title: Development of the pediatric accommodation scale: reliability and validity of clinician- and parent-report measures.
abstract: The present study developed parallel clinician- and parent-rated measures of family accommodation (Pediatric Accommodation Scale, PAS; Pediatric Accommodation Scale-Parent Report; PAS-PR) for youth with a primary anxiety disorder. Both measures assess frequency and impact of family accommodation on youth and families. Studying youth ages 5-17 (N=105 caregiver-youth dyads), results provide evidence for the psychometric properties of the PAS, including internal consistency, inter-rater reliability, and convergent and discriminant validity. The PAS-PR exhibited good internal consistency and convergent validity with the PAS. Nearly all parents (>95%) endorsed some accommodation and accommodation frequency was associated with parent-rated impairment (home and school), and with youth-rated impairment (school only). Greater impact of accommodation on parents was associated with parent self-reported depressive symptoms. Findings support the common occurrence of family accommodation in youth with anxiety disorders, as well as for the use of the PAS and PAS-PR to measure family accommodation in this population.
authors.affiliation: Alpert Medical School of Brown University/Bradley-Hasbro Children's Research Center, USA. Electronic address: Kbenito@lifespan.org.
authors.forename: Kristen G
authors.initials: KG
authors.lastname: Benito
authors.affiliation: Department of Psychology, Georgia State University, USA.
authors.forename: Nicole E
authors.initials: NE
authors.lastname: Caporino
authors.affiliation: Alpert Medical School of Brown University/Bradley-Hasbro Children's Research Center, USA.
authors.forename: Hannah E
authors.initials: HE
authors.lastname: Frank
authors.affiliation: Alpert Medical School of Brown University/Bradley-Hasbro Children's Research Center, USA.
authors.forename: Krishnapriya
authors.initials: K
authors.lastname: Ramanujam
authors.affiliation: Alpert Medical School of Brown University/Bradley-Hasbro Children's Research Center, USA.
authors.forename: Abbe
authors.initials: A
authors.lastname: Garcia
authors.affiliation: Alpert Medical School of Brown University/Bradley-Hasbro Children's Research Center, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Freeman
authors.affiliation: Department of Psychology, Temple University, USA.
authors.forename: Philip C
authors.initials: PC
authors.lastname: Kendall
authors.affiliation: Departments of Psychiatry and Pediatrics, University of Florida, USA.
authors.forename: Gary
authors.initials: G
authors.lastname: Geffken
authors.affiliation: Morsani College of Medicine, University of South Florida, USA; Rogers Behavioral Health - Tampa Bay, USA.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Storch
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003866:Depressive Disorder / Q000175:diagnosis; D003937:Diagnosis, Differential; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics / Q000379:methods; D015203:Reproducibility of Results
keywords: Adolescents; Anxiety; Children; Family accommodation