Quantifying Severity of Preschool-Aged Children’s Internalizing Behaviors: A Daily Diary Analysis

Assessment ◽  
2021 ◽  
pp. 107319112110466
Author(s):  
Sara J. Bufferd ◽  
Thomas M. Olino ◽  
Lea R. Dougherty
Keyword(s):  
Social Anxiety ◽  
Item Response ◽  
Primary Caregivers ◽  
Internalizing Behaviors ◽  
Internalizing Behavior ◽  
Anxiety And Depression ◽  
Diary Study ◽  
Typical Development ◽  
Empirical Information ◽  
Preschool Aged Children

A subset of preschool-aged children meets criteria for impairing and persistent anxiety and depression. However, the overlap between normative emotional development and impairing symptoms complicates assessments of internalizing problems in early childhood. Given the benefits of early identification/prevention and avoiding overpathologizing typical development, empirical information is needed to norm expression of internalizing behaviors. In this 14-day online diary study, 609 primary caregivers of 3- to 5-year-old children reported the frequency of children’s daily separation and social anxiety and depressive behaviors and impairment. Item response theory analyses quantified specific frequencies at which each behavior was psychometrically severe/rare. Patterns varied for each behavior; for example, distress when anticipating separation had to occur at least 10 times and sadness at least 35 times over 14 days to be considered severe. Most social anxiety behaviors had to occur approximately every other day to be considered severe. Parameters did not vary by child age or sex, and behaviors were significantly associated with impairment. These data provide empirical information for refining internalizing behavior assessment in preschool-aged children and can be used as benchmarks by child practitioners to assess the extent to which frequencies fall in the range of developmentally typical behavior versus those that may be more severe.

Konvergenz von Skalen zur Erfassung sozialer Ängste: Ein IRT-Linking Ansatz

2021 ◽  
Author(s):  
Fabio Cardace ◽  
Julian Rubel ◽  
Uwe Altmann ◽  
Martin Merkler ◽  
Brian Schwartz ◽  
...  
Keyword(s):  
Social Anxiety ◽  
Social Phobia ◽  
Item Response ◽  
Brief Symptom Inventory ◽  
Anxiety Scale ◽  
Symptom Inventory ◽  
Psychiatrische Patienten ◽  
Graded Response ◽  
Liebowitz Social Anxiety Scale

Zusammenfassung Ziel der Studie Bei der Untersuchung von sozialer Ängstlichkeit haben sich die Fragebögen Liebowitz Social Anxiety Scale (LSAS) und das Social Phobia-Inventory (SPIN) etabliert. Außerdem wird zum Screening sozialer Ängstlichkeit häufig die Subskala Unsicherheit im Sozialkontakt des Brief Symptom Inventory (BSI-53) eingesetzt. Alle drei Skalen geben vor dasselbe Konstrukt zu erfassen. Somit stellt sich die Frage der Konvergenz dieser Skalen. Um Forschungsergebnisse zu sozialer Ängstlichkeit, welche diese Instrumente nutzen, über einen fragebogenübergreifenden Faktor (Common-Faktor) vergleichbar zu machen, wird in der vorliegenden Studie ein Item Response Theorie (IRT) Linking Ansatz verwendet. Methodik 64 deutschsprachige psychiatrische Patienten und 295 Probanden aus der deutschen Normalbevölkerung füllten die drei Fragebögen aus. Verschiedene IRT-Modelle – darunter Graded Response Modelle (GRM) – wurden an die Daten angepasst und verglichen. Basierend auf dem Modell mit dem besten Fit wurden Regressionsanalysen durchgeführt. Der Common-Faktor wurde dabei jeweils von den Fragebogensummenwerten vorhergesagt. Ergebnisse Der Zusammenhang zwischen den verschiedenen Skalen wird am besten durch ein Bi-Faktor GRM erklärt (RMSEA=0,036; CFI=0,977; WRMR=1,061). Anhand der Ergebnisse der Regressionsanalysen lassen sich drei Gleichungen zur Transformation von Fragebogensummenwerten ableiten. Schlussfolgerung Durch den IRT Linking Ansatz konnte ein fragebogenübergreifender genereller Faktor Sozialer Ängstlichkeit abgeleitet werden. Gemeinsamkeiten und Unterschiede wurden dabei berücksichtigt. Dies hat sowohl für die Forschung als auch für die Praxis Vorteile. Eine Replikation dieser Studie sowie die Implementierung weiterer Instrumente wird empfohlen, um die Gültigkeit dieses Ansatzes zu überprüfen und die Ergebnisse zu generalisieren.

scholarly journals Social anxiety in a multiple sclerosis clinic population

2009 ◽  
Vol 15 (3) ◽  
pp. 393-398 ◽  
Author(s):  
K Poder ◽  
K Ghatavi ◽  
JD Fisk ◽  
TL Campbell ◽  
S Kisely ◽  
...  
Keyword(s):  
Social Anxiety ◽  
Depression Scale ◽  
Research Unit ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Neurological Disability ◽  
General Anxiety ◽  
Neurologic Disability

