Validation of a brief screening measure of environmental chemical sensitivity: The chemical odor intolerance index

The development and validation of a brief self-report screening measure of environmental chemical sensitivity, the Chemical Odor Intolerance Index (CII), is described. Subjects included 1734 college students, 192 older adults, and 38 chemically intolerant and multiple chemical sensitivity (MCS) patients. The results of the studies demonstrate that the CII has strong internal stability (Cronbach's alpha ranging from 0·80 to 0·92 across samples), and evidence of factorial, group, convergent, and discriminant validity is reported across diverse samples. In future research, the CII will permit the quantification of self-reported illness from low levels of environmental chemicals as a continuous rather than dichotomous variable. Consequently, the CII will facilitate the ability to compare and standardize subject selection criteria in both preclinical and clinical (i.e. MCS) populations.