Anxiety and Depression in Children: A Preliminary Examination of the Utility of the PANAS-C

Recent research has questioned the validity of identifying depression and anxiety as separate constructs in children. The current investigation examined the usefulness of the Positive and Negative Affect Schedule for Children (PANAS-C) in differentiating between anxiety and depression in children while also providing needed reliability and validity data on the PANAS-C. In addition, the relationship between positive and negative affect and coping was examined. Subjects included 110 third through fifth graders from a semirural public school setting. Children completed the PANAS-C, as well as self-report measures of depression, anxiety, and coping strategies. Moderate item–total correlations and high internal consistency indicated that the PANAS-C has good reliability. Validity results were mixed: a two-factor solution resembled previous studies, and negative affect was associated with avoidance coping strategies whereas positive affect was associated with approach coping strategies, as expected. However, correlations of positive and negative affect, anxiety, and depression scales suggest that positive and negative affectivity are negatively related in children as opposed to separate and independent constructs. Results of the present investigation question the validity of the use of the PANAS-C for differentiating anxiety and depression with this age group and lend support to the possibility that high overlap between anxiety and depression in this age group may be specific for childhood depression.     

Refinement and Psychometric Properties of the Eight-Item Brazilian Positive and Negative Affective Schedule for Children (PANAS-C8)

This study aimed to refine the Brazilian Positive and Negative Affect Scale for Children (PANAS-C34). A total of 1,160 children, between seven and 16 years of age (M = 11.2; SD = 1.92), from public elementary schools in eight Brazilian southern cities participated in the study. Four studies were conducted for this project. Study I (n = 370) evaluated the factorial structure of the PANAS-C34 (the original 34-item version). Ten potential items were selected for the instrument’s refined version. Employing an independent sample (n = 340), Study II assessed the utility of this ten-item version. Exploratory factor analysis, parallel analysis, and confirmatory factor analysis supported a bi-factorial solution. However, significant modification indices emerged for two items (happy and sad) regarding their respective factors and thus they were excluded. In Study III, using another independent sample (n = 450), it was demonstrated that the eight-item version (PANAS-C8) had better fit indices than the ten-item version. In Study IV (N = 1,160) a multigroup confirmatory factor analysis was conducted to evaluate the measurement invariance of the factorial solution across gender. Moreover, convergent validity was also evaluated using the Child Depression Inventory (CDI) and the General Life Satisfaction Scale for Children (GLSS-C). Measurement invariance was obtained for the PANAS-C8 across all the investigated model parameters. The correlations between the PANAS-C8 and both the CDI and the GLSS-C were of similar magnitude to those obtained using the PANAS-C34. The PANAS-C8 had adequate validity indices, demonstrating its usefulness in evaluating positive and negative affect in children.     

Cross-cultural aspects of fears in African children and adolescents

The purpose of this study was to compare level and type of fears in Nigerian and Kenyan children using the Fear Survey Schedule for Children, Revised (FSSC-R; [Ollendick, T.H. (1983). Reliability and validity of the Revised Fear Survey Schedule for Children (FSSC-R). Behaviour Research and Therapy, 21, 685-692]). A total of 852 males and females between the ages of 8 and 17 were surveyed. Results indicated that Nigerian children reported significantly higher total fear than Kenyan children and that scores from both countries were higher than those found in the United States, Australia and China. This suggests that the cultures of Kenya and Nigeria may share a common variable that makes reporting of fears greater than that reported by children of other world cultures. In addition, Christian children in both countries reported higher levels of fear on several factors than Muslim children, indicating that Islamic beliefs may encourage children to report less fear or to deal with their fears better than Christian beliefs. Finally, children between the ages of 8 and 12 reported greater fear of the unknown than children between 13 and 17 years of age. Overall, these findings suggest that important cultural, religious and age differences exist for levels of childhood fears reported in Nigeria and Kenya.     

