Adaptation and psychometric properties of SCORE-15 to measure family functioning in Peruvian population

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Andy Rick Sánchez-Villena
Edén Castañeda-Valdivia
Eduardo Farfán


SCORE-15 is a self-report instrument with 15 items which purpose is to measure family functioning. It was created in the United Kingdom and has been adapted in different European countries. Nevertheless, there are no studies about its psychometric properties in Latin America. Therefore, the aim of this research is to examine its psychometric properties in Peruvian population. For this, the original version of SCORE-15 was translated into Spanish using the double translation method. Subsequently, an exploratory and confirmatory factor analysis was carried out. The results show that SCORE-15 has two dimensions with adequate reliability, which is invariant according to sex and age. Likewise, the divergent and convergent validity was verified. In conclusion, the SCORE-15, in its Peruvian version, is a brief tool with good psychometric properties for evaluation of family functioning and can be used by researchers or psychotherapist in their clinical practice.


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Sánchez-Villena, A. R., Castañeda-Valdivia, E., & Farfán, E. (2023). Adaptation and psychometric properties of SCORE-15 to measure family functioning in Peruvian population. Revista Argentina De Ciencias Del Comportamiento, 15(2), 99–109. Recuperado a partir de
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Edén Castañeda-Valdivia, Universidad Privada del Norte, Facultad de Ciencias de la Salud, Carrera Profesional de Psicología, Cajamarca, Perú




Arnold, M., & Osorio, F. (1998). Introducción a los conceptos básicos de la teoría general de sistemas. Cinta de Moebio, Revista De Epistemología De Ciencias Sociales, 3, 40-49.

Cahill, P., O’Reilly, K., Carr, A., Dooley, B., & Stratton, P. (2010). Validation of a 28-item version of the Systemic Clinical Outcome and Routine Evaluation in an Irish context: the SCORE-28. Journal of Family Therapy, 32(3), 210–231.

Calderón, M., Gálvez-Buccollini, J. A., Cueva, G., Ordoñez, C., Bromley, C., & Fiestas, F. (2012). Validación de la versión peruana del PHQ-9 para el diagnóstico de depresión. Revista Peruana de Medicina Experimental y Salud Pública, 29(4), 578–579.

Cancrini, L., & De Gregorio, F. R. (2018). Borderline Personality Disorder Storyboard from the Systemic Family Therapist’s Perspective. In R. Pereira & J. Linares (Eds.), Clinical Interventions in Systemic Couple and Family Therapy (pp. 15–29). Springer.

Carr, A., & Stratton, P. (2017). The Score Family Assessment Questionnaire: A Decade of Progress. Family Process, 56(2), 285–301.

Castilla, H. A., Caycho, T. P., Shimabukuro, M., & Valdivia, A. A. (2014). Percepción del funcionamiento familiar: Análisis psicométrico de la Escala APGAR-familiar en adolescentes de Lima. Propósitos y Representaciones, 2(1), 49–78.

Cerniglia, L., Cimino, S., Tafà, M., Marzilli, E., Ballarotto, G., & Bracaglia, F. (2017). Family profiles in eating disorders: family functioning and psychopathology. Psychology Research and Behavior Management, 10, 305–312.

Chen, F. F. (2007). Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464–504.

Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster Family Assessment Device. Journal of Marital and Family Therapy, 9(2), 171–180.

Fay, D., Carr, A., O’Reilly, K., Cahill, P., Dooley, B., Guerin, S., & Stratton, P. (2013). Irish norms for the SCORE-15 and 28 from a national telephone survey. Journal of Family Therapy, 35(1), 24–42.

Finan, L. J., Schulz, J., Gordon, M. S., & Ohannessian, C. M. (2015). Parental problem drinking and adolescent externalizing behaviors: The mediating role of family functioning. Journal of Adolescence, 43(1), 100–110.

González, F., Gimeno, A., Meléndez, J. C., & Córdoba, A. (2012). La percepción de la funcionalidad familiar: Confirmación de su estructura bifactorial. Escritos de Psicología, 5(1), 34-39.

Hamilton, E., Carr, A., Cahill, P., Cassells, C., & Hartnett, D. (2015). Psychometric Properties and Responsiveness to Change of 15- and 28-Item Versions of the SCORE: A Family Assessment Questionnaire. Family Process, 54(3), 454–463.

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: A multidisciplinary journal, 6(1), 1-55.

International Test Commission (2017). ITC Guidelines for Translating and Adapting Tests (2nd ed.). International Test Commission.

JASP Team. (2021). JASP (Version 0.15) [Computer software].

Józefik, B., Matusiak, F., Wolska, M., & Ulasińska, R. (2016). Family therapy process − works on the Polish version of SCORE-15 tool. Psychiatria Polska, 50(3), 607–619.

Kim, S., Gil, M., & Kim‐Godwin, Y. (2021). Development and Validation of the Family Relationship Assessment Scale in Korean College Students’ Families. Family Process, 60(2), 586–601.

Kline, P. (1986). A Handbook of test construction: introduction to psychometric design. Routledge.

Kline, R. B. (2015). Principles and practice of structural equation modeling (4th ed.). Guilford Press.

Limsuwan, N., & Prachason, T. (2020). The reliability and validity of the 15‐item Systemic Clinical Outcome and Routine Evaluation (SCORE‐15) Thai version. Journal of Family Therapy, 42(1), 119–128.

