Self-report measures in the study of comorbidity in children and adolescents with social phobia: Research and clinical utility

Viana, Andres G.; Rabian, Brian; Beidel, Déborah C.

doi:10.1016/j.janxdis.2007.08.005

Cited by 23 publications

(10 citation statements)

References 31 publications

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“…Although structured interviews still represent the gold standard to determine the presence and degree of severity of a clinical disorder, the use of reliable and valid self-reported questionnaires may support clinicians in the diagnosis and may be used as screening tools for children (Alfano et al, 2002 ; Viana et al, 2008 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Mother-Child Agreement and Factorial Structures of the SCARED Questionnaire in an Italian Clinical Sample

et al. 2017

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Background: A great part of the literature has confirmed the importance of both child and parents reports as source of factual information, especially for childhood emotional syndromes. In our study we aimed at: (i) calculating mother-child agreement and (ii) evaluating factorial structure of the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire in an Italian clinical sample. The novelty of this contribution is two-fold: first, from a clinical point of view, we investigated the parent-child agreement level and examined separately the factorial structures of both parent and child versions of the SCARED for the first time in an Italian clinical sample. Second, unlike previous studies, we used statistical approaches specifically suited to account for the ordinal nature of the collected variables.Method: In a clinical sample of 171 children and adolescents aged 8–18 and their mothers we evaluated inter-rater agreement using weighted kappa indices to assess agreement for each item belonging to a certain SCARED subscale. Exploratory factor analysis for ordinal data was then performed on the polychoric correlation matrix calculated on SCARED items. Differences in the numbers of symptoms reported by children and parents were evaluated as well.Results and Conclusions: Our results reveal moderate to strong mother-child agreement. A significant age effect is present. Two different factorial solutions emerged for parent and child SCARED versions (a 5 factor structure for parents and a 6 factor solution in the child version, including a new factor “Worry about Parents”). This study confirmed the importance of evaluating both child and parent reports in assessment protocols for anxiety disorders. Our findings could help clinicians to determine which information, and from which rater, must be accounted for in evaluating treatment decisions. Moreover, we find that patients characteristics, such as gender and age, should be taken into account when assessing agreement.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Mother-Child Agreement and Factorial Structures of the SCARED Questionnaire in an Italian Clinical Sample

et al. 2017

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“…This is especially true for the comorbidity of depression and social anxiety in particular, both for symptoms of depression and social anxiety (and subclinical SAD) and disorders of MDD and SAD in youth (Crawley et al 2008;Essau et al 1999;Ranta et al 2009b;Viana et al 2008) and in adults . For example, epidemiological studies have found that 28-41% of youth with SAD also have comorbid depressive disorders, including MDD (Chavira et al 2004;Essau et al 1999;Ranta et al 2009b;Wittchen et al 1999).…”

Section: Comorbiditymentioning

confidence: 99%

Integrating Etiological Models of Social Anxiety and Depression in Youth: Evidence for a Cumulative Interpersonal Risk Model

Epkins

Heckler

2011

Clin Child Fam Psychol Rev

201

170

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Models of social anxiety and depression in youth have been developed separately, and they contain similar etiological influences. Given the high comorbidity of social anxiety and depression, we examine whether the posited etiological constructs are a correlate of, or a risk factor for, social anxiety and/or depression at the symptom level and the diagnostic level. We find core risk factors of temperament, genetics, and parent psychopathology (i.e., depression and anxiety) are neither necessary nor sufficient for the development of social anxiety and/or depression. Instead, aspects of children's relationships with parents and/or peers either mediates (i.e., explains) or moderates (i.e., interacts with) these core risks being related to social anxiety and/or depression. We then examine various parent- and peer-related constructs contained in the separate models of social anxiety and depression (i.e., parent-child attachment, parenting, social skill deficits, peer acceptance and rejection, peer victimization, friendships, and loneliness). Throughout our review, we report evidence for a Cumulative Interpersonal Risk model that incorporates both core risk factors and specific interpersonal risk factors. Most studies fail to consider comorbidity, thus little is known about the specificity of these various constructs to depression and/or social anxiety. However, we identify shared, differential, and cumulative risks, correlates, consequences, and protective factors. We then put forth demonstrated pathways for the development of depression, social anxiety, and their comorbidity. Implications for understanding comorbidity are highlighted throughout, as are theoretical and research directions for developing and refining models of social anxiety, depression, and their comorbidity. Prevention and treatment implications are also noted.

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“…In recent years, increasing attention has been given to selfreport measures of social anxiety in adolescence (e.g., García-López, Hidalgo, Beidel, Olivares, & Turner, 2008;Storch et al, 2006;Viana, Rabian, & Beidel, 2008;Zubeidat, Salinas, Sierra, & Fernández-Parra, 2007). Recent reviews conducted in Spain (García-López, Piqueras, Díaz-Castella, and the US (Kearney, 2005) have concluded that one of the most pertinent and empirically supported measures of social anxiety in adolescence is the Social Anxiety Scale for Adolescents (SAS-A; La Greca, 1999;La Greca & Lopez, 1998).…”

Section: Introductionmentioning

confidence: 99%

Social Anxiety Scale for Adolescents: Factorial invariance and latent mean differences across gender and age in Spanish adolescents

Inglés

Greca

Marzo

et al. 2010

Journal of Anxiety Disorders

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Self-report measures in the study of comorbidity in children and adolescents with social phobia: Research and clinical utility

Cited by 23 publications

References 31 publications

Evaluation of Mother-Child Agreement and Factorial Structures of the SCARED Questionnaire in an Italian Clinical Sample

Evaluation of Mother-Child Agreement and Factorial Structures of the SCARED Questionnaire in an Italian Clinical Sample

Integrating Etiological Models of Social Anxiety and Depression in Youth: Evidence for a Cumulative Interpersonal Risk Model

Social Anxiety Scale for Adolescents: Factorial invariance and latent mean differences across gender and age in Spanish adolescents

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