Abstract
Treatment of pediatric anxiety disorders is complicated by their number, comorbidity, and the differential impact of a child's anxiety on the child and parents. Measurement-based care, using patient-level rating scales, can guide clinical decisions, track symptom improvement, and monitor treatment response. We review instruments for measurement-based care in pediatric anxiety. Measures used to track pediatric anxiety should be brief, accessible, sensitive to change, and reliable. Because parent–child agreement about a child's anxiety tends to be low, measures from both should be obtained. Measurements can also track functional improvement, expectancy related to treatment, and readiness to change.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 645-661 |
| Number of pages | 17 |
| Journal | Child and Adolescent Psychiatric Clinics of North America |
| Volume | 29 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 2020 |
Funding
Dr R. Ballard receives royalties from American Psychiatric Publishing, Inc, for co-edited books on general child and adolescent psychiatry. Dr J. Walkup is on the advisory board for the Anxiety Disorders Association of America, Tourette Association, and Trichotillomania Learning Center. He receives royalties from Guilford Press, Oxford University Press, and Wolters Kluwer. Dr J. Lavigne and Dr C. Romba have nothing to disclose.
Keywords
- Child and adolescent psychiatry
- Measurement-based care
- Patient-reported outcome measures
- Pediatric anxiety
- Reliable change
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Psychiatry and Mental health