Children's Somatization Inventory: Psychometric Properties of the Revised Form (CSI-24)

Walker, L. S.; Beck, J. E.; Garber, J.; Lambert, W.

doi:10.1093/jpepsy/jsn093

Cited by 320Psychosomatic Disorders and Their TreatmentsGastrointestinal motility and disordersPediatric Pain Management Techniques

Children's Somatization Inventory: Psychometric Properties of the Revised Form (CSI-24)

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Walker, L. S., Beck, J. E., Garber, J., Lambert, W.·2009·Journal of Pediatric Psychology

DOI 10.1093/jpepsy/jsn093PMC PMC2722132

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Abstract

OBJECTIVE: To conduct a multimethod psychometric evaluation to refine the Children's Somatization Inventory (CSI) and to investigate its dimensionality. METHOD: The CSI was administered to 876 pediatric patients with chronic abdominal pain at their initial visit to a pediatric gastroenterology clinic. Tools from three psychometric models identified items that most effectively measured the construct of somatization and examined its dimensionality. RESULTS: Eleven statistically weak items were identified and removed, creating a 24-item CSI (CSI-24). The CSI-24 showed good psychometrics according to the three measurement models and correlated .99 with the original CSI. The CSI-24 has one dominant general factor but is not strictly unidimensional. CONCLUSIONS: The CSI-24 is a reliable and psychometrically sound refinement of the original CSI. Findings are consistent with the view that somatization has a strong general factor that represents a continuum of symptom reporting, as well as minor components that represent specific symptom clusters in youth with chronic abdominal pain.

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High co-occurrence of symptoms from different organ systems is described in youth.
“Despite high co-occurrence of symptoms from different organ systems is also described in youth [40, 41]”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [40]
The Discussion (page unavailable) reports a dominant factor underlying symptom reporting across multiple organ systems in 876 pediatric patients with chronic abdominal pain. It also says abdominal pain is frequently associated with other unexplained symptoms. The paper cautions that this clinical sample may not represent nonclinical youth, so it does not establish high co-occurrence across youth generally. (LLM, conf=0.86)
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Authors: Walker, L. S., Beck, J. E., Garber, J., & Lambert, W.
Affiliations: Vanderbilt University (US)
Venue: Journal of Pediatric Psychology
Publisher: Oxford University Press (OUP)
Published: 2008-09-09
Volume: 34
Issue: 4
Pages: 430-440
ISSN: 0146-8693 (ISSN-L)
1465-735X
DOI: 10.1093/jpepsy/jsn093
PMC: PMC2722132
OpenAlex: W2098377267
Cited by: 320
References: 64
Citations by year: 2026: 22 · 2025: 31 · 2024: 22 · 2023: 16 · 2022: 27 · 2021: 13 · 2020: 29 · 2019: 27 · 2018: 18 · 2017: 18 · 2016: 21 · 2015: 11 · 2014: 18 · 2013: 19 · 2012: 13
FWCI: 2.81
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Pediatric Psychology (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Vanderbilt University (HD15052)
National Institute of Mental Health (T32 MH 18921, T32MH018921)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD015052, P30 HD-15052, R01 HD 23264, R01HD023264)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: somatization, chronic abdominal pain, pediatric patients, psychometric properties, scale refinement, dimensionality, general factor, symptom reporting, symptom clusters, questionnaire validation
MeSH terms: Adolescent, Child, Chronic Disease, Female, Humans, Male, Personality Inventory, Psychometrics, Surveys and Questionnaires, Severity of Illness Index, Somatoform Disorders, Reproducibility of Results, Abdominal Pain

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Children's Somatization Inventory: Psychometric Properties of the Revised Form (CSI-24)

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