Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Abnormal Child Psychology 3/2014

01-04-2014

The Diagnostic Utility of Separation Anxiety Disorder Symptoms: An Item Response Theory Analysis

Auteurs: Christine E. Cooper-Vince, Benjamin O. Emmert-Aronson, Donna B. Pincus, Jonathan S. Comer

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 3/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

At present, it is not clear whether the current definition of separation anxiety disorder (SAD) is the optimal classification of developmentally inappropriate, severe, and interfering separation anxiety in youth. Much remains to be learned about the relative contributions of individual SAD symptoms for informing diagnosis. Two-parameter logistic Item Response Theory analyses were conducted on the eight core SAD symptoms in an outpatient anxiety sample of treatment-seeking children (N = 359, 59.3 % female, M Age = 11.2) and their parents to determine the diagnostic utility of each of these symptoms. Analyses considered values of item threshold, which characterize the SAD severity level at which each symptom has a 50 % chance of being endorsed, and item discrimination, which characterize how well each symptom distinguishes individuals with higher and lower levels of SAD. Distress related to separation and fear of being alone without major attachment figures showed the strongest discrimination properties and the lowest thresholds for being endorsed. In contrast, worry about harm befalling attachment figures showed the poorest discrimination properties, and nightmares about separation showed the highest threshold for being endorsed. Distress related to separation demonstrated crossing differential item functioning associated with age—at lower separation anxiety levels excessive fear at separation was more likely to be endorsed for children ≥9 years, whereas at higher levels this symptom was more likely to be endorsed by children <9 years. Implications are discussed for optimizing the taxonomy of SAD in youth.
Literatuur
go back to reference APA. (2000). Diagnostic and statistical manual of mental disorders (4th, text revision ed.). Washington, DC: American Psychiatric Association. APA. (2000). Diagnostic and statistical manual of mental disorders (4th, text revision ed.). Washington, DC: American Psychiatric Association.
go back to reference Baker, F. B. (2001). The basics of item response theory (2nd ed.). College Park: ERIC Clearinghouse on Assessment and Evaluation. Baker, F. B. (2001). The basics of item response theory (2nd ed.). College Park: ERIC Clearinghouse on Assessment and Evaluation.
go back to reference Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107(2), 179–192. doi: 10.​1037/​0021-843x.​107.​2.​179. PubMedCrossRef Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107(2), 179–192. doi: 10.​1037/​0021-843x.​107.​2.​179. PubMedCrossRef
go back to reference Comer, J. S., Gallo, K. P., Korathu-Larson, P., Pincus, D. B., & Brown, T. A. (2012). Specifying child anxiety disorders not otherwise specified in the DSM-IV. Depression and Anxiety, 29, 1004–1013. doi: 10.​1002/​da.​21981. PubMedCrossRef Comer, J. S., Gallo, K. P., Korathu-Larson, P., Pincus, D. B., & Brown, T. A. (2012). Specifying child anxiety disorders not otherwise specified in the DSM-IV. Depression and Anxiety, 29, 1004–1013. doi: 10.​1002/​da.​21981. PubMedCrossRef
go back to reference Eaton, N. R., Keyes, K. M., Krueger, R. F., Balsis, S., Skodol, A. E., Markon, K. E., et al. (2012a). An invariant dimensional liability model of gender differences in mental disorder prevalence: evidence from a national sample. Journal of Abnormal Psychology, 121(1), 282–288. doi: 10.​1037/​a0024780. PubMedCentralPubMedCrossRef Eaton, N. R., Keyes, K. M., Krueger, R. F., Balsis, S., Skodol, A. E., Markon, K. E., et al. (2012a). An invariant dimensional liability model of gender differences in mental disorder prevalence: evidence from a national sample. Journal of Abnormal Psychology, 121(1), 282–288. doi: 10.​1037/​a0024780. PubMedCentralPubMedCrossRef
go back to reference Eaton, N. R., Krueger, R. F., Markon, K. E., Keyes, K. M., Skodol, A. E., Wall, M., et al. (2012b). The structure and predictive validity of the internalizing disorders. Journal of Abnormal Psychology. doi: 10.​1037/​a0029598. Eaton, N. R., Krueger, R. F., Markon, K. E., Keyes, K. M., Skodol, A. E., Wall, M., et al. (2012b). The structure and predictive validity of the internalizing disorders. Journal of Abnormal Psychology. doi: 10.​1037/​a0029598.
