European Child & Adolescent Psychiatry

, Volume 15, Issue 3, pp 163–171

Social anxiety disorder in 11–12-year-old children

The efficacy of screening and issues in parent–child agreement
ORIGINAL CONTRIBUTION

Abstract

Objective

To investigate the level of diagnostic and discriminative accuracy of The Social Anxiety Scale for Children – Revised (SASC-R) for identifying social anxiety disorder (SAD) in a community-based sample of 11–12 year-old children. Parent–child diagnostic agreement was also examined.

Method

A questionnaire including SASC-R and items on impulsive behavior was sent to a population based sample of children, born in 1992. A total of 2568 parents returned their questionnaires (rr: 70%), and 1297 (51%) consented to further participation. An index group [50 high-scoring children on social anxiety (SA-group)] and two contrast groups [(50 high-scoring children on impulsive behavior (Imp-group) and 50 low-scoring children on SA and Imp, (Ls-group)] were selected for participation.

Results

SAD was assigned 35 (23%) of 150 children; 28 (80%) from the SA-group; 7 (20%) from the Imp- group and 0 from the Ls-group. The SASC-R showed relatively high discriminative accuracy for SAD, but was also influenced by other diagnoses. Mother–child agreement was fair (κ=0.46), and mother-only diagnoses were frequent. Both child and parent information are important when diagnosing SAD in this age group.

