Reliability and validity of the Arabic Screen for Child Anxiety Related Emotional Disorders (SCARED) in a clinical sample

Hariz, Nayla; Bawab, S.; Atwi, Mia; Tavitian, Lucy; Zeinoun, Pia; Khani, Munir; Birmaher, Boris; Nahas, Ziad; Maalouf, Fadi T.

doi:10.1016/j.psychres.2012.12.002

Cited by 56 publications

(63 citation statements)

References 44 publications

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“…Results of our study, and others, suggest that the SCARED-P can be used effectively across racial and ethnic groups (Canals et al, 2012; Cosi et al, 2010; DeSousa et al, 2013; Gonzalez et al, 2012; Hale et al, 2011; Hariz, 2013). In fact, in our sample, the SCARED-P tended to perform as well or better among non-White youth.…”

Section: Discussionsupporting

confidence: 63%

“…In a similar epidemiological study of Spanish youth, a score of 15-17 was recommended, corresponding to sensitivity of 63% to 66% and specificity of 61% to 70% for diagnoses made with the M.I.N.I (Canals et al, 2012). In contrast, in a study of Lebanese children at an outpatient mental health clinic, a cut-off score of 24 was recommended with sensitivity of 67% and specificity of 55% (Hariz, 2013), consistent with a study of treatment-seeking American adolescents that found an area under the curve (AUC) of .67 for the SCARED-P against diagnoses made with the K-SADS-P or a symptom checklist (Monga et al, 2000). Similarly, the parent-rated SCARED total score, somatic score, and separation anxiety score were able to distinguish youth with anxiety disorders diagnosed by a DSM-IV symptom checklist interview from youth without anxiety disorders ( p s <.005) who were all receiving services at a mood and anxiety disorders outpatient clinic (Birmaher et al, 1999).…”

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confidence: 73%

“…Although the SCARED-P has many positive qualities – it is free, easy-to-use, and has been validated in community, primary care, and clinical populations (Birmaher et al, 1997; Boyd et al, 2003; DeSousa et al, 2013; Gonzalez et al, 2012; Hale et al, 2005; Hariz, 2013), there are other measures that can also be used to assess for youth anxiety disorders (e.g., the Revised Children’s Anxiety and Depression Scale, the Multidimensional Anxiety Scale for Children). Being able to directly compare the effect sizes and/or how sample characteristics moderate scale performance can help clinicians to choose the best measure for their clinical setting.…”

Section: Discussionmentioning

confidence: 99%

“…There are both parent and child reports, with a five factor structure that corresponds to the following anxiety domains: panic/somatic, generalized anxiety, separation anxiety, social phobia, and school phobia. Importantly, the SCARED has demonstrated validity as an anxiety screening tool for youth from a variety of cultures and ethnicities (Canals, Hernández-Martínez, Cosi, & Domènech, 2012; Cosi, Canals, Hernández-Martinez, & Vigil-Colet, 2010; DeSousa, Salum, Isolan, & Manfro, 2013; Gonzalez, Weersing, Warnick, Scahill, & Woolston, 2012; Hale, Crocetti, Raaijmakers, & Meeus, 2011; Hariz, 2013). Additionally, the SCARED is both free and relatively brief, increasing its appeal for clinicians who are often constrained by limited time and resources.…”

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confidence: 99%

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Diagnostic Efficiency of Caregiver Report on the SCARED for Identifying Youth Anxiety Disorders in Outpatient Settings

Meter

You

Halverson

et al. 2016

Journal of Clinical Child & Adolescent Psychology

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Objective 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. Method Youth aged 6 to 12.9 were recruited from 9 outpatient mental health clinics (N=707). Consensus diagnoses were based on semi-structured interviews (KSADS) 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). Results SCARED-P total scores had variable efficiency (AUCs=.69-.88) and GAD 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. Conclusion Results suggest that the GAD 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.

