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Protocol - Anxiety Disorders Symptoms - Children - Self-Report

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Protocol Name from Source:

The Screen for Child Anxiety Related Emotional Disorders (SCARED) - Self-Report Version

Availability:

Publicly available

Description:

The Screen for Child Anxiety Related Emotional Disorders (SCARED) is a 41-item, self- or parent-report questionnaire designed to screen for childhood anxiety disorders, including general anxiety disorder, separation anxiety disorder, panic disorder, social phobia, and symptoms related to school phobias in children ages 8 to 17. Each item is rated on a 3-point Likert-scale (0 = Not True or Hardly Ever True; 1 = Somewhat True or Sometimes True; 2 = Very True or Often True).

Protocol:

Screen for Child Anxiety Related Disorders (SCARED) CHILD Version

Directions:

Below is a list of sentences that describe how people feel. Read each phrase and decide if it is “Not True or Hardly Ever True” or “Somewhat True or Sometimes True” or “Very True or Often True” for you. Then, for each sentence, fill in one circle that corresponds to the response that seems to describe you for the last 3 months.

0

Not True or Hardly Ever True

1

Somewhat True or Sometimes True

2

Very True or Often True

1. When I feel frightened, it is hard to breathe.

O

O

O

PN

2. I get headaches when I am at school.

O

O

O

SH

3. I don’t like to be with people I don’t know well.

O

O

O

SC

4. I get scared if I sleep away from home.

O

O

O

SP

5. I worry about other people liking me.

O

O

O

GD

6. When I get frightened, I feel like passing out.

O

O

O

PN

7. I am nervous.

O

O

O

GD

8. I follow my mother or father wherever they go.

O

O

O

SP

9. People tell me that I look nervous.

O

O

O

PN

10. I feel nervous with people I don’t know well.

O

O

O

SC

11. I get stomachaches at school.

O

O

O

SH

12. When I get frightened, I feel like I am going crazy.

O

O

O

PN

13. I worry about sleeping alone.

O

O

O

SP

14. I worry about being as good as other kids.

O

O

O

GD

15. When I get frightened, I feel like things are not real.

O

O

O

PN

16. I have nightmares about something bad happening to my parents.

O

O

O

SP

17. I worry about going to school.

O

O

O

SH

18. When I get frightened, my heart beats fast.

O

O

O

PN

19. I get shaky.

O

O

O

PN

20. I have nightmares about something bad happening to me.

O

O

O

SP

21. I worry about things working out for me.

O

O

O

GD

22. When I get frightened, I sweat a lot.

O

O

O

PN

23. I am a worrier.

O

O

O

GD

24. I get really frightened for no reason at all.

O

O

O

PN

25. I am afraid to be alone in the house.

O

O

O

SP

26. It is hard for me to talk with people I don’t know well.

O

O

O

SC

27. When I get frightened, I feel like I am choking.

O

O

O

PN

28. People tell me that I worry too much.

O

O

O

GD

29. I don’t like to be away from my family.

O

O

O

SP

30. I am afraid of having anxiety (or panic) attacks.

O

O

O

PN

31. I worry that something bad might happen to my parents.

O

O

O

SP

32. I feel shy with people I don’t know well.

O

O

O

SC

33. I worry about what is going to happen in the future.

O

O

O

GD

34. When I get frightened, I feel like throwing up.

O

O

O

PN

35. I worry about how well I do things.

O

O

O

GD

36. I am scared to go to school.

O

O

O

SH

37. I worry about things that have already happened.

O

O

O

GD

38. When I get frightened, I feel dizzy.

O

O

O

PN

39. I feel nervous when I am with other children or adults and I have to do something while they watch me (for example: read aloud, speak, play a game, play a sport).

O

O

O

SC

40. I feel nervous when I am going to parties, dances, or any place where there will be people that I don’t know well.

O

O

O

SC

41. I am shy.

O

O

O

SC

SCORING:

A total score of ≥ 25 may indicate the presence of an Anxiety Disorder. Scores higher than 30 are more specific. TOTAL =

A score of 7 for items 1, 6, 9, 12, 15, 18, 19, 22, 24, 27, 30, 34, 38 may indicate Panic Disorder or Significant Somatic Symptoms. PN =

A score of 9 for items 5, 7, 14, 21, 23, 28, 33, 35, 37 may indicate Generalized Anxiety Disorder. GD =

A score of 5 for items 4, 8, 13, 16, 20, 25, 29, 31 may indicate Separation Anxiety SOC. SP =

A score of 8 for items 3, 10, 26, 32, 39, 40, 41 may indicate Social Anxiety Disorder. SC =

A score of 3 for items 2, 11, 17, 36 may indicate Significant School Avoidance. SH =

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Child, Adolescent

Specific Instructions:

If the participant is under 12 years of age, both versions must be collected (parent and self-reported versions). If the participant is over 12 years of age, both versions should be collected whenever possible.

For children ages 8-11, it is recommended that the clinician explain all questions or have the child answer the questionnaire sitting with an adult in case there are any questions.

Research Domain Information

Release Date:

November 28, 2017

Definition

A questionnaire to assess anxiety disorders, which include a number of different conditions such as panic disorder, generalized anxiety disorder, social phobia, specific phobia, agoraphobia, obsessive-compulsive disorder, and posttraumatic stress disorder (APA, 2000).

Purpose

This measure is used to screen an individual for the presence of anxiety disorders and to assess the severity of underlying symptoms. Anxiety disorders are one of the most prevalent psychiatric conditions occurring in about 18 percent of the population (Kessler et al., 2005). Anxiety disorders may be influenced by genetics and environmental factors and commonly occur with other physical conditions, such as cardiovascular, respiratory, and gastrointestinal disease, as well as with other mental illnesses such as depression and substance abuse disorders (APA, 2000). Furthermore, a significant proportion of pediatric psychiatric patients have anxiety disorders.

Selection Rationale

The Screen for Child Anxiety Related Emotional Disorders (SCARED) was vetted against similar anxiety protocols for children and chosen because it is a free, validated, self-report instrument that is easy to administer and score.

Language

English

Standards

StandardNameIDSource

Process and Review

[link[phenx.org/node/103|Expert Review Panel 4]] (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

  • Added new measure
  • Added new protocol
  • Created new data dictionary

Source

Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38(10), 1230-1236.

General References

American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

Costello, E. J., Angold, A., Burns, B. J., Stangl, D. K., Tweed, D. L., Erkanli, A., & Worthman, C. M. (1996). The Great Smoky Mountains Study of Youth. Goals, design, methods, and the prevalence of DSM-III-R disorders. Archives of General Psychiatry, 53, 1129-1136.

Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62(6), 617-627.

Monga, S., Birmaher, B., Chiappetta, L., Brent, D., Kaufman, J., Bridge, J., & Cully, M. (2000). Screen for Child Anxiety-Related Emotional Disorders (SCARED): Convergent and divergent validity. Depression and Anxiety, 12(2), 85-91.

Okado, Y., Tillery, R., Sharp, K. H., Long, A. M., & Phipps, S. (2016). Effects of time since diagnosis on the association between parent and child distress in families with pediatric cancer. Children’s Health Care: Journal of the Association for the Care of Children’s Health, 45(3), 303-322.

Protocol ID:

121802

Variables:

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