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The Columbia Impairment Scale: Factor Analysis Using a Community Mental Health Sample

2010/12/31 by Jonathan B. Singer, Shaun M. Eack, Catherine M. Greeno
Medicine · Psychology · #Child and Adolescent Psychosocial and Emotional Development #Family Caregiving in Mental Illness #Maternal Mental Health During Pregnancy and Postpartum

paper · doi:10.1177/1049731510394464

openalex publication_date 2010/12/31 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30

Abstract

Objective: The objective of this study was to test the factor structure of the parent version of the Columbia Impairment Scale (CIS) in a sample of mothers who brought their children for community mental health (CMH) services (n = 280). Method: Confirmatory factor analysis (CFA) was used to test the fit of the hypothesized four-factor structure and the empirically validated one-factor structure. Exploratory factor analysis (EFA) was used to identify what factor structure best fit our sample of distressed mothers. Results: Neither the one- nor the four-factor model fit our sample. The EFA suggested that the CIS was best understood as a 12-item, three-factor model that identified functional impairment: (a) at school/work; (b) in socializing; and (c) at home/family. Conclusion: These findings call into question the construct validity of the parent version of the CIS in a CMH sample of mothers and provide support for multidimensional measures of functional impairment.

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