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Psychosomatics 40:404-413, October 1999
© 1999 The Academy of Psychosomatic Medine

Assessment of Anxiety Disorders in Asthmatic Children

Gilbert Vila, M.D., Chantal Nollet-Clémençon, Ph., Jacques de Blic, M.D., Bruno Falissard, M.D., Marie-Christine Mouren-Simeoni, M.D., and Pierre Scheinmann, M.D.

Received October 5, 1998; revised January 4, 1999; accepted March 22, 1999. From the Service d'Allergologie et de Pneumologie Pédiatriques, Hôpital Necker-Enfants Malades, 149 rue de Sévres, 75015 Paris, France; and the Service de Psychopathologie de l'Enfant et de l'Adolescent, Hôpital Necker-Enfants Malades, 149 rue de Sévres, 75015 Paris, France. Address correspondence and reprint requests to Dr. Vila, Service de Psychopathologie de l'Enfant et de l'Adolescent, Hôpital Necker-Enfants Malades, 149 rue de Sévres, 75015 Paris, France.

The study's objective was to determine whether the State Trait Anxiety Inventory for Children, Trait version (STAIC), is suitable for the assessment of DSM-IV anxiety disorders in asthmatic children and adolescents. Ninety-two outpatients were given a semistructured diagnostic interview. They completed STAIC; another questionnaire about anxiety, the Echelle Comportementale d'Anxiété et de Peurs (ECAP); and the Child Depression Inventory. The parents filled in the Child Behavior Check-List (CBCL) and the Conners Parent Rating Scale (CPRS). A group of healthy children was assessed with STAIC. Thirty asthmatic children had anxiety disorders. They had significantly higher STAIC scores than the nonanxious asthmatic and the nonasthmatic children. STAIC scores were independent of age and sex and were correlated with ECAP, CPRS anxiety subscore, CBCL total score, internalizing score, and CBCL anxiety-depression subscore. Internal consistency was 0.75. With a threshold value of 34 for anxiety disorders, this method had a sensitivity of 73% and a specificity of 70%. STAIC was thus a useful method for anxiety disorder screening in a pediatric population.

Key Words: Asthma • Anxiety • Children and Adolescents




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