go back to reference Essau, C. A., Anastassiou-Hadjicharalambous, X., & Muñoz, L. C. (2013). Psychometric Properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED) in Cypriot Children and Adolescents. European Journal of Psychological Assessment, 29, 19–28. doi: 10.​1027/​1015-5759/​a000116. CrossRef Essau, C. A., Anastassiou-Hadjicharalambous, X., & Muñoz, L. C. (2013). Psychometric Properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED) in Cypriot Children and Adolescents. European Journal of Psychological Assessment, 29, 19–28. doi: 10.​1027/​1015-5759/​a000116. CrossRef
go back to reference Fan, F., Su, L., & Su, Y. (2008). Anxiety structure by gender and age groups in a Chinese children sample of 12 cities. Chinese Mental Health Journal, 22, 241–245. Fan, F., Su, L., & Su, Y. (2008). Anxiety structure by gender and age groups in a Chinese children sample of 12 cities. Chinese Mental Health Journal, 22, 241–245.
go back to reference Guyer, R., & Thompson, N. A. (2011). User’s Manual for Xcalibre item response theory calibration software, version 4.1.3. St. Paul: Assessment Systems Corporation. Guyer, R., & Thompson, N. A. (2011). User’s Manual for Xcalibre item response theory calibration software, version 4.1.3. St. Paul: Assessment Systems Corporation.
go back to reference Holland, P. W., & Thayer, D. T. (1988). Differential item performance and the Mantel-Hanszel procedure. In H. Wainer & H. I. Braun (Eds.), Test validity (pp. 129–145). Hillsdale: Erlbaum. Holland, P. W., & Thayer, D. T. (1988). Differential item performance and the Mantel-Hanszel procedure. In H. Wainer & H. I. Braun (Eds.), Test validity (pp. 129–145). Hillsdale: Erlbaum.
go back to reference Langenbucher, J. W., Labouvie, E., Martin, C. S., Sanjuan, P. M., Bavly, L., Kirisci, L., et al. (2004). An application of item response theory analysis to alcohol, cannabis, and cocaine criteria in DSM-IV. Journal of Abnormal Psychology, 113(1), 72–80. doi: 10.​1037/​0021-843X.​113.​1.​72. PubMedCrossRef Langenbucher, J. W., Labouvie, E., Martin, C. S., Sanjuan, P. M., Bavly, L., Kirisci, L., et al. (2004). An application of item response theory analysis to alcohol, cannabis, and cocaine criteria in DSM-IV. Journal of Abnormal Psychology, 113(1), 72–80. doi: 10.​1037/​0021-843X.​113.​1.​72. PubMedCrossRef
go back to reference Langer, L., Cooper-Vince, C., Pincus, D. B., & Comer, J. S. (2013). Using multiple reports in the diagnosis of childhood separation anxiety disorder: evaluating the utility of alternative integration approaches. Manuscript in preparation. Langer, L., Cooper-Vince, C., Pincus, D. B., & Comer, J. S. (2013). Using multiple reports in the diagnosis of childhood separation anxiety disorder: evaluating the utility of alternative integration approaches. Manuscript in preparation.
go back to reference Latzman, R. D., Naifeh, J. A., Watson, D., Vaidya, J. G., Heiden, L. J., Damon, J. D., et al. (2011). Racial differences in symptoms of anxiety and depression among three cohorts of students in the Southern United States. Psychiatry: Interpersonal and Biological Processes, 74(4), 332–348. doi: 10.​1521/​psyc.​2011.​74.​4.​332. Latzman, R. D., Naifeh, J. A., Watson, D., Vaidya, J. G., Heiden, L. J., Damon, J. D., et al. (2011). Racial differences in symptoms of anxiety and depression among three cohorts of students in the Southern United States. Psychiatry: Interpersonal and Biological Processes, 74(4), 332–348. doi: 10.​1521/​psyc.​2011.​74.​4.​332.
