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The Pediatric Accommodation Scale: Psychometric Evaluation of a Therapist-Report Format

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Abstract

Anxiety disorders are the most common mental health problem in youth, and accommodation is prevalent among youth with anxiety disorders. The Pediatric Accommodation Scale (PAS) is an interview administered by trained evaluators and a parent-report form (PAS-PR) to assess accommodation and its impact. Both have strong psychometric properties including internal consistency, inter-rater reliability, and data supporting construct validity. The present study evaluates the Pediatric Accommodation Scale – Therapist Report (PAS-TR), a therapist-reported version of the PAS-PR. Participants were 90 youth enrolled in cognitive behavioral therapy for anxiety. Therapists completed the PAS-TR over 16 therapy sessions. Internal consistency at baseline, convergent validity, divergent validity, and parent-therapist agreement were evaluated. Results suggest that the PAS-TR has mixed psychometric qualities suggesting that while not strong prior to the initiation of treatment, the PAS-TR may be a useful measure for therapists to rate accommodation as treatment progresses. Implications for assessment, treatment, and research are discussed.

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Notes

  1. In the subsample with complete PAS-TR data at both session 1 and session 16, all PAS-TR subscales were significantly correlated in the anticipated direction with the CGAS.

  2. In the subsample with complete PAS-TR data at both session 1 and session 16, none of the PAS-TR subscales were significantly correlated with the maximum CSR.

  3. At pretreatment, in the subsample with complete PAS-TR data at both session 1 and session 16, there were no significant differences or significant correlations between parent- and therapist-report on any of the subscales.

  4. At week 4, in the subsample with complete PAS-TR data at both session 1 and session 16, there were no significant differences in parent- and therapist-report on the Child and Parent Impact subscales.

  5. At session 8, in the subsample with complete PAS-TR data at both session 1 and session 16, there were no significant differences in the Frequency subscale.

    7At session 12, in the subsample with complete PAS-TR data at both session 1 and session 16, there were no significant correlations between parent- and therapist-report on any of the subscales.

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Authors and Affiliations

  1. Department of Psychology, Temple University, Temple University, 1701 North 13th St, 19122, Philadelphia, PA, USA

    Katherine E. Phillips, Erin Dunning & Philip C. Kendall

  2. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Sophie A. Palitz Buinewicz

  3. Massachusetts General Hospital, Boston, MA, USA

    Elana Kagan

  4. Warren Alpert Medical School of Brown University, Providence, RI, USA

    Hannah E. Frank & Kristen G. Benito

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Phillips, K.E., Buinewicz, S.A.P., Kagan, E. et al. The Pediatric Accommodation Scale: Psychometric Evaluation of a Therapist-Report Format. Child Psychiatry Hum Dev 55, 667–679 (2024). https://doi.org/10.1007/s10578-022-01447-z

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