The Validity of the Screen for Child Anxiety Related Emotional Disorders Revised (SCARED-R) Scale and Sub-Scales in Swedish Youth

Tord Ivarsson, Gudmundur Skarphedinsson, Markus Andersson, Håkan Jarbin

Research output: Contribution to journalArticlepeer-review

11 Citations (SciVal)

Abstract

We evaluated the clinical utility of the Swedish SCARED-R in child- and adolescent psychiatric outpatients (n = 239) and validated it against Longitudinal Expert All Data (LEAD) DSM IV diagnoses based on the Children’s Schedule for Affective Disorders and Schizophrenia (KSADS) and subsequent clinical work-up and treatment outcome. The SCARED-R total score and subscales had acceptable sensitivity/specificity for child and parent reports for cut-offs based on Receiver Operating Characteristics (ROC) curves, with mostly moderate area under the curve. Sensitivity ranged from 75% (parent rated social anxiety) to 79% [child rated Generalized Anxiety Disorder (GAD)]. Specificity, ranged from 60% for child-rated GAD to 88% for parent rated social anxiety. Parent-child agreement was moderate, and each informant provided unique information contributing to most diagnoses. In conclusion, the SCARED-R is useful for screening anxiety symptoms in clinical populations. However, it cannot replace interview based diagnoses, nor is it adequate to use just one informant.

Original languageEnglish
Pages (from-to)234-243
JournalChild Psychiatry and Human Development
Volume49
Issue number2
DOIs
Publication statusPublished - 2018 Apr

Subject classification (UKÄ)

  • Psychiatry
  • Pediatrics

Keywords

  • Anxiety disorder
  • Concurrent validity
  • Discriminant validity
  • LEAD diagnosis
  • Parent rating scale
  • Self-rating scale

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