TY - JOUR
PY - 2016//
TI - Diagnostic efficiency of caregiver report on the SCARED for identifying youth anxiety disorders in outpatient settings
JO - Journal of clinical child and adolescent psychology
A1 - Van Meter, Anna R.
A1 - You, Dokyoung S.
A1 - Halverson, Tate
A1 - Youngstrom, Eric A.
A1 - Birmaher, Boris
A1 - Fristad, Mary A.
A1 - Kowatch, Robert A.
A1 - Storfer-Isser, Amy
A1 - Horwitz, Sarah M.
A1 - Frazier, Thomas W.
A1 - Arnold, L. Eugene
A1 - Findling, Robert L.
A1 - Lams Group, The
SP - 1
EP - 15
VL - ePub
IS - ePub
N2 - This study investigated the diagnostic and clinical utility of the parent-rated Screen for Child Anxiety Related Emotional Disorders (SCARED-P) for detecting youth anxiety disorders. Youth ages 6 to 12 years, 11 months were recruited from 9 outpatient mental health clinics (N = 707). Consensus diagnoses were based on semistructured interviews (Schedule for Affective Disorders and Schizophrenia for School-Age Children) with youth and caregivers; 31% were diagnosed with at least one anxiety disorder. Caregivers completed the SCARED-P to describe youth anxiety levels. SCARED-P scores were not considered during the consensus diagnoses. Areas under the curve (AUCs) from receiver operating characteristic analyses and diagnostic likelihood ratios (DLRs) quantified performance of the SCARED-P total score and subscale scores (generalized anxiety disorder and separation anxiety disorder). SCARED-P total scores had variable efficiency (AUCs = .69-.88), and Generalized Anxiety Disorder and Separation Anxiety subscale scores were excellent (AUCs = .86-.89) for identifying specific anxiety disorders. Optimal subscale cutoff scores were computed to help rule in (DLRs = 2.7-5.4) or rule out (DLRs < 1.0) anxiety disorders among youth.
RESULTS suggest that the Generalized Anxiety Disorder and Separation Anxiety SCARED-P subscales accurately identify their respective matched diagnoses. DLRs may aid clinicians in screening for youth anxiety disorders and improve accuracy of diagnosis.
Language: en
LA - en SN - 1537-4416 UR - http://dx.doi.org/10.1080/15374416.2016.1188698 ID - ref1 ER -