Linares, J. L. (2018). The Family Therapy of Psychosis: A Reconfirmation Process. In R. Pereira & J. Linares (Eds.), Clinical Interventions in Systemic Couple and Family Therapy (pp. 3–13). Springer.

Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., & Tomás-Marco, I. (2014). El análisis factorial exploratorio de los ítems: una guía práctica, revisada y actualizada. Anales de Psicología, 30(3), 1151–1169.

Lorenzo-Seva, U., & Ferrando, P. J. (2006). FACTOR: A computer program to fit the exploratory factor analysis model. Behavior Research Methods, 38, 88–91.

Mansilla, M. E. (2000). Etapas del desarrollo humano. Revista de Investigación en Psicología, 3(2), 105–116.

Minuchin, S., Lee, W.-Y., & Simón, G. (1998). El arte de la terapia familiar. Paidos.

Muñiz, J., Elosua, P., & Hambleton, R. K. (2013). Directrices para la traducción y adaptación de los tests: segunda edición. Psicothema, 25(2), 151–157.

O’Hanrahan, K., Daly White, M., Carr, A., Cahill, P., Keenleyside, M., Fitzhenry, M., Harte, E., Hayes, J., Noonan, H., O'Shea, H., McCullagh, A., McGuinness, S., Rodgers, C., Whelan, N., Sheppard, N., & Browne, S. (2017). Validation of 28 and 15 item versions of the SCORE family assessment questionnaire with adult mental health service users. Journal of Family Therapy, 39(1), 4–20.

Olson, D. H. (1986). Circumplex Model VII: Validation Studies and FACES III. Family Process, 25(3), 337–351.

Olson, D. H., Sprenkle, D. H., & Russell, C. S. (1979). Circumplex Model of Marital and Family Systems: I. Cohesion and Adaptability Dimensions, Family Types, and Clinical Applications. Family Process, 18(1), 3–28.

Paolini, D., & Schepisi, L. (2020). The Italian Version of SCORE‐15: Validation and Potential Use. Family Process, 59(4), 1789-1800.

Reise, S. P. (2012). The Rediscovery of Bifactor Measurement Models. Multivariate Behavioral Research, 47(5), 667–696.

Rivas, G., & Pereira, R. (2016). Validación de una escala de evaluación familiar: adaptación del SCORE-15 con normas en español. Mosaico: Revista de la Federación Española de Asociaciones de Terapia Familiar, 63, 16-28.

Roelofse, R., & Middleton, M. R. (1985). The family functioning in adolescence questionnaire: a measure of psychosocial family health during adolescence. Journal of Adolescence, 8(1), 33–45.

Schleider, J. L., Ginsburg, G. S., Keeton, C. P., Weisz, J. R., Birmaher, B., Kendall, P. C., Piacentini, J., Sherrill, J., & Walkup, J. T. (2015). Parental psychopathology and treatment outcome for anxious youth: Roles of family functioning and caregiver strain. Journal of Consulting and Clinical Psychology, 83(1), 213–224.

Shao, R., He, P., Ling, B., Tan, L., Xu, L., Hou, Y., Kong, L., & Yang, Y. (2020). Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students. BMC Psychology, 8, 38.

Shine, B.-K., Park, Y.-J., Ahn, B.-W., Bae, J., Park, J.-S., & Han, S.-H. (2020). Validation Study of Korean Translated Systemic Clinical Outcome Routine Evaluation-15 as Self-Report Family Assessment Measure: Focusing on Adolescent in Daegu and North Gyeongsang Province. Korean Journal of Family Medicine, 41(6), 398-403.

Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its uses by physicians. The Journal of Family Practice, 6(6), 1231–1239.

Stratton, P., Bland, J., Janes, E., & Lask, J. (2010). Developing an indicator of family function and a practicable outcome measure for systemic family and couple therapy: the SCORE. Journal of Family Therapy, 32(3), 232–258.

Stratton, P., Lask, J., Bland, J., Nowotny, E., Evans, C., Singh, R., Janes, E., & Peppiatt, A. (2014). Detecting therapeutic improvement early in therapy: validation of the SCORE-15 index of family functioning and change. Journal of Family Therapy, 36(1), 3–19.

Vilaça, M., de Sousa, B., Stratton, P., & Relvas, A. P. (2015). The 15-item Systemic Clinical Outcome and Routine Evaluation (SCORE-15) Scale: Portuguese Validation Studies. The Spanish Journal of Psychology, 18, E87.

Vilaça, M., Relvas, A. P., & Stratton, P. (2018). A Portuguese translation of the Systemic Clinical Outcome and Routine Evaluation (SCORE): the psychometric properties of the 15- and 28-item versions. Journal of Family Therapy, 40(4), 537–556.

Villarreal-Zegarra, D., Copez-Lonzoy, A., Bernabé-Ortiz, A., Melendez-Torres, G. J., & Bazo-Alvarez, J. C. (2019). Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics. PLoS ONE, 14(9), e0221717.

Wu, H., & Estabrook, R. (2016). Identification of Confirmatory Factor Analysis Models of Different Levels of Invariance for Ordered Categorical Outcomes. Psychometrika, 81, 1014–1045.

Zetterqvist, M., Hånell, H. E., Wadsby, M., Cocozza, M., & Gustafsson, P. A. (2020). Validation of the Systemic Clinical Outcome and Routine Evaluation (SCORE‐15) self‐report questionnaire: index of family functioning and change in Swedish families. Journal of Family Therapy, 42(1), 129–148.