title: The child anxiety impact scale: examining parent- and child-reported impairment in child anxiety disorders.
abstract: 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.
authors.affiliation: a Division of Child and Adolescent Psychiatry, University of California , Los Angeles.
authors.forename: Audra K
authors.initials: AK
authors.lastname: Langley
authors.forename: Avital
authors.initials: A
authors.lastname: Falk
authors.forename: Tara
authors.initials: T
authors.lastname: Peris
authors.forename: Joshua F
authors.initials: JF
authors.lastname: Wiley
authors.forename: Philip C
authors.initials: PC
authors.lastname: Kendall
authors.forename: Golda
authors.initials: G
authors.lastname: Ginsburg
authors.forename: Boris
authors.initials: B
authors.lastname: Birmaher
authors.forename: John
authors.initials: J
authors.lastname: March
authors.forename: Ann Marie
authors.initials: AM
authors.lastname: Albano
authors.forename: John
authors.initials: J
authors.lastname: Piacentini
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D057566:Self Report
references.citation: J Anxiety Disord. 2008 Dec;22(8):1440-6
references.pmid: 18395408
references.citation: J Anxiety Disord. 2010 Apr;24(3):360-5
references.pmid: 20206470
references.citation: J Am Acad Child Adolesc Psychiatry. 2005 Mar;44(3):283-90
references.pmid: 15725973
references.citation: J Am Acad Child Adolesc Psychiatry. 1992 Nov;31(6):1070-6
references.pmid: 1429407
references.citation: J Child Psychol Psychiatry. 1995 Mar;36(3):427-37
references.pmid: 7782406
references.citation: J Am Acad Child Adolesc Psychiatry. 1991 Jul;30(4):545-52
references.pmid: 1890086
references.citation: J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):554-65
references.pmid: 9100431
references.citation: J Am Acad Child Adolesc Psychiatry. 1991 Jan;30(1):43-50
references.pmid: 2005063
references.citation: Psychiatr Serv. 2006 Jul;57(7):966-75
references.pmid: 16816281
references.citation: J Am Acad Child Adolesc Psychiatry. 2007 Jun;46(6):731-736
references.pmid: 17513985
references.citation: J Am Acad Child Adolesc Psychiatry. 2009 May;48(5):533-544
references.pmid: 19318990
references.citation: J Am Acad Child Adolesc Psychiatry. 1988 Nov;27(6):772-8
references.pmid: 3198566
references.citation: J Consult Clin Psychol. 2004 Apr;72(2):276-87
references.pmid: 15065961
references.citation: Arch Gen Psychiatry. 1998 Jan;55(1):56-64
references.pmid: 9435761
references.citation: Child Adolesc Psychiatry Ment Health. 2010 Jan 05;4:1
references.pmid: 20051130
references.citation: J Am Acad Child Adolesc Psychiatry. 1999 Oct;38(10):1230-6
references.pmid: 10517055
references.citation: J Abnorm Child Psychol. 1988 Feb;16(1):57-68
references.pmid: 3361030
references.citation: Cochrane Database Syst Rev. 2005 Oct 19;(4):CD004690
references.pmid: 16235374
references.citation: J Clin Child Adolesc Psychol. 2009 Sep;38(5):721-30
references.pmid: 20183656
references.citation: J Child Adolesc Psychopharmacol. 2004 Spring;14(1):105-14
references.pmid: 15142397
references.citation: J Anxiety Disord. 2006;20(2):139-57
references.pmid: 16464701
references.citation: Eur Child Adolesc Psychiatry. 2004 Oct;13(5):273-86
references.pmid: 15490275
references.citation: J Clin Child Adolesc Psychol. 2007 Oct-Dec;36(4):645-53
references.pmid: 18088221
references.citation: Psychol Assess. 2000 Sep;12(3):287-97
references.pmid: 11021152
references.citation: Depress Anxiety. 2000;12(2):85-91
references.pmid: 11091931
references.citation: J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):545-53
references.pmid: 9100430
references.citation: J Anxiety Disord. 1997 Jul-Aug;11(4):347-63
references.pmid: 9276781
references.citation: J Consult Clin Psychol. 1997 Jun;65(3):366-80
references.pmid: 9170760
references.citation: J Am Acad Child Adolesc Psychiatry. 2004 Nov;43(11):1364-71
references.pmid: 15502595
references.citation: J Clin Child Adolesc Psychol. 2002 Sep;31(3):335-42
references.pmid: 12149971
references.citation: Tijdschr Psychiatr. 2008;50(1):43-53
references.pmid: 18188828
references.citation: J Am Acad Child Adolesc Psychiatry. 2007 Feb;46(2):252-60
references.pmid: 17242629
references.citation: Arch Gen Psychiatry. 1994 Jan;51(1):8-19
references.pmid: 8279933
references.citation: Arch Gen Psychiatry. 1983 Nov;40(11):1228-31
references.pmid: 6639293
references.citation: N Engl J Med. 2008 Dec 25;359(26):2753-66
references.pmid: 18974308
references.citation: Child Adolesc Psychiatr Clin N Am. 2005 Oct;14(4):631-48, vii
references.pmid: 16171696
references.citation: Arch Gen Psychiatry. 1987 Sep;44(9):821-4
references.pmid: 3632256
references.citation: Psychiatr Clin North Am. 2000 Sep;23(3):519-33
references.pmid: 10986725