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Psychometric Properties of the Children’s Version of the Spence Children’s Anxiety Scale (SCAS) in a Spanish Clinical Sample

Published online by Cambridge University Press:  20 October 2020

Eduard Forcadell*
Affiliation:
Hospital Clínic de Barcelona (Spain)
Laura Medrano
Affiliation:
Hospital Clínic de Barcelona (Spain)
Blanca Garcia-Delgar
Affiliation:
Hospital Clínic de Barcelona (Spain)
Iván Fernández-Martínez
Affiliation:
Universidad Miguel Hernández de Elche (Spain)
Mireia Orgilés
Affiliation:
Universidad Miguel Hernández de Elche (Spain)
Carolina García
Affiliation:
Hospital Clínic de Barcelona (Spain)
Luisa Lázaro
Affiliation:
Hospital Clínic de Barcelona (Spain) CIBERSAM, Ministerio de Sanidad (Spain)
Sara Lera-Miguel
Affiliation:
Hospital Clínic de Barcelona (Spain)
*
Correspondence concerning this article should be addressed to Eduard Forcadell. Hospital Clínic de Barcelona. Servei de Psiquiatria i Psicologia Infantil i Juvenil. 08036 Barcelona (Spain). E-mail: [email protected]

Abstract

The Spence Children’s Anxiety Scale (SCAS) has demonstrated good psychometric properties in several countries and cultures. Nevertheless, most of the previous studies that explore these properties have combined clinical and community samples. We aimed to validate the Spanish version of the SCAS in a large clinical sample (N = 130) of children and adolescents. The Spanish adaptation of the SCAS showed good internal consistency for the total scale, and good test-retest reliability for all the subscales. Furthermore, its convergent and discriminant validity were supported by significant correlations with other anxiety questionnaires (Screen for Child Anxiety Related Emotional Disorders [SCARED], Youth Self-Report [YSR] subscales for anxiety disorders and internalizing symptomatology), and lower or non-significant correlations with depression symptoms and externalizing symptoms scales respectively. For the first time in a purely clinical sample, the original factor structure of the SCAS based on six correlated factors was confirmed. Future studies need to evaluate whether the factorial structure of the present instrument is the most suitable for use in clinical populations.

Type
Research Article
Copyright
© Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2020

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Footnotes

Conflicts of Interest: None

Funding Statement: This work was supported by the Generalitat de Catalunya (grant number 2017SGR881).

