a Division of Child and Adolescent Psychiatry, University of California , Los Angeles.
J Clin Child Adolesc Psychol. 2014;43(4):579-91. doi: 10.1080/15374416.2013.817311. Epub 2013 Aug 5.
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 (Walkup et al., 2008 ). 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 (M 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 CAIS child-report was a reasonable fit, with a comparative fit index of .88 and root mean square error of approximation of .05. Internal consistency was very good for total score and subscales of both versions of the scale (Cronbach's α = .70-.90). The CAIS total scores demonstrated good construct validity, showing predicted significant correlations with the Child Behavior Checklist (CBCL) Internalizing Scale, the Multidimensional Anxiety Scale for Children (MASC) and Screen for Child Anxiety Related Emotional Disorders (SCARED) Total Scores, the Pediatric Anxiety Rating Scale, and the Children's Global Assessment Scale. 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.
本研究旨在使用从儿童/青少年焦虑多模态研究（Walkup 等人，2008 年）获得的数据，检验儿童焦虑影响量表（CAIS）的儿童和家长版本的因子结构、信度和构念效度。CAIS 儿童和家长版本测量了与学校、社交和家庭领域焦虑相关的功能障碍。参与者为 488 名 7 至 17 岁的儿童（M 年龄= 10.7，SD= 2.8 岁），他们是 CAMS 研究的 6 个地点的一部分，他们的主要父母或照顾者。家庭参加了结构化的诊断访谈，然后完成了 CAIS 以及其他措施。验证性因子分析表明，CAIS 家长报告和 CAIS 儿童报告的先验三因子结构（学校、社交和家庭/家庭）是合理的，比较拟合指数为.88，近似均方根误差为.05。两种版本的量表总分和分量表的内部一致性非常好（Cronbach's α=.70-.90）。CAIS 总分具有良好的结构效度，与儿童行为检查表（CBCL）内化量表、多维焦虑量表儿童版（MASC）和儿童焦虑相关情绪障碍筛查量表（SCARED）总分、儿科焦虑评定量表和儿童总体评估量表显著相关。此外，CAIS 社交和学校分量表与 CBCL、SCARED 和 MASC 的类似分量表显著相关。结果表明，CAIS 是一种可靠和有效的评估焦虑对儿童和青少年功能影响的工具。
