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Protocol - Anxiety Disorders Symptoms - Children - Parent Report

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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 aged 8-17. 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).

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.

Protocol:

Screen for Child Anxiety Related Disorders (SCARED)

PARENT Version (to be filled out by the PARENT)

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 your child. Then, for each statement, fill in one circle that corresponds to the response that seems to describe your child for the last 3 months. Please respond to all statements as well as you can, even if some do not seem to concern your child.

0

Not True or Hardly Ever True

1

Somewhat True or Sometimes True

2

Very True or Often True

1. When my child feels frightened, it is hard for him/her to breathe

O

O

O

PN

2. My child gets headaches when he/she is at school.

O

O

O

SH

3. My child doesn’t like to be with people he/she doesn’t know well.

O

O

O

SC

4. My child gets scared if he/she sleeps away from home.

O

O

O

SP

5. My child worries about other people liking him/her.

O

O

O

GD

6. When my child gets frightened, he/she feels like passing out.

O

O

O

PN

7. My child is nervous.

O

O

O

GD

8. My child follows me wherever I go.

O

O

O

SP

9. People tell me that my child looks nervous.

O

O

O

PN

10. My child feels nervous with people he/she doesn’t know well.

O

O

O

SC

11. My child gets stomachaches at school.

O

O

O

SH

12. When my child gets frightened, he/she feels like he/she is going crazy.

O

O

O

PN

13. My child worries about sleeping alone.

O

O

O

SP

14. My child worries about being as good as other kids.

O

O

O

GD

15. When my child gets frightened, he/she feels like things are not real.

O

O

O

PN

16. My child has nightmares about something bad happening to his/her parents.

O

O

O

SP

17. My child worries about going to school.

O

O

O

SH

18. When my child gets frightened, his/her heart beats fast.

O

O

O

PN

19. My child gets shaky.

O

O

O

PN

20. My child has nightmares about something bad happening to him/her.

O

O

O

SP

21. My child worries about things working out for him/her.

O

O

O

GD

22. When my child gets frightened, he/she sweats a lot.

O

O

O

PN

23. My child is a worrier.

O

O

O

GD

24. My child gets really frightened for no reason at all.

O

O

O

PN

25. My child is afraid to be alone in the house.

O

O

O

SP

26. It is hard for my child to talk with people he/she doesn’t know well.

O

O

O

SC

27. When my child gets frightened, he/she feels like he/she is choking.

O

O

O

PN

28. People tell me that my child worries too much.

O

O

O

GD

29. My child doesn’t like to be away from his/her family.

O

O

O

SP

30. My child is afraid of having anxiety (or panic) attacks.

O

O

O

PN

31. My child worries that something bad might happen to his/her parents.

O

O

O

SP

32. My child feels shy with people he/she doesn’t know well.

O

O

O

SC

33. My child worries about what is going to happen in the future.

O

O

O

GD

34. When my child gets frightened, he/she feels like throwing up.

O

O

O

PN

35. My child worries about how well he/she does things.

O

O

O

GD

36. My child is scared to go to school.

O

O

O

SH

37. My child worries about things that have already happened.

O

O

O

GD

38. When my child gets frightened, he/she feels dizzy.

O

O

O

PN

39. My child feels nervous when he/she is with other children or adults and he/she has to do something while they watch him/her (for example: read aloud, speak, play a game, play a sport).

O

O

O

SC

40. My child feels nervous when he/she is going to parties, dances, or any place where there will be people that he/she doesn’t know well.

O

O

O

SC

41. My child is 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 score =

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 =

Protocol Name from Source:

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

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Child, Adolescent

Participants:

Parent of children ages 8-18

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 easy to administer and score.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Psychiatric Parent Report Emotional Disorders Assessment Score 6133102 CDE Browser
Human Phenotype Ontology Anxiety HP:0000739 HPO
Derived Variables

None

Process and Review

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.

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:

121801

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX121801_Anxiety_Disorders_Symptoms_Child_Afraid_Alone_Home
PX121801250000 My child is afraid to be alone in the house. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Afraid_Anxiety_Panic_Attacks
PX121801300000 My child is afraid of having anxiety (or more
panic) attacks. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Follows_Parent
PX121801080000 My child follows me wherever I go. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Breathing
PX121801010000 When my child feels frightened, it is hard more
for him/her to breathe show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Choking
PX121801270000 When my child gets frightened, he/she feels more
like he/she is choking. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Crazy
PX121801120000 When my child gets frightened, he/she feels more
like he/she is going crazy. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Dizzy
PX121801380000 When my child gets frightened, he/she feels dizzy. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Heartbeat
PX121801180000 When my child gets frightened, his/her heart more
beats fast. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Pass_Out
PX121801060000 When my child gets frightened, he/she feels more
like passing out. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Reality
PX121801150000 When my child gets frightened, he/she feels more
like things are not real. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Reason
PX121801240000 My child gets really frightened for no more
reason at all. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Sweat
PX121801220000 When my child gets frightened, he/she sweats more
a lot. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Frightened_Vomit
PX121801340000 When my child gets frightened, he/she feels more
like throwing up. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Headaches_School
PX121801020000 My child gets headaches when he/she is at school. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Nervous
PX121801070000 My child is nervous. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Nervous_Others
PX121801090000 People tell me that my child looks nervous. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Nervous_Performance_Others
PX121801390000 My child feels nervous when he/she is with more
other children or adults and he/she has to do something while they watch him/her (for example: read aloud, speak, play a game, play a sport). show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Nervous_Social_Event_Strangers
PX121801400000 My child feels nervous when he/she is going more
to parties, dances, or any place where there will be people that he/she doesnÔøΩt know well. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Nervous_Strangers
PX121801100000 My child feels nervous with people he/she more
doesnÔøΩt know well. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Nightmares
PX121801200000 My child has nightmares about something bad more
happening to him/her. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Nightmares_Parents
PX121801160000 My child has nightmares about something bad more
happening to his/her parents. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Scared_Home
PX121801040000 My child gets scared if he/she sleeps away more
from home. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Scared_School
PX121801360000 My child is scared to go to school. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Separation_Family
PX121801290000 My child doesnÔøΩt like to more
e away from his/her family. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Shaky
PX121801190000 My child gets shaky. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Shy
PX121801410000 My child is shy. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Shy_Strangers
PX121801320000 My child feels shy with people he/she more
doesnÔøΩt know well. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Stomachaches_School
PX121801110000 My child gets stomachaches at school. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Strangers
PX121801030000 My child doesnÔøΩt like to more
e with people he/she doesnÔøΩt know well. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Talk_Strangers
PX121801260000 It is hard for my child to talk with people more
he/she doesnÔøΩt know well. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worrisome
PX121801230000 My child is a worrier. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry
PX121801210000 My child worries about things working out more
for him/her. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Compared_Others
PX121801140000 My child worries about being as good as more
other kids. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Future
PX121801330000 My child worries about what is going to more
happen in the future. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Others
PX121801050000 My child worries about other people liking more
him/her. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Parents
PX121801310000 My child worries that something bad might more
happen to his/her parents. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Past
PX121801370000 My child worries about things that have more
already happened. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Performance
PX121801350000 My child worries about how well he/she does more
things. show less
N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_School
PX121801170000 My child worries about going to school. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Sleeping_Alone
PX121801130000 My child worries about sleeping alone. N/A
PX121801_Anxiety_Disorders_Symptoms_Child_Worry_Too_Much
PX121801280000 People tell me that my child worries too much. N/A
Psychiatric
Measure Name:

Anxiety Disorders Symptoms

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.

Keywords

Psychiatric, phobia