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Area of Science:

  • Pediatric emergency medicine
  • Child and adolescent psychology
  • Psychometric evaluation

Background:

  • Anxiety assessment in pediatric emergency departments is crucial.
  • The State Trait Anxiety Inventory (STAI) is a common measure.
  • Shorter scales are desirable for efficiency but require validation.

Purpose of the Study:

  • To evaluate the agreement between the STAI and other anxiety scales.
  • To determine if shorter scales can substitute for the STAI in pediatric populations.
  • To assess anxiety measurement consistency in young patients.

Main Methods:

  • Prospective cohort study of 200 children (9-17 years) in a pediatric ED.
  • Participants completed the STAI (pediatric/adult versions), visual analog scale, Likert scale, and a short STAI.
  • Intraclass correlation (2-way mixed model) assessed scale agreement.

Main Results:

  • Poor agreement was observed between the STAI and all other tested anxiety scales.
  • The highest agreement (ICC=0.71) was between the STAI and its short version.
  • Anxiety scores varied between the STAI and alternative measures.

Conclusions:

  • Existing shorter anxiety scales demonstrate poor agreement with the STAI in children and adolescents.
  • These scales are not interchangeable with the STAI for anxiety assessment in this age group.
  • Further research is needed to validate alternative anxiety measures for pediatric use.