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Updated: Apr 23, 2026

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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
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The performance of the K6 Scale in a large school sample
Nicholas Peiper1, Richard Clayton2, Richard Wilson3
1REACH Evaluation.
Psychological Assessment
|September 16, 2014
Summary
The K6 scale effectively measured serious emotional disturbance in Kentucky adolescents, revealing a 13.9% prevalence. This validated screening tool aids in timely mental health policy planning for youth.
Area of Science:
- Psychiatry
- Epidemiology
- Public Health
Background:
- Accurate psychiatric morbidity data is crucial for adolescent mental health policy.
- Clinically validated instruments are needed for effective regional planning.
- The K6 scale assesses serious emotional disturbance.
Purpose of the Study:
- To validate the K6 scale for measuring serious emotional disturbance in Kentucky adolescents.
- To determine the prevalence of serious emotional disturbance in this population.
- To identify correlates of serious emotional disturbance.
Main Methods:
- Factor analyses (principal axis, confirmatory) assessed the K6 scale's unidimensionality.
- A school-based sample of 108,736 Kentucky students participated.
- The K6 cutoff of 13 was used for screening and prevalence estimation.
Main Results:
- Factor analyses confirmed the K6 scale's 1-factor solution.
- The prevalence of serious emotional disturbance was 13.9% in Kentucky.
- Grade, gender, race/ethnicity, and family structure were significant predictors.
Conclusions:
- The K6 scale is a valid and reliable tool for assessing serious emotional disturbance in adolescents.
- The K6 is suitable for large epidemiologic surveys requiring timely administration.
- Findings support targeted mental health interventions for at-risk youth.
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