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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

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


Title: The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth
Author: Ivarsson, Tord
Skarphedinsson, Gudmundur   orcid.org/0000-0002-8618-153X
Andersson, Markus
Jarbin, Håkan
Date: 2017-07-29
Language: English
Scope: 234-243
University/Institute: Háskóli Íslands
University of Iceland
School: Heilbrigðisvísindasvið (HÍ)
School of Health Sciences (UI)
Department: Sálfræðideild (HÍ)
Faculty of Psychology (UI)
Series: Child Psychiatry & Human Development;49(2)
ISSN: 0009-398X
1573-3327 (eISSN)
DOI: 10.1007/s10578-017-0746-8
Subject: Self-rating scale; Parent rating scale; Anxiety disorder; Concurrent validity; Discriminant validity; LEAD diagnosis; Kvíðaviðbrögð; Börn; Foreldrar; Sálfræðipróf; Greining frávika
URI: https://hdl.handle.net/20.500.11815/680

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Citation:

Ivarsson, T., Skarphedinsson, G., Andersson, M., & Jarbin, H. (2018). The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth. Child Psychiatry & Human Development, 49(2), 234-243. doi:10.1007/s10578-017-0746-8

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 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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This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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