Assessing child and adolescent anxiety in psychiatric samples with the Child Behavior Checklist

Pauschardt, Jan; Remschmidt, Helmut; Mattejat, Fritz

doi:10.1016/j.janxdis.2010.03.002

Cited by 29 publications

(30 citation statements)

References 27 publications

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“…The CBCLInt has demonstrated sound psychometric properties, with its component subscales showing moderate to good reliability (.60-.80) (Siu, 2008). The CBCL has been found to discriminate between clinically referred and non-referred children (Achenbach, 1991), between youth with and without anxiety disorders, between youth with anxiety diagnoses and externalizing disorders (Seligman, Ollendick, Langely, & Bechtoldt Baldacci, 2004), and between youth of inpatient and outpatient status (Pauschardt, Remschmidt, & Mattejat, 2010). The Chronbach's alpha for the CBCL-Int in the current study was .90.…”

Section: The Child Behaviour Checklist -Internalising Subscale (Cbcl-mentioning

confidence: 99%

Intensive Group-Based CBT for Child Social Phobia: A Pilot Study

et al. 2015

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Objective: Although CBT has proven efficacious in the treatment of child social phobia (SP), most children do not present for treatment and child SP may be less responsive to treatment than other anxiety disorders. Intensive, group-based, SP-specific CBT may improve the efficacy of, and access to, treatment for child SP. The aim of this study was to provide a preliminary examination of such a program. Method: Forty Australian children aged 7-12 years (15 male and 25 female) were allocated into treatment and waitlist groups. Clinical interviews to determine diagnostic status were conducted prior to treatment, following treatment and at 6-month follow-up. Parent and child questionnaire measures of child anxiety symptoms, internalising symptoms, depression, social skills, social competence, and parental social anxiety were administered at the same time points. Treatment was delivered in four separate 3-hour sessions conducted over three consecutive weekends. Results: At postassessment, 52.4% of children in the treatment group and 15.8% of children in the waitlist group were free of their SP diagnosis. At post-assessment, compared to waitlist children, treatment group children demonstrated a greater drop in clinical severity, a greater increase in overall functioning, and held fewer clinical diagnoses. Treatment group children also reported a greater reduction in SP symptoms compared to waitlist children, and treatment group parents reported a greater reduction in child internalising and anxiety symptoms, a greater increase in child social competence, and a greater decrease in parental SP symptoms, compared to parents of children in the waitlist group. By 6-month follow-up, 76.9% of the treatment group were free of their SP diagnosis and gains on all other measures were maintained. Conclusions: The results of this study are encouraging, and suggest that brief, intensive, group CBT for children with social anxiety is beneficial for many youngsters. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPTIntensive Group-Based CBT for Child Social Phobia 3 Social Phobia (SP) or Social Anxiety Disorder, is an anxiety disorder where the individual demonstrates a marked fear or anxiety about one or more social situations where they are exposed to possible scrutiny by others (American Psychiatric Association, 2013). It is one of the most common childhood anxiety disorders (Costello, Egger, & Angold, 2005), is associated with a myriad of deleterious short-and long-term consequences (Beidel, Turner, & Morris, 1999), and follows a chronic course if left untreated (Weissman et al., 1999).Fortunately, there have now been a number of studies confirming that cognitive behaviour therapy (CBT) is efficacious in treating childhood SP.Beidel and colleagues (Beidel & Turner, 2007;Beidel, Turner, & Young, 2006) conducted a series of studies demonstrating the efficacy of their behaviourally oriented Social Effectiveness Therapy for Children (SET-C). In the original randomized control trial of the SET-C program , it was found that...

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Section: The Child Behaviour Checklist -Internalising Subscale (Cbcl-mentioning

confidence: 99%

Intensive Group-Based CBT for Child Social Phobia: A Pilot Study

et al. 2015

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“…Research also supports the sensitivity of the CBCL-A scale to capture anxiety symptom reduction at posttreatment (Kendall et al, 2007; Kley, Heinricks, Bender, & Tuschen-Caffier, 2011). The discriminatory abilities of the CBCL-A between anxious and nonanxious youth were comparable to the CBCL-AP subscale in the initial study (Kendall et al, 2007), but were somewhat lower when discriminating between ICD-10 diagnostic classifications among both in-and out-patient groups (Pauschardt, Remschmidt, & Mattejat, 2010), suggesting the need for replication with larger samples of anxious youth.…”

Section: Introductionmentioning

confidence: 80%

Predicting Anxiety Diagnoses and Severity with the CBCL-A: Improvement Relative to Other CBCL Scales?

