Frances J Wren1, Eric A Berg2, Lynda A Heiden2, Carolyn J Kinnamon2, Lirio A Ohlson2, Jeffrey A Bridge2, Boris Birmaher2, M Pilar Bernal2. 1. Drs. Wren and Heiden, Mr. Berg, Ms. Ohlson, and Ms. Kinnamon are with the Divisions of Child and Adolescent Psychiatry, Stanford University School of Medicine, Stanford, CA; Dr. Bernal is with Kaiser Permanente Northern California, San Jose; Drs. Bridge and Birmaher are with the Department of Psychiatry, University of Pittsburgh; and Dr. Heiden is with the Department of Psychology, San Jose State University, San Jose, CA. Electronic address: fwren@stanford.edu. 2. Drs. Wren and Heiden, Mr. Berg, Ms. Ohlson, and Ms. Kinnamon are with the Divisions of Child and Adolescent Psychiatry, Stanford University School of Medicine, Stanford, CA; Dr. Bernal is with Kaiser Permanente Northern California, San Jose; Drs. Bridge and Birmaher are with the Department of Psychiatry, University of Pittsburgh; and Dr. Heiden is with the Department of Psychology, San Jose State University, San Jose, CA.
Abstract
OBJECTIVE: To explore in a multiethnic primary care population the impact of child gender and of race/ethnicity on parent and child reports of school-age anxiety and on the factor structure of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED). METHOD: A consecutive sample of 515 children (8 to <13 years) and their parent presenting for primary care completed self-report (C) and parent-report (P) versions of the SCARED-41. RESULTS: Neither SCARED scores nor parent-child difference varied significantly with race/ethnicity. Predictors of higher SCARED scores were less parental education, younger child age and female gender. Exploratory factor analysis conducted separately for SCARED-C and SCARED-P yielded four factors. There was large variation in factor structure between SCARED-C and SCARED-P and across ethnic and gender subgroups, greatest for somatic/panic/generalized anxiety and Hispanic children. CONCLUSIONS: Primary care triage of anxious children requires data from both the parent and child and must go beyond cross-sectional symptom inventories. Clinicians must elicit from each family their perhaps culturally bound interpretation of the child's somatic and psychological symptoms.
OBJECTIVE: To explore in a multiethnic primary care population the impact of child gender and of race/ethnicity on parent and child reports of school-age anxiety and on the factor structure of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED). METHOD: A consecutive sample of 515 children (8 to <13 years) and their parent presenting for primary care completed self-report (C) and parent-report (P) versions of the SCARED-41. RESULTS: Neither SCARED scores nor parent-child difference varied significantly with race/ethnicity. Predictors of higher SCARED scores were less parental education, younger child age and female gender. Exploratory factor analysis conducted separately for SCARED-C and SCARED-P yielded four factors. There was large variation in factor structure between SCARED-C and SCARED-P and across ethnic and gender subgroups, greatest for somatic/panic/generalized anxiety and Hispanic children. CONCLUSIONS: Primary care triage of anxious children requires data from both the parent and child and must go beyond cross-sectional symptom inventories. Clinicians must elicit from each family their perhaps culturally bound interpretation of the child's somatic and psychological symptoms.
Authors: Paul Swamidhas Sudhakar Russell; M K C Nair; Sushila Russell; Vinod Shanmukham Subramaniam; Anupama Zeena Sequeira; Suma Nazeema; Babu George Journal: Indian J Pediatr Date: 2013-10-12 Impact factor: 1.967
Authors: Holly J Ramsawh; Denise A Chavira; John T Kanegaye; Sonia Ancoli-Israel; P Jamil Madati; Murray B Stein Journal: Pediatr Emerg Care Date: 2012-10 Impact factor: 1.454
Authors: Kathryn Puskar; Lisa Marie Bernardo; Dianxu Ren; Kirsti Hetager Stark; Suzanne Lester Journal: Int J Ment Health Nurs Date: 2009-12 Impact factor: 3.503