Differences in Parent and Child Report on the Screen for Child Anxiety-Related Emotional Disorders (SCARED): Implications for Investigations of Social Anxiety in Adolescents.

IF 3.6
Maureen E Bowers, Lori B Reider, Santiago Morales, George A Buzzell, Natalie Miller, Sonya V Troller-Renfree, Daniel S Pine, Heather A Henderson, Nathan A Fox
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引用次数: 31

Abstract

Social anxiety typically emerges by adolescence and is one of the most common anxiety disorders. Many clinicians and researchers utilize the Screen for Child Anxiety Related Disorders (SCARED) to quantify anxiety symptoms, including social anxiety, throughout childhood and adolescence. The SCARED can be administered to both children and their parents, though reports from each informant tend to only moderately correlate. Here, we investigated parent-child concordance on the SCARED in a sample of adolescents (N = 360, Mage = 13.2) using a multi-trait multi-method (MTMM) model. Next, in a selected sample of the adolescents, we explored relations among child report, parent report, and latent social anxiety scores with two laboratory tasks known to elicit signs of social anxiety in the presence of unfamiliar peers: a speech task and a "Get to Know You" task. Findings reveal differences in variance of the SCARED accounted for by parent and child report. Parent report of social anxiety is a better predictor of anxiety signs elicited by a structured speech task, whereas child report of social anxiety is a better predictor of anxiety signs during the naturalistic conversation with unfamiliar peers. Moreover, while latent social anxiety scores predict both observed anxiety measures, parent report more closely resembles latent scores in relation to the speech task, whereas child report functions more similarly to latent scores in relation to the peer conversation. Thus, while latent scores relate to either observed anxiety measure, parent and child report on the SCARED each provide valuable information that differentially relate to naturalistic social anxiety-related behaviors.

父母与子女在儿童焦虑相关情绪障碍(fear)筛查报告上的差异:对青少年社交焦虑调查的启示。
社交焦虑通常出现在青春期,是最常见的焦虑症之一。许多临床医生和研究人员利用儿童焦虑相关障碍筛查(SCARED)来量化整个童年和青春期的焦虑症状,包括社交焦虑。虽然每一个信息提供者的报告往往只有适度的相关性,但该测试可以同时对孩子和他们的父母进行。本研究采用多特征多方法(MTMM)模型,对360例青少年(N = 360, Mage = 13.2)的父母-子女在恐惧心理方面的一致性进行了研究。接下来,在一个选定的青少年样本中,我们探索了儿童报告、父母报告和潜在社交焦虑分数之间的关系,这两个实验室任务已知会在不熟悉的同龄人面前引发社交焦虑的迹象:一个演讲任务和一个“了解你”任务。研究结果揭示了父母和儿童报告中所解释的惊恐变异的差异。父母报告的社交焦虑能更好地预测结构化言语任务引发的焦虑迹象,而儿童报告的社交焦虑能更好地预测与不熟悉的同伴进行自然对话时引发的焦虑迹象。此外,虽然潜在的社交焦虑得分预测了观察到的两种焦虑措施,但父母报告更接近于与言语任务相关的潜在得分,而儿童报告更接近于与同伴对话相关的潜在得分。因此,虽然潜在得分与观察到的焦虑测量有关,但父母和孩子对害怕的报告各自提供了有价值的信息,这些信息与自然的社交焦虑相关行为有不同的关系。
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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