Cognitive deficit or cognitive distortion in childhood depression

Three studies were conducted to evaluate cognitive disturbance and depression in children. In Study I, 47 sixth-grade children, including 17 who received a DSM-III diagnosis of depression, and their parents were independently interviewed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children, and they completed the Parent-Child Depression Inventory. Children completed the Children's Depression Inventory, the Matching Familiar Figures Test, and the My Standards Questionnaire. Results of Study 1 were consistent across raters and measures: Depression was associated with a negative style of processing self-evaluative information, while being unrelated to a processing deficit. A second study was initiated to replicate the results of Study 1 and to extend them to a wider age range of children. Thirty- eight third-, fourth-, fifth-, and sixth-grade children, half of whom were depressed and half of whom indicated a minimum of depressive symptomatology on the Children's Depression Inventory, completed the Matching Familiar Figures Test and the My Standards Questionnaire. Results were very similar to those found in Study 1. A third study was conducted to test whether the self-perceptions of depressed children were accurately negative or negatively distorted, as judged against their teachers' observations of them. Results supported the hypothesis that depressed children exhibit a distorted style of processing self-evaluative information. The implications of the results for theory and treatment were discussed.This research was funded by the Hogg Foundation for Mental Health, The University of Texas at Austin. The first two authors contributed equally to this investigation, and the order of their authorship was determined by the flip of a coin.     

Reliability and validity of the revised fear survey schedule for children (FSSC-R)

In this study, the validation of a Revised Fear Survey Schedule for Children (FSSC-R) is detailed. Psychometric properties of the scale are reported for two normal samples and one clinical sample of school-phobic children. Initial analyses indicate that the FSSC-R possesses high internal consistency, high test-retest reliability and acceptable stability over time. Further, it adequately discriminates between normal and clinical samples, has acceptable convergent and discriminant validity and possesses a meaningful factor structure. The potential clinical utility of the scale is discussed, and important social and developmental issues affecting the development and expression of fear in children are addressed.     

Confirmatory factor analysis of the eating disorder inventory

The Japanese version of the Eating Disorder Inventory was completed by 204 female university students. Confirmatory factor analyses supported the 9 factors reported by Shimura, et al. (2003). Further, maximum likelihood factor analysis yielded nine factors, accounting for 48.8% of the total variance. There was also adequate fit for each of the 9 subscales. This study provided additional evidence on validity for this Japanese version.     

Reliability and validity of the Revised Children's Manifest Anxiety Scale in a French-Canadian sample

The aim of this study was to examine the reliability and validity of a French version of the Revised Children's Manifest Anxiety Scale (RCMAS). A sample of 2,666 school-age French-Canadian children completed the questionnaire. With regard to factor structure, the 5-factor model found in U.S. normative samples was confirmed. The internal consistency of the 5 scales and of the 2 global scales was good to excellent. Test-retest reliabilities after a 6-month period were also similar to those of the original version. Finally, the concurrent validity, assessed by a correlation with the State-Trait Anxiety Inventory for Children, was also found to be good. Results of the present study show that the French version of the RCMAS is a good instrument to assess anxiety in children.     

Factor Analysis of the Italian Version of the Alabama Parenting Questionnaire in a Community Sample

Despite difficulties measuring parenting styles, many studies have demonstrated a significant relationship between disruptive children and certain parenting practices. One of the most frequently used scales to measure parenting styles is the Alabama Parenting Questionnaire (APQ). This scale was originally defined based on theoretical dimensions and using samples from the USA. Therefore, both factor analysis studies and its adaptation to other countries have been proposed to improve and widen its use. The aim of this study was to adapt the APQ to the Italian population. A community sample of 258 mothers and children (94 %) and 192 fathers (70 %) from 274 families with children from 10- to 14-years-old who agreed to participate and met the inclusion criteria completed the APQ. Principal components and exploratory factor analyses resulted in a unique 19-item version of the APQ for mothers, fathers, and children. This unified version has resulted in two factor categories: positive (12 items) and negative parenting (7 items). The internal consistency and goodness of fit of the model were satisfactory. Moderate and significant convergent validity were found for mothers and fathers but not for children. In fact, we found differences in validity rates among the participants. Children perceived less positive and more negative parenting than did fathers and mothers, and mothers believed that they provided more positive parenting than did other parents. In conclusion, the APQ Italian version of the parents and children global report forms are considered a suitable measure for positive and negative parenting styles with acceptable validity and reliability indices.     

