The Utility of Measures of Child and Adolescent Anxiety: A Meta-Analytic Review of the Revised Children's Manifest Anxiety Scale, the State–Trait Anxiety Inventory for Children, and the Child Behavior Checklist

Seligman, Laura D.; Ollendick, Thomas H.; Langley, Audra K.; Baldacci, Heidi Bechtoldt

doi:10.1207/s15374424jccp3303_13

Cited by 181 publications

(135 citation statements)

References 30 publications

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“…These subscales display good convergent and discriminant validities (Seligman, Ollendick, Langley, & Baldacci, 2004). Internal consistency a for the internalizing scale was .88 and for the externalizing scale was .92.…”

Section: Parent Report Measuresmentioning

confidence: 92%

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Trauma-Focused Cognitive-Behavioral Therapy for Children

et al. 2012

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This study presents the findings from 6-and 12-month follow-up assessments of 158 children ages 4-11 years who had experienced sexual abuse and who had been treated with Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) with or without the inclusion of the trauma narrative (TN) treatment module and in 8 or 16 treatment sessions. Follow-up results indicated that the overall significant improvements across 14 outcome measures that had been reported at posttreatment were sustained 6 and 12 months after treatment and on two of these measures (child self-reported anxiety and parental emotional distress) there were additional improvements at the 12-month follow-up. Higher levels of child internalizing and depressive symptoms at pretreatment were predictive of the small minority of children who continued to meet full criteria for posttraumatic stress disorder at the 12-month follow-up. These results are discussed in the context of the extant TF-CBT treatment literature. Keywords child sexual abuse, posttraumatic stress disorder, treatmentTrauma-focused Cognitive-Behavioral Therapy (TF-CBT) is an evidence-based treatment for child trauma. In a recent meta-analysis of psychosocial treatments for children and adolescents exposed to traumatic events, TF-CBT was the only treatment meeting the ''well-established criteria'' threshold (Silverman et al., 2008). TF-CBT consists of the following three treatment modules or phases, each provided to children and parents: (1) skills-building components to enhance children's affective, behavioral, biological, and cognitive self-regulation and parenting interventions to enhance caregiver coping, behavior management skills, and support of the child; gradual exposure to the child's trauma reminders is included throughout these components; (2) trauma narrative (TN) during which children describe and cognitively process their personal trauma experiences; and (3) treatment closure including conjoint caregiver-child sessions and safety planning. Typically, one third of TF-CBT treatment is dedicated to each of these modules. The major purpose of the TN is to provide more intensive exposure work. This builds on the desensitization process that had been initiated with the skillsbased components .A two-site, randomized study was conducted to examine the differential effects of TF-CBT provided with or without the TN during 8 or 16 sessions to address the questions of (1) whether and for which children the TN is beneficial; and (2) the optimal length of TF-CBT treatment. Within the two TN conditions, the proportionality of the three TF-CBT phases was also varied. In the 8 session TN condition, normal TF-CBT proportionality was maintained (3 sessions for skills; 3 for TN; 2 for treatment closure) but in the 16-session TN condition, this was altered with disproportionate time spent on the TN (3 sessions for skills; 11 for TN, 2 for treatment closure). The rationale for adding 8 TN sessions and no other TF-CBT components to the 16-session TN condition was to increase the probability that t...

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Section: Parent Report Measuresmentioning

confidence: 92%

“…The Children's Depression Inventory (CDI; Kovacs, 1992) is a well-validated and reliable 27-item self-report instrument used to assess children's depression for children ages 7 and older (Seligman et al, 2004). Thus, the CDI was only administered to subjects aged 7 or older in this study.…”

Section: Child Report Measuresmentioning

confidence: 99%

Trauma-Focused Cognitive-Behavioral Therapy for Children

et al. 2012

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“…The RCMAS is one of the mostly widely used self-report measures for clinical and research purposes in the world (Seligman, Ollendick, Langley, & Balducci, 2004;White & Farrell, 2001). The RCMAS is a 37-item, self-report questionnaire that assesses the level and nature of anxiety in children between 6 and 19 years of age.…”

