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

Anna R. Van Meter, Dokyoung S. You, Tate Halverson, Eric A. Youngstrom, Boris Birmaher, Mary A. Fristad, Robert A. Kowatch, Amy Storfer-Isser, Sarah M. Horwitz, Thomas W. Frazier, L. Eugene Arnold, Robert L. Findling, The LAMS Group

Research output: Contribution to journalArticlepeer-review

Abstract

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. Youth ages 6 to 12 years, 11 months were recruited from 9 outpatient mental health clinics (N = 707). Consensus diagnoses were based on semistructured interviews (Schedule for Affective Disorders and Schizophrenia for School-Age Children) 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). SCARED-P total scores had variable efficiency (AUCs = .69–.88), and Generalized Anxiety Disorder 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. Results suggest that the Generalized Anxiety Disorder 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.

Original languageEnglish (US)
Pages (from-to)S161-S175
JournalJournal of Clinical Child and Adolescent Psychology
Volume47
Issue numbersup1
DOIs
StatePublished - Dec 21 2018

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

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