Måleegenskaper ved den norske versjonen av The Social Phobia and Anxiety Inventory for Children (SPAI-C)
DOI:
https://doi.org/10.21337/0051Emneord (Nøkkelord):
Angst, Barn i skolealder, UngdomSammendrag
Beskrivelse: The Social Phobia and Anxiety Inventory for Children (SPAI-C) er et selvutfyllingsskjema for barn og unge som måler nivå av sosial angst. SPAI-C er utviklet av Turner, Beidel, og Morris og ble første gang rapportert, omtalt og beskrevet internasjonalt i 1995, og i Norge i 2008. SPAI-C består av 26 testledd. Hvert av leddene er rangert på en tre-punkts Likert-skala. I forhold til skåring er 18 poeng anbefalt som klinisk cut-off skår. Instrumentet er hovedsakelig utviklet for barn og unge i alderen 8–14 år. Vanligvis tar det mellom 10–20 minutter å fylle ut skjemaet. For administrering og tolkning av SPAI-C er det anbefalt et kompetansekrav på nivå B (Masternivå) i henhold til Multi-Health Systems inc. kvalifikasjonskrav.
Litteratursøk: Søket etter dokumentasjon for måleegenskapene til SPAI-C resulterte i 22 originale referanser, hvorav seks norske og tre svenske ble inkludert. Tre av de inkluderte studiene er tverrsnittstudier, fire er intervensjonsstudier, mens to studier er av longitudinell karakter. SPAI-C er blitt benyttet både i kliniske utvalg, i normalutvalg, og i populasjonsutvalg. For de ni inkluderte studiene bestod utvalgene av gutter og jenter i alderen 11–15 år.
Psykometri: Alle studiene rapporterer middelverdier. To studier har undersøkt faktorstrukturen til SPAI-C, mens i fem studier er det rapportert begrepsvaliditet, og i to studier er det rapportert test-retest, samtidig validitet og diskriminant validitet. De psykometriske egenskapene til SPAI-C vurderes som adekvate. Rapporterte reliabilitetsskårer på tvers av studier ligger over 0,90. Validiteten til SPAI-C støttes av forventede assosiasjoner med depresjon, flere angstlidelser, kliniske observasjoner og intervju. SPAI-C synes sensitiv for å identifisere ungdom som tilfredsstiller kriteriene for sosial angstlidelse, men tenderer til å identifisere for mange falske positive. Videre er SPAI-C sensitivt for endring over tid, blant annet for ungdom som går i terapi.
Konklusjon: Skandinaviske studier indikerer at måleegenskapene til SPAI-C er adekvate, og at det er et nyttig selvutfyllingsskjema for å identifisere ungdom med sosiale angstsymptomer.
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