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Current Issues in the Assessment of Anxiety in Children and Adolescents: A Developmental Perspective

Published online by Cambridge University Press:  06 October 2014

Marilyn A. Campbell  and
Ronald M. Rapee
Marilyn A. Campbell*
Affiliation:
University of Queensland
Ronald M. Rapee
Affiliation:
Macquarie University
*
Gold Coast North School Support Centre, PO Box 1905, Southport QLD 4215, Australia. E-mail: [email protected]
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Abstract

This paper describes some of the current problems with the assessment of children's anxiety. The main assessment methods — structured clinical interview and self-report — often have problems with validity and reliability while less frequently used measures such as physiological recording, behavioural observation, and thought-listing also have their attendant difficulties. Possible ways of reducing some of these problems using a developmental perspective are discussed.

Type
Research Article
Information
Behaviour Change , Volume 13 , Issue 3: Special Issue — Part I: Internalising Disorders of Children and Adolescents , September 1996 , pp. 185 - 193
Copyright
Copyright © The Author(s) 1996

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References

REFERENCES

Achenbach, T.M. (1980). DSM-III in light of empirical research on the classification of child psychopathology. Journal of the American Academy of Child Psychiatry, 19, 395–412.CrossRefGoogle ScholarPubMed
Achenbach, T.M., & Edelbrock, C. (1983). Manual for the Child Behavior Checklist and Revised Behavior Profile. Vermont: University of Vermont.Google Scholar
Akutagawa, D. (1956). A study in construct validity of the psychoanalytic concept of latent anxiety and a test of a projection distance hypothesis. Unpublished doctoral dissertation, University of Pittsburgh.Google Scholar
Ambrosini, P.J., Metz, C., Prabucki, K., & Lee, J.C. (1989). Videotape reliability of the third revised edition of the K-SADS. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 723–728.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.) Washington, DC: Author.Google Scholar
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.) Washington, DC: Author.Google Scholar
Barrett, P.M., Rapee, R.M., Dadds, M.R., & Ryan, S.M. (in press). Family enhancement of cognitive style in anxious and aggressive children: Threat bias and the FEAR effect. Journal of Abnormal Child Psychology.Google Scholar
Beidel, D.C. (1988). Psychophysiological assessment of anxious emotional states in children. Journal of Abnormal Psychology, 97, 80–82.CrossRefGoogle ScholarPubMed
Beidel, D.C. (1989). Assessing anxious emotion: A review of psychophysiological assessment in children. Clinical Psychology Review, 9, 717–736.CrossRefGoogle Scholar
Beidel, D.C. (1991). Social phobia and overanxious disorder in school-age children. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 545–552.CrossRefGoogle ScholarPubMed
Bell-Dolan, D., Last, C.G., & Strauss, C.C. (1990). Symptoms of anxiety disorders in normal children. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 759–765.CrossRefGoogle ScholarPubMed
Benson, J., & Hocevar, D. (1985). The impact of item phrasing on the validity of attitude scales for elementary school children. Journal of Educational Measurement, 22, 231–240.CrossRefGoogle Scholar
Brunshaw, J.M., & Szatmari, P. (1988). The agreement between behaviour checklists and structured psychiatric interviews for children. Canadian Journal of Psychiatry, 33, 474–481.CrossRefGoogle ScholarPubMed
Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety. Advances in Behaviour Research and Therapy, 5, 51–62.CrossRefGoogle Scholar
Campbell, M.A., Rapee, R.M., & Spence, S. (1996). Developmental changes in the interpretation of instructions on a questionnaire measure of worry. Paper in preparation.Google Scholar
