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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Specific and social fears in children and adolescents: separating normative fears from problem indicators and phobias

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Paola P. Laporte ; Pedro M. Pan ; Mauricio S. Hoffmann ; Lauren S. Wakschlag ; Luis A. Rohde ; Euripedes C. Miguel ; Daniel S. Pine ; Gisele G. Manfro ; Giovanni A. Salum
Total Authors: 9
Document type: Journal article
Source: Revista Brasileira de Psiquiatria; v. 39, n. 2, p. 118-125, Jun. 2017.

Objective: To distinguish normative fears from problematic fears and phobias. Methods: We investigated 2,512 children and adolescents from a large community school-based study, the High Risk Study for Psychiatric Disorders. Parent reports of 18 fears and psychiatric diagnosis were investigated. We used two analytical approaches: confirmatory factor analysis (CFA)/item response theory (IRT) and nonparametric receiver operating characteristic (ROC) curve. Results: According to IRT and ROC analyses, social fears are more likely to indicate problems and phobias than specific fears. Most specific fears were normative when mild; all specific fears indicate problems when pervasive. In addition, the situational fear of toilets and people who look unusual were highly indicative of specific phobia. Among social fears, those not restricted to performance and fear of writing in front of others indicate problems when mild. All social fears indicate problems and are highly indicative of social phobia when pervasive. Conclusion: These preliminary findings provide guidance for clinicians and researchers to determine the boundaries that separate normative fears from problem indicators in children and adolescents, and indicate a differential severity threshold for specific and social fears. (AU)

FAPESP's process: 08/57896-8 - National Institute for Developmental Psychiatry
Grantee:Eurípedes Constantino Miguel Filho
Support type: Research Projects - Thematic Grants