Clinical validity of a Personality Inventory for Children (PIC) profile typology.

We evaluated the validity of a profile typology for the Personality Inventory for Children (PIC), a parent-informant measure of child psychiatric status. For referred children, we studied (a) the convergence of PIC profile types with diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., American Psychiatric Association, 1980) and (b) the incremental validity of the PIC over diagnoses in the prediction of symptom ratings completed by teachers and clinicians. We found a high diagnosis-PIC correspondence only for developmentally disordered children; the overlap for children with emotional-conduct problems was poor. For the latter group, however, the correlation of diagnoses with symptom ratings was low, but the incremental validity of the PIC over diagnoses was high. We discuss the use of this profile typology in the clinical evaluation of children and present a case example.     

Clinical Validity of a Personality Inventory for Children (PIC) Profile Typology

We evaluated the validity of a profile typology for the Personality Inventory for Children (PIC), a parent-informant measure of child psychiatric status. For referred children, we studied (a) the convergence of PIC profile types with diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., American Psychiatric Association, 1980) and (b)the incremental validity of the PIC over diagnoses in the prediction of symptom ratings completed by teachers and clinicians. We found a high diagnosis-PIC correspondence only for developmentally disordered children: the overlap for children with emotional-conduct problems was poor. For the latter group, however, the correlation of diagnoses with symptom ratings was low, but the incremental validity of the PIC over diagnoses was high. We discuss the use of this profile typology in the clinical evaluation of children and present a case example.     

Identification of preschool children at risk for emotional and behavioral disorders: development and validation of a universal screening system

Three studies were designed to measure various indicators of the reliability and validity of the Preschool Behavior Screening System (PBSS) as a screening instrument for emotional and behavioral disorder risk status of children of preschool age. Study 1 and Study 2 served to establish evidence for content validity. Study 3 investigated one type of reliability evidence (i.e., internal consistency) and four types of validity evidence (i.e., internal structure validity, validity evidence based on external relations, concurrent validity, and cross-informant agreement).Teachers and parents of children (N = 113) enrolled in preschool and childcare programs completed Phase 1 and Phase 2 of the PBSS and the Behavior Assessment System for Children (BASC-2). Cross-informant agreement between parent and teacher ratings on the PBSS was generally moderate, and internal consistency was high. PBSS Phase 1 and PBSS Phase 2 were correlated in the expected directions, and sensitivity and negative predictive value were high. Results suggest that the PBSS may yield psychometrically sound scores for helping states meet child-find requirements. Directions for future development of the PBSS are provided.     

Monitoring and fearfulness in children

The current study investigated the relationship between the monitoring coping style and fearfulness in a child population. A total of 183 primary school children aged between 10 and 12 filled out the Child Behavioral Style Scale (CBSS), which purports to measure dispositional monitoring, and the revised version of Fear Survey Schedule for Children (FSSC). It was found that high monitors were more fearful than low monitors. This result is in agreement with the findings of previous research in adult populations.     

Combining Data from Parent Ratings and Parent Interview When Assessing ADHD

This study examined different methods of combining data from a well established rating scale – the Disruptive Behavior Disorders Rating Scale (DBDRS) – with data from a well established interview – the computerized self report version of the Diagnostic Interview Schedule for Children for DSM-IV (P-DISC-IV) – when examining parent report of ADHD. These measures were completed for 80 children who participated in a summer camp for children with disruptive behavior. Results showed significant overlap between the two diagnostic measures but parent report on the DBDRS was more highly associated with children’s camp behaviors than was parent report on the P-DISC-IV. In addition, combining ratings and interview data using an “either/or” rule was more highly associated with camp behavior than was combining data using a “both/and” rule. Results suggest there may be little additional value of adding data from parent self-report on the computerized version of the P-DISC-IV to behavior rating data.     

