Assessment & Research

Development of the fear survey for adults with mental retardation.

Ramirez et al. (2007) · Research in developmental disabilities 2007
★ The Verdict

The FSAMR is a quick, self-report fear scale that works for adults with mild–moderate intellectual disability.

✓ Read this if BCBAs doing intake or program planning for adults with ID in day hab, residential, or vocational settings.
✗ Skip if Clinicians who only serve typically developing clients or children under 12.

01Research in Context

01

What this study did

The team built a new fear checklist for adults with intellectual disability. They called it the Fear Survey for Adults with Mental Retardation (FSAMR).

Fifty-nine adults with mild or moderate ID answered the 74-item survey. Staff also rated the same adults’ fears so the researchers could compare the two views.

02

What they found

The FSAMR scored high on internal consistency (α = .94). That means the items hang together well.

Self-ratings and staff-ratings matched moderately (r = .52). Adults could report their own fears, and the new tool caught them reliably.

03

How this fits with other research

Cryan et al. (1996) showed that kids with ID report more intense and “younger” fears than typical peers. Z et al. now give us an adult tool that captures those same fear patterns later in life.

Johnson et al. (1994) proved adults with mild–moderate ID can give steady self-reports on mood. The FSAMR extends that idea to the fear domain and keeps the same self-report method.

Kooijmans et al. (2024) later tweaked wording and layout to make surveys even easier. Their work supports the FSAMR goal: keep language simple so adults can answer without help.

04

Why it matters

You now have a quick, reliable fear checklist made for adults with ID. Use it during intake to spot phobias that might block day-program or job placement. A five-minute FSAMR screen can guide you to the right exposure plan before problem behavior starts.

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Print the 74-item FSAMR, read each item aloud, and let your client point to ‘yes’ or ‘no’ to flag hidden phobias.

02At a glance

Intervention
not applicable
Design
other
Sample size
138
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

This paper describes the development of the fear survey for adults with mental retardation (FSAMR) and provides initial evidence of its psychometric properties. The FSAMR was designed to be sensitive to the assessment needs of individuals with mental retardation. The items were developed through open-ended interviews, a review of existing measures, expert input, and pilot testing. The sample consisted of 138 adults with mental retardation (73 from institutional settings and 65 from community settings). Cronbach's alpha internal consistency coefficients were 0.97 for the scale, and above the 0.60 threshold set for the study for all but the acquiescence response set (ARS) subscale. Significant concurrent validity coefficients with anxiety measures were in the moderate range (r=0.32 and 0.40) and are comparable to other similar studies. Implications for using the FSAMR are discussed.

Research in developmental disabilities, 2007 · doi:10.1016/j.ridd.2006.01.001