Key words

social anxiety disorder children screening 

References

  1. 1.
    Ambrosini PJ (2000) Historical development and present status of the schedule for affective disorders and schizophrenia for school-age children (K-SADS). J Am Acad Child Adolesc Psychiatry 39:49–58PubMedGoogle Scholar
  2. 2.
    Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) 4th ed. (1994) Washington: American Psychiatric AssociationGoogle Scholar
  3. 3.
    Beidel DC, Turner S, Morris T (1999) Psychopathology of childhood social phobia. J Am Acad Child Adolesc Psychiatry 38:643–650PubMedGoogle Scholar
  4. 4.
    Beidel DC, Turner SM, Morris T (1998) Social Phobia and Anxiety Inventory for Children (SPAI-C) manual. Multi-Health Systems Inc. North Tonawanda, NYGoogle Scholar
  5. 5.
    Choudhury MA, Pimentel SS, Kendall PC (2003) Childhood anxiety disorders: parent–child (dis)agreement using a structured interview for the DSM-IV. J Am Acad Child Adolesc Psychiatry 42:957–964PubMedGoogle Scholar
  6. 6.
    DeGangi G, Poisson S, Sickel R, Wiener A (1995) The infant–toddler symptom checklist. Therapy Skill Builders, Tucson AZGoogle Scholar
  7. 7.
    DiBartolo PM, Albano AM, Barlow DH, Heimberg RG (1998) Cross-informant agreement in the assessment of social phobia in youth. J Abnormal Child Psychol 26:213–220Google Scholar
  8. 8.
    Dierker LC, Albano AM, Clarke GN, Heimberg RG, Kendall PC, Merikangas KR, Lewinsohn PM, Offord DR, Kessler R, Kupfer DJ (2001) Screening for anxiety and depression in early adolescence. J Am Acad Child Adolesc Psychiatry 40:929–936PubMedGoogle Scholar
  9. 9.
    Ehlers S, Gillberg C, Wing L (1999) A screening questionnaire for Asperger syndrome and other high functioning autism spectrum disorders in school age children. J Autism Dev Disord 29:129–141CrossRefPubMedGoogle Scholar
  10. 10.
    Epkins CC (2002) A comparison of two self-report measures of children’s social anxiety in clinic and community samples. J Clin Child Adolesc Psychol 31:69–79PubMedGoogle Scholar
  11. 11.
    Ginsburg GS, La Greca AM, Silverman WK (1998) Social anxiety in children with anxiety disorders: relation with social and emotional functioning. J Abnormal Child Psychol 26:175–185Google Scholar
  12. 12.
    Goodman R (2001) Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry 40:1337–1345PubMedGoogle Scholar
  13. 13.
    Grills AE, Ollendick TH, (2002) Issues in parent–child agreement: the case of structured interviews. Clin Child Family Psychol Rev 5:57–83Google Scholar
  14. 14.
    Grills AE, Ollendick TH (2003) Multiple informant agreement and the anxiety disorders interview schedule for parents and children. J Am Acad Child Adolesc Psychiatry 42:30–40CrossRefPubMedGoogle Scholar
  15. 15.
    Hudson JL, Rapee RM (2000) The origins of social phobia. Behav Modification 24:102–129Google Scholar
  16. 16.
    Inderbitzen-Nolan H, Davies CA, McKeon ND (2004) Investigating the construct validity of the SPAI-C: comparing the sensitivity and specificity of the SPAI-C and the SAS-A. Journal of Anxiety Disord 18:547–560Google Scholar
  17. 17.
    Jensen PS, Salzberg AD, Richters JE, Watanabe HK (1993) Scale, diagnoses and child psychopathology, I: CBCL and DISC relationships. J Am Acad Child Adolesc Psychiatry 32:397–406PubMedGoogle Scholar
  18. 18.
    Jensen PS, Rubio-Stipec M, Canino G, Bird HR, Dulcan MK, Schwab-Stone ME, Lahey BB (1999) Parent and child contributions to diagnosis of mental disorder: are both informants necessary? J Am Acad Child Adolesc Psychiatry 38:1569–1579PubMedGoogle Scholar
  19. 19.
    Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N (1997) Schedule for affective disorders and schizophrenia for school-age children – present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 36:980–988PubMedGoogle Scholar
  20. 20.
    Kesssler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshelman S, Wittchen H, Kendler KS (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatry 51:8–19Google Scholar
  21. 21.
    Kringlen E, Torgersen S, Cramer V (2001) A Norwegian psychiatric epidemiological study. Am J Psychiatry 158:1091–1098CrossRefPubMedGoogle Scholar
  22. 22.
    La Greca AM, Stone WL (1993) Social Anxiety Scale for Children-Revised. Factor structure and concurrent validity. J Clin Child Psychol 22:17–27Google Scholar
  23. 23.
    La Greca AM (1999) Social anxiety scales for children and adolescents: manual and instructions for the SASC, SASC-R, SAS-A (adolescents), and parent versions of the scales. University of Miami, Department of Psychology, Miami, FLGoogle Scholar
  24. 24.
    Lecrubier Y, Wittchen HU, Faravelli C, Bobes J, Patel A, Knapp M (2000) A European perspective on social anxiety disorder. Eur Psychiatry 15:5–16CrossRefPubMedGoogle Scholar
  25. 25.
    Lecrubier Y, Sheehan DV, Weiller E, Amorim P, Bonora I, Harnett Sheehan K, Janavs J, Dunbar GC (1997) The MINI International Neuropsychiatric Interview (MINI). A short diagnostic interview: reliability and validity according to the CIDI. Eur Psychiatry 12:224–231CrossRefGoogle Scholar
  26. 26.
    Lydiard RB (2001) Social anxiety disorder: comorbidity and its implications. J Clin Psychiatry 62:17–23PubMedGoogle Scholar
  27. 27.
    Morris TL, Masia CL (1998) Psychometric evaluation of the social phobia and anxiety inventory for children: concurrent validity and normative data. J Clin Child Psychol 27:452–458CrossRefPubMedGoogle Scholar
  28. 28.
    Moutier CY, Stein MB (1999) The history, epidemiology, and differential diagnosis of social anxiety disorder. J Clin Child Psychol 60:4–8Google Scholar
  29. 29.
    Myers K, Winters NC (2002) Ten-year review of rating scales. II: scales for internalizing disorders. J Am Acad Child Adolesc Psychiatry 41:634–659PubMedGoogle Scholar
  30. 30.
    Rapee RM, Barrett PM, Dadds MR, Evans L (1994) Reliability of the DSM-III-R childhood anxiety disorders using structured interview: interrater and parent–child agreement. J Am Acad Child Adolesc Psychiatry 33:984–992PubMedGoogle Scholar
  31. 31.
    Schneier FR, Johnson J, Hornig CD, Liebowitz MR, Weissmann MM (1992) Social phobia: comorbidity and morbidity in an epidemiological sample. Arch Gen Psychiatry 49:282–288PubMedGoogle Scholar
  32. 32.
    Schneier FR, Blanco C, Antia SX, Liebowitz MR (2002) The social anxiety spectrum. Psychiatr Clin N Am 25:757–774CrossRefGoogle Scholar
  33. 33.
    Schniering CA, Hudson JL, Rapee RM (2000) Issues in the diagnosis and assessment of anxiety disorders in children and adolescents. Clin Psychol Rev 20:453–478CrossRefPubMedGoogle Scholar
  34. 34.
    Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic interview for DSM-IV and ICD-10. J Clin Psychiatry 59:22–33PubMedGoogle Scholar
  35. 35.
    World Health Organization (1992) International classification of diseases. 10th edn. World Health Organisation, Geneva, SwitzerlandGoogle Scholar

Copyright information

© Steinkopff Verlag Darmstadt 2006

Authors and Affiliations

  1. 1.Regional Centre for Child and Adolescent Mental HealthRBUPOsloNorway
  2. 2.Dept. of PsychologyUniversity of OsloOsloNorway

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