This article reports on the development and initial psychometric properties of the School Interference Questionnaire (SIQ), a questionnaire designed to assess both academic functional impairment related to mental health problems and the type and frequency of school refusal behavior. Participants were 110 youth ages 13 to 18 years (M = 15.41 years, SD = 1.42) admitted to an adolescent partial hospitalization program. The majority of participants identified as female (57.3%), Caucasian (59.1%), and non-Latino (70.0%). Internal consistency of the 12 SIQ core interference items was excellent (Cronbach’s α = .91). The factor structure suggested that a single factor was appropriate for the 12 school interference items. Correlations between the SIQ and other measures in this study provided support for construct validity. The average SIQ core interference item score showed evidence of convergent validity via correlations with measures of school refusal, global disability, and internalizing symptoms. The SIQ also exhibited no significant association with timing of study enrollment, suggesting evidence for divergent validity. Results provide initial evidence supporting the psychometric properties of this novel measure.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
2.
AndrewsG.KempA.SunderlandM.Von KorffM.ÜstünT. B. (2009). Normative data for the 12 item WHO Disability Assessment Schedule 2.0. PLOS ONE, 4(12), Article e8343.
3.
BeckerK. D.BrandtN. E.StephanS. H.ChorpitaB. F. (2014). A review of educational outcomes in the children’s mental health treatment literature. Advances in School Mental Health Promotion, 7(1), 5–23.
4.
BirmaherB.BrentD. A.ChiappettaL.BridgeJ.MongaS.BaugherM. (1999). Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): A replication study. Journal of the American Academy of Child & Adolescent Psychiatry, 38(10), 1230–1236.
5.
De Los ReyesA.AugensteinT. M.WangM.ThomasS. A.DrabickD. A. G.BurgersD. E.RabinowitzJ. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin, 141, 858–900.
6.
De Los ReyesA.MakolB. A.RaczS. J.YoungstromE. A.LernerM. D.KeeleyL. M. (2019). The Work and Social Adjustment Scale for Youth: A measure for assessing youth psychosocial impairment regardless of mental health status. Journal of Child and Family Studies, 28, 1–16.
7.
EpsteinM. H. (1999). The development and validation of a scale to assess the emotional and behavioral strengths of children and adolescents. Remedial and Special Education, 20(5), 258–262.
8.
FabianoG. A.PelhamW. E. (2016). Impairment in children. In GoldsteinS.NaglieriJ. A. (Eds.), Assessing impairment: From theory to practice (pp. 71–89). Springer.
9.
GadowK. D.KaatA. J.LecavalierL. (2013). Relation of symptom-induced impairment with other illness parameters in clinic-referred youth. Journal of Child Psychology and Psychiatry, 54(11), 1198–1207.
10.
GoldsteinS.NaglieriJ. A. (2016). Assessing impairment: From theory to practice. Springer.
11.
HaytonJ. C.AllenD. G.ScarpelloV. (2004). Factor retention decisions in exploratory factor analysis: A tutorial on parallel analysis. Organizational Research Methods, 7(2), 191–205.
12.
HeyneD. A.VreekeL. J.MaricM.BoelensH.Van WidenfeltB. M. (2017). Functional assessment of school attendance problems: An adapted version of the School Refusal Assessment Scale-Revised. Journal of Emotional and Behavioral Disorders, 25(3), 178–192.
13.
HoagwoodK.JensenP. S.PettiT.BurnsB. J. (1996). Outcomes of mental health care for children and adolescents: I. A comprehensive conceptual model. Journal of the American Academy of Child & Adolescent Psychiatry, 35(8), 1055–1063.
14.
JohnK.GammonD. G.PrusoffB. A.WarnerV. (1987). The Social Adjustment Inventory for Children and Adolescents (SAICA): Testing of a new semistructured interview. Journal of the American Academy of Child & Adolescent Psychiatry, 26(6), 898–911.
15.
KearneyC. A. (2002). Identifying the function of school refusal behavior: A revision of the School Refusal Assessment Scale. Journal of Psychopathology and Behavioral Assessment, 24(4), 235–245.
16.
KearneyC. A. (2003). Bridging the gap among professionals who address youths with school absenteeism: Overview and suggestions for consensus. Professional Psychology: Research and Practice, 34(1), 57–65.
17.
KearneyC. A. (2006). Confirmatory factor analysis of the School Refusal Assessment Scale-Revised: Child and parent versions. Journal of Psychopathology and Behavioral Assessment, 28(3), 139–144.
18.
KearneyC. A. (2008). School absenteeism and school refusal behavior in youth: A contemporary review. Clinical Psychology Review, 28(3), 451–471.
19.
KearneyC. A.AlbanoA. M. (2004). The functional profiles of school refusal behavior: Diagnostic aspects. Behavior Modification, 28(1), 147–161.
20.
