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Examination of a cutoff score for the Screen for Child Anxiety Related Emotional Disorders (SCARED) in a non-clinical Spanish population
Authors:Josefa Canals  Carmen Hernández-Martínez  Sandra Cosi  Edelmira Domènech
Affiliation:1. Universitat Rovira i Virgili, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Spain;2. Univertiat Autònoma de Barcelona, Department of Health and Clinical Psychology, Spain;1. Department of Clinical Psychology, Utrecht University, The Netherlands;2. Arq Psychotrauma Expert Group, Diemen, The Netherlands;3. Department of Child and Adolescent Studies, Utrecht University, The Netherlands;4. Foundation Centrum ‘45, Arq Psychotrauma Expert Group, Diemen, The Netherlands;1. University of Hartford, USA;2. The Institute of Living, 200 Retreat Avenue, Hartford, CT 06106, USA;3. Boston University, USA;4. Smith College, USA;1. Agencia Valenciana de Salud, Departamento 04, Unidad de Salud Mental de Sagunto, Sagunto, Valencia, España;2. Agencia Valenciana de Salud, Departamento 06, Unidad de Salud Mental de Burjassot, Burjassot, Valencia, España;3. Unidad de investigación y tratamiento de obsesiones y compulsiones, I’TOC, Departamento de Psicología de la Personalidad, Evaluación y Tratamientos Psicológicos.Facultad de Psicología, Universitat de València, Estudi General, Valencia, España;1. Speech-Language Pathology and Audiology Department, Universidade Federal de São Paulo – UNIFESP, São Paulo, Brazil;2. Centro de Estudos da Voz – CEV, São Paulo, Brazil
Abstract:We aimed to find a valid cutoff score for the Screen for Child Anxiety Related Emotional Disorders, child (SCARED-C) and parent (SCARED-P) Spanish versions for detecting Anxiety Disorders (AD) in a non-clinical population. The predictive accuracy of the SCARED-C and SCARED-P was assessed using the Area Under the Curve (AUC) of ROC curves. In general, the predictive accuracy of the SCARED-C (full version, short version, and four factors) was good and better than that of the SCARED-P. To differentiate between children who meet the diagnostic criteria for any AD and children who do not, we propose cutoff scores of 25 and 17 for the SCARED-C and SCARED-P, respectively. The sensitivities are 75.9% and 62.8%, and the specificities are 68.5% and 69.5%. The SCARED-C factor that had the best predictive accuracy was Somatic panic followed by Separation Anxiety, Generalized Anxiety and Social Phobia. The SCARED-P factor with the best predictive accuracy was Separation Anxiety. The results support the use of SCARED-C as a screening test for Anxiety disorders while SCARED-P should only be used as complementary information.
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