Development and preliminary psychometric evaluation of the Children's Saving Inventory
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Published on: June 20, 2020
Eric A Storch1, Jordana Muroff, Adam B Lewin
1Department of Pediatrics, University of South Florida, 800 6th Street South 4th Floor, St, Petersburg, FL 33701, USA. estorch@health.usf.edu
Insights
The Children's Saving Inventory (CSI) is a reliable and valid parent-rated tool for assessing hoarding behaviors in children with Obsessive-Compulsive Disorder (OCD). It shows good internal consistency and test-retest reliability.
Area of Science:
- Child and Adolescent Psychiatry
- Psychometric Assessment
- Obsessive-Compulsive Disorder
Background:
- Hoarding behaviors in youth are a significant concern within Obsessive-Compulsive Disorder (OCD).
- Accurate assessment tools are crucial for understanding and treating these behaviors.
- Existing measures may not fully capture the nuances of childhood hoarding.
Purpose of the Study:
- To develop and evaluate the psychometric properties of the Children's Saving Inventory (CSI).
- To provide a parent-rated measure for assessing hoarding behaviors in children and adolescents with OCD.
Main Methods:
- Development of the Children's Saving Inventory (CSI) with parent raters.
- Administration of various OCD and comorbid symptom measures to 123 children/adolescents with OCD and their parents.
- Psychometric analyses including reliability (internal consistency, test-retest) and validity (known groups, convergent, discriminant).
Main Results:
- A four-factor structure for the CSI was identified: Discarding, Clutter, Acquisition, and Distress/Impairment.
- The CSI demonstrated good internal consistency and excellent one-week test-retest reliability.
- Evidence of known groups, convergent, and discriminant validity was established, particularly concerning hoarding symptoms.
Conclusions:
- The Children's Saving Inventory (CSI) shows initial promise as a reliable and valid measure for assessing hoarding in youth with OCD.
- The CSI's factor structure provides a framework for understanding different facets of hoarding behavior.
- Further research is recommended to validate the CSI in non-OCD pediatric populations.
Abstract:
This study reports on the development and initial psychometric properties of the Children's Saving Inventory (CSI), a parent-rated measure designed to assess child hoarding behaviors. Subjects included 123 children and adolescents diagnosed with primary Obsessive-Compulsive Disorder (OCD) and their parents. Trained clinicians administered the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), items assessing Family Accommodation and the Clinical Global Impressions--Severity index. Parents completed the CSI, Child Obsessive-Compulsive Impact Scale (COIS)--Parent Version and Child Behavior Checklist. Youth completed the COIS--Child Version, Obsessive-Compulsive Inventory Child Version (OCI-CV), Multidimensional Anxiety Scale for Children, and Children's Depression Inventory--Short Form. A four factor solution was identified; factors were named Discarding, Clutter, Acquisition, and Distress/Impairment. Internal consistency for the CSI Total and factor scores were good. One-week test-retest reliability (n = 31) from a random subsample was excellent. Known groups validity was supported vis-à-vis higher CSI scores for those endorsing hoarding on the CY-BOCS Symptom Checklist. Convergent and discriminant validity was evidenced by weak relationships with OCI-CV Checking and Contamination factors but strong relationships with the OCI-CV Hoarding factor and with hoarding obsession/compulsions on the CY-BOCS. These findings provide initial support for the reliability and validity of the CSI for the assessment of hoarding behaviors among youth with OCD. Future studies are needed to extend these findings to non-OCD samples of youth.
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