scholarly journals Treatment Response in Child Anxiety is Differentially Related to the Form of Maternal Anxiety Disorder

2007 ◽  
Vol 36 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Peter J. Cooper ◽  
Catherine Gallop ◽  
Lucy Willetts ◽  
Cathy Creswell

AbstractAn examination was made of the extent to which maternal anxiety predicted response to treatment of children presenting with an anxiety disorder. In a sample of 55 children referred to a local NHS CAMH service for treatment of an anxiety disorder, systematic mental state interview assessment was made of both mothers and children, and both completed self-report questionnaires to assess aspects of anxiety, both immediately before the children received treatment and following treatment. Children of mothers with anxiety disorder overall responded less well to treatment than children of mothers with no anxiety disorder. There was some diagnostic specificity in this in that children of mothers with GAD did as well in treatment as children whose mothers had no anxiety, whereas children of mothers with social phobia did poorly. The outcome for children with anxiety appears to be related to the presence and nature of maternal anxiety. It would seem prudent that treatment of children with anxiety involves assessment of maternal anxiety. It is important to establish in systematic investigation whether treatment of maternal anxiety improves the outcome for child anxiety.

2012 ◽  
Vol 28 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Anna Ogliari ◽  
Simona Scaini ◽  
Michael J. Kofler ◽  
Valentina Lampis ◽  
Annalisa Zanoni ◽  
...  

Reliable and valid self-report questionnaires could be useful as initial screening instruments for social phobia in both clinical settings and general populations. The present study investigates the factor structure and psychometric properties of the Social Phobia and Anxiety Inventory for Children (SPAI-C) in a sample of 228 children from the Italian general population aged 8 to 11. The children were asked to complete the Italian version of the SPAI-C and the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire. Confirmatory factor analyses revealed that social phobia can be conceptualized as a unitary construct consisting of five distinct but interrelated symptom clusters named Assertiveness, General Conversation, Physical/Cognitive Symptoms, Avoidance, and Public Performance. Internal consistency of the SPAI-C total scores and two subscales was good; correlations between SPAI-C total scores and SCARED total scores/subscales ranged from moderate to high (Generalized Anxiety Disorder, for social phobia), with the SCARED Social Phobia subscale as the best predictor of SPAI-C total scores. The results indicate that the SPAI-C is a reliable and sensitive instrument suitable for identifying Social Phobia in the young Italian general population.


2002 ◽  
Vol 19 (2) ◽  
pp. 90-101 ◽  
Author(s):  
Raelene L. de Ross ◽  
Eleonora Gullone ◽  
Bruce F. Chorpita

AbstractThe Revised Child Anxiety and Depression Scale (RCADS) is a 47-item self-report measure intended to assess children's symptoms corresponding to selected DSM-IV anxiety and major depressive disorders. The scale comprises six subscales (e.g., Separation Anxiety Disorder; Social Phobia; Obsessive Compulsive Disorder; Panic Disorder; Generalised Anxiety Disorder; and Major Depressive Disorder). To date, only one normative study of youth has been published with results providing strong initial support for the reliability and validity of this new measure (Chorpita, Yim, Moffitt, Umemoto, & Francis, 2000). The present investigation provides additional psychometric data derived from an Australian sample comprising 405 youth aged 8 to 18 years. In general, the data were found to be consistent with those reported in the initial normative study. Internal consistency for the overall scale and its subscales was found to be adequate. Good convergent validity was demonstrated through moderate to strong correlations between the subscales of the RCADS with scores on the Revised Children's Manifest Anxiety Scale (RCMAS) and the Children's Depression Inventory (CDI). Confirmatory factor analysis suggested reasonable fit for the six-factor model by Chorpita et al. (2000). Notwithstanding the need for additional validation, it is concluded that the RCADS is a promising instrument for use in both clinical and research settings.


Author(s):  
David Watson ◽  
Michael W. O’Hara

This chapter reviews the convergent, discriminant, criterion, and incremental validity of symptoms of the DSM-5 anxiety disorders; these include panic disorder, agoraphobia, social anxiety disorder/social phobia, specific phobia, and generalized anxiety disorder (GAD). Symptom measures of social anxiety/social phobia, panic disorder, claustrophobia, and GAD generally displayed impressive construct validity in these data. Specifically, they tended to show strong convergent validity and significant discriminant validity across both self-report and interview-based measures; moreover, they displayed substantial criterion validity and impressive incremental validity in relation to conceptually linked DSM diagnoses. One problem, however, is that they generally showed poor diagnostic specificity; that is, although they correlated substantially with their target diagnoses, they often displayed equally strong relations with at least some other internalizing disorders. In contrast, self-report measures of agoraphobia and specific phobia (particularly the latter) generally exhibited unimpressive criterion and incremental validity in these analyses.


