Journal of Anxiety Disorders 28 (2014) 947–956
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Journal of Anxiety Disorders
Psychometric properties of the child and parent versions of Spence
Children’s Anxiety Scale in a Danish community and clinical sample
Kristian Arendt
∗
, Esben Hougaard, Mikael Thastum
Department of Psychology and Behavioural Sciences, Aarhus University, Bartholins Allé 9, 8000 Aarhus C, Denmark
a r t i c l e i n f o
Article history:
Received 19 February 2014
Received in revised form
26 September 2014
Accepted 29 September 2014
Available online 16 October 2014
Keywords:
Anxiety
Spence Children’s Anxiety Scale
Children
Adolescents
Parents
Assessment
a b s t r a c t
This study examined the psychometric properties and norms of the Spence Children’s Anxiety Scale
(SCAS) and the associated parent version (SCAS-P) in a Danish community and a clinical sample. The
total sample consisted of 1240 children (972 from community sample), age 7–17 years, and 805 parents
(537 from community sample). Results indicated that SCAS and SCAS-P had good internal consistency
on the total scale and all subscales, with exception of the subscale for fear of physical injury. Both scales
showed satisfactory 2-week and 3-month retest stability. All subscales and total scales of the SCAS and
SCAS-P discriminated between the clinical and community sample. A comparison with the Beck Youth
Inventories and the Strength and Difficulty Questionnaire in the clinical sample supported the scales’
convergent and divergent validity. Results of confirmatory factor analyses for SCAS and SCAS-P were in
favor of the original model with six correlated factors.
© 2014 Elsevier Ltd. All rights reserved.
1. Introduction
Anxiety disorders are among the most common psychiatric dis-
orders in children and adolescents, and a recent meta-analysis
found the mean estimate of prevalence for any anxiety disor-
der to be 12.3% in children (age 6–12) and 11.0% in adolescents
(age 13–18) (Costello, Egger, Copeland, Erkanli, & Angold, 2011).
Although prevalent, anxiety disorders in youth are often over-
looked (Chavira, Stein, Bailey, & Stein, 2004) and have been
associated with social and academic impairment (Essau, Conradt,
& Petermann, 2000; Strauss, Frame, & Forehand, 1987) as well
as increased risk of suicidal behavior in adolescents (Boden,
Fergusson, & Horwood, 2007). If left untreated a great number
of children and adolescents carry their anxiety disorder on into
adulthood (Keller et al., 1992), where it has been found to be a
precursor of comorbid depression (Roza, Hofstra, van der Ende, &
Verhulst, 2003), substance abuse (Costello, Mustillo, Erkanli, Keeler,
& Angold, 2003), and other anxiety disorders (Kim-Cohen et al.,
2003; Pine, Cohen, Gurley, Brook, & Ma, 1998). Thus, early identifi-
cation of childhood anxiety disorders is important.
A range of questionnaires have been developed to assess anxi-
ety symptoms in children and adolescents (Silverman & Ollendick,
∗
Corresponding author. Tel.: +45 87165812.
E-mail addresses: Kristian@psy.au.dk (K. Arendt), esbenh@psy.au.dk
(E. Hougaard), mikael@psy.au.dk (M. Thastum).
2005). Early developed questionnaires on childhood anxiety, like
the Revised Children’s Manifest Anxiety Scale (RCMAS; [Reynolds &
Richmond, 1985]) and Fear Survey Schedule for Children – Revised
(FSSC-R; [Ollendick, 1983]), were developed by downward exten-
sions of questionnaires designed for adults. Such measures provide
information on anxiety symptoms in general, rather than spe-
cific symptoms of different anxiety disorders. Spence Children’s
Anxiety Scale (SCAS) is a more recently developed questionnaire
specifically designed to measure anxiety symptoms for differ-
ent DSM-IV anxiety disorders among children and adolescents.
The psychometric properties of the child self-report version of
SCAS have been examined in a variety of cultures and languages
including Australia (Spence, 1998), the United States (Whiteside &
Brown, 2008), Germany (Essau, Muris, & Ederer, 2002), Netherlands
(Muris, Schmidt, & Merckelbach, 2000), the United Kingdom
(Essau, Sasagawa, Anastassiou-Hadjicharalambous, Guzmán, &
Ollendick, 2011), Belgium (Muris, Merckelbach, Ollendick, King, &
Bogie, 2002), Greece (Mellon & Moutavelis, 2007), Sweden (Essau,
Sasagawa, et al., 2011), Spain (Orgilés, Méndez, Spence, Huedo-
Medina, & Espada, 2012; Tortella-Feliu, Balle, Servera, & de la Banda,
2005), Italy (Di Riso, Chessa, Bobbio, & Lis, 2013), Cyprus (Essau,
Anastassiou-Hadjicharalambous, Mu˜ noz, 2011), Iran (Essau, Olaya,
Pasha, O’Callaghan, & Bray, 2012), Colombia (Amaya & Campbell,
2010), Mexico (Hernández-Guzmán et al., 2010), Japan (Ishikawa,
Sato, & Sasagawa, 2009), Mainland China (Zhao, Xing, & Wang,
2012), Hong Kong, China (Li, Lau, & Au, 2011), and South Africa
(Muris, Schmidt, Engelbrecht, & Perold, 2002).
http://dx.doi.org/10.1016/j.janxdis.2014.09.021
0887-6185/© 2014 Elsevier Ltd. All rights reserved.