Screening for childhood anxiety: A meta-analysis of the screen for child anxiety related emotional disorders

Runyon, Katie; Chesnut, Steven R.; Burley, Hansel

doi:10.1016/j.jad.2018.07.049

Cited by 48 publications

(45 citation statements)

References 50 publications

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“…It is well known that parent-child agreement on (specific) anxiety disorders such as SAD [37] or anxiety symptoms [38] is low to moderate only. Although a meta-analysis also reported moderate to large agreement [39], the agreement on social anxiety in single studies is modest at best (e.g. [40][41][42].).…”

Section: The Current Studymentioning

confidence: 99%

Experience Versus Report: Where Are Changes Seen After Exposure-Based Cognitive-Behavioral Therapy? A Randomized Controlled Group Treatment of Childhood Social Anxiety Disorder

Asbrand

Heinrichs

Schmidtendorf

et al. 2020

Child Psychiatry Hum Dev

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A considerable number of children and adolescents with social anxiety disorder (SAD) do not benefit from treatment as much as expected. However, treatment success should not be measured with social anxiety reports alone; the cognitive, behavioral, and physiological components of social stress should also be assessed. The authors examined an exposure-based SAD-specific group cognitive behavioral therapy (CBT) in a randomized controlled trial (N = 67, age 9-13 years, blind randomized allocation to treatment [CBT; n = 31] and waitlist control [WLC; n = 36] groups). Success was operationalized as a clinically significant reduction of symptoms measured with SAD-specific questionnaires, structured interviews, and changes in response to the Trier Social Stress Test (TSST). In the CBT group, there was a trend toward a significant increase in positive cognitions in the TSST after treatment (d = 0.37), whereas these positive cognitions decreased in the WLC group (d = 0.40). No significant results involving group appeared for negative cognitions, behavior and physiology. Children in the CBT group, but not parents, further reported less social anxiety in one questionnaire from pre-to post-treatment (d = 0.89). A structured interview confirmed a decrease in severity of SAD in the CBT group. While the gold standard of a blind interview showed efficacy of treatment, not all trait and state measures demonstrated similar success patterns. Trial registration Eligibility criteria and some of the dependent variables (cognitions, physiology) for treatment success were registered with the German Research Foundation (TU 78/5-2, HE 3342/4-2) prior to recruitment. Clinical assessment of diagnosis and behavioral data were not a priori planned as outcome measures for this trial and therefore analyzed in a post-hoc approach.

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Section: The Current Studymentioning

confidence: 99%

Experience Versus Report: Where Are Changes Seen After Exposure-Based Cognitive-Behavioral Therapy? A Randomized Controlled Group Treatment of Childhood Social Anxiety Disorder

Asbrand

Heinrichs

Schmidtendorf

et al. 2020

Child Psychiatry Hum Dev

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“…The Screen for Child Anxiety Related Emotional Disorders (SCARED), developed by Birhamer, Khetarpal, Brent et al . (1997), has been evaluated in several studies and has proven to be a reliable tool to assess childhood anxiety (Hale, Crocetti, Raaijmakers& Meeus, 2011; Runyon, Chesnut& Burleva, 2018). It screens for overall anxiety and specific DSM‐IV anxiety disorders (Birmaher, Brent, Chiappetta, Bridge, Monga& Baugher, 1999; Birmaher, Khetarpal, Brent et al ., 1997), and has both child and parent report forms available, both of them consisting of the same 41 items.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) among elementary school children in Finland

Kaajalaakso

Lempinen

Ristkari

et al. 2020

Scandinavian J Psychology

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Anxiety disorders are the most common mental disorders in children and youth. Effective screening methods are needed to identify children in need of treatment. The Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire is a widely used tool to assess childhood anxiety. We aim toevaluate the psychometric properties of the SCARED questionnaire, test the SCARED factor structure, and evaluate the prevalence of anxiety symptoms in a community sample of Finnish elementary school children, based on both a child and parent report. The sample included all pupils (n = 1,165) in grades 2 through 6 (ages 8–13) in four elementary schools in the city of Turku, Finland. Children completed a Finnish translation of the SCARED questionnaire at school, with one parent report questionnaire per child completed at home. In total, 663 child‐parent dyads (56.9%) completed the questionnaire. Internal consistency was high for both child and parent reports on all subscales (0.71–0.92), except for school avoidance (0.57 child, 0.63 parent report). Inter‐rater reliability ranged from poor to fair across subscales (intraclass correlation 0.27–0.47). Self‐reported anxiety scores were higher than the parent reported scores. Females had significantly higher total scores than males based on the child reports (p = 0.003), but not the parent reports. In the confirmatory factor analysis, hypothesized models did not have a good fit with the data, and modification was needed. The Finnish SCARED questionnaire has good internal consistency. Low child‐parent agreement calls for the importance of including both child and parental reports in the assessment of anxiety symptoms.

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“…60 Aggregated testretest estimates were also quite good (0.83). 41 In a large scale study, both showed strong testretest reliability. 43 Solid parent-child agreement was also reported in a recent meta-analysis.…”

Section: Scaredmentioning

confidence: 96%

“…43 Solid parent-child agreement was also reported in a recent meta-analysis. 41 The largest report to date concluded that the SCARED enjoys sound validity metrics. 43 In a major study with children diagnosed with chronic pain, identification of a subthreshold anxious group by the SCARED yielded clinically compelling results.…”

Section: Scaredmentioning

confidence: 99%

See 1 more Smart Citation

A pediatrician‐friendly review of three common behavioral health screeners in pediatric practice: Findings and recommendations

Trafalis

Giannini

Joves

et al. 2021

Pediatric Investigation

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Behavioral health concerns are surging in pediatric practices. Fortunately, integrated behavioral/medical health clinics are growing and child psychiatrists/psychologists are increasingly embedded in these care settings to help shoulder the clinical load. Routine screening of behavioral health problems in primary care facilities enables early identification and treatment. However, deciding on sound, efficient, and scalable screening measures is sometimes arduous. Accordingly, this article presents a clinician‐friendly review of three common instruments useful in screening pediatric behavioral health concerns including anxiety, depression, and conduct problems. Psychometric findings and clinical applications of the Pediatric Symptom Checklist‐17 (PSC‐17), the Patient Health Questionnaire‐9 (PHQ‐9), and the Screen for Child Anxiety Related Emotional Disorders (SCARED) are delineated. Finally, clinical implications and recommendations for practicing pediatricians and child psychiatrists are offered.

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Screening for childhood anxiety: A meta-analysis of the screen for child anxiety related emotional disorders

Cited by 48 publications

References 50 publications

Experience Versus Report: Where Are Changes Seen After Exposure-Based Cognitive-Behavioral Therapy? A Randomized Controlled Group Treatment of Childhood Social Anxiety Disorder

Experience Versus Report: Where Are Changes Seen After Exposure-Based Cognitive-Behavioral Therapy? A Randomized Controlled Group Treatment of Childhood Social Anxiety Disorder

Psychometric properties of the screen for child anxiety related emotional disorders (SCARED) among elementary school children in Finland

A pediatrician‐friendly review of three common behavioral health screeners in pediatric practice: Findings and recommendations

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