Structural, relative, and absolute agreement between parents' and adolescent inpatients' reports of adolescent functional impairment

This study assessed agreement between parents' and adolescent inpatients' s cores on caretaker and self-report versions of the Functional Impairment Sc ale for Children and Adolescents (FISCA and FISCA-SR). Self-report data des cribing impairment in eight domains were collected from 375 inpatients (M a ge = 25.0 years, 55% females), with parent data available for 233 (62%). Co nfirmatory factor analysis demonstrated structural congruence between a hyp othesized, three-factor model, based on a prior study of the parent FISCA, and an observed model, based on responses to the FISCA-SR (GFI =.95). Corre lations (measuring relative agreement) and paired comparisons of means (ass essing absolute agreement) generally identified stronger agreement in "publ ic" than "private" domains of impairment, and greater relative than absolut e agreement in covert, antisocial domains.