References

Abad, F., Olea, J., Ponsoda, V., & García, C. (2011). Medición en ciencias sociales y de la salud []. Síntesis.Google Scholar
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for ASEBA school-age forms and profiles. University of Vermont, Research Centre for Children, Youth and Families.Google Scholar
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th Ed.). American Psychiatric Press.Google Scholar
Arendt, K., Hougaard, E., & Thastum, M. (2014). Psychometric properties of the child and parent versions of Spence Children’s Anxiety Scale in a Danish community and clinical sample. Journal of Anxiety Disorders, 28, 947956. http://doi.org/10.1016/j.janxdis.2014.09.021Google Scholar
Beesdo, K., Bittner, A., Pine, D. S., Stein, M. B., Höfler, M., Lieb, R., & Wittchen, H.-U. (2007). Incidence of social anxiety disorder and the consistent risk for secondary depression in the first three decades of life. Archives of General Psychiatry, 64, 903912. http://doi.org/10.1001/archpsyc.64.8.903CrossRefGoogle ScholarPubMed
Bettge, S., Wille, N., Barkmann, C., Schulte-Markwort, M., Ravens-Sieberer, U, & BELLA study group. (2008). Depressive symptoms of children and adolescents in a German representative sample: Results of the BELLA study. European Child and Adolescent Psychiatry, 17, 7181. http://doi.org/10.1007/s00787-008-1008-xGoogle Scholar
Birmaher, B., Brent, D. A., Chiappetta, L., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): A replication study. Journal of the American Academy of Child & Adolescent Psychiatry, 38(10), 12301236. http://doi.org/10.1097/00004583-199910000-00011CrossRefGoogle ScholarPubMed
Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36(4), 545553. http://doi.org/10.1097/00004583-199704000-00018CrossRefGoogle ScholarPubMed
Brown-Jacobsen, A. M., Wallace, D. P., & Whiteside, S. P. H. (2011). Multimethod, multi-informant agreement, and positive predictive value in the identification of child anxiety disorders using the SCAS and ADIS-C. Assessment, 18, 382392. http://doi.org/10.1177/1073191110375792Google ScholarPubMed
Costello, E. J., Egger, H. L., Copeland, W., Erkanli, A., & Angold, A. (2011). The developmental epidemiology of anxiety disorders: Phenomenology, prevalence, and comorbidity. In Silverman, W. K. & Field, A. P. (Eds.). Anxiety Disorders in Children and Adolescents, (2nd ed., pp. 5675). Cambridge University Press. https://doi.org/10.1017/CBO9780511994920.004CrossRefGoogle Scholar
Del Barrio, V., Moreno, C., & López, R. (1999). El Children’s Depression Inventory (CDI; Kovacs , 1992). Su aplicación en población española. []. Clínica y Salud, 10(3), 393416.Google Scholar
Deng, L., & Chan, W. (2017). Testing the difference between reliability coefficients Alpha and Omega. Educational and Psychological Measurement, 77(2), 185203. http://doi.org/10.1177/0013164416658325Google ScholarPubMed
DeSousa, D. A., Pereira, A. S., Petersen, C. S., Manfro, G. G., Salum, G. A., & Koller, S. H. (2014). Psychometric properties of the Brazilian-Portuguese version of the Spence Children’s Anxiety Scale (SCAS): Self- and parent-report versions. Journal of Anxiety Disorders, 28, 427436. http://doi.org/10.1016/j.janxdis.2014.03.006CrossRefGoogle ScholarPubMed
Essau, C. A., Muris, P., & Ederer, E. M. (2002). Reliability and validity of the Spence Children’s Anxiety Scale and the Screen for Child Anxiety Related Emotional Disorders in German children. Journal of Behavior Therapy and Experimental Psychiatry, 33(1), 118. http://doi.org/10.1016/S0005-7916(02)00005-8Google ScholarPubMed
Fonseca, A. C., & Perrin, S. (2000). Clinical phenomenology, classification and assessment of anxiety disorders in children and adolescents. In Silverman, W. K. & Treffers, P. D. A. (Eds.), Anxiety Disorders in Children and Adolescents: Research, assessment and intervention (pp. 126158). Cambridge University Press. https://doi.org/10.1017/CBO9780511663239.007CrossRefGoogle Scholar
Hair, J., Black, W., Babin, B., & Anderson, R. (2014). Multivariate Data Analysis (7th Ed.). Pearson.Google Scholar
Hu, L.-T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 155. http://doi.org/10.1080/10705519909540118Google Scholar
Kaiser, H. F., & Rice, J. (1974). Little Jiffy, Mark IV. Educational and Psychological Measurement, 34, 111117.CrossRefGoogle Scholar
Kovacs, M. (1995). Manual: The Children’s Depression Inventory. Multi-Health Systems.Google Scholar
De Lijster, J. M. , Dierckx, B., Utens, E. M. W. J., Verhulst, F. C., Zieldorff, C., Dieleman, G. C., & Legerstee, J. S. (2017). The Age of Onset of Anxiety Disorders: A Meta-analysis. The Canadian Journal of Psychiatry, 62(4), 237246. http://doi.org/10.1177/0706743716640757CrossRefGoogle Scholar
