Clinical cut‐off point for the Distrust dimension of the Dimensional Clinical Personality Inventory 2 (IDCP‐2)

The Clinical Dimensional Personality Inventory 2 (IDCP ‐2) is a 206‐item self‐report tool developed for the assessment of 12 dimensions (divided into 47 factors) of personality pathology. One of the scales comprising the instrument, the Distrust scale, is intended to provide psychometric information on traits closely related to the Paranoid Personality Disorder (PPD ). In the present research, we used the Item Response Theory and the Receiver Operating Characteristic curve analysis to establish a clinical meaningful cutoff for the Distrust scale. Participants were 1,679 adults, among outpatients diagnosed with PPD , outpatients diagnosed with other PD s, and adults from the community. The Wright map revealed that outpatients were located at the very high levels on the latent continuum of the Distrust scale, with a very large effect size for the mean difference between patients and non‐patients. The ROC curve supported a cutoff at −1.00 score in theta standardization which yielded 0.87 of sensitivity and 0.54 of specificity. Findings from the present investigation suggest the IDCP ‐2 Distrust scale is useful as a screening tool of the core features of the PPD . We address potential clinical applications for the instrument and discuss limitations from the present study.     

Dimensional and Cross‐Cutting Assessment in the DSM‐5

A significant proposed change to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) that will significantly affect the way counselors diagnose mental disorders is the addition of dimensional assessments to the categorical diagnoses. The author reviews the current DSM's (4th ed., text rev.; American Psychiatric Association, 2000 ) categorical classification system, describes the proposed dimensional and cross‐cutting assessments, and provides implications about clinical utility and user acceptability of a dimensional diagnostic approach.     

Trends and Implications of Proposed Changes to the DSM‐5 for Vulnerable Populations

The revision process for the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) has increased consciousness for the role of diagnosis in counseling. In this article, the authors discuss 3 trends of the proposed changes: the influence of the medical model, the attention to nosology, and lowered thresholds and their potential impact on nondominant populations. Potential implications for reflection and advocacy among counseling professionals are discussed.     

The psychometric properties of the Greek version of the State-Trait Anxiety Inventory in cancer patients receiving palliative care

Objectives: To validate the Greek version of the State-Trait Anxiety Inventory (STAI) in a sample of cancer patients. Design: The scale was administered twice, with a 3-day interval, to 99 eligible patients with cancer. Together with the Greek version of STAI scale, the patients also completed the anxiety subscale from the Hospital Anxiety and Depression scale (HAD). Observations: Factor analysis yielded a three-factor solution, explaining 47.143% of the variance. Cronbach α for three scales was between 0.729 and 0.852. Inter-scale correlations were moderate-to-high and ranged from 0.282 to 0.563 (p < 0.0005, p < 0.005). The assessment of the relationships among the Greek STAI scales and HAD-Anxiety showed statistically significant correlations between them (r ranged between 0.428 and 0.596, p < 0.0005). The test/retest reliability of scale (Pearson's ‘r’), showed that the coefficient agreement ranged between 0.85 and 0.90 (p < 0.0005). Univariate analysis revealed significant correlations between female gender, metastasis, performance status, chemotherapy, mild opioids and low education level with increased anxiety. Conclusions: These results support that the Greek version of STAI is an instrument with satisfactory psychometric properties, and is a valid research tool for Greek cancer patients.     

Description of Relational Processes: Recent Changes in DSM‐5 and Proposals for ICD‐11

Epidemiologic, prospective, and retrospective research confirms that family relational variables are significant risk factors for the development of mental and physical health problems in children as well as adults. In addition, relationships also play a moderating role in the maintenance, exacerbation, or amelioration of chronic health problems. Although acknowledgment of the importance of these variables in the pathophysiology of a number of health conditions is reaching more prominence, the integration of assessments of family factors as part of standard health care has made little progress. With the arrival of the Affordable Care Act in the United States, there is a desire for earlier identification of these risk factors, and the ability to implement prevention programs that reduce risk, and enhance protective factors. On a global level, there is increased awareness of the health impact of relational problems, for example, many countries have attempted to implement programs to decrease domestic violence. More reliable and standardized assessments of key relational processes will enhance both of these missions, and allow comparison of a variety of prevention and intervention programs. This article discusses progress over the last decade in constructing more reliable definitions of relationship processes, how these have been integrated into the Diagnostic and Statistical Manual 5th edition (DSM‐5), and progress toward implementation into the World Health Organization's International Classification of Diseases (ICD‐11).     

