Reliability and validity of the Arabic Screen for Child Anxiety Related Emotional Disorders (SCARED) in a clinical sample.

Author: Hariz, N., Bawab, S., Atwi, M., Tavitian, L., Zeinoun, P., Khani, M., Birmaher, B., Nahas, Z. and Maalouf, F.T.,

Source:
Psychiatry research, 209(2), pp.222-228.
This study aimed at investigating the reliability and validity of the Arabic Screen for Child Anxiety Related Emotional Disorders (SCARED) as a first child and adolescent anxiety screening tool in the Arab World. The English parent (SCARED-P) and child (SCARED-C) versions were translated into Arabic and administered along with the Arabic Strengths and Difficulties Questionnaire (SDQ) to 77 parents and 67 children attending a Psychiatry clinic. DSM-IV-TR diagnoses were made by a psychiatrist without knowledge of the scale scores. Internal consistency was confirmed by Cronbach's α = 0.92 for SCARED-P and 0.91 for SCARED-C. Their subscales had internal consistencies between 0.65 and 0.89. Parent–child agreement was r = 0.67, p < 0.001. SCARED-P demonstrated good discriminant validity between participants with anxiety disorders and those with other psychiatric disorders (t(72) = 3.13, p = 0.003). For SCARED-C, this difference was significant when participants with depressive disorders were excluded (t(43) = 2.58, p = 0.01). Convergent validity was evident through a significant correlation between SCARED-P and the parent SDQ emotional subscale (r = 0.70, p < 0.001), and SCARED-C and the child SDQ emotional subscale (r = 0.70, p < 0.001). Divergent validity with the SDQ hyperactivity subscale was observed as no significant correlation was found. Overall, the Arabic SCARED demonstrated satisfactory psychometric properties in a clinical sample in Lebanon.