Iván Fernández-Martínez

A systematic review of the factor structure and reliability of the Spence Children's Anxiety Scale

BACKGROUND The Spence Childrens Anxiety Scale (SCAS) is a widely used instrument for assessing symptoms of anxiety disorders among children and adolescents. Previous studies have demonstrated its good reliability for children and adolescents from different backgrounds. However, remarkable variability in the reliability of the SCAS across studies and inconsistent results regarding its factor structure has been found. METHODS The present study aims to examine the SCAS factor structure by means of a systematic review with narrative synthesis, the mean reliability of the SCAS by means of a meta-analysis, and the influence of the moderators on the SCAS reliability. Databases employed to collect the studies included Scholar Google, PsycARTICLES, PsycINFO, Web of Science, and Scopus since 1997. RESULTS Twenty-nine and 32 studies, which examined the factor structure and the internal consistency of the SCAS, respectively, were included. The SCAS was found to have strong internal consistency, influenced by different moderators. The systematic review demonstrated that the original six-factor model was supported by most studies. LIMITATIONS Factorial invariance studies (across age, gender, country) and test-retest reliability of the SCAS were not examined in this study. CONCLUSIONS It is concluded that the SCAS is a reliable instrument for cross-cultural use, and it is suggested that the original six-factor model is appropriate for cross-cultural application.

Validation of the short version of the Cognitive Emotion Regulation Questionnaire for Spanish children

This study aimed to validate a short version of the Cognitive Emotion Regulation Questionnaire for Spanish kids (CERQ-Sk) based on the 18-item version available for adults. A sample of 654 children aged 7–12 years completed the CERQ-Sk and tests for depression and anxiety measures. Confirmatory factor analysis supported the 18-item version and the original nine-factor structure, which includes self-blame, acceptance, rumination, positive refocusing, refocus on planning, positive reappraisal, putting into perspective, catastrophizing, and other-blame (comparative fit index = .99, Tucker–Lewis index = .98, root mean square error of approximation = .02). Internal consistency was adequate (ordinal α = .80), and the eight-week stability of this version was moderate (intraclass correlation = .69). Criterion validity was supported by correlations among self-blame, rumination, and catastrophizing (positive) and among positive reappraisal and depression and anxiety symptoms (negative). Results suggest that the short version of the CERQ-Sk is a valid and reliable instrument for assessing these cognitive emotion regulation strategies during the middle childhood developmental period. Clinicians and researchers will benefit from this briefer acceptable version when time is not available for the 36-item version. This study offers preliminary results for the first short version of the CERQ for children.

Spanish Validation of the School Anxiety Scale—Teacher Report (SAS-TR)

This study aimed to examine the factorial structure and psychometric properties of the School Anxiety Scale-Teacher Report (SAS-TR) in a community sample of 315 Spanish children aged 5 to 12 years. Thirty-seven teachers from eleven schools completed the SAS-TR and the Strengths and Difficulties Questionnaire (SDQ) for each child. Confirmatory factor analysis supported the original two-factor structure, but a better fit model was obtained after removing four items. The scale was found to have high internal consistency (α = 0.91) and satisfactory test–retest reliability (ICC = 0.87) for the Spanish sample. Convergent validity was supported by positive significant correlations between the SAS-TR and the Emotional Symptoms subscale of the SDQ. Lower correlations between the SAS-TR and the SDQ Conduct Problems subscale supported the divergent validity. Overall, the findings suggest that the Spanish version of the SAS-TR is a reliable and valid instrument for teachers to assess anxiety in Spanish children.

Spanish adaptation and psychometric properties of the child version of the Cognitive Emotion Regulation Questionnaire

Background The Cognitive Emotion Regulation Questionnaire for children (CERQ-k) is a useful clinical and research tool to identify cognitive patterns of emotion regulation that predict the presence of emotional symptomatology. This study aimed to validate the Spanish version of the CERQ-k (the CERQ-Sk) using a sample of children from Spain, which is not available. Methods The sample consisted of 582 children (48.6% girls) aged between 7 and 12 years (Mage = 9.49; SD = 1.2) recruited from Alicante, Spain. Cognitive emotion regulation strategies, anxiety and depressive symptomatology were self-reported evaluated. Factor structure, internal consistency, temporal stability with the Spanish version for children were examined. Convergent validity was evaluated using Spearman correlations to examine the relationships between the CERQ-k and measures of anxiety (trait anxiety subscale of STAI-C) and depression (CDI). Results The Spanish version of CERQ-Sk had the same nine factors proposed in the original version. Ordinal alpha of the total scale was excellent (.88), and moderate indexes were found for each subscale (.56 to .75). The 8-week test-retest coefficient was adequate for the total scale (ICC = .74) and moderate for the subscales (.54 to .70). Evidence of convergent validity was provided through correlations with the CDI (depression) and trait anxiety subscale of the STAI-C (anxiety). Cognitive strategies such as Rumination, self-blame, catastrophizing, and other-blame were significantly and positively related to depressive and anxiety symptoms. Moreover, positive refocusing and planning seemed to act as strategies that have a positive effect on the prevention of depression in children. Conclusions Results suggest that the CERQ-Sk is a reliable and valid tool that can be useful for researchers and clinicians to identify maladaptive cognitive emotion regulation patterns that may increase the risk of emotional problems, and orient treatment and prevention of mental health problems in children from Spanish-speaking countries.