Towards the DSM‐5 Criteria for Autism: Clinical,Cultural, and Research Implications

The new edition of the DSM is proposing significant changes to current diagnostic definitions of autism and related conditions. In this article, we will discuss the clinical, research, and cultural implications of these changes. We conclude that the new criteria appear to better reflect current understanding of the autism spectrum disorder than the current DSM‐IV criteria. As expected with any major change in classification systems, there are also significant risks, which will have to be carefully monitored and addressed by both policy makers and the scientific community to ensure that best clinical practice and research are facilitated and advanced.     

A psychometric evaluation of the Icelandic version of the WHO‐5

The psychometric properties of the Icelandic version of the World Health Organization five wellbeing index (WHO‐5) were evaluated using two samples, a randomly selected sample (N = 3,896) from the Icelandic National Registry and a convenience sample of primary care patients (N = 126). The factor structure of the scale was tested with confirmatory factor analysis (CFA). The correlation between the WHO‐5 and other measures of depression and anxiety were calculated to assess the scale's convergent and divergent validity. The discriminant validity of the WHO‐5 was explored with a receiver operating analysis compared to the Mini International Neuropsychiatric Interview. The CFA indicated that the factor structure of the WHO‐5 was one‐dimensional and factorial invariant between groups. The internal reliability of the WHO‐5 was adequate and the convergent, divergent and discriminant validity of the WHO‐5 was supported. It is concluded that the psychometric properties of the Icelandic version of the WHO‐5 are satisfactory.     

The psychometric properties of the Quality of Life Inventory in an Australian community sample

The Quality of Life Inventory (QOLI, Frisch) is an importance‐weighted measure of life satisfaction that has been found to possess adequate psychometric properties in US and clinically‐based samples. The current study aimed to investigate the normative distribution, factor structure and key psychometric properties of the QOLI in an Australian general community sample. Results indicated that the Australian sample (n = 259) reported slightly better quality of life than the US‐based standardisation sample. Confirmatory factor analyses showed that a three‐factor model provided the best fit for the data. Psychometric properties were all generally found to be adequate and close to Frisch's reported levels. In conclusion, this study indicated that the QOLI may be used in the Australian context with confidence. Future research could examine the clinical utility of the three‐factor model.     

Psychometric properties of the Norwegian version of the Childhood Trauma Questionnaire in high‐risk groups

The Childhood Trauma Questionnaire ‐ Short Form (CTQ‐SF) is widely used to measure childhood abuse of all types. In the present study, we examined the psychometric properties of the Norwegian version of the instrument. The participants constituted four subsamples (n = 517): substance abusers (n = 126), psychiatric patients (n = 210), prisoners (n = 109) and adolescents in out‐of‐home placements (n = 72). Confirmatory factor analysis revealed a reasonable fit of the data to the original five‐factor structure of the CTQ‐SF. Measurement invariance was found across gender and the four subsamples. It was concluded that the Norwegian version of the CTQ‐SF has acceptable psychometric properties, with good reliability and satisfactory accuracy, to assess different dimensions of childhood trauma.     

Personality for free: Psychometric properties of a public domain Australian measure of the five‐factor model

Fifty items from Goldberg's International Personality Item Pool were compiled to form a public‐domain measure of personality, the Australian Personality Inventory (API). Data from a random community sample (N = 7615) and a university‐based sample (N = 271) were used to explore psychometric properties of this 50‐item measure of the five‐factor model of personality (FFM). In both samples, internal reliabilities were adequate. In the university‐based sample an appropriate pattern of convergent and divergent relationship was found between scale scores and domain scores from the NEO Five‐Factor Inventory. After adjusting for an apparent response set (mean response across items), exploratory factor analyses clearly retrieved the FFM in both samples. It is provisionally concluded that raw scale scores from the API provide reliable estimates of the FFM, but adjustment for mean response across the 50 items might clarify the five‐factor structure, especially in less educated samples.     

