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Development of a Brief Assessment Tool to Identify Children with Probable Anxiety Disorders

Title: Development of a Brief Assessment Tool to Identify Children with Probable Anxiety Disorders
Language: English
Authors: Tessa Reardon (ORCID 0000-0002-9298-091X); Obioha C. Ukoumunne; Susan Ball (ORCID 0000-0002-9937-4832); Paul Brown; Tamsin Ford (ORCID 0000-0001-5295-4904); Alastair Gray; Claire Hill; Bec Jasper; Michael Larkin; Ian Macdonald; Fran Morgan; Michelle Sancho; Falko F. Sniehotta; Susan H. Spence (ORCID 0000-0002-7022-6676); Jason Stainer; Paul Stallard; Mara Violato (ORCID 0000-0002-0484-7706); iCATS Team; Cathy Creswell (ORCID 0000-0003-1889-0956)
Source: JCPP Advances. 2025 5(2).
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 15
Publication Date: 2025
Document Type: Journal Articles; Reports - Research
Education Level: Elementary Education; Junior High Schools; Middle Schools; Secondary Education
Descriptors: Test Construction; Anxiety; Children; Preadolescents; Elementary School Students; Foreign Countries; Parents; Teachers; Junior High School Students; Questionnaires; Symptoms (Individual Disorders); Test Validity; Test Reliability
Geographic Terms: United Kingdom (England)
Assessment and Survey Identifiers: Strengths and Difficulties Questionnaire
DOI: 10.1002/jcv2.12265
ISSN: 2692-9384
Abstract: Background: Difficulties identifying anxiety disorders in primary-school aged children present significant barriers to timely access to support and intervention. This study aimed to develop a brief assessment tool that can identify children with anxiety disorders in community settings, with a high level of sensitivity and specificity. Methods: Children (aged 8-11 years), and their parents/carers and teachers from 19 primary/junior schools in England each completed a pool of questionnaire items that assessed child anxiety symptoms and associated impact. Diagnostic assessments (Anxiety Disorder Interview Schedule for Children: Child and Parent interviews) were administered by independent assessors to determine the presence/absence of anxiety disorders in children. We created alternative candidate brief child-, parent-, teacher-report questionnaires consisting of the 'best' items selected from the wider pool of completed items. We used exploratory factor analysis to reduce the item pool, and multivariable backward elimination logistic regression to identify items that were the strongest predictors of the presence/absence of an anxiety disorder. Results: Parents/carers of 646 children provided consent; child/parent/teacher-report questionnaires were collected for 582/646/565 children respectively; and diagnostic outcome data were collected for 463 children. None of the brief child- nor teacher-report questionnaires achieved acceptable sensitivity/specificity (
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1473745
Database: ERIC