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Child Psychiatry & Human Development
Gepubliceerd in:

01-04-2012 | Original Article

Preliminary Validation of a Screening Tool for Adolescent Panic Disorder in Pediatric Primary Care Clinics

Auteurs: Alexander H. Queen, Jill Ehrenreich-May, Eugene R. Hershorin

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 2/2012

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Abstract

This study examines the validity of a brief screening tool for adolescent panic disorder (PD) in a primary care setting. A total of 165 participants (ages 12–17 years) seen in two pediatric primary care clinics completed the Autonomic Nervous System Questionnaire (ANS; Stein et al. in Psychosomatic Med 61:359–364, 40). A subset of those screening positive (n = 22) and negative (n = 23) for panic symptoms on the ANS completed follow-up phone interviews assessing fit with DSM-IV criteria for panic disorder, self-reported anxiety and depression symptom severity, anxiety-related correlates, and functional impairment. A two-question version of the ANS demonstrated excellent sensitivity (Se = 1.00), but lower specificity (Sp = 0.47) for PD diagnostic status. Three-question and five-question versions modestly improved specificity (Sp = 0.57 and 0.65, respectively). In addition, screen-positive participants reported higher panic symptoms, anxiety sensitivity, and functional impairment, relative to screen-negative participants. Preliminary results suggest the ANS may be a valid screening tool for PD among adolescents, while simultaneously being brief and easy to score. Replication with larger samples is recommended as one related future research endeavor.
vorige artikel Predicting Internalizing and Externalizing Problems at Five Years by Child and Parental Factors in Infancy and Toddlerhood
volgende artikel Parental Separation and Child Aggressive and Internalizing Behavior: An Event History Calendar Analysis
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Metagegevens
Titel
Preliminary Validation of a Screening Tool for Adolescent Panic Disorder in Pediatric Primary Care Clinics
Auteurs
Alexander H. Queen
Jill Ehrenreich-May
Eugene R. Hershorin
Publicatiedatum
01-04-2012
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 2/2012
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-011-0256-z

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