal Expert All Data (LEAD) DSM IV diagnoses based on the Children’s Schedule for Affective Disorders and Schizophrenia (KSADS) and subsequent clinical work-up and treatment outcome. The SCARED-R total score and subscales had acceptable sensitivity/specificity for child and parent reports for cut-offs based on Receiver Operating Characteristics (ROC) curves, with mostly moderate area under the curve. Sensitivity ranged from 75% (parent rated social anxiety) to 79% [child rated Generalized Anxiety Disorder (GAD)]. Specificity, ranged from 60% for child-rated GAD to 88% for parent rated social anxiety. Parent-child agreement was moderate, and each informant provided unique information contributing to most diagnoses. In conclusion, the SCARED-R is useful for screening anxiety symptoms in clinical populations. However, it cannot replace interview based diagnoses, nor is it adequate to use just one informant.</p>}}, author = {{Ivarsson, Tord and Skarphedinsson, Gudmundur and Andersson, Markus and Jarbin, Håkan}}, issn = {{0009-398X}}, keywords = {{Anxiety disorder; Concurrent validity; Discriminant validity; LEAD diagnosis; Parent rating scale; Self-rating scale}}, language = {{eng}}, number = {{2}}, pages = {{234--243}}, publisher = {{Springer}}, series = {{Child Psychiatry and Human Development}}, title = {{The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth}}, url = {{http://dx.doi.org/10.1007/s10578-017-0746-8}}, doi = {{10.1007/s10578-017-0746-8}}, volume = {{49}}, year = {{2018}}, }