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Protocol - Anxiety Disorders Symptoms - Children - Self-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 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).

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.

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 =

Protocol Name from Source:

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

Children aged 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 is easy to administer and score.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Psychiatric Self-Report Emotional Disorders Assessment Score 6133107 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.

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:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Afraid_Alone_Home PX121802250000 I am afraid to be alone in the house N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Afraid_Anxiety_Panic_Attacks PX121802300000 I am afraid of having anxiety (or panic) attacks. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Follows_Parent PX121802080000 I follow my mother or father wherever they go. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Breathing PX121802010000 When I feel frightened, it is hard to breathe. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Choking PX121802270000 When I get frightened, I feel like I am choking. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Crazy PX121802120000 When I get frightened, I feel like I am more
going crazy. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Dizzy PX121802380000 When I get frightened, I feel dizzy. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Heartbeat PX121802180000 When I get frightened, my heart beats fast. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Pass_Out PX121802060000 When I get frightened, I feel like passing out. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Reality PX121802150000 When I get frightened, I feel like things more
are not real. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Reason PX121802240000 I get really frightened for no reason at all. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Sweat PX121802220000 When I get frightened, I sweat a lot. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Frightened_Vomit PX121802340000 When I get frightened, I feel like throwing up. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Headaches_School PX121802020000 I get headaches when I am at school. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Nervous PX121802070000 I am nervous. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Nervous_Others PX121802090000 People tell me that I look nervous N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Nervous_Performance_Others PX121802390000 I feel nervous when I am with other children more
or adults and I have to do something while they watch me (for example: read aloud, speak, play a game, play a sport). show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Nervous_Social_Event_Strangers PX121802400000 I feel nervous when I am going to parties, more
dances, or any place where there will be people that I donÔøΩt know well. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Nervous_Strangers PX121802100000 I feel nervous with people I more
donÔøΩt know well. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Nightmares PX121802200000 I have nightmares about something bad more
happening to me. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Nightmares_Parents PX121802160000 I have nightmares about something bad more
happening to my parents. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Scared_Home PX121802040000 I get scared if I sleep away from home. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Scared_School PX121802360000 I am scared to go to school. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Separation_Family PX121802290000 I donÔøΩt like to be away more
rom my family. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Shaky PX121802190000 I get shaky. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Shy PX121802410000 I am shy. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Shy_Strangers PX121802320000 I feel shy with people I donÔà more
Ωt know well. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Stomachaches_School PX121802110000 I get stomachaches at school. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Strangers PX121802030000 I donÔøΩt like to be with p more
ople I donÔøΩt know well. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Talk_Strangers PX121802260000 It is hard for me to talk with people I more
donÔøΩt know well. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worrisome PX121802230000 I am a worrier. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry PX121802210000 I worry about things working out for me. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Compared_Others PX121802140000 I worry about being as good as other kids. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Future PX121802330000 I worry about what is going to happen in the more
future. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Others PX121802050000 I worry about other people liking me. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Parents PX121802310000 I worry that something bad might happen to more
my parents. show less
N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Past PX121802370000 I worry about things that have already happened. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Performance PX121802350000 I worry about how well I do things N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_School PX121802170000 I worry about going to school. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Sleeping_Alone PX121802130000 I worry about sleeping alone. N/A
PX121802_Anxiety_Disorders_Symptoms_Children_Self_Report_Worry_Too_Much PX121802280000 People tell me that I worry 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