The current study extends the psychometric support for the Child Sheehan Disability Scale (CSDS) as a measure of impairment associated with childhood anxiety disorders, including obsessive compulsive disorder. The CSDS was completed by 1,481 predominately Caucasian youth (55.4% female) ages 8 to 17 (M = 12.68, SD = 2.78) from primarily two-parent households and a parent across community, outpatient, intensive outpatient treatment, and residential settings. The results replicated and extended the previously found strong convergent validity, discriminant validity, and treatment sensitivity with a revised parent-report item in the larger sample. Moreover, the CSDS successfully differentiated between patients receiving treatment of different levels of intensity. These data were used to develop preliminary qualitative descriptors associating individual scores with a likely level of indicated treatment to enhance the clinical applicability of the CSDS. This study establishes the CSDS as one of the briefest and most rigorously evaluated measures of impairment associated with child anxiety. However, the performance of the CSDS must be examined in more representative samples before being applied to diverse populations.

目前的研究扩展了对儿童希恩残疾量表 (CSDS) 的心理测量支持，作为衡量与儿童焦虑症（包括强迫症）相关的损伤的一种方法。CSDS 由 1,481 名 8 至 17 岁的白人青年（55.4% 为女性）完成（M= 12.68，SD = 2.78) 来自主要是双亲家庭和一个父母跨社区、门诊、强化门诊治疗和住宅环境。结果复制并扩展了先前发现的强收敛效度、判别效度和治疗敏感性，并在更大的样本中修改了家长报告项目。此外，CSDS 成功地区分了接受不同强度治疗的患者。这些数据用于开发初步的定性描述符，将个体评分与可能的指示治疗水平相关联，以增强 CSDS 的临床适用性。本研究将 CSDS 确定为最简短和最严格评估的与儿童焦虑相关的损伤测量方法之一。然而，