The child anxiety impact scale: examining parent- and child-reported impairment in child anxiety disorders.

The child anxiety impact scale: examining parent- and child-reported impairment in child anxiety disorders.
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DOI:
10.1080/15374416.2013.817311
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发表时间:
2014
期刊:
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子:
--
通讯作者:
Piacentini J
Piacentini J
中科院分区:
其他
文献类型:
--
作者:
Langley AK;Falk A;Peris T;Wiley JF;Kendall PC;Ginsburg G;Birmaher B;March J;Albano AM;Piacentini J

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本研究的目的是利用儿童/青少年焦虑多模式研究(CAMS)的数据,检验儿童焦虑影响量表(CAIS)的因素结构和信度,并构建儿童焦虑影响量表(CAIS)的父母版。CAIS儿童版和家长版在学校、社会和家庭领域测量与焦虑相关的功能障碍。参与者是488名年龄在7到17岁之间的儿童(平均年龄10.7岁;SD=2.8岁),他们是CAMS研究的一部分,涉及6个地点及其主要父母或照顾者。家庭参与了一次结构化的诊断性访谈,然后完成了CAIS和其他措施。验证性因素分析表明,CAIS亲子报告的先验三因素结构(学校、社会和家庭)是合理的,比较拟合指数(CFI)为0.88,近似均方根误差(RMSEA)为0.05。两个版本的量表总分和分量表的内部一致性都非常好(Cronbach‘s Alpha的范围为=0.70-0.90)。CAIS总分具有良好的结构效度,与CBCL内化量表、MASC和SCARED总分、PARS和cGAS呈显著正相关。此外,CAIS的社会和学校分量表与CBCL、SCARED和MASC上的类似分量表显著相关。这些结果支持了CAIS是评估焦虑对儿童和青少年功能影响的可靠和有效的测量工具。
The purpose of the current investigation was to examine the factor structure, reliability, and construct validity of both the Child and Parent version of the Child Anxiety Impact Scale (CAIS) using data obtained from the Child/Adolescent Anxiety Multimodal Study (CAMS). The CAIS child and parent versions measure anxiety-related functional impairment in school, social and family domains. Participants were 488 children ages 7 to 17 (mean age 10.7; SD=2.8 years) enrolled as part of the CAMS study across 6 sites and their primary parent or caregiver. Families participated in a structured diagnostic interview and then completed the CAIS along with other measures. Confirmatory factor analysis revealed that the a priori three factor structure (school, social, and home/family) for the CAIS parent- and child-report was a reasonable fit, with a Comparative Fit Index (CFI) of .88 and Root Mean Square Error of Approximation (RMSEA) of .05. Internal consistency was very good for total score and subscales of both versions of the scale (Cronbach’s alpha ranged from = .70–.90). The CAIS total scores demonstrated good construct validity, showing predicted significant correlations with the CBCL Internalizing Scale, the MASC and SCARED Total Scores, the PARS and the CGAS. In addition, CAIS Social and School subscales were significantly related to similar subscales on the CBCL, SCARED, and MASC. The results provide support that the CAIS is a reliable and valid measure for the assessment of the impact of anxiety on child and adolescent functioning.