Abstract
The Screen for Child Anxiety Related Emotional Disorders (SCARED) is a relatively new self-report questionnaire that measures DSM-defined anxiety disorders symptoms in children. The present study examined the treatment sensitivity of the SCARED. Eleven anxiety-disordered children aged 10 to 13 years received cognitive-behavioral treatment, an intervention that is generally known to be effective. Children completed the SCARED on three occasions: (1) 3 months before treatment (i.e., baseline), (2) at pretreatment, and (3) at posttreatment. Before and after treatment, scores on traditional childhood anxiety measures (i.e., State-Trait Anxiety Inventory for Children, Revised Children's Manifest Anxiety Scale, and Fear Survey Schedule for Children) were also obtained. Results showed that children's SCARED scores remained relatively stable from baseline to pretreatment. However, from pre- to post-treatment, significant decreases were evident for the SCARED and for all traditional measures. These results suggest that the SCARED reliably taps treatment effects and, thus, provide further support for its utility as a self-report index of childhood anxiety in clinical and research settings.
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REFERENCES
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC: American Psychiatric Association.
Barrett, P. M., Dadds, M. R., & Rapee, R. M. (1996). Family treatment of childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333–342.
Bernstein, G. A., Borchardt, C. M., & Perwien, A. R. (1996). Anxiety disorders in children and adolescents: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1110–1119.
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & McKenzie Neer, S. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 545–553.
Dadds, M. R., Spence, S. H., Holland, D. E., Barrett, P. M., & Laurens, K. R. (1997). Prevention and early intervention for anxiety disorders: A controlled trial. Journal of Consulting and Clinical Psychology, 65, 627–635.
Franklin, M. E., Kozak, M. J., Cashman, L. A., Coles, M. E., Rheingold, A. A., & Foa, E. B. (1998). Cognitive-behavioral treatment of pediatric obsessive-compulsive disorder: An open clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 412–419.
Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110.
Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M.A., Henin, A., & Warman, M. (1997). Treatment of anxiety disorders in youths: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 366–380.
King, N. J., Tonge, B. J., Heyne, D., Pritchard, M., Rollings, S., Young, D., Myerson, N., & Ollendick, T. H. (1998). Cognitive-behavioral treatment of school-refusing children: A controlled evaluation. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 395–403.
Last, C. G., Hansen, C., & Franco, N. (1998). Cognitive-behavioral treatment of school phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 404–411.
Muris, P., Merckelbach, H., Van Brakel, A., Mayer, B., & Van Dongen, L. (1998a). The Screen for Child Anxiety Related Emotional Disorders: Relationship with anxiety and depression in normal children. Personality and Individual Differences, 24, 451–456.
Muris, P., Merckelbach, H., Mayer, B., Van Brakel, A., Thissen, S., Moulaert, V., & Gadet, B. (1998b). The Screen for Child Anxiety Related Emotional Disorders and its relationship to traditional childhood anxiety measures. Journal of Behavior Therapy and Experimental Psychiatry, 29, 327–339.
Muris, P., Merckelbach, H., Mayer, B., & Snieder, N. (1998c). The relationship between anxiety disorders symptoms and negative self-statements in children. Social Behavior and Personality, 26, 307–316.
Muris, P., Merckelbach, H., Schmidt, H., & Mayer, B. (1999a). The revised version of the Screen for Child Anxiety Related Emotional Disorders (SCARED-R): Factor structure in normal children. Personality and Individual Differences, 26, 99–112.
Muris, P., Merckelbach, H., Van Brakel, A., & Mayer, B. (1999b). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Further evidence for its reliability and validity. Anxiety Stress and Coping (in press).
Muris, P., Merckelbach, H., Mayer, B., & Prins, E. (1999c). How serious are common childhood fears? Behaviour Research and Therapy. (in press).
Muris, P., Schmidt, H., & Merckelbach, H. (1999d). Correlations among two self-report questionnaires for measuring DSM-defined anxiety disorder symptoms in children: The Screen for Child Anxiety Related Emotional Disorders and the Spence Children's Anxiety Scale. Personality and Individual Differences (in press).
Muris, P., Merckelbach, H., Moulaert, V., & Gadet, B. (1999e). Relationship between anxiety disorders symptoms and behavior problems in normal children (submitted).
National Institute of Mental Health (NIMH; 1992). Diagnostic Interview Schedule for Children (DISC), Version 2.3. New York: New York State Psychiatric Institute, Division of Child and Adolescent Psychiatry.
Ollendick, T.H. (1983). Reliability and validity of the Revised Fear Survey Schedule for Children (FSSC-R). Behaviour Research and Therapy, 23, 465–467.
Öst, L. G. (1989). One-session treatment for specific phobias. Behaviour Research and Therapy, 27, 1–8.
Perrin, S., & Last, C. G. (1992). Do childhood anxiety measures measure anxiety? Journal of Abnormal Child Psychology, 20, 567–577.
Piacentini, J., Shaffer, D., Fisher, P., Schwab-Stone, M., Davies, M., & Gioia, P. (1993). The Diagnostic Interview Schedule for Children-revised version (DISC-R): III. Concurrent criterion validity. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 658–665.
Schwab-Stone, M., Fisher, P., Piacentini, J., Shaffer, D., Davies, M., & Briggs, M. (1993). The Diagnostic Interview Schedule for Children—revised version (DISC-R): II. Test-retest reliability. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 651–657
Shaffer, D., Schwab-Stone, M., Fisher, P., Cohen, P., Piacentini, J., Davies, M., Conners, K., & Regier, D. (1993). The Diagnostic Interview Schedule for Children—revised version (DISC-R): I. Preparation, field testing, interrater reliability, and acceptability. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 643–650.
Reynolds, C.R., & Richmond, B. O. (1978). What I think and feel: A revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.
Spence, S. H. (1997). The structure of anxiety symptoms among children: A confirmatory factor analytic study. Journal of Abnormal Psychology, 106, 280–297.
Spence, S. H. (1998). A measure of anxiety symptoms in children. Behaviour Research and Therapy, 36, 545–566.
Spielberger, C. D. (1973). Manual for the State-Trait Anxiety Inventory for Children. Palo Alto, CA: Consulting Psychologists Press.
Strauss, C. C. (1993). Anxiety disorders. In T. H. Ollendick & M. Hersen (Eds.), Handbook of child and adolescent assessment. Boston: Allyn & Bacon.
Verhulst, F. C., Van der Ende, J., Ferdinand, R. F., & Kasius, M. C. (1997). The prevalence of DSM-III-R diagnoses in a national sample of Dutch adolescents. Archives of General Psychiatry, 54, 329–336.
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Muris, P., Merckelbach, H., Gadet, B. et al. Sensitivity for Treatment Effects of the Screen for Child Anxiety Related Emotional Disorders. Journal of Psychopathology and Behavioral Assessment 21, 323–335 (1999). https://doi.org/10.1023/A:1022120832187
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DOI: https://doi.org/10.1023/A:1022120832187