儿童焦虑敏感性指数量表的临床应用

【目的】 研究儿童焦虑敏感性指数(childhood anxiety sensitivity index,CASI)量表在儿童和青少年情绪障碍中的应用,评价其敏感性和特异性。 【方法】 随机选取上海交通大学医学院附属新华医院心理门诊及儿保门诊就诊的患儿238人填写CASI量表,年龄9~17岁。其中9~16岁患儿同时填写儿童焦虑性情绪障碍筛查表(screen for child anxiety related emotional disorders,SCARED)和儿童抑郁障碍自评量表(depression self-rating scale for children,DSRSC)。统计分析采用ROC分析等方法。 【结果】 ROC分析显示,男生以9分为划界分,CASI的敏感性为67.6%,特异性为64.9%;女生以11分为划界分,敏感性为75.0%,特异性为68.4%。焦虑组总量表及各因子得分均高于对照组,且差异有统计学意义。CASI总分与SCARED、DSRSC总分间均呈显著正相关(r=0.77、0.47)。 【结论】 男生以9分、女生以11分为划界分时,CASI中文版有良好的敏感性和特异性,可用于临床上焦虑敏感性的筛查。

Application of childhood anxiety sensitivity index

【Objective】 To study the application of childhood anxiety sensitivity index(CASI)to determine the emotional disorders among children and adolescents,assess its sensitivity and specificity. 【Methods】 238 children aged 9~17 years were drawn by random from the outpatient clinic of psychology and child and adolescent healthcare department in Xinhua Hospital Affiliated to Shanghai Jiaotong University school of medicine to complete CASI.Among them,the children aged 9~16 years completed Screen for Child Anxiety Related Emotional Disorders(SCARED)and Depression Self-rating Scale(DSS) for Children(DSRSC).ROC analysis was adopted. 【Results】 ROC analysis yielded a sensitivity of 67.6% at a specificity of a 64.9% when the cutting score was 9 for boys and a sensitivity of 75.0% at a specificity of 68.4% when the cutting score was 11 for girls.The total score and each factor score of anxiety group were higher than those of control group and the differences were significant.The CASI total score was positive correlate with SCARED or DSRSC total score(r=0.77,0.47). 【Conclusions】 The Chinese version of CASI has good sensitivity and specificity when the cutting score is 9 for boys and 11 for girls.It can be used to screen anxiety sensitivity of children and adolescents clinically.