KearneyC. A.SilvermanW. K. (1993). Measuring the function of school refusal behavior: The School Refusal Assessment Scale. Journal of Clinical Child Psychology, 22(1), 85–96.
21.
KearneyC. A.SilvermanW. K. (1996). The evolution and reconciliation of taxonomic strategies for school refusal behavior. Clinical Psychology: Science and Practice, 3(4), 339–354.
22.
KennairN.MellorD.BrannP. (2011). Evaluating the outcomes of adolescent day programs in an Australian child and adolescent mental health service. Clinical Child Psychology and Psychiatry, 16(1), 21–31.
23.
KnollmannM.KnollS.ReissnerV.MetzelaarsJ.HebebrandJ. (2010). School avoidance from the point of view of child and adolescent psychiatry. Deutsches Ärzteblatt International, 107(4), 43–49.
24.
KroenkeK.SpitzerR. L.WilliamsJ. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.
25.
LangleyA. K.BergmanR. L.McCrackenJ.PiacentiniJ. C. (2004). Impairment in childhood anxiety disorders: Preliminary examination of the Child Anxiety Impact Scale–Parent Version. Journal of Child and Adolescent Psychopharmacology, 14(1), 105–114.
26.
LangleyA. K.FalkA.PerisT.WileyJ. F.KendallP. C.GinsburgG.BirmaherB.MarchJ.AlbanoA. M.PiacentiniJ. (2014). The Child Anxiety Impact Scale: Examining parent-and child-reported impairment in child anxiety disorders. Journal of Clinical Child & Adolescent Psychology, 43(4), 579–591.
27.
McDermottB. M.McKelveyR.RobertsL.DaviesL. (2002). Severity of children’s psychopathology and impairment and its relationship to treatment setting. Psychiatric Services, 53(1), 57–62.
28.
ParkJ. H.LeeS. I.SchacharR. J. (2011). Reliability and validity of the Child and Adolescent Functioning Impairment Scale in children with Attention-Deficit/Hyperactivity Disorder. Psychiatry Investigation, 8(2), 113–122.
29.
PatilV. H.SinghS. N.MishraS.DonovanT. (2007). Parallel analysis engine to aid determining number of factors to retain [Computer software]. https://analytics.gonzaga.edu/parallelengine/
30.
RapeeR. M. (2012). Family factors in the development and management of anxiety disorders. Clinical Child and Family Psychology Review, 15(1), 69–80.
31.
RehmJ.ÜstünT. B.SaxenaS.NelsonC. B.ChatterjiS. (1999). On the development and psychometric testing of the WHO screening instrument to assess disablement in the general population. International Journal of Methods in Psychiatric Research, 8(2), 110–122.
32.
RohrigS.BennettS. M.DesaiP.ZendeguiE. A.ChiuA. W. (2021). A description of school refusal behavior in adolescents prior to acute care admission [Manuscript in preparation]. Department of Psychiatry, Weill Cornell Medicine.
33.
RohrigS.DesaiP.ZendeguiE. BennettS.ChiuA. (2020, November). School refusal in adolescents prior to acute care admission [Poster presentation]. 54th annual Convention for the Association for Behavioral and Cognitive Therapies, Philadelphia, PA, United States.
34.
SatoA. F.HainsworthK. R.Anderson KhanK.LadwigR. J.WeismanS. J.Hobart DaviesW. (2007). School absenteeism in pediatric chronic pain: Identifying lessons learned from the general school absenteeism literature. Children’s Healthcare, 36(4), 355–372.
35.
SawyerM.ArneyF.BaghurstP.ClarkJ.GraetzB.KoskyR.NurcombeB.PattonG. C.PriorM. R.RaphaelB.ReyJ.WhaitesL. C.ZubrickS. R. (2000). The mental health of young people in Australia: Child and adolescent component of the National Survey of Mental Health and Wellbeing. Department of Health and Aged Care, Mental Health and Special Programs Branch.
36.
ThatteS.MakinenJ. A.NguyenH. N.HillE. M.FlamentM. F. (2013). Partial hospitalization for youth with psychiatric disorders: Treatment outcomes and 3-month follow-up. The Journal of Nervous and Mental Disease, 201(5), 429–434.
37.
ÜstünT. B.ChatterjiS.KostanjsekN.RehmJ.KennedyC.Epping-JordanJ.SaxenaS.von KorffM.PullC. (2010). Developing the World Health Organization disability assessment schedule 2.0. Bulletin of the World Health Organization, 88, 815–823.
38.
ÜstünT. B.KostanjsekN.ChatterjiS.RehmJ. (2010). Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. World Health Organization.
39.
WintersN. C.CollettB. R.MyersK. M. (2005). Ten-year review of rating scales, VII: Scales assessing functional impairment. Journal of the American Academy of Child & Adolescent Psychiatry, 44(4), 309–338.
