Abstract
The aims of this study were to examine the factor structure, internal consistency 1 month test–retest reliability and the discriminant validity for the diagnosis of anxiety disorder of the Taiwanese version of the Multidimensional Anxiety Scale for Children (MASC-T). A total of 12,536 Taiwanese children and adolescents in the community were recruited to examine the adequacy of the original four-factor structure of the MASC-T by confirmatory factor analysis and the internal-consistency reliability by Cronbach’s alpha across gender and age. The 1 month test–retest reliability was examined using intraclass correlation coefficients (ICC) in 105 children and adolescents in the community. The discriminant validity of the MASC-T for the diagnosis of anxiety disorder was examined in 132 children and adolescents from clinical units. The results of this study supported the four-factor structure of the MASC-T in Taiwanese children and adolescents and the four-factor structure was invariant across gender and age. The 1 month test–retest reliability of the MASC-T was in the satisfactory to excellent range and the internal consistency reliability of the Physical Symptoms, Harm Avoidance, and Social Anxiety scales was acceptable. The discriminant validity of the total MASC-T and the anxiety disorder index for the diagnosis of any anxiety disorder was also confirmed. These results indicate that the MASC-T is appropriate for assessing anxiety in Taiwanese children and adolescents.
Similar content being viewed by others
References
Costello EJ, Mustillo S, Erkanli A et al (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60:837–844
Yonkers KA, Warshaw MR, Maisson AO, Keller MB (1996) Phenomenology and course of generalized anxiety disorder. Br J Psychiatry 168:308–313
Albano AM, Chorpita BF, Barlow DH (2003) Childhood anxiety disorders. In: Mash EJ, Barkley RA (eds) Child psychopathology, 2nd edn. Guilford Press, New York, pp 279–329
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn (DSM-IV). American Psychiatric Association, Washington
Puig-Antich J, Chambers W (1978) The schedule for affective disorders and schizophrenia for school age children (Kiddie-SADS). New York State Psychiatric Institute, New York
Gau SSF, Chong MY, Chen THH, Cheng ATA (2005) A 3-year panel study of mental disorders among adolescents in Taiwan. Am J Psychiatry 162:1344–1350
Dadds MR, Barrett PM (2001) Practitioner review: psychological management of anxiety disorders in childhood. J Child Psychol Psychiatry 42:999–1011
Greenhill LL, Pine D, March J et al (1998) Assessment issues in treatment research of pediatric anxiety disorders: what is working, what is not working, what is missing, and what needs improvement. Psychopharmacol Bull 34:155–164
Baldwin JS, Dadds MR (2007) Reliability and validity of parent and child versions of the multidimensional anxiety scale for children in community samples. J Am Acad Child Adolesc Psychiatry 46:252–260
March JS, Parker JD, Sullivan K et al (1997) The multidimensional anxiety scale for children (MASC): factor structure, reliability and validity. J Am Acad Child Adolesc Psychiatry 36:554–565
Silverman WK, Ollendick TH (2005) Evidence-based assessment of anxiety and its disorders in children and adolescents. J Clin Child Adolesc Psychol 34:380–411
March JS (1997) Multidimensional anxiety scale for children. Multi-Health Systems Inc, North Tonawanda
Grills-Taquechel AE, Ollendick TH, Fisak B (2008) Reexamination of the MASC factor structure and discriminant ability in a mixed clinical outpatient sample. Depress Anxiety 25:942–950
March JS, Conners C, Arnold G et al (1999) The multidimensional anxiety scale for children (MASC): confirmatory factor analysis in a pediatric ADHD sample. J Atten Disord 3:85–89
March JS, Sullivan K, Parker J (1999) Test-retest reliability of the multidimensional anxiety scale for children. J Anxiety Disord 13:349–358
Rynn MA, Barber JP, Khalid-Kahn S et al (2006) The psychometric properties of the MASC in a pediatric psychiatric sample. J Anxiety Disord 20:139–157
Ólason DT, Sighvatsson MB, Smári J (2004) Psychometric properties of the multidimensional anxiety scale for children (MASC) among icelandic schoolchildren. Scand J Psychol 45:429–436
Ivarsson T (2006) Normative data for the multidimensional anxiety scale for children (MASC) in Swedish adolescents. Nord J Psychiatry 60:107–113
Fincham D, Schickerling J, Temane M et al (2008) Exploratory and confirmatory factor analysis of the multidimensional anxiety scale for children among adolescents in the Cape Town metropole of South Africa. Depress Anxiety 25:E147–E153
Muris P, Merckelbach H, Ollendick T et al (2002) Three traditional and three new childhood anxiety questionnaires: their reliability and validity in a normal adolescent sample. Behav Res Ther 40:753–772
Dierker LC, Albano AM, Clark GN et al (2001) Screening for anxiety and depression in early adolescence. J Am Acad Child Adolesc Psychiatry 40:929–936
Kingery JN, Ginsburg GS, Burstein M (2009) Factor structure and psychometric properties of the multidimensional anxiety scale for children in an African American adolescent sample. Child Psychiatry Hum Dev 40:287–300
Yao S, Zou T, Zhu X et al (2007) Reliability and validity of the Chinese version of the multidimensional anxiety scale for children among Chinese secondary school students. Child Psychiatry Hum Dev 38:1–16
Kleinman A, Lin TY (1980) Normal and abnormal behavior in Chinese culture. Dordrecht, Netherlands
van Gastel W, Ferdinand RF (2008) Screening capacity of the multidimensional anxiety scale for children (MASC) for DSM-IV anxiety disorders. Depress Anxiety 25:1046–1052
Brislin RW (1970) Back-translation for cross-culture research. J Cross Cult Psychol 1:185–216
Ministry of the Interior (2002) 2001 Taiwan-Fukien demographic fact book, Republic of China. Executive Yuan, Taipei (in Chinese)
Gau SSF, Chong MY, Yang PC, Yen CF, Liang KY, Cheng ATA (2007) A longitudinal study on psychiatric and psychosocial predictors for substance use disorders among adolescents. Bri J Psychiatry 190:42–48
Hu L, Bentler PM (1998) Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychol Methods 3:424–453
Browne MW, Cudeck R (1993) Alternative ways of assessing model fit. In: Bollen KA, Long JS (eds) Testing structural equation models. Sage, Newbury Park, pp 136–162
Black B (1995) Separation anxiety disorder and panic disorder. In: March J (ed) Anxiety disorders in children and adolescents. Guilford Press, New York, pp 212–234
Acknowledgments
This study was partially supported by grant NSC 98-2410-H-037-005-MY3 awarded by the National Science Council, Taiwan (ROC).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yen, CF., Yang, P., Wu, YY. et al. Factor Structure, Reliability and Validity of the Taiwanese Version of the Multidimensional Anxiety Scale for Children. Child Psychiatry Hum Dev 41, 342–352 (2010). https://doi.org/10.1007/s10578-010-0172-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10578-010-0172-7