The Clinical Intake Questionnaire: Construction and testing of a developmentally sensitive intake instrument for use with university counseling center populations.
Fletcher, Christopher W.
2002
Abstract
A new instrument, entitled the Clinical Intake (CI) Questionnaire, intended to measure clinical issues and presenting problems among university students was developed. This instrument is intended for use with students prior to clinical intake at university counseling centers. Construction and testing of the instrument maintains a developmental psychopathology perspective, which argues that individuals at this young adult stage of life face particular stage-salient challenges and tasks that must be considered as part of a useful measure of treatment planning. Few instruments that consider the specific developmental stage of these students are currently available. This study aims to provide initial psychometric support for the developmentally sensitive CI Questionnaire. Two hundred seventy-one students presenting for treatment at a university counseling center filled out a 101-item preliminary version of CI Questionnaire. An oblique exploratory factor analysis with a principal axis factoring extraction procedure and a promax rotation was performed on these students' responses. The factor analysis suggests a 9-factor structure, with 66 of the original 101 items retained in the final version of the instrument. The 9 factors contained in the CI Questionnaire include Alienation/Depression, Eating/Weight, Alcohol, Academics, Anger, Somatic Anxiety, Social Anxiety, Familial Discord, and Religiosity/Spirituality. The first factor, entitled Alienation/Depression accounts for the largest amount of variance in the sample. This factor combines items about depressive symptoms (including guilt, sadness, and suicidality) with items about feelings of isolation and disconnection from self and others, thereby supporting the unique presentation of distress for this young adult population. Although many of the factors intercorrelate at low to moderate levels, results support the strength of this 9-factor structure. Likewise, the presence of these 9 factors, some of which may relate to diagnostic categories, and some of which relate to environmental stressors, support the developmental psychopathology approach to assessing those presenting for treatment at university counseling centers. The CI Questionnaire appears to have strong reliability as such an instrument, and needs further studies to confirm its validity. The preliminary evidence for the CI Questionnaire suggests the use of this instrument as a single measure of relevant presenting problems and developmental stressors for this population.Subjects
Center Clinical Intake Questionnaire Construction Developmentally Sensitive Intake Instrument Populations Testing University Counseling Use
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