Nauta, M. H., Scholing, A., Rapee, R. M., Abbott, M., Spence, S. H., & Waters, A. (2004). A parent-report measure of children’s anxiety: Psychometric properties and comparison with child-report in a clinic and normal sample. Behaviour Research and Therapy, 42(7), 813839. http://doi.org/10.1016/S0005-7967(03)00200-6CrossRefGoogle Scholar
Olofsdotter, S., Sonnby, K., Vadlin, S., Furmark, T., & Nilsson, K. W. (2016). Assessing adolescent anxiety in general psychiatric care: Diagnostic accuracy of the Swedish self-report and parent versions of the Spence Children’s Anxiety Scale. Assessment, 23(6), 744757. http://doi.org/10.1177/1073191115583858CrossRefGoogle ScholarPubMed
Orgilés, M., Fernández-Martínez, I., Guillén-Riquelme, A., Espada, J. P., & Essau, C. A. (2016). A systematic review of the factor structure and reliability of the Spence Children’s Anxiety Scale. Journal of Affective Disorders, 190, 333340. http://doi.org/10.1016/j.jad.2015.09.055CrossRefGoogle ScholarPubMed
Orgilés, M., Méndez, X., Spence, S. H., Huedo-Medina, T. B., & Espada, J. P. (2012). Spanish validation of the Spence Children’s Anxiety Scale. Child Psychiatry and Human Development, 43(2), 271281. http://doi.org/10.1007/s10578-011-0265-yCrossRefGoogle ScholarPubMed
Orgilés, M., Spence, S. H., Marzo, J. C., Méndez, X., & Espada, J. P. (2014). Psychometric properties and factorial structure of the Spence Children’s Anxiety Scale (SCAS) in Spanish adolescents. Journal of Personality Assessment, 96(1), 95102. http://doi.org/10.1080/00223891.2013.816716CrossRefGoogle Scholar
Rapee, R. M., Schniering, C. A., & Hudson, J. L. (2009). Anxiety disorders during childhood and adolescence: Origins and treatment. Annual Review of Clinical Psychology, 5(1), 311341. http://doi.org/10.1146/annurev.clinpsy.032408.153628CrossRefGoogle ScholarPubMed
Reynolds, C. R., Bradley, M., & Steele, C. (1980). Preliminary norms and technical data for use of the Revised Children’s Manifest Anxiety Scale with kindergarten children. Psychology in the Schools, 17, 163167. http://doi.org/10.1002/1520-6807(198004)17:2%3C163::AID-PITS2310170204%3E3.0.CO;2-03.0.CO;2-0>CrossRefGoogle Scholar
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(2), 271280. https://doi.org/10.1007/BF00919131CrossRefGoogle ScholarPubMed
Shear, M. K., Bjelland, I., Beesdo, K., Gloster, A. T., & Wittchen, H.-U. (2007). Supplementary dimensional assessment in anxiety disorders. International Journal of Methods in Psychiatric Research, 16(S1), S52S64. http://doi.org/10.1002/mpr.215CrossRefGoogle ScholarPubMed
Silverman, W. K., & Albano, A. M. (1996). The anxiety disorders interview schedule for DSM–IV: Child and parent versions. Graywind.Google Scholar
Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36, 545566. http://doi.org/10.1016/S0005-7967(98)00034-5CrossRefGoogle ScholarPubMed
Vigil-Colet, A., Canals, J., Cosí, S., Lorenzo-Seva, U., Ferrando, P. J., Hernández-Martínez, C., Jané, C., Viñas, F., & Doménech, E. (2009). The factorial structure of the 41-item version of the Screen for child anxiety related emotional disorders (SCARED) in a Spanish population of 8 to 12 years-old. International Journal of Clinical and Health Psychology, 9, 313327.Google Scholar
Weitkamp, K., Romer, G., Rosenthal, S., Wiegand-Grefe, S., & Daniels, J. (2010). German Screen for Child Anxiety Related Emotional Disorders (SCARED): Reliability, validity, and cross-informant agreement in a clinical sample. Child and Adolescent Psychiatry and Mental Health, 4(1), Article 19. http://doi.org/10.1186/1753-2000-4-19CrossRefGoogle Scholar
Whiteside, S. P., & Brown, A. M. (2008). Exploring the utility of the Spence Children’s Anxiety Scales parent- and child-report forms in a North American sample. Journal of Anxiety Disorders, 22(8), 14401446. http://doi.org/10.1016/j.janxdis.2008.02.006CrossRefGoogle Scholar
Whiteside, S. P. H., Gryczkowski, M. R., Biggs, B. K., Fagen, R., & Owusu, D. (2012). Validation of the Spence Children’s Anxiety Scale’s obsessive compulsive subscale in a clinical and community sample. Journal of Anxiety Disorders, 26, 111116. http://doi.org/10.1016/j.janxdis.2011.10.002CrossRefGoogle Scholar
Wisniewski, J. J., Genshaft, J. L., Mulick, J. A., & Coury, D. L. (1987). Test-Retest Reliability of the Revised Children’s Manifest Anxiety Scale. Perceptual and Motor Skills, 65(1), 6770. http://doi.org/10.2466/pms.1987.65.1.67CrossRefGoogle ScholarPubMed