{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:08:33Z","timestamp":1791518913610,"version":"4.3.4"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,7,24]],"date-time":"2017-07-24T00:00:00Z","timestamp":1500854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2017,12]]},"abstract":"\n Objectives<\/jats:title>\n \n Anxiety severity measures can be self\u2010report or observer\u2010rated. Although mostly these measures concur, they can diverge markedly. We examined concordance between two anxiety scales: the observer\u2010rated Brief Anxiety Scale (\n BAS<\/jats:styled-content>\n ) and the self\u2010report Brief Symptom Inventory 12\u2010item version (\n BSI<\/jats:styled-content>\n \u201012), and described associations between patient characteristics and discordance.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n The study used an observational design, using prospective data from 2,007 outpatients with\n DSM<\/jats:styled-content>\n \u2010\n IV<\/jats:styled-content>\n \u2010\n TR<\/jats:styled-content>\n panic disorder with or without agoraphobia, agoraphobia without panic, social phobia, and\/or generalized anxiety disorder.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Overall agreement was described using Pearson's product\u2013moment correlation coefficient. Associations between patient characteristics and discordance (defined as |\n Z<\/jats:italic>\n \u2010\n BAS<\/jats:styled-content>\n \u2010\n Z<\/jats:italic>\n \u2010\n BSI<\/jats:styled-content>\n \u201012|\u00a0\u2265\u00a01) were evaluated with univariable and multivariable multinomial logistic regression analyses.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Overall correlation between\n BAS<\/jats:styled-content>\n and\n BSI<\/jats:styled-content>\n \u201012 was positive and strong (\n r<\/jats:italic>\n \u00a0=\u00a0.59). Discordance occurred in 24.8% of patients ([\n Z<\/jats:italic>\n \u2010\n BAS<\/jats:styled-content>\n \u00a0\u2265\u00a0\n Z<\/jats:italic>\n \u2010\n BSI<\/jats:styled-content>\n \u201012\u00a0+\u00a01]\u00a0=\u00a012.2%; [\n Z<\/jats:italic>\n \u2010\n BAS<\/jats:styled-content>\n \u00a0\u2264\u00a0\n Z<\/jats:italic>\n \u2010\n BSI<\/jats:styled-content>\n \u201012 \u2212 1] \u00a0=\u00a012.6%). Patients with higher observed than self\u2010reported anxiety severity did not differ from concordant patients. Patients with lower observed than self\u2010reported anxiety severity more often had panic disorder, less often had social phobia, and had higher scores on cluster B and C personality characteristics than concordant patients. Lower observed than self\u2010reported anxiety severity was best predicted by panic disorder, social phobia, and affective lability.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Results demonstrate that the use of a single source of information gives a one\u2010sided view of pathology. A multimethod approach is highly preferable, as this allows for assessment across different domains and through multiple sources of information, and as such, provides clinicians with vital information.<\/jats:p>\n <\/jats:sec>\n \n Practitioner points<\/jats:title>\n \n \n \n When assessing anxiety severity, the use of self\u2010report measures provides additional information to observer\u2010rated measures.<\/jats:p>\n <\/jats:list-item>\n \n In patients who have strong cluster B and C personality traits, anxiety severity might be overlooked, even by trained observers.<\/jats:p>\n <\/jats:list-item>\n \n The use of a multimethod assessment strategy is preferable in anxiety severity assessment.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/papt.12134","type":"journal-article","created":{"date-parts":[[2017,7,24]],"date-time":"2017-07-24T06:06:53Z","timestamp":1500876413000},"page":"705-719","source":"Crossref","is-referenced-by-count":5,"title":["Concordance between self\u2010reported and observer\u2010rated anxiety severity in outpatients with anxiety disorders: The Leiden routine outcome monitoring study"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8477-717X","authenticated-orcid":false,"given":"Anke","family":"Schat","sequence":"first","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Center The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn S.","family":"van Noorden","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Center The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik J.","family":"Giltay","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Center The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc J.","family":"Noom","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Zaans Medisch Centrum The Netherlands"},{"name":"Department of Child Development and Education University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert R.J.M.","family":"Vermeiren","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Curium\u2010Leiden University Medical Center Oegstgeest The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans G.","family":"Zitman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University Medical Center The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1978.tb02357.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2009.11.011"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0021212"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.696"},{"key":"e_1_2_6_6_1","first-page":"120","article-title":"De Brief Symptom Inventory (BSI) De betrouwbaarheid van een handzaam alternatief voor de SCL\u201090","volume":"61","author":"De Beurs E.","year":"2006","journal-title":"Maandblad Geestelijke 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