Estimated Risk of Developing Selected DSM-IV Disorders Among 5-Year-Old Children with Prenatal Cocaine Exposure

We estimated childhood risk of developing selected DSM-IV Disorders, including Attention-Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), and Separation Anxiety Disorder (SAD), in children with prenatal cocaine exposure (PCE). Children were enrolled prospectively at birth (n = 476) with prenatal drug exposures documented by maternal interview, urine and meconium assays. Study participants included 400 African-American children from the birth cohort, 208 cocaine-exposed (CE) and 192 non-cocaine-exposed (NCE), who attended a 5-year follow-up assessment and whose caregiver completed the Computerized Diagnostic Interview Schedule for Children. Under a generalized linear model (logistic link), Fisher’s exact methods were used to estimate the PCE-associated relative risk (RR) of these disorders. Our results indicated a modest but statistically robust elevation of ADHD risk associated with increasing levels of PCE (p < 0.05). Binary comparison of CE versus NCE children indicated no PCE-associated RR. Estimated cumulative incidence proportions among CE children were 2.9% for ADHD (vs 3.1% NCE); 1.4% for SAD (vs 1.6% NCE); and 4.3% for ODD (vs 6.8% NCE). Our findings suggest evidence of increased risk of ADHD (but not ODD or SAD) in relation to an increasing gradient of PCE during gestation.     

Children's Moods,Fears and Worries Questionnaire: Validity with Young Children at Risk for Internalizing Problems

This study tested psychometric properties of the Children's Moods, Fears and Worries Questionnaire (CMFWQ) with a population sample of children at risk for developing internalizing problems. The CMFWQ was completed by 489 parents of 5‐year‐old children who had been screened for temperamental inhibition in preschools across eight government areas of Melbourne, Australia. Parents also completed the Strengths and Difficulties Questionnaire (SDQ) and Anxiety Diagnostic Interview Schedule (ADIS‐P‐IV). In this inhibited sample of children, the CMFWQ showed high internal consistency of items (α = .95). The CMFWQ demonstrated convergent validity with the SDQ ‘emotional symptoms’ subscale and discriminant validity with the ‘conduct problems’ subscale. Supporting criterion validity, the CMFWQ significantly distinguished between groups of inhibited children with versus without ADIS anxiety disorders. Psychometric properties of the CMFWQ now extend to young inhibited children who are at risk for developing internalizing problems as they grow. Copyright © 2016 John Wiley & Sons, Ltd.     

The Spanish version of the Wisconsin Personality Disorders Inventory-IV (WISPI-IV): tests of validity and reliability

Personality disorders (PD) are a prevalent class of mental disorders that interfere with functioning and cause subjective distress while increasing the intensity and duration of Axis I clinical syndromes, and therefore assessing PD is important even when PDs are not the focus of treatment. The purpose of these studies was to develop and test a new Spanish version of a self-report measure of PD, the Wisconsin Personality Inventory-IV (WISPI-IV) that would be psychometrically equivalent to the English version while also maintaining the same interpersonal content, which is based on Benjamin's analysis of the PD criteria using her Structural Analysis of Social Behavior (SASB) model (1974). Study 1 participants completed the WISPI-IV twice over a two-week interval. For Study 2, participants from two sites in Spain and one site in Argentina completed Spanish versions of the WISPI-IV and other personality measures. SASB-analysis of the translated items showed high correspondence between the interpersonal content of the English version and the Spanish version demonstrating theoretical validation in relation to other PD measures. The Spanish WISPI-IV showed satisfactory reliability based on test-retest correlations and alphas for internal consistency. Study 2 showed the Spanish WISPI-IV had good convergent validity with the Spanish versions of the IIP and SCID-II and performed similarly to the English versions of these measures. Our goal in translating the WISPI-IV was to extend this measure to Spanish-speakers in language that would be understood by different Hispanic sub-groups, however research team members and subjects had a variety of suggestions for changes in item wording. This reflects the difficulty with creating a "neutral" Spanish version of any assessment given regional differences.     

