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Cited by 120Child and Adolescent Psychosocial and Emotional DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

Screening for childhood anxiety symptoms in primary care: integrating child and parent reports

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WREN, FRANCES J., BRIDGE, JEFFREY A., BIRMAHER, BORIS·2004·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/01.chi.0000138350.60487.d3
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Abstract

Objective Parents' concerns typically determine the focus of a primary care visit. This study examined which information is lost if child reports are excluded from screening for anxiety. It also explores the use in primary care of the Screen for Child Anxiety Related Emotional Disorders (SCARED) and the Pediatric Symptom Checklist (PSC-17).Method Two hundred thirty-six children (8-12 years 11 months) and their parents completed SCARED and PSC-17 before a primary care visit occurring during discrete periods between June 1999 and March 2001.Results Child reports yielded higher SCARED scores than parent reports (mean=18.12, SD=12.14 versus 14.43, SD=10.34, p <.001). Somatic/panic and separation anxiety accounted for 73.8% of the excess score from children's reports. The level of parent-reported symptoms did not vary with demographics. Female gender and younger age predicted greater excess reporting by children. Parent and child scores were moderately to highly correlated (R=0.55 total score; 0.40-0.58 subfactors).Conclusions There are discrete anxiety domains in which children's reports are likely to yield more information than that of parents. This phenomenon is almost entirely attributable to variations in the level of symptoms reported by children. Studies are needed to design brief screening procedures that integrate parent and child reports and carry age- and gender-adjusted thresholds.

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  • There may be material differences in symptom ratings depending on the source of those ratings.

    “There may be material differences in symptom ratings depending on the source of those ratings (Bowers 2020;Cole 2000;Wren 2004).”

    From Exercise for the treatment of anxiety in children and adolescents (2022) · cites this paper as Wren 2004

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Authors
WREN, F. J., BRIDGE, J. A., & BIRMAHER, B.
Affiliations
University of Pittsburgh (US)
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2004-11
Volume
43
Issue
11
Pages
1364-1371
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/01.chi.0000138350.60487.d3
OpenAlex
W2009496135
Cited by
120
References
40
Citations by year
2025: 6 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 7 · 2019: 5 · 2018: 4 · 2017: 12 · 2016: 7 · 2015: 7 · 2014: 9 · 2013: 10 · 2012: 8
FWCI
2.01
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Pittsburgh
  • National Institutes of Health (5k08mh001909-05)
  • National Institute of Mental Health (K08 MH1909-01, P30MH055123, MH 55123)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
childhood anxiety, anxiety screening, primary care, child self-report, parent report, SCARED, Pediatric Symptom Checklist, separation anxiety, parent-child agreement, age and gender differences
MeSH terms
Age Factors, Anxiety Disorders, Child, False Negative Reactions, Female, Humans, Male, Mass Screening, Parent-Child Relations, Primary Health Care, Psychiatric Status Rating Scales, Psychometrics, Sex Factors

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