Section: Revised Children's Manifest Anxiety Scalementioning

confidence: 99%

Anxiety levels in adolescents who stutter

Blood

Maloney

et al. 2007

Journal of Communication Disorders

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High levels of anxiety can negatively affect the lives of children and adolescents. Thirty-six adolescents who stutter and 36 adolescents who do not stutter were administered standardized scales for anxiety and self-esteem. Significant differences were found for the total T-scores for Revised Children's Manifest Anxiety Scale for the two groups, although both groups mean T-scores were within normal range. Eighty-three percent of adolescents who stutter and 95% of adolescents who do not stutter earned scores in the normal range. No significant differences were found on the self-esteem scale, with 86% of adolescents who stutter and 97% of adolescents who do not stutter earning scores in the normal/positive range. Adolescents who stutter with co-occurring disorders displayed significantly higher levels of anxiety than adolescents who stutter with no co-occurring disorders. No significant differences were found between groups on ethnicity, socioeconomic class, gender and anxiety levels. A positive, significant correlation between anxiety scores and self-esteem scores was found for both groups.Learning outcomes: Readers will learn about and understand (a) the role of anxiety and selfesteem in stuttering; (b) the methods used to evaluate anxiety and self-esteem in adolescents; and (c) the similarities between adolescents who stutter and adolescents who do not stutter on anxiety and self-esteem scales. #

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“…Nevertheless, until recently, the majority of instruments used to assess childhood anxiety were simply downward extensions of already existing adult versions (e.g., Revised Children's Manifest Anxiety Scale-RCMAS). Although some of these traditional scales have demonstrated acceptable psychometric properties [Seligman et al, 2004], their omnibus nature and lack of specificity for youth experiences of anxiety have led to the development of several newer measures that more directly map onto the current diagnostic criteria and adopt a more developmentally sensitive approach. The Multidimensional Anxiety Scale for Children [MASC; March, 1997] represents one of these newer instruments, such that it was designed to examine aspects of anxiety particular to child and adolescent populations [see Muris et al, 2002].…”

Section: Introductionmentioning

confidence: 99%

Reexamination of the MASC factor structure and discriminant ability in a mixed clinical outpatient sample

2008

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Anxiety problems in youth are common, suggesting the need for developmentally appropriate and psychometrically sound measures in this area. The Multidimensional Anxiety Scale for Children (MASC) was created with this goal in mind, but has yet to be examined with samples representative of youth typically seen in clinical settings. Two hundred and sixty-two outpatient youth with mixed clinical presentations completed the MASC, a measure that includes a total anxiety score, as well as subscale scores for social anxiety, harm avoidance, separation anxiety/panic, and physical symptoms of anxiety. Internal consistency, means, and factor structure were comparable to that reported previously. Model invariance was supported across gender, diagnosis, and age. The MASC total score significantly differentiated children who received anxiety disorder diagnoses from those who did not. The social anxiety subscale significantly predicted social phobia and the harm avoidance subscale significantly predicted generalized anxiety disorder. Further support was found for the MASC. However, caution should be exercised given mixed discriminant ability findings. That is, the MASC seems best suited as a screening instrument for anxiety and when used in conjunction with a multiple method/informant assessment approach.

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The Utility of Measures of Child and Adolescent Anxiety: A Meta-Analytic Review of the Revised Children's Manifest Anxiety Scale, the State–Trait Anxiety Inventory for Children, and the Child Behavior Checklist

Cited by 181 publications

References 30 publications

Trauma-Focused Cognitive-Behavioral Therapy for Children

Trauma-Focused Cognitive-Behavioral Therapy for Children

Anxiety levels in adolescents who stutter

Reexamination of the MASC factor structure and discriminant ability in a mixed clinical outpatient sample

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