Castaneda, A., McCandless, B.R., & Palermo, D.S. (1956). The children's form of the Manifest Anxiety Scale. Child Development, 27, 317–326.CrossRefGoogle ScholarPubMed
Chambers, W., Puig-Antich, J., Hirsch, M., Paez, P., Ambrosini, P.J., Tabrizi, M.A., & Davies, M. (1985). The assessment of affective disorders in children and adolescents by semistructured interview. Archives of General Psychiatry, 42, 696–702.CrossRefGoogle ScholarPubMed
Conners, C.K. (1969). A teacher rating scale for use in drug studies with children. The American Journal of Psychiatry, 126, 884–888.CrossRefGoogle ScholarPubMed
Costello, A.J., Edelbrock, C., Dulcan, M.K., Kalas, R., & Klaric, S.H. (1984). Development and testing of the NIMH diagnostic interview schedule for children in a clinical population: Final report. Rockville: Center for Epidemiologic Studies, NIMH.Google Scholar
Croake, J.W. (1969). Fears of children. Human Development, 12, 239–247.CrossRefGoogle ScholarPubMed
Dadds, M.R., Rapee, R.M., & Barrett, P.M. (1994). Behavioral observation. In Ollendick, T.H., King, N.J., & Yule, W. (Eds.), International handbook of phobic and anxiety disorders in children and adolescents (pp. 349–364). New York: Plenum.CrossRefGoogle Scholar
Daugherty, T.K., & Shapiro, S.K. (1994). Behavior checklists and rating forms. In Ollendick, T.H., King, N.J., & Yule, W. (Eds.), International handbook of phobic and anxiety disorders in children and adolescents (pp. 331–347). New York: Plenum.CrossRefGoogle Scholar
Edelbrock, C., Costello, A.J., Dulcan, M.K., Conover, N.C., & Kalas, R. (1986). Parent-child agreement on child psychiatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry, 27, 181–190.CrossRefGoogle ScholarPubMed
Edelbrock, C., Costello, A.J., Dulcan, M.K., Kalas, R., & Conover, N.C. (1985). Age differences in the reliability of the psychiatric interview of the child. Child Development, 56, 265–275.CrossRefGoogle ScholarPubMed
Francis, G., Last, C.G., & Strauss, C.C. (1987). Expression of separation anxiety disorder: The roles of age and gender. Child Psychiatry and Human Development, 18, 82–89.CrossRefGoogle ScholarPubMed
Giebenhain, J.E., & O'Dell, S. (1984). Evaluation of a parent training program for reducing children's fear of the dark. Journal of Applied Behavior Analysis, 17, 121–125.CrossRefGoogle ScholarPubMed
Glennon, B., & Weisz, J.R. (1978). An observational approach to assessment of anxiety in young children. Journal of Consulting and Clinical Psychology, 46, 1246–1257.CrossRefGoogle ScholarPubMed
Herjanic, B., & Reich, W. (1982). Development of a structured psychiatric interview for children: Agreement between child and parent on individual symptoms. Journal of Abnormal Child Psychiatry, 10, 307–324.CrossRefGoogle ScholarPubMed
Hodges, K. (1990). Depression and anxiety in children: A comparison of self-report questionnaires to clinical interview. Psychological Assessment, 2, 376–381.CrossRefGoogle Scholar
Hoehn-Saric, E., Maisami, M., & Wiegand, D. (1987). Measurement of anxiety in children and adolescents using semistructured interviews. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 541–545.CrossRefGoogle ScholarPubMed
Katz, E.R., Kelterman, J., & Siegel, S.E. (1980). Behavioural distress in children with cancer undergoing medical procedures: Developmental considerations. Journal of Consulting and Clinical Psychology, 48, 356–365.CrossRefGoogle ScholarPubMed
Kendall, P.C., & Chansky, T.E. (1991). Considering cognition in anxiety-disordered children. Journal of Anxiety Disorders, 5, 167–185.CrossRefGoogle Scholar
King, M. A., & Yuille, J.C. (1987). Suggestibility and the child witness. In Ceci, S.J., Toglia, M P., & Ross, D.F. (Eds.), Children's eyewitness memory (pp. 24–35). New York: Springer-Verlag.CrossRefGoogle Scholar
Klein, R.G. (1991). Parent–child agreement in clinical assessment of anxiety and other psychopathology: A review. Journal of Anxiety Disorders, 5, 187–198.CrossRefGoogle Scholar
