Factor structure of the Comprehensive Adolescent Severity Inventory (CASI): Results of reliability, validity, and generalizability analyses
Factor structure of the Comprehensive Adolescent Severity Inventory (CASI): Results of reliability, validity, and generalizability analyses
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DOI：
10.1080/00952990500479464
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发表时间：
2006-07-01
影响因子：
2.7
通讯作者：
Frantz, Jeanne
中科院分区：
文献类型：
--
作者：
Meyers, Kathleen;Hagan, Teresa A.;Frantz, Jeanne
本文介绍了心理测量工作的结果进行了综合青少年严重程度量表（CASI）在205个治疗中的物质滥用的青少年。四个维度，每个分量表组成，导致标准的心理测量分析：化学依赖，心理社会功能，犯罪，和风险行为。每个维度都有很高的内部一致性（每个临床维度组成分量表的α系数范围为0.78至0.96）和重测信度（组内相关系数范围为0.88至0.96，所有相关系数均为p <0.0001）。同时有效性和特异性的CASI尺寸也被发现：显着和实质性的变化，NIMH诊断访谈计划的儿童修订版（DISC-IV）和简明症状量表（BSI）评分与相关的CASI尺寸; CASI尺寸，理论上应该显示没有显着的关系与不同的病理没有关联。这些维度预测了青少年治疗后出院的功能变化，支持预测有效性。最后，维度临床结构被发现是概括在男性和女性青少年，年轻和年长的青少年，以及来自不同种族的青少年。这些结果提供了进一步的证据CASI的承诺，在研究和实践中作为一个具体的评估工具，全面评估多方面的功能范围内的发展背景下的测量。讨论了该研究的局限性以及目前正在CASI上进行的未来工作。沿着。
This article describes the results of psychometric work conducted on the Comprehensive Adolescent Severity Inventory (CASI) among 205 in-treatment substance-abusing adolescents. Four dimensions, each composed of component subscales, resulted from standard psychometric analyses: Chemical Dependency, Psychosocial Functioning, Delinquency, and Risk Behavior. Each dimension had high internal consistency (alpha coefficients for the component subscales comprising each clinical dimension range from .78 to .96) and test-retest reliability (intraclass correlation coefficients range from .88 to .96 and all are significant at p < .0001.). Concurrent validity and specificity of the CASI dimensions also were found: significant and substantial variance in NIMH Diagnostic Interview Schedule for Children-Revised (DISC-IV) and Brief Symptom Inventory (BSI) scores was associated with relevant CASI dimensions; CASI dimensions that theoretically should show no significant relationship with divergent pathology were not associated. The dimensions forecasted substantial variance in adolescent functioning posttreatment discharge, supporting predictive validity. Finally, the dimensional clinical structure was found to be generalizable over male and female adolescents, younger and older adolescents, and adolescents from different ethnic groups. These results provide further evidence for the CASI's promise in research and practice as an adolescent-specific assessment instrument that comprehensively assesses multidimensional areas of functioning within a developmental context of measurement. Limitations of the study along with future work currently being conducted on the CASI are discussed.