Background Children and adolescents with juvenile idiopathic arthritis are at high risk of developing some particularly anxious psychological disorders. Although it is a common mental health problem in children with chronic rheumatic diseases in our country, it is not sufficiently studied.
Objectives The purpose of this study was to translate an assessment questionnaire of an anxiety disorders in children (SCARED) into classical Arabic and to measure its reliability and psychometric validity.
Methods A classic Arabic version of SCARED was developed and evaluated using a sample of 47 children suffering from juvenile idiopathic arthritis. A questionnaire of 41 items (5 areas) was completed by our patients at two different moments in time with a 48 hours interval. Studies on test-retest reliability and internal consistency were performed using the intra-class correlation coefficient (ICC) and the Cronbach's coefficient α. The validity of the Arabic version of the SCARED was assessed using a sample of 47 children matched for age and sex.
Criteria of judgment: The primary outcome was the reliability and psychometric validity of the SCARED.
Results A total of 47 children with juvenile idiopathic arthritis (according to the criteria of the ILAR 2001) were tested along with 47 other children without JIA who formed the control group. The first group had a mean age of 11.5±3.3 years, with a male predominance (59.6%), 31% had joint Oligo form, the median duration of disease was 4 years [2–6]. The median Jadas of our patients was 8 [3; 14], indicating moderate disease activity. We demonstrated high test-retest reliability (ICC >0.994) and high internal consistency (Cronbach's α of 0.997). We have shown that the overall coefficients of test-retest reliability were high for the total score and for each SCARED domain. In terms visible validity, the questionnaire was understandable and was able to accurately measure the various aspects of anxiety within children. We found a strong correlation with measures of depression, sleep disorders and quality of life assessed by CDRS (r =0.096 and p=0.04), the CSHQ (r =0.304/p=0.03) and PedsQL4, 0 (r =0.252/p=0.04). We found significant differences in the total scores and domains between the JIA group and the control group, denoting a good discriminate validity of the SCARED.
Conclusions The results provided evidence of the validity and reliability of the Arabic version of the SCARED for Moroccan children with juvenile idiopathic arthritis. The questionnaire is an appropriate instrument to detect anxiety within children and could be useful in clinical practice, research and teaching.
Disclosure of Interest None declared