Kovacs, M. (1986). A developmental perspective on methods and measures in the assessment of depressive disorders: The clinical interview. In Rutter, M., Izard, C.E., & Read, P.B. (Eds.), Depression in young people: Developmental and clinical perspectives (pp. 435–468). New York: Guilford.Google Scholar
Last, C.G. (1989). Anxiety disorders. In Ollendick, T.H. & Hersen, M. (Eds.), Handbook of Child Psychopathology (pp. 219–227). New York: Plenum.CrossRefGoogle Scholar
Last, C.G., Francis, G., & Strauss, C.C. (1989). Assessing fears in anxiety-disordered children with the Revised Fear Survey Schedule for Children (FSSC-R). Journal of Clinical Child Psychology, 18, 137–141.CrossRefGoogle Scholar
Lewis, S.A. (1974). A comparison of behavior therapy techniques in the reduction of fearful avoidance behavior. Behavior Therapy, 5, 648–655.Google Scholar
Lore, R. (1966). Palmar sweating and transitory anxieties in children. Child Development, 37, 115–123.CrossRefGoogle Scholar
Marsh, H.W. (1986). Negative item bias in ratings scales for preadolescent children: A cognitive-developmental phenomenon. Developmental Psychology, 22, 37–49.CrossRefGoogle Scholar
Melamed, B., & Siegel, L. (1975). Reduction of anxiety in children facing hospitalization and surgery by use of film modeling. Journal of Consulting and Clinical Psychology, 43, 511–521.CrossRefGoogle Scholar
Melamed, B., & Yurcheson, R., Fleece, E.L., Hutcherson, S., & Hawes, R. (1978). Effects of film modeling on the reduction of anxiety-related behaviors in individuals varying in level of previous experience in the stress situation. Journal of Consulting and Clinical Psychology, 46, 1357–1367.CrossRefGoogle ScholarPubMed
Miller, L.C., Barrett, C.L., Hampe, E., & Noble, H. (1972). Factor structure of childhood fears. Journal of Consulting and Clinical Psychology, 39, 264–268.CrossRefGoogle ScholarPubMed
Morris, R.J., & Kratochwill, T.R. (1987). Dealing with fear and anxiety in the school setting: Behavioral approaches to treatment. Special Services in the Schools, 3, 53–68.CrossRefGoogle Scholar
Murphy, J.K., Alpert, B S., Willey, E.S., & Somes, G.W. (1988). Cardiovascular reactivity to psychological stress in healthy children. Psychophysiology, 25, 144–152.CrossRefGoogle ScholarPubMed
Nunnally, J. (1978). Psychometric theory. New York: McGraw-Hill.Google Scholar
Ollendick, T.H. (1983). Reliability and validity of the revised fear survey schedule for children (FSSC-R). Behaviour Research and Therapy, 21, 685–692.CrossRefGoogle Scholar
Ollendick, T.H., & King, N.J. (1991). Developmental factors in child behavioral assessment. In Martin, P.R. (Ed.), Handbook of behaviour therapy and psychological science: An integrative approach (pp. 57–72). New York: Pergamon.Google Scholar
Ollendick, T.H., Matson, J.L., & Helsel, W.J. (1985). Fears in children and adolescents: Normative data. Behaviour Research and Therapy, 23, 465–467.CrossRefGoogle ScholarPubMed
Perrin, S., & Last, C.G. (1992). Do childhood anxiety measures measure anxiety? Journal of Abnormal Child Psychology, 20, 567–578.CrossRefGoogle ScholarPubMed
Pliszka, S.R., Rogeness, G.A., & Medrano, M.A. (1988). DBH, MHPG, and MAO in children with depressive, anxiety, and conduct disorders: Relationship to diagnosis and symptom ratings. Psychiatry Research, 24, 35–44.CrossRefGoogle Scholar
Prins, P.J.M. (1986). Children's self-speech and self-regulation during a fear-provoking behavioral test. Behaviour Research and Therapy, 24, 181–191.CrossRefGoogle ScholarPubMed
Quay, H.C., & Peterson, D.R. (1983). Manual for the revised behavioral problem checklist. Unpublished manuscript, University of Georgia, Athens.Google Scholar
Rapee, R.M., Barrett, P.A., Dadds, M.R., & Evans, L. (1994). Reliability of the DSM-III-R childhood anxiety disorders using structured interview: Interrater and parent-child agreement. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 984–992.CrossRefGoogle ScholarPubMed
