George Warren Brown School of Social Work at Washington University in St. Louis
Center for Mental Health Services Research

CMHSR Measures Collection

The Columbia Impairment Scale (CIS)

Location: E20

AUTHOR(S): Bird, Hector. R. et al.

Bird, H.R. et al. (1993). The Columbia Impairment Scale (CIS): Pilot findings on a measure of global impairment for children
    and adolescents. International Journal of Methods in Psychiatric Research, 3, 167-176.

VARIABLE(S) MEASURED: Global impairment for children and adolescents

Designed as a measure of global impairment that can be administered by trained lay-persons and used in large-scale population surveys.

The CIS is a 13-item scale which tap four major areas of functioning: interpersonal relations, broad psychopathological domains, functioning in job or schoolwork and use of leisure time.  The CIS has both parent and child versions.

SUBJECTS: The scale was tested on a sample of 182 children aged 9-17 years.

The CIS can be administered by lay interviewers and provides a respondent-based rating that is independent of the clinical judgement.

Items are scored on a Likert scale ranging from 0 (no problem) to 4 (very big problem). The total score can range from a minimum of 0 to a maximum of 52.

1. Internal consistency: Parent CIS :.85 to .89; Child CIS: .70 to .78.
2. Test-retest reliability (mean interval is 14.7 days): Parent CIS:.89; Child CIS: .63.

The correlation between the Parent CIS and the clinicians CGAS (Children Global Assessment Scale) was -.73, while the Child CIS was -.48.

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