Måleegenskaper ved den norske versjonen av Screen for Child Anxiety Related Emotional Disorders (SCARED)

Authors

Gudmundur Skarphedinsson Regionsenter for barn og unges psykiske helse Øst og Sør https://orcid.org/0000-0002-8618-153X
Marianne Aalberg Villabø Regionsenter for barn og unges psykiske helse Øst og Sør https://orcid.org/0000-0003-2719-9411

DOI:

Keywords:

Angst, Barn i skolealder, Ungdom

Abstract

Description: Screen for Child Anxiety Related Emotional Disorders (SCARED) was developed by Boris Birmaher in order to assess anxiety symptoms in children and adolescents. The first version was published in 1997 (38 items), and a revised version in 1999 (41 items). Peter Muris from the Netherlands added subscales for specific phobia, obsessive-compulsive disorder and traumatic stress disorder (66 items in 1999; 69 items in 2009). Einar Leikanger translated the SCARED and SCARED-R to Norwegian, and he holds the Norwegian copyright. Birmaher and Muris own the international copyright, and they have approved the back-translation of the SCARED. Both the SCARED and SCARED-R produce a total score. In addition, the SCARED includes five subscales corresponding to the diagnoses of panic disorder, generalized anxiety disorder, separation anxiety disorder, and social anxiety disorder but also school phobia. The SCARED-R includes the same subscales but in addition, subscales of specific phobia, obsessive-compulsive disorder and traumatic stress disorder.
Literature search: Our systematic search of the Norwegian SCARED and SCARED-R yielded 79 publications, seven of which were included in our review. The included studies reported psychometric data for the SCARED in 4415 participants. Our search of the Swedish and Danish versions yielded four included publications on SCARED-R only.
Psychometrics: The Norwegian publications reported data for the 41-item SCARED. Mean scores in normal and clinical groups were lower than observed in studies in the US and the Netherlands. Internal consistency was excellent (≥ .90) for the total score and acceptable to good (between .70 and .90) for the subscales. Convergent validity was reported by correlating the SCARED with the Social Phobia and Anxiety Inventory for Children (SPAI-C; questionnaire for social anxiety disorder). The SCARED subscale social anxiety correlated significantly higher with the SPAI-C than did the other subscales.
Conclusion: We found reported mean scores in two studies from the general population. One should be careful when using the reported mean scores for clinical groups. The group was selected by screening pupils but not among referred patients or children undergoing diagnostic evaluation. Internal consistency was similar to international studies. We did not find any validity studies (except the study reporting convergent validity data). Examining the factor structure and concurrent validity of the screen is necessary. As long as additional psychometric evaluation is absent for the Norwegian SCARED we recommend a careful use of the scale. Additional research is necessary for the Norwegian version.

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Published

2015-08-24

How to Cite

Skarphedinsson, G., & Villabø, M. A. (2015). Måleegenskaper ved den norske versjonen av Screen for Child Anxiety Related Emotional Disorders (SCARED). PsykTestBarn, 5(2), 1–10. https://doi.org/10.21337/0042