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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).

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

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.

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
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 NameVariable IDVariable DescriptionVersiondbGaP Mapping
Research Domain Information
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