Protocol - Impairment - Adolescent

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement Category	Required
Major equipment	No
Specialized training	No
Specialized requirements for biospecimen collection	No
Average time of greater than 15 minutes in an unaffected individual	No

Mode of Administration

Self-administered questionnaire

Lifestage

Adolescent

Participants

Adolescents, ages 9 to 17

Selection Rationale

The Columbia Impairment Scale (CIS) is a brief, self-administered questionnaire with good psychometric properties that can be used to assess impairment across a broad range of diseases and conditions.

Language

English, Spanish

Standards

Standard	Name	ID	Source
Human Phenotype Ontology	Behavioral abnormality	HP:0000708	HPO
caDSR Form	PhenX PX610101 - Impairment Adolescent	6230837	caDSR Form

Derived Variables

None

Process and Review

Not applicable.

Protocol Name from Source

The Columbia Impairment Scale (CIS)

Source

Bird, H. R., Shaffer, D., Fisher, P., & Gould, M. S. (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.

General References

Bird, H. R., Andrews, H., Schwab-Stone, M., Goodman, S. D., Dulcan, M., Richters, J., RubioStipec, M., Moore, R. E., Chiang, P. H., Hoven, C., Canino, G., Fisher, P., & Gould, M. S. (1996). Global measures of impairment for epidemiologic and clinical use with children and adolescents. International Journal of Methods in Psychiatric Research, 6(4), 295-307.

Ezpeleta, L., Granero, R., de la Osa, N., Domenech, J. M., & Bonilla, A. B. (2006). Assessment of Functional Impairment in Spanish Children. Applied Psychology: An International Review, 55(1), 130-143.

Singer, J. B., Eack, S. M., & Greeno, C. M. (2011). The Columbia Impairment Scale: Factor analysis using a community mental health sample. Research on Social Work Practice, 21(4), 458-468.

Ung, D., Wood, J. J., Ehrenreich-May, J., Arnold, E. B., Fuji, C., Renno, P., Murphy, T. K., Lewin, A. B., Mutch, P. J., & Storch, E. A. (2013). Clinical characteristics of high-functioning youth with autism spectrum disorder and anxiety. Neuropsychiatry (London), 3(2).

Protocol ID

610101

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX610101_Impairment_Youth_Feeling_Nervous
	PX610101080000	How much of a problem do you have: ...with more feeling nervous or afraid? show less	N/A
PX610101_Impairment_Youth_Feeling_Sad
	PX610101040000	In general, how much of a problem do you more think you have with: ...feeling unhappy or sad? show less	N/A
PX610101_Impairment_Youth_Getting_Along_Adults
	PX610101070000	How much of a problem would you say you more have: ...getting along with adults other than (your mother and/or your father)? show less	N/A
PX610101_Impairment_Youth_Getting_Along_Father
	PX610101030000	In general, how much of a problem do you more think you have with: ...getting along with your father/father figure. show less	N/A
PX610101_Impairment_Youth_Getting_Along_Mother
	PX610101020000	In general, how much of a problem do you more think you have with: ...getting along with your mother/mother figure. show less	N/A
PX610101_Impairment_Youth_Getting_Along_Peers
	PX610101100000	How much of a problem do you have: more ...getting along with other kids your age? show less	N/A
PX610101_Impairment_Youth_Getting_Along_Siblings
	PX610101090000	How much of a problem do you have: more ...getting along with your sister(s) and/or brother(s)? show less	N/A
PX610101_Impairment_Youth_Getting_Into_Trouble
	PX610101010000	In general, how much of a problem do you more think you have with: ...getting into trouble? show less	N/A
PX610101_Impairment_Youth_Having_Fun
	PX610101060000	How much of a problem would you say you more have: ...with having fun? show less	N/A
PX610101_Impairment_Youth_Home_Behavior
	PX610101130000	How much of a problem would you say you more have: ...with your behavior at home? show less	N/A
PX610101_Impairment_Youth_School_Behavior
	PX610101050000	How much of a problem would you say you more have: ...with your behavior at school? (or at your job) show less	N/A
PX610101_Impairment_Youth_School_Work
	PX610101120000	How much of a problem would you say you more have: ...with your school work (doing your job)? show less	N/A
PX610101_Impairment_Youth_Sports_Hobbies
	PX610101110000	How much of a problem would you say you more have: ...getting involved in activities like sports or hobbies? show less	N/A

Mental Health Research Core: Tier 1

Measure Name

Impairment

Release Date

December 5, 2014

Definition

A self-administered questionnaire for assessing impairment and disability.

Purpose

This measure is used to assess impairment and difficulties in performing usual activities due to a variety of health conditions and diseases, including mental or emotional problems.

Keywords

behavior, General Disability, disability, cognition, mobility, Self-care, Getting along, Life activities, Participation, Function, quality of life, Columbia Impairment Scale, CIS, adolescent, Parents, Siblings, school, home

Measure Protocols

Protocol ID	Protocol Name
610101	Impairment - Adolescent
610102	Impairment - Adult

Publications

There are no publications listed for this protocol.