Factor structure and psychometric properties of the Brief Symptom Inventory-18 in women: a MACS approach to testing for invariance across racial/ethnic groups

This study used data from 3 sites to examine the invariance and psychometric characteristics of the Brief Symptom Inventory-18 across Black, Hispanic, and White mothers of 5th graders (N = 4,711; M = 38.07 years of age, SD = 7.16). Internal consistencies were satisfactory for all subscale scores of the instrument regardless of ethnic group membership. Mean and covariance structures analysis indicated that the hypothesized 3-factor structure of the instrument was not robust across ethnic groups. It provided a reasonable approximation to the data for Black and White women but not for Hispanic women. Tests for differential item functioning (DIF) were therefore conducted for only Black and White women. Analyses revealed no more than trivial instances of nonuniform DIF but more substantial evidence of uniform DIF for 3 of the 18 items. After having established partial strong factorial invariance of the instrument, latent factor means were found to be significantly higher for Black than for White women on all 3 subscales (somatization, depression, anxiety). In conclusion, the instrument may be used for mean comparisons between Black and White women.     

Psychometric properties of the Brief Symptoms Inventory-18 (Bsi-18) in a Spanish sample of outpatients with psychiatric disorders

This study analyzes the psychometric and structural properties of the BSI-18 in a sample of Spanish outpatients with psychiatric disorders (N = 200), with three basic objectives: (a) to study the structural validity of the instrument; (b) to analyse reliability (internal consistency and test-retest stability) and validity (convergent and discriminant) of the instrument, and (c) to evaluate sensitivity to change in a therapeutic context. Using confirmatory factor analysis, two models were tested: the three-dimensional theoretical model proposed by its authors, and the empirical four-factor model obtained by the same authors through exploratory factor analysis. Our results showed that the best structure was a four-dimensional model, with the General Distress index and Somatization, Depression, General Anxiety and Panic scores. These four scales showed good internal consistency, test-retest reliability, validity and sensitivity to therapeutic change. The BSI-18 has been shown to be a reliable and useful tool for psychiatric assessment of patients, with the added advantage provided by its simplicity and ease of application.     

Psychiatric Distress and Suicidal Tendencies in Adult Cancer Survivors: Verifying the Validity of the Brief Symptom Inventory-18 for Identifying Suicidal Ideation in the Hospitalized Population of Mainland China

The Brief Symptom Inventory-18 (BSI-18) is widely used to assess psychiatric distress but has not been verified in the Chinese population. From March to April 2019, 293 hospitalized cancer patients, aged 20–87, completed the cross-sectional survey with demographics questionnaire, BSI-18, and PHQ-9. We analyzed the single suicide-related item of PHQ-9 with the full score clinical outpoint for BSI-18 and PHQ-9 using SPSS 22.0 and R 2.15, including Pearson's χ² test and ROC curve analyses. A Pearson's χ² test was carried out to compare the three different methods with the gold screening criteria. The p-value was correspondingly to .006, .066, .838. When the PHQ-9?≥?10 criteria for the BSI-18, receiver operating characteristic analysis revealed that AUC values were 0.839, optimal cut-off points for both BSI-18?≥?50, the sensitivity of 85.8%, and 62.5%, respectively. The BSI-18 is suitable for a screening tool for psychological distress and could also be used in clinical settings for preliminary screening of hospitalized cancer patients.

     

A Cross-Cultural Comparison of the Brief Symptom Inventory

A cross-cultural study of the Brief Symptom Inventory (BSI) was conducted with a sample of university students from India and Canada. The results indicated much higher rates of symptom reporting in the Indian sample. Canadian students also had higher reported symptom scales when compared to a similar size USA sample. A small sample of older respondents was also compared with a British sample. Examination of the structure of the BSI scale was investigated using a multidimensional scaling analysis. The Indian data had a somatization—paranoid ideation dimension and a psychoticism—interpersonal sensitivity dimension. With the Canadian sample, there was a hostility—phobic anxiety dimension along with a somatization—paranoid ideation dimension.     

Factor structure and measurement invariance of the Brief Symptom Inventory (BSI-18) in cancer patients

Background/Objective: The purpose of this study was to assess psychometric properties of the Brief Symptom Inventory (BSI-18), evaluate the measurement invariance with respect to sex, age, and tumor location, and to analyze associations between social support and sociodemographic and clinical variables among individuals with resected, non-advanced cancer. Method: A confirmatory factor analysis was conducted to explore the dimensionality of the scale and test invariance across sex, age, and tumor localization in a prospective, multicenter cohort of 877 patients who completed the BSI-18 and Multidimensional Scale of Perceived Social Support (MSPSS). Results: The results show that 3-factor and 1-factor measurement models provided a good fit to the data; however, a three-factor, second-order model was deemed more appropriate and parsimonious in this population. Alpha coefficients ranged between .75 and .88. Test of measurement invariance showed strong invariance results for sex, age, and tumor location; strong invariance over time was likewise assumed. Less perceived social support appears to correlate with all BSI factors. Conclusions: The study confirmed the tridimensional structure of the BSI-18 and invariance across age, sex, and tumor localization. We recommend using this instrument to measure anxiety, depression, and somatization in epidemiological research and clinical practice.     

