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The Screen for Child Anxiety Related Emotional Disorders (SCARED): Informant Discrepancy, Measurement Invariance, and
Brigid Behrens1, Caroline Swetlitz2, Daniel S Pine2
1Emotion and Development Branch, The National Institute of Mental Health, Bethesda, MD, 20892, USA. brigid.behrens@nih.gov.
Child Psychiatry and Human Development
|November 22, 2018
Summary
The Screen for Child Anxiety Related Emotional Disorders (SCARED) tool is reliable for assessing pediatric anxiety. However, low parent-child agreement on SCARED results warrants further research into discrepancy factors.
Area of Science:
- Child and Adolescent Psychiatry
- Psychometric Evaluation
- Mental Health Assessment
Background:
- The Screen for Child Anxiety Related Emotional Disorders (SCARED) is a widely utilized tool for assessing childhood anxiety.
- Informant discrepancy between parent and child reports presents challenges in clinical and research applications of the SCARED.
Purpose of the Study:
- To evaluate informant discrepancy, measurement invariance, test-retest reliability, and external validity of the SCARED.
- To examine factors influencing discrepancy in SCARED scores among anxious and healthy youth.
Main Methods:
- The study involved 1092 anxious and healthy parent-child dyads.
- Data collection included SCARED parent and child reports, and clinician-rated anxiety measures.
- Statistical analyses assessed measurement invariance, reliability, and validity.
Main Results:
- Informant discrepancy in SCARED scores did not systematically vary across clinical, demographic, or familial variables.
- The SCARED demonstrated strict measurement invariance and strong test-retest reliability.
- External validity was adequate when compared to clinician-rated anxiety measures.
Conclusions:
- The SCARED is a reliable and valid instrument for screening pediatric anxiety disorders.
- Low parent-child agreement on SCARED assessments necessitates further investigation into contributing factors.
- Findings support the continued utility of the SCARED in clinical practice and research settings.
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