go back to reference Li, H., & Stout, W. (1996). A new procedure for detecting crossing DIF. Psychometrika, 61, 647–677. CrossRef Li, H., & Stout, W. (1996). A new procedure for detecting crossing DIF. Psychometrika, 61, 647–677. CrossRef
go back to reference Lipsitz, J. D., Martin, L. Y., Mannuzza, S., & Chapman, T. F. (1994). Childhood separation anxiety disorder in patients with adult anxiety disorders. American Journal of Psychiatry, 151(6), 927–929. PubMed Lipsitz, J. D., Martin, L. Y., Mannuzza, S., & Chapman, T. F. (1994). Childhood separation anxiety disorder in patients with adult anxiety disorders. American Journal of Psychiatry, 151(6), 927–929. PubMed
go back to reference Masi, G., Mucci, M., & Millepiedi, S. (2001). Separation anxiety disorder in children and adolescents: epidemiology, diagnosis and management. CNS Drugs, 15(2), 93–104. PubMedCrossRef Masi, G., Mucci, M., & Millepiedi, S. (2001). Separation anxiety disorder in children and adolescents: epidemiology, diagnosis and management. CNS Drugs, 15(2), 93–104. PubMedCrossRef
go back to reference Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. doi: 10.​1016/​j.​jaac.​2010.​05.​017. PubMedCentralPubMedCrossRef Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. doi: 10.​1016/​j.​jaac.​2010.​05.​017. PubMedCentralPubMedCrossRef
go back to reference Murphy, B. C., Eisenberg, N., Fabes, R. A., Shepard, S., & Guthrie, I. K. (1999). Consistency and change in children’s emotionality and regulation: a longitudinal study. Merrill-Palmer Quarterly, 45(3), 413–444. Murphy, B. C., Eisenberg, N., Fabes, R. A., Shepard, S., & Guthrie, I. K. (1999). Consistency and change in children’s emotionality and regulation: a longitudinal study. Merrill-Palmer Quarterly, 45(3), 413–444.
go back to reference Pini, S., Gesi, C., Abelli, M., Muti, M., Lari, L., Cardini, A., et al. (2012). The relationship between adult separation anxiety disorder and complicated grief in a cohort of 454 outpatients with mood and anxiety disorders. Journal of Affective Disorders. doi: 10.​1016/​j.​jad.​2012.​05.​026. PubMed Pini, S., Gesi, C., Abelli, M., Muti, M., Lari, L., Cardini, A., et al. (2012). The relationship between adult separation anxiety disorder and complicated grief in a cohort of 454 outpatients with mood and anxiety disorders. Journal of Affective Disorders. doi: 10.​1016/​j.​jad.​2012.​05.​026. PubMed
go back to reference Silverman, W. K., & Albano, A. M. (1997). The anxiety disorders interview schedule for children for DSM-IV: Child and parent versions. San Antonio: Psychological Corporation. Silverman, W. K., & Albano, A. M. (1997). The anxiety disorders interview schedule for children for DSM-IV: Child and parent versions. San Antonio: Psychological Corporation.
go back to reference Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child &amp; Adolescent Psychiatry, 40(8), 937–944. doi: 10.​1097/​00004583-200108000-00016. CrossRef Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test-retest reliability of anxiety symptoms and diagnoses with the anxiety disorders interview schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child &amp; Adolescent Psychiatry, 40(8), 937–944. doi: 10.​1097/​00004583-200108000-00016. CrossRef
go back to reference Silvers, J. A., McRae, K., Gabrieli, J. D., Gross, J. J., Remy, K. A., & Ochsner, K. N. (2012). Age-related differences in emotional reactivity, regulation, and rejection sensitivity in adolescence. Emotion. doi: 10.​1037/​a0028297. PubMed Silvers, J. A., McRae, K., Gabrieli, J. D., Gross, J. J., Remy, K. A., & Ochsner, K. N. (2012). Age-related differences in emotional reactivity, regulation, and rejection sensitivity in adolescence. Emotion. doi: 10.​1037/​a0028297. PubMed
go back to reference Skapinakis, P., Anagnostopoulos, F., Bellos, S., Magklara, K., Lewis, G., & Mavreas, V. (2011). An empirical investigation of the structure of anxiety and depressive symptoms in late adolescence: cross-sectional study using the Greek version of the revised Clinical Interview Schedule. Psychiatry Research, 186(2–3), 419–426. doi: 10.​1016/​j.​psychres.​2010.​08.​023. PubMedCrossRef Skapinakis, P., Anagnostopoulos, F., Bellos, S., Magklara, K., Lewis, G., & Mavreas, V. (2011). An empirical investigation of the structure of anxiety and depressive symptoms in late adolescence: cross-sectional study using the Greek version of the revised Clinical Interview Schedule. Psychiatry Research, 186(2–3), 419–426. doi: 10.​1016/​j.​psychres.​2010.​08.​023. PubMedCrossRef
go back to reference Steinberg, L., & Thissen, D. (2013). Item response theory. In J. S. Comer & P. C. Kendall (Eds.), The Oxford handbook of research strategies for clinical psychology. New York: Oxford University Press. Steinberg, L., & Thissen, D. (2013). Item response theory. In J. S. Comer & P. C. Kendall (Eds.), The Oxford handbook of research strategies for clinical psychology. New York: Oxford University Press.
