Development of a novel observational measure for anxiety in young children: The Anxiety Dimensional Observation Scale

Journal of Child Psychology and Psychiatry, and Allied Disciplines
Nicholas D MianMargaret J Briggs-Gowan

Abstract

Identifying anxiety disorders in preschool-age children represents an important clinical challenge. Observation is essential to clinical assessment and can help differentiate normative variation from clinically significant anxiety. Yet, most anxiety assessment methods for young children rely on parent-reports. The goal of this article is to present and preliminarily test the reliability and validity of a novel observational paradigm for assessing a range of fearful and anxious behaviors in young children, the Anxiety Dimensional Observation Schedule (Anx-DOS). A diverse sample of 403 children, aged 3 to 6 years, and their mothers was studied. Reliability and validity in relation to parent reports (Preschool Age Psychiatric Assessment) and known risk factors, including indicators of behavioral inhibition (latency to touch novel objects) and attention bias to threat (in the dot-probe task) were investigated. The Anx-DOS demonstrated good inter-rater reliability and internal consistency. Evidence for convergent validity was demonstrated relative to mother-reported separation anxiety, social anxiety, phobic avoidance, trauma symptoms, and past service use. Finally, fearfulness was associated with observed latency and attention bias...Continue Reading

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Citations

Jan 25, 2017·Journal of Autism and Developmental Disorders·Bosiljka MilosavljevicUNKNOWN BASIS Team
Dec 8, 2017·Child Psychiatry and Human Development·Franziska MinderRenate Drechsler
Jan 15, 2018·Journal of Autism and Developmental Disorders·Catherine A BurrowsHeather A Henderson
Nov 20, 2016·Journal of Traumatic Stress·Damion J GrassoMargaret J Briggs-Gowan
Jun 6, 2019·Journal of Autism and Developmental Disorders·Jane RobertsLeonard Abbeduto
Feb 7, 2018·Current Opinion in Pediatrics·Courtney K BlackwellUNKNOWN with the ECHO PRO Core
Dec 21, 2018·Journal of Abnormal Child Psychology·Kimberly L H CarpenterHelen L Egger
Dec 30, 2020·Journal of Psychiatric Research·Jennifer L BrunoAllan L Reiss

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