Article

Assessing anxiety with the Child Behavior Checklist and the Teacher Report Form.

Temple University, Department of Psychology, Philadelphia, PA 19122, United States.
Journal of Anxiety Disorders (Impact Factor: 2.96). 01/2007; 21(8):1004-15. DOI: 10.1016/j.janxdis.2006.10.012
Source: PubMed

ABSTRACT We evaluated the utility of Anxiety scales for the Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF). The scales (CBCL-A; TRF-A) were examined using mothers and teachers of anxiety-disordered (AD; 157 mothers, 70 teachers) and non-anxiety-disordered (NAD; 100 mothers, 17 teachers) children. Separate samples of parents and teachers of AD (mothers=145, fathers=120, teachers=137) and NAD (mothers=35, fathers=29, teachers=27) children cross-validated the original findings. CBCL-A and TRF-A scores significantly discriminated AD children from NAD children and correlated significantly with other measures of child anxiety. The CBCL-A and TRF-A were sensitive to treatment changes. Relative to the CBCL/TRF Anxious/Depressed syndromes and Internalizing dimensions, the CBCL-A and TRF-A improved prediction of anxiety status. Relative to Achenbach, Demenci, and Rescorla's [Achenbach, T. M., Demenci, L., & Rescorla, L. A. (2003). DSM-oriented and empirically based approaches to constructing scales from the same item pools. Journal of Clinical Child and Adolescent Psychology, 32, 328-340] CBCL Anxiety subscale, the CBCL-A predicted comparably. Findings are discussed in terms of the CBCL-A and TRF-A as clinical tools.

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    • "The CBCL scales are among the most widely used measures of youth emotional and behavioral problems and use extensive normative data to generate agestandardized estimates of the severity of internalizing and externalizing psychopathology. The broad-scale internalizing and externalizing scales as well as the internalizing syndrome subscales have demonstrated validity in discriminating between youths with and without psychopathology (Achenbach, 1991; Achenbach, Dumenci, & Rescorla, 2003; Chen, Faraone, Biederman, & Tsuang, 1994; Ebesutani et al., 2010; Kendall et al., 2007; Seligman, Ollendick, Langley, & Baldacci, 2004). We examined interactions between RSA and psychosocial stress exposure in predicting the externalizing composite and the following dimensions of the internalizing composite: anxiety=depression and depression= withdrawal. "
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    ABSTRACT: Childhood adversity (CA) is strongly associated with youth psychopathology. Identifying factors that reduce vulnerability following CA is critical for developing preventive interventions. Vagal tone and vagal reactivity following psychosocial stressors might influence psychopathology among youths exposed to CA. We acquired heart period and impedance cardiography data to calculate respiratory sinus arrhythmia (RSA) and preejection period (PEP) from 157 adolescents aged 13-17 years at rest and during the Trier Social Stress Test (TSST). Internalizing and externalizing symptoms and multiple forms of CA were assessed. Resting RSA and RSA reactivity interacted with CA in predicting internalizing but not externalizing psychopathology; CA was unassociated with internalizing problems in adolescents with high resting RSA and RSA reactivity. No interactions were observed with PEP. High resting RSA predicted greater vagal rebound and accelerated heart rate recovery following the TSST, highlighting one potential mechanism underlying low internalizing symptoms following CA among youths with high vagal tone. © 2013 Wiley Periodicals, Inc. Dev Psychobiol 9999: 1-16, 2013.
    Developmental Psychobiology 07/2014; 56(5). DOI:10.1002/dev.21187 · 3.16 Impact Factor
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    • "The CBCL consists of a broad internalizing and externalizing problems subscale as well as eight syndrome scales. A specific anxiety scale, the CBCL-A, takes the sum of 16 CBCL items (Kendall et al., 2007). The CBCL-A was found to be sensitive to treatment, and distinguished anxiety disordered and normal children. "
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    ABSTRACT: The present study examined specific religious variables (e.g., religious service attendance, importance of faith) as predictors of anxiety in adolescents. Participants included a subsample of the National Institute for Child Health and Human Development (NICHD) Study of Early Child Care (n = 952; 48.3% female; 76.6% Caucasian). Youth completed religiosity measures in early adolescence (6th grade; ages 11–12) and in mid-adolescence (age 15); parents reported on youth religiosity in 5th grade (ages 10 –11). Anxiety measures of youth were completed by parents in early adolescence and by youth in mid-adolescence. Results demonstrated a modest positive association between religious service attendance/youth group participation and anxiety in mid-adolescence. Time spent in weekday evening religious activities in early adolescence modestly predicted greater anxiety in mid-adolescence. Finally, youth who increased in religious service attendance experienced greater anxiety in mid-adolescence. The relation was mediated by self-reported guilt. Implications and suggestions for future research are discussed.
    Psychology of Religion and Spirituality 05/2014; 6(2):113-122. DOI:10.1037/a0035447 · 1.76 Impact Factor
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    • "Anxiety Subscale (CBCL-A; Kendall et al., 2007) The 16-item CBCL-A includes the same 6 items on the CBCL-AP and 10 additional items regarding somatic symptoms. The CBCL-A has demonstrated high internal consistency, some construct validity, sensitivity to treatment, and has discriminated anxious youth from nonanxious youth (Kendall et al., 2007). "
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    ABSTRACT: The Child Behavior Checklist (CBCL) is a widely used parent-report of child and adolescent behavior. We examined the ability of the CBCL-A scale, a previously published subset of CBCL items, to predict the presence of generalized anxiety disorder (GAD), separation anxiety disorder (SAD), and social phobia (SoP), as well as anxiety severity, among 488 youth randomized in the Child Anxiety Multimodal Study (CAMS). We predicted that the CBCL-A’s unique inclusion of items related to somatic symptoms would better identify anxiety disorder and severity than other CBCL scales, given that somatic complaints are often key features of anxiety among youth. Results support the use of the anxiety-based CBCL subscales as first-line screeners for generally elevated symptoms of anxiety, rather than tools to identify specific anxiety disorders. Although somatic symptoms are often reported and included in diagnostic criteria for certain anxiety disorders (e.g., SAD, GAD), the unique combination of somatic and non-somatic symptoms for the CBCL-A subscale did not increase its ability to consistently predict the presence of specific anxiety disorders.
    Journal of Psychopathology and Behavioral Assessment 03/2014; 37(1):100-111. DOI:10.1007/s10862-014-9439-9 · 1.55 Impact Factor
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