go back to reference Strickland, J., Keller, J., Lavigne, J. V., Gouze, K., Hopkins, J., & LeBailly, S. (2011). The structure of psychopathology in a community sample of preschoolers. Journal of Abnormal Child Psychology, 39, 601–610. doi: 10.​1007/​s10802-011-9487-5. PubMedCrossRef Strickland, J., Keller, J., Lavigne, J. V., Gouze, K., Hopkins, J., & LeBailly, S. (2011). The structure of psychopathology in a community sample of preschoolers. Journal of Abnormal Child Psychology, 39, 601–610. doi: 10.​1007/​s10802-011-9487-5. PubMedCrossRef
go back to reference Walton, K. E., Ormel, J., & Krueger, R. F. (2011). The dimensional nature of externalizing behaviors in adolescence: evidence from a direct comparison of categorical, dimensional, and hybrid models. Journal of Abnormal Child Psychology, 39(4), 553–561. doi: 10.​1007/​s10802-010-9478-y. PubMedCrossRef Walton, K. E., Ormel, J., & Krueger, R. F. (2011). The dimensional nature of externalizing behaviors in adolescence: evidence from a direct comparison of categorical, dimensional, and hybrid models. Journal of Abnormal Child Psychology, 39(4), 553–561. doi: 10.​1007/​s10802-010-9478-y. PubMedCrossRef
go back to reference Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Journal of Clinical Child and Adolescent Psychology, 31(3), 335–342. doi: 10.​1207/​1537442027600825​95. PubMedCrossRef Wood, J. J., Piacentini, J. C., Bergman, R. L., McCracken, J., & Barrios, V. (2002). Concurrent validity of the anxiety disorders section of the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Journal of Clinical Child and Adolescent Psychology, 31(3), 335–342. doi: 10.​1207/​1537442027600825​95. PubMedCrossRef
go back to reference Zhao, J., & Wang, M. (2009). Developmental characteristics of preschoolers’ anxiety. Chinese Journal Of Clinical Psychology, 17, 723–725. Zhao, J., & Wang, M. (2009). Developmental characteristics of preschoolers’ anxiety. Chinese Journal Of Clinical Psychology, 17, 723–725.
go back to reference Zolog, T. C., Ballabriga, M. C. J., Bonillo-martin, A., Canals-sann, J., Hernandezmartinez, C., Romero-acosta, K., et al. (2011). Somatic complaints and symptoms of anxiety and depression in a school-based sample of preadolescents and early adolescents. Functional impairment and implications for treatment. Journal of Cognitive and Behavioral Psychotherapies, 11(2), 191–208. Zolog, T. C., Ballabriga, M. C. J., Bonillo-martin, A., Canals-sann, J., Hernandezmartinez, C., Romero-acosta, K., et al. (2011). Somatic complaints and symptoms of anxiety and depression in a school-based sample of preadolescents and early adolescents. Functional impairment and implications for treatment. Journal of Cognitive and Behavioral Psychotherapies, 11(2), 191–208.
Metagegevens
Titel
The Diagnostic Utility of Separation Anxiety Disorder Symptoms: An Item Response Theory Analysis
Auteurs
Christine E. Cooper-Vince
Benjamin O. Emmert-Aronson
Donna B. Pincus
Jonathan S. Comer
Publicatiedatum
01-04-2014
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 3/2014
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-013-9788-y