TY - JOUR
KW - Adolescent
KW - Anxiety Disorders/diagnosis/ethnology/psychology
KW - Child
KW - Cross-Sectional Studies
KW - Ethnic Groups/psychology
KW - Factor Analysis, Statistical
KW - Female
KW - Hispanic Americans/statistics & numerical data
KW - Humans
KW - Male
KW - Mass Screening/methods
KW - Observer Variation
KW - Panic Disorder/epidemiology
KW - Parent-Child Relations
KW - Primary Health Care/statistics & numerical data
KW - Questionnaires
KW - Reproducibility of Results
KW - Severity of Illness Index
KW - Somatoform Disorders/epidemiology
AU - F. J. Wren
AU - E. A. Berg
AU - L. A. Heiden
AU - C. J. Kinnamon
AU - L. A. Ohlson
AU - J. A. Bridge
AU - B. Birmaher
AU - M. P. Bernal
A1 - 
AB - OBJECTIVE: To explore in a multiethnic primary care population the impact of child gender and of race/ethnicity on parent and child reports of school-age anxiety and on the factor structure of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED). METHOD: A consecutive sample of 515 children (8 to <13 years) and their parent presenting for primary care completed self-report (C) and parent-report (P) versions of the SCARED-41. RESULTS: Neither SCARED scores nor parent-child difference varied significantly with race/ethnicity. Predictors of higher SCARED scores were less parental education, younger child age and female gender. Exploratory factor analysis conducted separately for SCARED-C and SCARED-P yielded four factors. There was large variation in factor structure between SCARED-C and SCARED-P and across ethnic and gender subgroups, greatest for somatic/panic/generalized anxiety and Hispanic children. CONCLUSIONS: Primary care triage of anxious children requires data from both the parent and child and must go beyond cross-sectional symptom inventories. Clinicians must elicit from each family their perhaps culturally bound interpretation of the child's somatic and psychological symptoms.
BT - Journal of the American Academy of Child and Adolescent Psychiatry
C5 - Healthcare Disparities; Medically Unexplained Symptoms
CP - 3
CY - United States
DO - 10.1097/chi.0b013e31802f1267
IS - 3
JF - Journal of the American Academy of Child and Adolescent Psychiatry
N2 - OBJECTIVE: To explore in a multiethnic primary care population the impact of child gender and of race/ethnicity on parent and child reports of school-age anxiety and on the factor structure of the Screen for Childhood Anxiety and Related Emotional Disorders (SCARED). METHOD: A consecutive sample of 515 children (8 to <13 years) and their parent presenting for primary care completed self-report (C) and parent-report (P) versions of the SCARED-41. RESULTS: Neither SCARED scores nor parent-child difference varied significantly with race/ethnicity. Predictors of higher SCARED scores were less parental education, younger child age and female gender. Exploratory factor analysis conducted separately for SCARED-C and SCARED-P yielded four factors. There was large variation in factor structure between SCARED-C and SCARED-P and across ethnic and gender subgroups, greatest for somatic/panic/generalized anxiety and Hispanic children. CONCLUSIONS: Primary care triage of anxious children requires data from both the parent and child and must go beyond cross-sectional symptom inventories. Clinicians must elicit from each family their perhaps culturally bound interpretation of the child's somatic and psychological symptoms.
PP - United States
PY - 2007
SN - 0890-8567; 0890-8567
SP - 332
EP - 340
EP - 
T1 - Childhood anxiety in a diverse primary care population: Parent-child reports, ethnicity and SCARED factor structure
T2 - Journal of the American Academy of Child and Adolescent Psychiatry
TI - Childhood anxiety in a diverse primary care population: Parent-child reports, ethnicity and SCARED factor structure
U1 - Healthcare Disparities; Medically Unexplained Symptoms
U2 - 17314719
U3 - 10.1097/chi.0b013e31802f1267
VL - 46
VO - 0890-8567; 0890-8567
Y1 - 2007
ER -