The Norwegian version of the five factor narcissism inventory for vulnerable narcissism and the grandiose narcissism subscale of indifference: Psychometric properties of the long‐ and short‐form versions

In recent years, narcissism has been reconceptualized as a multi‐dimensional feature of human psychology. The Five Factor Narcissism Inventory (FFNI) has been proposed as a measure for two distinguishable dimensions of narcissism: Vulnerable and Grandiose (Glover, Miller, Lynam, Crego & Widiger, 2012). To investigate the role that some of these factors may have in moderating responses to cues of social exclusion, implemented in a connected laboratory experiment, we translated the subscales for Vulnerable Narcissism and the Grandiose Narcissism subscale of Indifference from English into Norwegian and included them in an online survey that was used to recruit and pre‐screen participants for the laboratory experiment. In this paper, we test the psychometric properties of these translated self‐report measures, in what amounted to be a diverse sample of the Norwegian population. We perform reliability tests and confirmatory factor analysis on the long‐ and short‐form versions of FFNI Vulnerable Narcissism and the Grandiose Narcissism subscale of Indifference. We further test the criterion validity of these measures by way of correlational analyses with other theoretically relevant measures. We conclude that the Norwegian short‐form versions of FFNI Vulnerable Narcissism and Grandiose Narcissism subscale of Indifference exhibit good psychometric properties in our data and propose that the translated scales can now be used to explore these constructs in clinical and non‐clinical populations in Norway, and can be easily adapted for use in other Scandinavian countries.     

An investigation into the psychometric properties of the CORE‐OM in patients with eating disorders

Aim: The current study aimed to explore the psychometric properties of the CORE‐OM (Clinical Outcomes in Routine Evaluation – Outcome Measure) when used in an eating disorder sample. Method: The CORE‐OM was administered at assessment to 360 individuals referred to an eating disorders service. Principal component analysis was conducted to look at the psychometric structure of the CORE‐OM, and psychometric properties were investigated using analyses of reliability and validity. Results: Analyses of the psychometric structure suggested a three‐component solution reflecting negatively worded, positively worded and risk items. The CORE‐OM showed good acceptability, acceptable internal and test‐retest reliabilities, as well as good convergent and known groups validity. Conclusions: The results of the current study support the CORE‐OM as a reliable and valid measure for assessing psychological distress in eating disorders.     

Examination of the Japanese version of the Fear of COVID-19 Scale among Adults Using Classical Test Theory and Item Response Theory1, 2

Globally, the COVID-19 pandemic has impaired every aspect of life, especially causing much psychological damage—for instance, increasing the risk of suicide. Intense fear and anxiety are considered to play a central role in mental health problems. This study examined the psychological properties of the Japanese version of the Fear of COVID-19 Scale (FCV-19S) using classical test theory (CTT) and item response theory (IRT). Five hundred fifty participants aged 18–69 years and from across Japan completed questionnaires, including the Japanese FCV-19S, the Japanese Depression Anxiety Stress Scales-15 (DASS-15), and the Japanese version of the Kessler 6 (K6). CTT showed that each item of the Japanese FCV-19S had no ceiling and floor effect and was close to the normal distribution, and IRT revealed that each item had an appropriate parameter of discrimination and difficulty. Finally, the Japanese FCV-19S was shown to have an acceptable reliability and moderate good concurrent validity. Consequently, the Japanese FCV-19S has robust psychometric properties and can be useful for early detection of adults impacted by the COVID-19 pandemic.     

