title: Diagnostic Efficiency of Caregiver Report on the SCARED for Identifying Youth Anxiety Disorders in Outpatient Settings.
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.
authors.affiliation: a Ferkauf Graduate School , Yeshiva University.
authors.forename: Anna R
authors.initials: AR
authors.lastname: Van Meter
authors.affiliation: b Department of Psychology , Texas A&M University.
authors.forename: Dokyoung S
authors.initials: DS
authors.lastname: You
authors.affiliation: c Department of Psychology and Neuroscience , University of North Carolina , Chapel Hill.
authors.forename: Tate
authors.initials: T
authors.lastname: Halverson
authors.affiliation: c Department of Psychology and Neuroscience , University of North Carolina , Chapel Hill.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Youngstrom
authors.affiliation: d School of Medicine , University of Pittsburgh.
authors.forename: Boris
authors.initials: B
authors.lastname: Birmaher
authors.affiliation: e Department of Psychiatry and Behavioral Health , The Ohio State University.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Fristad
authors.affiliation: f Wexner Medical Center , The Ohio State University.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Kowatch
authors.affiliation: g Statistical Research Consultants, LLC.
authors.forename: Amy
authors.initials: A
authors.lastname: Storfer-Isser
authors.affiliation: h School of Medicine , New York University.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Horwitz
authors.affiliation: i Center for Autism , Cleveland Clinic Children's Hospital.
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Frazier
authors.affiliation: e Department of Psychiatry and Behavioral Health , The Ohio State University.
authors.forename: L Eugene
authors.initials: LE
authors.lastname: Arnold
authors.affiliation: j Kennedy Krieger Institute , Johns Hopkins University.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Findling
authors.affiliation: k Bethesda , Maryland.
authors.forename: The
authors.initials: T
authors.lastname: Lams Group
mesh_terms: D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D017028:Caregivers / Q000523:psychology* / Q000592:standards*; D002648:Child; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004644:Emotions / Q000502:physiology; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards*; D010045:Outpatients / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D016896:Treatment Outcome