Reynolds, C.R., & Richmond, B.O. (1978). What I think and feel: A revised measure of children's manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.CrossRefGoogle Scholar
Rogeness, G.A., Cepeda, C., Macedo, C.A., Fischer, C., & Harris, W.R. (1990). Differences in heart rate and blood pressure in children with conduct disorder major depression and separation anxiety. Psychiatry Research, 33, 199–206.CrossRefGoogle ScholarPubMed
Ronan, K.R., Kendall, P.C., & Rowe, M. (1994). Negative affectivity in children: Development and validation of a self-statement questionnaire. Cognitive Therapy and Research, 18, 509–528.CrossRefGoogle Scholar
Scherer, M.W., & Nakamura, C.Y. (1968). A fear survey schedule for children (FSS-FC): A factor analytic comparison with manifest anxiety (CMAS). Behaviour Research and Therapy, 6, 173–182.CrossRefGoogle ScholarPubMed
Schwartz, A.N., Campos, J.J., & Baisel, E.J. (1973). The visual cliff: Cardiac and behavioral responses on the deep and shallow sides at five and nine months of age. Journal of Experimental Child Psychology, 35, 86–99.CrossRefGoogle Scholar
Siegal, M. (1991). Knowing children: Experiments in conversation and cognition. London: Lawrence Erlbaum.Google Scholar
Silverman, W.K. (1994). Structured diagnostic interviews. In Ollendick, T.H., King, N.J., & Yule, W. (Eds.), International handbook of phobic and anxiety disorders in children and adolescents (pp. 293–314). New York: Plenum.CrossRefGoogle Scholar
Silverman, W.K., & Eisen, A.R. (1992). Age differences in the reliability of parent and child reports of child anxious symptomatology using a structured interview. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 117–124.CrossRefGoogle ScholarPubMed
Silverman, W.K., & Nelles, W.B. (1988). The Anxiety Disorders Interview Schedule for Children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 772–778.CrossRefGoogle ScholarPubMed
Spielberger, C.D. (1973). Manual for the state–trait anxiety inventory for children. Palo Alto: Consulting Psychologists Press.Google Scholar
Stavrakaki, C., Vargo, B., Roberts, N.. & Boodoosingh, L. (1987). Concordance among sources of information for ratings of anxiety and depression in children. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 733–737.CrossRefGoogle ScholarPubMed
Strauss, C.C. (1988). Social deficits of children with internalizing disorders. In Lahey, B.B. & Kazdin, A.E. (Eds.), Advances in Clinical Child Psychology (Vol 2, pp. 159–191). New York: Plenum.CrossRefGoogle Scholar
Strauss, C.C., Last, C.G., Hersen, M., & Kazdin, A.E. (1988). Association between anxiety and depression in children and adolescents with anxiety disorders. Journal of Abnormal Child Psychology, 16, 57–68.CrossRefGoogle ScholarPubMed
Tal, A., & Miklich, D.R. (1976). Emotionally induced decreases in pulmonary flow rates in asthmatic children. Psychosomatic Medicine, 38, 190–200.CrossRefGoogle ScholarPubMed
Taylor, J.A. (1953). A personality scale of manifest anxiety. Journal of Abnormal Psychology, 48, 285–290.CrossRefGoogle ScholarPubMed
Turner, S.M., Beidel, D.C., & Epstein, L.H. (1991). Vulnerability and risk for anxiety disorders. Journal of Anxiety Disorders, 5, 151–166.CrossRefGoogle Scholar
Vasey, M.W., Daleiden, E.L., Williams, L.L., & Brown, L.B. (1993). Biased attention in anxiety-disordered children. Poster presented at 27th annual convention of the Association for the Advancement of Behavior Therapy, Atlanta.Google Scholar
Vasey, M.W., & El-Hag, N. (1993). Attentional biases in high versus low test anxious children. Poster presented at 27th annual convention of the Association for the Advancement of Behavior Therapy, Atlanta.Google Scholar
Zatz, S., & Chassin, L. (1983). Cognitions of test-anxious children. Journal of Consulting and Clinical Psychology, 51, 526–534.CrossRefGoogle ScholarPubMed