2003 ◽  
Vol 33 (4) ◽  
pp. 623-635 ◽  
Author(s):  
M. G. NEWMAN ◽  
K. E. KACHIN ◽  
A. R. ZUELLIG ◽  
M. J. CONSTANTINO ◽  
L. CASHMAN-McGRATH

Background. The development and validation of the Social Phobia Diagnostic Questionnaire (SPDQ), a new self-report diagnostic instrument for social phobia is described in three separate studies.Study 1. The participants were 125 undergraduates seeking help for an anxiety disorder of whom 60 had social phobia. Receiver operating characteristics (ROC) analysis was conducted comparing SPDQ diagnoses and clinician-based Anxiety Disorder Interview Schedule-IV (ADIS-IV) diagnoses of social phobia. Diagnoses made by the SPDQ showed an 85% specificity, an 82% sensitivity and kappa agreement with the ADIS-IV of 0·66.Study 2. The participants were 462 undergraduates who completed the SPDQ and a battery of additional questionnaires. The SPDQ had good internal consistency (α=0·95), good split-half reliability (r=0·90) and strong convergent and discriminant validity.Study 3. The participants were 145 undergraduates who completed the SPDQ at two time points separated by 2 weeks as well as several additional questionnaires. Scores on the SAD, FNE and SISST of SPDQ categorized undergraduates were also compared to scores on these measures from 35 clinical community participants to determine the clinical validity of the SPDQ. The SPDQ had strong 2-week test–retest reliability and good convergent and discriminant validity. Undergraduates diagnosed with social phobia by the SPDQ were not significantly different on the SAD, FNE and SISST from the socially phobic community sample, but both groups had significantly higher scores than undergraduates identified by the SPDQ as not meeting criteria for social phobia, demonstrating clinical validity of the SPDQ.Conclusions. These three studies provide preliminary evidence of the strong psychometric properties of the SPDQ as a measure to identify socially phobic participants.


2010 ◽  
Vol 13 (2) ◽  
pp. 970-980 ◽  
Author(s):  
Luis Joaquín Garcia-Lopez ◽  
Rosa Mª Bermejo ◽  
Mª Dolores Hidalgo

Availability of brief, self-report measures to be used as screening instruments is crucial to detect correctly youth with social anxiety disorder and therefore, reach those otherwise under-detected and under-treated. A previous study revealed that the Social Phobia Inventory (SPIN) was potentially an appropriate measure for screening social anxiety among US adolescents. However, there is a lack of information concerning its properties as a screening test in other cultures and languages. This is the main objective of this study, although further validity of the scale is provided as well. The sample consisted of 192 adolescents (a sample composed of 114 subjects with a principal diagnosis of social anxiety disorder; and a group consisting of 78 subjects with no diagnosis of social phobia). Results suggest that the Social Phobia Inventory has demonstrated good psychometric properties and indeed may be used as a screening tool in Spanish-speaking adolescents.


2003 ◽  
Vol 33 (4) ◽  
pp. 583-588 ◽  
Author(s):  
RICHARD G. HEIMBERG

I have been asked to comment on the three articles on social phobia in this issue of Psychological Medicine. The three papers in one way or another concern themselves with important issues in the assessment and diagnosis of social phobia (also known as social anxiety disorder; Liebowitz et al. 2000). I do so with the caveat that I am an author on one of the papers and do not claim the same degree of objectivity in examining my own work as I do in examining the work of others. The three papers concern the psychometric evaluation of a modified version of the Clinical Global Impression (CGI) (Guy, 1976) in a sample of persons with social phobia (Zaider et al. 2003), the development of a self-report screening questionnaire for social phobia (Newman et al. 2003) and the characteristics of social phobia in the Australian National Survey of Mental Health and Wellbeing (NSMHWB) (Lampe et al. 2003).


Author(s):  
Jose Antonio Piqueras ◽  
David Pineda ◽  
María Martin-Vivar ◽  
Bonifacio Sandín

Abstract: The 30-item shortened version of the Revised Child Anxiety and Depression Scale (RCADS-30) is a self-report instrument to assess symptoms of anxiety and depressive disorders. This study examined the factor structure, reliability, and construct validity of the RCADS-30, based on a sample of children and adolescents in clinical and community settings. Results provide evidence for (a) the six factors of the scale (separation anxiety disorder, generalized anxiety disorder, panic disorder, social phobia, obsessive-compulsive disorder, and major depressive disorder), (b) reliability (alpha and omega), and (c) convergent and discriminant validity against self-report and clinical interview criteria. The RCADS-30 demonstrated sound psychometric properties and that it is a suitable instrument to assess depression and anxiety disorder symptoms. Based on established cut-off scores, the scale also showed adequate capacity to differentiate emotional disorders from other mental disorders or the absence of diagnosis.Resumen: Análisis factorial confirmatorio y propiedades psicométricas de la Revised Child Anxiety and Depression Scale (RCADS-30) en muestras clínicas y no clínicas. La versión abreviada de 30 ítems de la Revised Child Anxiety and Depression Scale (RCADS-30) es un instrumento de autoinforme para evaluar síntomas de los trastornos de ansiedad y depresivos. Este estudio examinó la estructura factorial, la fiabilidad y la validez de constructo de la RCADS-30 en una muestra de niños y adolescentes procedentes de muestras clínicas y comunitarias. Los resultados aportan evidencia sobre (a) los seis factores de la escala (trastorno de ansiedad de separación, trastorno de ansiedad generalizada, trastorno de pánico, fobia social, trastorno obsesivo-compulsivo, y trastorno depresivo mayor), (b) fiabilidad (alfa y omega), y (c) validez convergente y discriminante sobre autoinformes y entrevista clínica. La RCADS-30 demostró poseer buenas propiedades psicométricas y ser adecuada para evaluar los síntomas de los trastornos de ansiedad y depresivos. Sobre la base de puntos de corte establecidos, la escala mostró adecuada capacidad para diferenciar los trastornos emocionales de otros problemas mentales o la ausencia de diagnóstico. 


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