Comparative analysis of pediatric anxiety measures in clinical sample: evaluation of the PROMIS pediatric anxiety short forms

John T. Parkhurst; Tara Von Mach; Anthony T. Vesco; Caroline E. Kerns; John V. Lavigne

doi:10.1007/s11136-022-03333-6

Comparative analysis of pediatric anxiety measures in clinical sample: evaluation of the PROMIS pediatric anxiety short forms

John T. Parkhurst^*, Tara Von Mach, Anthony T. Vesco, Caroline E. Kerns, John V. Lavigne

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Objective: Examine the psychometric properties, validity in relation to a legacy measure, and diagnostic accuracy of the PROMIS Anxiety Short Form 2.0 (PROMIS A-SF) Caregiver and Youth Reports in a clinical sample. Methods: Participants were 301 youth and caregivers referred to a behavioral health clinic by their pediatrician. Participants and their caregivers completed PROMIS A-SF (youth and caregiver proxy), SCARED (youth and caregiver proxy), and a semi-structured interview. Descriptive, correlational, test–retest reliability, and receiver operating characteristic (ROC) analyses were conducted for both measures. Results: PROMIS A-SF measures were highly correlated with SCARED total scores and the panic subscale. PROMIS A-SF measures had AUCs ranging from.49-.79 for the detection of any of three primary subtypes of anxiety: Generalized Anxiety, Separation Anxiety, and Social Anxiety. Implications: Dimensional anxiety subtypes, such as Social Anxiety may not be well detected on the PROMIS youth measure. Use of the PROMIS A-SF as a part of Evidence Based Assessment process is discussed.

Original language	English (US)
Pages (from-to)	1621-1630
Number of pages	10
Journal	Quality of Life Research
Volume	32
Issue number	6
DOIs	https://doi.org/10.1007/s11136-022-03333-6
State	Published - Jun 2023

Funding

We would like to acknowledge Lurie Children’s Hospital Healthy Communities for providing initial funding and the Pritzker Foundation for ongoing funding for Lurie Children’s Hospital’s collaborative care program.

Keywords

Anxiety disorder
Children
Evidence-based assessment
PROMIS

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

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10.1007/s11136-022-03333-6

Cite this

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title = "Comparative analysis of pediatric anxiety measures in clinical sample: evaluation of the PROMIS pediatric anxiety short forms",

abstract = "Objective: Examine the psychometric properties, validity in relation to a legacy measure, and diagnostic accuracy of the PROMIS Anxiety Short Form 2.0 (PROMIS A-SF) Caregiver and Youth Reports in a clinical sample. Methods: Participants were 301 youth and caregivers referred to a behavioral health clinic by their pediatrician. Participants and their caregivers completed PROMIS A-SF (youth and caregiver proxy), SCARED (youth and caregiver proxy), and a semi-structured interview. Descriptive, correlational, test–retest reliability, and receiver operating characteristic (ROC) analyses were conducted for both measures. Results: PROMIS A-SF measures were highly correlated with SCARED total scores and the panic subscale. PROMIS A-SF measures had AUCs ranging from.49-.79 for the detection of any of three primary subtypes of anxiety: Generalized Anxiety, Separation Anxiety, and Social Anxiety. Implications: Dimensional anxiety subtypes, such as Social Anxiety may not be well detected on the PROMIS youth measure. Use of the PROMIS A-SF as a part of Evidence Based Assessment process is discussed.",

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author = "Parkhurst, {John T.} and {Von Mach}, Tara and Vesco, {Anthony T.} and Kerns, {Caroline E.} and Lavigne, {John V.}",

note = "Funding Information: We would like to acknowledge Lurie Children{\textquoteright}s Hospital Healthy Communities for providing initial funding and the Pritzker Foundation for ongoing funding for Lurie Children{\textquoteright}s Hospital{\textquoteright}s collaborative care program. Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive licence to Springer Nature Switzerland AG.",

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AU - Lavigne, John V.

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N2 - Objective: Examine the psychometric properties, validity in relation to a legacy measure, and diagnostic accuracy of the PROMIS Anxiety Short Form 2.0 (PROMIS A-SF) Caregiver and Youth Reports in a clinical sample. Methods: Participants were 301 youth and caregivers referred to a behavioral health clinic by their pediatrician. Participants and their caregivers completed PROMIS A-SF (youth and caregiver proxy), SCARED (youth and caregiver proxy), and a semi-structured interview. Descriptive, correlational, test–retest reliability, and receiver operating characteristic (ROC) analyses were conducted for both measures. Results: PROMIS A-SF measures were highly correlated with SCARED total scores and the panic subscale. PROMIS A-SF measures had AUCs ranging from.49-.79 for the detection of any of three primary subtypes of anxiety: Generalized Anxiety, Separation Anxiety, and Social Anxiety. Implications: Dimensional anxiety subtypes, such as Social Anxiety may not be well detected on the PROMIS youth measure. Use of the PROMIS A-SF as a part of Evidence Based Assessment process is discussed.

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Comparative analysis of pediatric anxiety measures in clinical sample: evaluation of the PROMIS pediatric anxiety short forms

Abstract

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