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

  • Benito K
  • Caporino N
  • Frank H
 et al. 
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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.

Author-supplied keywords

  • Adolescents
  • Anxiety
  • Children
  • Family accommodation

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Authors

  • Kristen G. Benito

  • Nicole E. Caporino

  • Hannah E. Frank

  • Krishnapriya Ramanujam

  • Abbe Garcia

  • Jennifer Freeman

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