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. 2015 Jan:29:14-24.
doi: 10.1016/j.janxdis.2014.10.004. Epub 2014 Oct 31.

Development of the pediatric accommodation scale: reliability and validity of clinician- and parent-report measures

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Development of the pediatric accommodation scale: reliability and validity of clinician- and parent-report measures

Kristen G Benito et al. J Anxiety Disord. 2015 Jan.

Abstract

The present study developed parallel clinician- and parent-rated measures of family accommodation (Pediatric Accommodation Scale, PAS; Pediatric Accommodation Scale-Parent Report; PAS-PR) for youth with a primary anxiety disorder. Both measures assess frequency and impact of family accommodation on youth and families. Studying youth ages 5-17 (N=105 caregiver-youth dyads), results provide evidence for the psychometric properties of the PAS, including internal consistency, inter-rater reliability, and convergent and discriminant validity. The PAS-PR exhibited good internal consistency and convergent validity with the PAS. Nearly all parents (>95%) endorsed some accommodation and accommodation frequency was associated with parent-rated impairment (home and school), and with youth-rated impairment (school only). Greater impact of accommodation on parents was associated with parent self-reported depressive symptoms. Findings support the common occurrence of family accommodation in youth with anxiety disorders, as well as for the use of the PAS and PAS-PR to measure family accommodation in this population.

Keywords: Adolescents; Anxiety; Children; Family accommodation.

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