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The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth

Ivarsson, Tord; Skarphedinsson, Gudmundur; Andersson, Markus LU and Jarbin, Håkan LU (2017) In Child Psychiatry and Human Development p.1-10
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
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Anxiety disorder, Concurrent validity, Discriminant validity, LEAD diagnosis, Parent rating scale, Self-rating scale
in
Child Psychiatry and Human Development
pages
10 pages
publisher
Kluwer Academic/Human Sciences Press Inc.
external identifiers
  • 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
2018-01-07 12:16:02
@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},
  keyword      = {Anxiety disorder,Concurrent validity,Discriminant validity,LEAD diagnosis,Parent rating scale,Self-rating scale},
  language     = {eng},
  month        = {07},
  pages        = {1--10},
  publisher    = {Kluwer Academic/Human Sciences Press Inc.},
  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},
  year         = {2017},
}