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Initial validation of the Functional Impairment Scale for Children and Adolescents.

by Susan J Frank, Jennifer S Paul, Melissa Marks, Laurie A Van Egeren
Journal of the American Academy of Child & Adolescent Psychiatry ()


Two studies assessed the validity of the Functional Impairment Scale for Children and Adolescents (FISCA), a multidimensional parent-report questionnaire. In Study 1, quasi-exploratory and confirmatory procedures tested whether FISCA data for 804 inpatients (mean age 13.4 yrs, 456 boys), collected October 1994 through December 1995, fit a 3-factor model. Study 2 with 330 Ss used survival and discriminant analyses to predict recidivism status at 3 and 6 months follow-up from FISCA scores at intake. The 8 FISCA scales reduced to 3 factors describing undercontrolled aggression, social role violations, and self-focused aspects of child functional impairment. Serious impairment on the Aggression and School scales each predicted a 3-fold increase in recidivism risk. Together, impairment scores for Aggression, School, Thinking, and Delinquency correctly identified 73% of the recidivists. However, 51% of the nonrecidivists also were classified as recidivists. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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