Comparing Five Sets of Five‐Factor Model Personality Disorder Counts in a Heterogeneous Sample of Psychiatric Patients

The research agenda for DSM‐5 emphasizes the implementation of dimensional trait models into the classification of personality disorders (PDs). However, because assessment psychologists may still want to recover the traditional DSM‐IV categories, researchers developed a count technique that uses sums of selected Five‐Factor Model facets to assess the DSM‐IV PDs. The presented study examined the convergent and divergent validity of different linear combinations of trait facets to describe specific DSM‐IV PDs in a heterogeneous clinical sample (N = 155) with sufficient prevalence of all PDs, using semi‐structured interviews to obtain all diagnostic information, and comparing alternative counts from five different sources for each PD. The results show that none of the schizotypal, antisocial, and dependent counts succeeded in combining good convergent with adequate divergent validity. However, the original counts could be optimized for five of the seven remaining PDs by using alternative Five‐Factor Model prototypes. The diagnostic and taxonomic implications of these findings are discussed. Copyright © 2012 John Wiley & Sons, Ltd.     

Cross‐cultural Generalizability of the Alternative Five‐factor Model Using the Zuckerman–Kuhlman–Aluja Personality Questionnaire

Several personality models are known for being replicable across cultures, such as the Five‐Factor Model (FFM) or Eysenck's Psychoticism–Extraversion–Neuroticism (PEN) model, and are for this reason considered universal. The aim of the current study was to evaluate the cross‐cultural replicability of the recently revised Alternative FFM (AFFM). A total of 15 048 participants from 23 cultures completed the Zuckerman–Kuhlman–Aluja Personality Questionnaire (ZKA‐PQ) aimed at assessing personality according to this revised AFFM. Internal consistencies, gender differences and correlations with age were similar across cultures for all five factors and facet scales. The AFFM structure was very similar across samples and can be considered as highly replicable with total congruence coefficients ranging from .94 to .99. Measurement invariance across cultures was assessed using multi‐group confirmatory factor analyses, and each higher‐order personality factor did reach configural and metric invariance. Scalar invariance was never reached, which implies that culture‐specific norms should be considered. The underlying structure of the ZKA‐PQ replicates well across cultures, suggesting that this questionnaire can be used in a large diversity of cultures and that the AFFM might be as universal as the FFM or the PEN model. This suggests that more research is needed to identify and define an integrative framework underlying these personality models. Copyright © 2016 European Association of Personality Psychology     

A sixth personality domain that is independent of the Big Five domains: The psychometric properties of the HEXACO Personality Inventory in a Japanese sample

We investigated the reliability of the HEXACO‐Personality Inventory (HEXACO‐PI) using the NEO Five‐Factor Inventory (NEO‐FFI) and the International Personality Item Pool (IPIP) Big Five scales in a Japanese sample of 492 respondents (mean age = 20.4 years). The psychometric properties of the HEXACO‐PI were examined and found to be satisfactory. The results of the factor analysis showed that the six hypothesized personality domains were found independently. A total of 307 participants responded to the NEO‐FFI and the IPIP Big Five scales. The results showed that the five domains of the HEXACO model corresponded to the Five‐Factor domains and were relative to the Big Five personality domains as a whole, but the sixth domain, Honesty‐Humility, showed weak to moderate correlations with some factors of the NEO‐FFI and the IPIP Big Five scales. These results suggest that the Honesty‐Humility domain is independent of the five fundamental personality factors and that the HEXACO‐PI is a useful and reliable questionnaire for investigating personality structure in cross‐cultural and other context.     

Uncovering personality structure with the Inventory of Personality Organization: An exploration of factor structure with a Portuguese sample

IntroductionThe Inventory of Personality Organization (IPO) is a self-report measure intended to assess the severity of personality disturbance according to Otto F. Kernberg's model.ObjectiveTo study factor structure and psychometric properties of the Portuguese version of IPO (IPO-Pt).MethodTwo independent samples of 586 individuals each were used for exploratory and confirmatory factor analyses. Different models were compared in terms of reliability and validity.ResultsA three-factor solution resulted, comprising dimensions labeled as Instability of Self, Instability of Others, and Psychosis. Internal consistency and temporal stability yielded acceptable to excellent results. Correlations with measures of self-concept coherence, emotion dysregulation, psychoticism, symptom severity, and personality disturbance were as expected, and sensitivity to clinical status was confirmed.ConclusionIPO-Pt shows encouraging psychometric qualities and its latent structure resonates with important aspects of Kernberg's model, previous findings, and the DSM-5 level of personality functioning scale.