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Section: Discussionsupporting

confidence: 63%

mentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic Efficiency of Caregiver Report on the SCARED for Identifying Youth Anxiety Disorders in Outpatient Settings

Meter

You

Halverson

et al. 2016

Journal of Clinical Child & Adolescent Psychology

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“…While studies have largely confirmed the SCARED’s psychometric properties in clinically referred samples (Bodden, Bogels, & Muris, 2009; Dirks et al, 2014; Hariz et al, 2013; Monga et al, 2000; Muris, Dreessen, Bogels, Weckx, & van Melick, 2004; Muris & Steerneman, 2001; Stevanovic, 2012; Weitkamp, Romer, Rosenthal, Wiegand-Grefe, & Daniels, 2010), fewer have compared accuracy of diagnostic cutoffs obtained from the SCARED with diagnoses from standardized clinical interviews (Bodden et al, 2009; Gardner, Lucas, Kolko, & Campo, 2007; Hariz et al, 2013; Monga et al, 2000; Muris et al, 2004; Muris & Steerneman, 2001; Weitkamp et al, 2010). Among such studies, modest sample size has largely prohibited tests of discriminant validity between specific subtypes of anxiety disorder diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Discriminant validity, diagnostic utility, and parent-child agreement on the Screen for Child Anxiety Related Emotional Disorders (SCARED) in treatment- and non-treatment-seeking youth

Rappaport

Pagliaccio

Pine

et al. 2017

Journal of Anxiety Disorders

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The Screen for Child Anxiety and Related Emotional Disorder (SCARED) may be differentially sensitive to detecting specific or comorbid anxiety diagnoses in treatment-seeking and non-treatment-seeking youth. We assessed the SCARED’s discriminant validity, diagnostic utility, and informant agreement using parent- and self-report from healthy and treatment-seeking anxious youth (Study 1, N=585) or from non-treatment-seeking anxious youth (Study 2, N=331) diagnosed with generalized anxiety disorder (GAD), social anxiety disorder (SAD), or comorbid GAD+SAD. Among treatment-seeking youth, the SCARED showed good diagnostic utility and specificity, differentiating healthy, comorbid, and non-comorbid anxious youth. Child-parent agreement was modest: healthy child self-reports were higher than parent-reports whereas anxious child self-reports were similar or lower than parent-reports. Less consistent results emerged for diagnostic utility, specificity, and informant agreement among non-treatment-seeking youth. Given the number of non-treatment seeking anxious youth (N=33), generalizability of these findings may be limited. Together, results suggest informants may provide distinct information about children’s anxiety symptoms.

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The role of child‐keyworker attachment in burnout among Saudi residential staff

Sochos

Aljasas

2020

Int J Psychol

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Research on the impact of the keyworker‐child relationship on residential staff is scarce. This longitudinal study investigated the potential moderating effects of child and keyworker attachment styles on the link between child behavioural problems and staff burnout and the moderating effects of child attachment style on the link between keyworker attachment style and keyworker burnout. Participants included 261 children and 59 residential child care workers, from 5 orphanages in Saudi Arabia. Five self‐report measures were utilised: The Strengths and Difficulties Questionnaire, the Security Scale, the Coping Strategies Questionnaire, the Maslach Burnout Inventory and the Experiences in Close Relationships Questionnaire. Keyworkers caring for relatively non‐avoidant children and those with an avoidant attachment style themselves experienced relatively high burnout a year later. Relatively high burnout was also reported by avoidant keyworkers who cared for avoidant and generally insecure children, while anxiously attached keyworkers reported relatively high burnout when they cared for children with any type of insecure attachment style. The present findings highlight essential interpersonal processes involved in the development of burnout in residential child care workers and call for the employment of attachment‐focused interventions as measures of burnout prevention.

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Reliability and validity of the Arabic Screen for Child Anxiety Related Emotional Disorders (SCARED) in a clinical sample

Cited by 56 publications

References 44 publications

Diagnostic Efficiency of Caregiver Report on the SCARED for Identifying Youth Anxiety Disorders in Outpatient Settings

Diagnostic Efficiency of Caregiver Report on the SCARED for Identifying Youth Anxiety Disorders in Outpatient Settings

Discriminant validity, diagnostic utility, and parent-child agreement on the Screen for Child Anxiety Related Emotional Disorders (SCARED) in treatment- and non-treatment-seeking youth

The role of child‐keyworker attachment in burnout among Saudi residential staff

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