Protocol - Impairment - Adolescent
Description
The Columbia Impairment Scale (CIS) is a 13-item, self- or parent-reported instrument that measures four areas of functioning: interpersonal relations, broad psychopathological domains, functioning in job or schoolwork, and use of leisure time. Items are rated on a Likert scale ranging from 0 (no problem) to 4 (very big problem), indicating behavior at the present time.
Specific Instructions
None
Availability
Protocol
The Columbia Impairment Scale (CIS) Youth Version
INSTRUCTIONS FOR YOUTH
There are thirteen areas of behavior for you to rate from 0 (No problem) to 4 (Very bad problem) for you. Rate each item by circling the number that best describes your behavior at the present time. Since your behavior will change over time, only take into consideration how you feel your recent behavior (within the past week or two) has been. PLEASE RATE ALL THIRTEEN ITEMS. Circle the number 5 if you don’t know or the question does not apply to you. If you do not understand an item or items ask the staff person to clarify it for you. S/he will be glad to do so.
Please circle the number that you think best describes the child or youth’s situation: | |||||
0 | 1 | 2 | 3 | 4 | 5 |
No problem | Some problem | Very bad problem | Not applicable/Don’t know |
In general, how much of a problem do you think you have with: 1)…getting into trouble? 2)…getting along with your mother/mother figure. 3)…getting along with your father/father figure. 4)…feeling unhappy or sad? | 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5 |
How much of a problem would you say you have: 5)…with your behavior at school? (or at your job) 6)…with having fun?. 7)…getting along with adults other than (your mother and/or your father)? |
0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5 |
How much of a problem do you have: 8)…with feeling nervous or afraid? 9)…getting along with your sister(s) and/or brother(s)? 10)…getting along with other kids your age? |
0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5 |
How much of a problem would you say you have: 11)…getting involved in activities like sports or hobbies? 12)…with your school work (doing your job)? 13)…with your behavior at home? |
0 1 2 3 4 5 0 1 2 3 4 5 0 1 2 3 4 5 |
Scoring:
Responses are summed to give a total score. Scores can range from 0 to 52 with higher scores indicating more impairment.
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 VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX610101_Impairment_Youth_Feeling_Nervous | ||||
PX610101080000 | How much of a problem do you have: ...with more | N/A | ||
PX610101_Impairment_Youth_Feeling_Sad | ||||
PX610101040000 | In general, how much of a problem do you more | N/A | ||
PX610101_Impairment_Youth_Getting_Along_Adults | ||||
PX610101070000 | How much of a problem would you say you more | N/A | ||
PX610101_Impairment_Youth_Getting_Along_Father | ||||
PX610101030000 | In general, how much of a problem do you more | N/A | ||
PX610101_Impairment_Youth_Getting_Along_Mother | ||||
PX610101020000 | In general, how much of a problem do you more | N/A | ||
PX610101_Impairment_Youth_Getting_Along_Peers | ||||
PX610101100000 | How much of a problem do you have: more | N/A | ||
PX610101_Impairment_Youth_Getting_Along_Siblings | ||||
PX610101090000 | How much of a problem do you have: more | N/A | ||
PX610101_Impairment_Youth_Getting_Into_Trouble | ||||
PX610101010000 | In general, how much of a problem do you more | N/A | ||
PX610101_Impairment_Youth_Having_Fun | ||||
PX610101060000 | How much of a problem would you say you more | N/A | ||
PX610101_Impairment_Youth_Home_Behavior | ||||
PX610101130000 | How much of a problem would you say you more | N/A | ||
PX610101_Impairment_Youth_School_Behavior | ||||
PX610101050000 | How much of a problem would you say you more | N/A | ||
PX610101_Impairment_Youth_School_Work | ||||
PX610101120000 | How much of a problem would you say you more | N/A | ||
PX610101_Impairment_Youth_Sports_Hobbies | ||||
PX610101110000 | How much of a problem would you say you more | N/A |
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.