Academic careers in Asia: A cross-cultural analysis

Using Berry’s (1980) acculturation model as our theoretical foundation, we provide a conceptual framework for the cross-cultural analysis of academic careers in Asia in contrast to the United States. Consistent with Berry’s model, we propose a classification of three approaches to research (Adopted Western, Asian, and Integrationist) that can be selected by Asian academics. An individual’s acculturation level or cultural identity is then proposed as the key factor in influencing his or her decision of which research approach is selected. Next, we examine the cultural contextual factors in the academic environment in Asia that interacts with the three approaches to research and conclude that the Integrationist approach, while quite challenging, is likely to be the most productive in the long run. Finally, we discuss some unanswered questions raised by our analysis.     

Dimensional structure of the Brief Symptom Inventory with Spanish college students

The Brief Symptom Inventory is designed to assess symptoms of psychological disorders in adolescents and adults. The dimensional structure of the inventory, using exploratory and confirmatory factor analyses, was examined with a cross-sectional design in a Spanish sample of college students ( N = 1,033, aged between 18 and 30 years old). Two hypotheses were tested: the original distribution of the items in nine factors, and the unidimensionality of the inventory. According to the results, a nine-factor structure seemed to be confirmed, although the strong intercorrelations found among the subscales indicated that these were measuring closely related constructs. The importance of cultural influences when assessing psychological symptoms and the need to develop national and sex norms for instruments that assess psychopathology, are also discussed.     

The Minnesota Multiphasic Personality Inventory-2: A Review

The new version of the Minnesota Multiphasic Personality Inventory, the MMPI-2, is described and critiqued in this article. The MMPI-2 has many positive features such as updated items, new norms, additional validity scales, and additional clinical scales for diagnosing problems not addressed by the original MMPI. There are, however, also many negative features for this test such as problems with the compatibility of code types and the representativeness of the norm group. Much research needs to be done before accurate interpretations can be made for all MMPI-2 profiles and the full potential of the test is realized.     

Authoritarianism,directiveness and self-esteem revisited: A cross-cultural analysis

This paper reports a series of studies in which the association between authoritarianism and directiveness on the one hand, and self-esteem on the other, are reported. Overall, the findings suggest that, contrary to previous research (e.g. Larsen and Schwendiman, 1969), there is no significant correlation between self-esteem and authoritarianism as traditionally conceived by Adorno et al. (1950). Moreover, self-esteem is positively associated with directiveness (that is, dominance). Finally, results using a new behavioural measure of authoritarianism suggest that authoritarians may have positive self-esteem. This latter finding awaits replication.     

Longitudinal construct validity of Brief Symptom Inventory subscales in schizophrenia

Longitudinal validity of Brief Symptom Inventory subscales was examined in a sample (N = 318) with schizophrenia-related illness measured at baseline and every 6 months for 3 years. Nonlinear factor analysis of items was used to test graded response models (GRMs) for subscales in isolation. The models varied in their within-time and between-times parameter constraints, with the homogeneous model being the least constrained, followed by the 2-parameter GRM and 1-parameter GRM. Results show that 4 subscales (Interpersonal Sensitivity, Hostility, Paranoid Ideation, Psychoticism) were consistent with the 1-parameter GRM, and 5 subscales (Somatization, Obsessive-Compulsive, Depression, Anxiety, Phobic Anxiety) were consistent with the 2-parameter GRM. There is evidence that the 9 subscales may be validly used to study change in single constructs over time.     

Adult Israeli Community Norms for the Brief Symptom Inventory (BSI)

The study aim is to establish Israeli norms for the Brief Symptom Inventory (BSI). A nationwide representative sample of 510 community respondents (age range 35–65, 51.4% women) completed the Hebrew version of the BSI. The data showed high internal reliabilities for the 9 BSI scales, as well as for their total score, indicated by the General Severity Index (GSI). Higher levels of GSI were found for widowed, divorced, and single respondents than for married respondents. Higher GSI was also found for unemployed and retired men than the self-employed and employees, validating the GSI as a measure of distress. Most importantly, the scores of the Israeli GSI, as well as each of the 9 scales, were higher than those reported in either the U.S. or the British norms. These findings may indicate that Israeli society is experiencing relatively high distress, highlighting the need for establishing BSI norms for each culture.     

A cross-cultural investigation of the graphic differential

A new Graphic Differential (GD) suggested by French (1977) may be used as a language-free alternative to the Semantic Differential (Osgood, Suci, & Tannenbaum, 1957). The new GD (which is based on prior attempts by other writers) consists of 5 pictographic scales for each semantic dimension: Evaluation, Potency, and Activity. Since the GD employs pictograms instead of adjectives, it would be a suseful tool for cross-cultural research, given that the pictograms, although developed in the United States, are understood universally. In the present study, 46 American and 46 German subjects sorted the 15 graphic scales according to semantic similarity. Responses were summarized in similarity matrices, which were analyzed further by the methods of maximum spanning tree and hierarchical cluster analysis. American results show that the intended meaning of the scales could be understood. This strengthens the intracultural validity of the GD. In general, the German findings were similar. The German subjects, however, could not categorize all the scales as clearly as the Americans. The problematic scales could weaken the cross-cultural validity of the GD.This work was originally presented at the Fifth International Conference on Culture and Communication, Temple University, Philadelphia, March 26, 1983. I gratefully acknowledge the support of Dr. Christine Bachen and her teaching assistants from the Annenberg School of Communications at the University of Pennsylvania, Philadelphia, who provided for collection of the American data.