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Reexamining the Factor structure of somatization using the children's somatization inventory (CSI-24) in a community
John V Lavigne1, Miguel Saps, Fred B Bryant
1Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL 60614, USA. jlavigne@childrensmemorial.org
Objective:
Pediatric somatization studies have used the 35-item Child Somatization Inventory (CSI-35) or psychometrically refined 24-item CSI (CSI-24). Exploratory factor analysis of the CSI-24 has identified a single factor that did not show good model fit in confirmatory factor analysis (CFA). Further evaluation of the CSI-24 factor structure is needed.
Methods:
The present study examined alternative factor structures of the CSI-24 in a community sample (N = 233, ages 8-15).
Results:
The CFA showed good fit for a single CSI-24 factor, better fit for multiple factor models, and best fit for a single, six-item factor. Construct validity for that factor was found in significant correlations with anxiety, depression, functional disability, and quality of life.
Conclusions:
Results are consistent with a single somatization factor, but research is needed to verify the factor structure in different, race/ethnic/demographic, and clinical groups.
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