Measurement-Based Care in the Treatment of Anxiety

Courtney Romba*, John Lavigne, John Walkup, Rachel Ballard

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


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 languageEnglish (US)
Pages (from-to)645-661
Number of pages17
JournalChild and Adolescent Psychiatric Clinics of North America
Issue number4
StatePublished - Oct 2020


  • 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


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