Background Little is known about social anxiety in MS. Objective We estimated the prevalence of social anxiety symptoms and their association with demographic and clinical features in a clinic-attending sample of patients with MS. Methods Patients attending the Dalhousie MS Research Unit for regularly scheduled visits completed the Social Phobia Inventory (SPIN), the Hospital Anxiety and Depression Scale (HADS), and the Health Utilities Index (HUI). Neurological disability was determined by ratings on the Expanded Disability Status Scale (EDSS). Results A total of 251 patients completed self-report scales of anxiety and depression symptoms. In all, 245 (98%) provided sufficient data for analysis. In all, 30.6% ( n = 75) had clinically significant social anxiety symptoms as defined by a SPIN threshold score of 19. Half of those with social anxiety had general anxiety (HADSA ≥ 11) and a quarter had depression (HADSD ≥ 11). Severity of social anxiety symptoms was associated with reduced health-related quality of life and not related to neurological disability. Conclusions Social anxiety symptoms are common in persons with MS, contribute to overall morbidity, but are unrelated to the overall severity of neurologic disability. Greater awareness and routine systematic inquiry of social anxiety symptoms is an important component of comprehensive care for persons with MS.

scholarly journals Exploring the Risk Factors of Interactive E-Health Interventions for Digital Addiction

2016 ◽  
Vol 8 (2) ◽  
pp. 1-15 ◽  
Author(s):  
Amen Alrobai ◽  
John McAlaney ◽  
Keith Phalp ◽  
Raian Ali
Keyword(s):  
Life Experience ◽  
Self Esteem ◽  
Health Intervention ◽  
Health Interventions ◽  
Anxiety And Depression ◽  
Diary Study ◽  
Adverse Side Effects ◽  
Digital Devices ◽  
Rigorous Testing ◽  
Digital Addiction

Digital Addiction refers to a problematic usage of digital devices characterised by being excessive, compulsive, impulsive and hasty. It is often associated with negative life experience such as anxiety and depression. To combat Digital Addiction, interactive e-health intervention applications started to appear to aid users adjust their usage style. The present study aims to understand the risks related to such e-health interventions. The authors conducted an empirical research to investigate such risks from users' perspectives through a diary study. Fourteen participants were recruited and asked to install popular “digital diet” applications and use them for two weeks and record their significant moments. The authors then interviewed the participants to discuss their experience. Self-governed interactive e-health intervention for digital addiction could lead to adverse side effects such as lower self-esteem, misconception of the healthy usage and creating an alternative addictive experience. Thus, there is a need for theory-based development and rigorous testing for such e-health solutions.

The emotional distress of children with cancer in China: an item response analysis of C-Ped-PROMIS Anxiety and Depression short forms

2014 ◽  
Vol 24 (6) ◽  
pp. 1491-1501 ◽  
Author(s):  
Yanyan Liu ◽  
Jingting Wang ◽  
Pamela S. Hinds ◽  
Jichuan Wang ◽  
Nanping Shen ◽  
...  
Keyword(s):  
Item Response ◽  
Emotional Distress ◽  
Anxiety And Depression ◽  
Response Analysis ◽  
Children With Cancer ◽  
Short Forms

scholarly journals Treatment of social anxiety with paroxetine: mediation of changes in anxiety and depression symptoms

2009 ◽  
Vol 50 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Jared P. Dempsey ◽  
Patrick K. Randall ◽  
Suzanne E. Thomas ◽  
Sarah W. Book ◽  
Maureen H. Carrigan
Keyword(s):  
Social Anxiety ◽  
Anxiety And Depression ◽  
Depression Symptoms

Co-occurrence of social anxiety and depression symptoms in adolescence: differential links with implicit and explicit self-esteem?

2011 ◽  
Vol 42 (3) ◽  
pp. 475-484 ◽  
Author(s):  
P. J. de Jong ◽  
B. E. Sportel ◽  
E. de Hullu ◽  
M. H. Nauta
Keyword(s):  
Social Anxiety ◽  
Predictive Validity ◽  
Self Esteem ◽  
Process Models ◽  
Dual Process ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Co Morbidity ◽  
Evaluative Processes ◽  
Implicit And Explicit

BackgroundSocial anxiety and depression often co-occur. As low self-esteem has been identified as a risk factor for both types of symptoms, it may help to explain their co-morbidity. Current dual process models of psychopathology differentiate between explicit and implicit self-esteem. Explicit self-esteem would reflect deliberate self-evaluative processes whereas implicit self-esteem would reflect simple associations in memory. Previous research suggests that low explicit self-esteem is involved in both social anxiety and depression whereas low implicit self-esteem is only involved in social anxiety. We tested whether the association between symptoms of social phobia and depression can indeed be explained by low explicit self-esteem, whereas low implicit self-esteem is only involved in social anxiety.MethodAdolescents during the first stage of secondary education (n=1806) completed the Revised Child Anxiety and Depression Scale (RCADS) to measure symptoms of social anxiety and depression, the Rosenberg Self-Esteem Scale (RSES) to index explicit self-esteem and the Implicit Association Test (IAT) to measure implicit self-esteem.ResultsThere was a strong association between symptoms of depression and social anxiety that could be largely explained by participants' explicit self-esteem. Only for girls did implicit self-esteem and the interaction between implicit and explicit self-esteem show small cumulative predictive validity for social anxiety, indicating that the association between low implicit self-esteem and social anxiety was most evident for girls with relatively low explicit self-esteem. Implicit self-esteem showed no significant predictive validity for depressive symptoms.ConclusionsThe findings support the view that both shared and differential self-evaluative processes are involved in depression and social anxiety.

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