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Settipani

Peterman

et al. 2014

J Psychopathol Behav Assess

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The Child Behavior Checklist (CBCL) is a widely used parent-report of child and adolescent behavior. We examined the ability of the CBCL-A scale, a previously published subset of CBCL items, to predict the presence of generalized anxiety disorder (GAD), separation anxiety disorder (SAD), and social phobia (SoP), as well as anxiety severity, among 488 youth randomized in the Child Anxiety Multimodal Study (CAMS). We predicted that the CBCL-A’s unique inclusion of items related to somatic symptoms would better identify anxiety disorder and severity than other CBCL scales, given that somatic complaints are often key features of anxiety among youth. Results support the use of the anxiety-based CBCL subscales as first-line screeners for generally elevated symptoms of anxiety, rather than tools to identify specific anxiety disorders. Although somatic symptoms are often reported and included in diagnostic criteria for certain anxiety disorders (e.g., SAD, GAD), the unique combination of somatic and non-somatic symptoms for the CBCL-A subscale did not increase its ability to consistently predict the presence of specific anxiety disorders.

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“…Although it can be tempting to adopt a “wait and see” philosophy with these cases, no one wants to make children and parents suffer needlessly if effective treatment is available. Further, untreated anxiety disorders in childhood are likely to lead to chronic mental health problems (Pauschardt, Remschmidt, & Mattejat, 2010). However, if the symptoms are due to an issue other than anxiety, whether it be depression, a medical condition, or a difficult social situation, one would not want to administer inappropriate treatment.…”

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confidence: 99%

“…Questionnaires are easier to validate in regard to their diagnostic ability, and can be completed more quickly than a full diagnostic interview (Aschenbrand et al, 2005a). The Achenbach System of Empirically Based Assessment is one of the most widely used assessment tools in child psychology and psychiatry (Achenbach, 2000; Pauschardt et al, 2010). It is popular among both clinicians and researchers, making it more likely than other questionnaires to inform an EBA approach (Achenbach, 2005).…”

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confidence: 99%

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Clinical Decision Making About Child and Adolescent Anxiety Disorders Using the Achenbach System of Empirically Based Assessment

Meter

Youngstrom

et al. 2014

Journal of Clinical Child & Adolescent Psychology

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Objective Anxiety disorders are common among children, but can be difficult to diagnose. An actuarial approach to the diagnosis of anxiety may improve the efficiency and accuracy of the process. The objectives of this study were to determine the clinical utility of the Achenbach CBCL and YSR, two widely used assessment tools, for diagnosing anxiety disorders in youth, and to aid clinicians in incorporating scale scores into an actuarial approach to diagnosis through a clinical vignette. Method Demographically diverse youth, aged 5 to 18 years, were drawn from two samples; one (N=1084) was recruited from a research center, the second (N=651) was recruited from an urban community mental health center. Consensus diagnoses integrated information from semi-structured interview, family history, treatment history, and clinical judgment. Results The CBCL and YSR internalizing problems T scores discriminated cases with any anxiety disorder or with GAD from all other diagnoses in both samples (p values <.0005); the two scales had equivalent discriminative validity (p values > .05 for tests of difference). No other scales, nor any combination of scales, significantly improved on the performance of the Internalizing scale. In the highest risk group, Internalizing scores >69 (CBCL) or >63 (YSR) resulted in a Diagnostic Likelihood Ratio of 1.5; low scores reduced the likelihood of anxiety disorders by a factor of 4. Conclusions Combined with other risk factor information in an actuarial approach to assessment and diagnosis, the CBCL and YSR Internalizing scales provide valuable information about whether or not a youth is likely suffering from an anxiety disorder.

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Assessing child and adolescent anxiety in psychiatric samples with the Child Behavior Checklist

Cited by 29 publications

References 27 publications

Intensive Group-Based CBT for Child Social Phobia: A Pilot Study

Intensive Group-Based CBT for Child Social Phobia: A Pilot Study

Predicting Anxiety Diagnoses and Severity with the CBCL-A: Improvement Relative to Other CBCL Scales?

Clinical Decision Making About Child and Adolescent Anxiety Disorders Using the Achenbach System of Empirically Based Assessment

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