Validation of the Japanese version of the NEO Five-Factor Inventory in a large community sample

The NEO Five-Factor Inventory is the shortened version of the Revised NEO Personality Inventory. The aim of this study was to examine the reliability and validity of the Japanese version of the shortened version in the general population of Japan. This version was translated into Japanese and then administered to 2,051 adults in a rural town in Akita Prefecture. A total of 1,664 (81.1%) individuals gave valid answers. Internal reliability, assessed by Cronbach alpha for subscales, ranged from .60 to .77. The scales were only weakly correlated both with each other and with age. In a multiple regression analysis, only the Neuroticism scale score was a significant predictor of scores on the General Health Questionnaire. Factor analysis supported the theoretical structure of personality. Overall, the Japanese version showed good reliability and validity in this sample of the general population of Japan.     

Cyber- and face-to-face bullying: who crosses over?

A total of 3956 children aged 12–13 years who completed the Longitudinal Study of Australian Children (LSAC Wave 5) were studied about their experiences of traditional face-to-face bullying and cyberbullying in the last month. In terms of prevalence, sixty percent of the sample had been involved in traditional bullying as the victim and/or the offender whereas eight percent had been involved in cyberbullying as victim and/or offender. The vast majority (95 %) of those involved in cyberbullying were also involved in traditional bullying. Children involved in both traditional bullying and cyberbullying were compared with those involved in only traditional bullying. Boys were more likely to be involved in both types of bullying than girls. Children with friends involved in delinquent activities and who did not have trustworthy and supportive friends were more likely to bully both traditionally and in cyberspace. Computer proficiency and use did not differentiate children who had crossed over from those who had not, although computer use for socializing purposes had some predictive value in identifying those children who crossed over. The study reflects the value of school interventions for children as they approach adolescence, covering both traditional bullying and cyberbullying, and targeting social relationships in order to teach children how to manage them safely and intelligently.     

Psychological Inflexibility and Child Anxiety

Psychological flexibility is the main outcome of acceptance commitment therapy. Insight into the usefulness of measuring psychological flexibility is an important step to enable studies on the effectiveness of acceptance commitment therapy in middle-aged children (8–10 years). For this purpose, we examined the factor structure, the construct validity and the reliability of the Avoidance and Fusion Questionnaire for Youth. The Avoidance and Fusion Questionnaire for Youth taps psychological inflexibility (the opposite of psychological flexibility) in children and adolescents. Although the questionnaire has been extensively validated in older children, this is not the case for middle-aged children. The Avoidance and Fusion Questionnaire for Youth contains 17 items and is constituted of the subscales cognitive fusion, experiential avoidance and behavioral ineffectiveness. A shortened 8-item version also exists, the Avoidance and Fusion Questionnaire for Youth-8, which does not distinguish between these subscales. We performed a confirmatory factor analysis. Additionally, we assessed the relationship between psychological flexibility and child anxiety. Children, aged 8–10 years, were recruited via regular primary schools. Of the 459 approached children, 267 (58?%) parents signed informed consents for their children (Age: M?=?9.18; SD?=?.79; Sex: n _boys?=?137, 51?%). Children completed the questionnaires during regular classes. In this sample, the 17-item version of the Avoidance and Fusion Questionnaire for Youth was less appropriate for measuring psychological inflexibility than the 8-item version. Furthermore, we found a significant positive relationship between psychological inflexibility and child anxiety. We argue that acceptance commitment therapy would be an interesting candidate for intervening early on in dysfunctional child anxiety, as acceptance commitment therapy’s cognitive elements require cognitive skills that children are likely to master early on.     

Psychometric properties of the Multidimensional Anxiety Scale for Children (MASC) among Icelandic schoolchildren

A psychometric assessment of the Icelandic version of the Multidimensional Anxiety Scale for Children (MASC) was undertaken among Icelandic schoolchildren, between 10 and 15 years of age. In a first study 625 children between 10 and 15 years of age filled in the MASC. A confirmatory factor analysis indicated that the four-factor structure of the instrument was justified. Further, means and standard deviations of the total scale and the subscales were similar to the original normative data reported by March (1997). In a second study the MASC, the Children Depression Inventory (CDI) and the Revised Children's Manifest Anxiety Scale (RCMAS) were administered to a sample of 249 schoolchildren between 10 and 15 years of age. The results supported the convergent and divergent validity of the MASC. Together the two studies show satisfactory psychometric properties of the Icelandic version of the MASC in a normal population.