Identification of preschool children at risk for emotional and behavioral disorders: development and validation of a universal screening system

Three studies were designed to measure various indicators of the reliability and validity of the Preschool Behavior Screening System (PBSS) as a screening instrument for emotional and behavioral disorder risk status of children of preschool age. Study 1 and Study 2 served to establish evidence for content validity. Study 3 investigated one type of reliability evidence (i.e., internal consistency) and four types of validity evidence (i.e., internal structure validity, validity evidence based on external relations, concurrent validity, and cross-informant agreement).Teachers and parents of children (N = 113) enrolled in preschool and childcare programs completed Phase 1 and Phase 2 of the PBSS and the Behavior Assessment System for Children (BASC-2). Cross-informant agreement between parent and teacher ratings on the PBSS was generally moderate, and internal consistency was high. PBSS Phase 1 and PBSS Phase 2 were correlated in the expected directions, and sensitivity and negative predictive value were high. Results suggest that the PBSS may yield psychometrically sound scores for helping states meet child-find requirements. Directions for future development of the PBSS are provided.     

Prediction of psychological reactions to bone density screening for osteoporosis using a cognitive-behavioral model of health anxiety

Pre-screening measures derived from a cognitive-behavioral theory of health anxiety were significant predictors of individual differences in post-screening reactions to a health screening procedure, bone densitometry. Predictors included specific illness beliefs (vulnerability, severity/consequences, coping and treatment) and general health anxiety measures. Three months after a low bone mineral density (BMD) result, women with high levels of pre-existing general health anxiety gave higher ratings of anxiety about osteoporosis and perceived likelihood of developing osteoporosis than women with low levels of preexisting health anxiety, even though the two groups' initial ratings had not differed significantly. Women with a low BMD result generally showed "minimization" of the seriousness of low BMD but women with very high levels of pre-existing health anxiety did not. After a high BMD result, highly health anxious women were only temporarily reassured. The results were consistent with the cognitive-behavioral analysis of health anxiety.     

A Rasch Analysis of the Substance Abuse Subtle Screening Inventory–3

Rasch analysis of the Substance Abuse Subtle Screening Inventory–3 (SASSI‐3; F. G. Miller & Lazowski, 1999 ) indicated that the SASSI‐3 meets fundamental measurement properties; however, the authors of the current study recommend the elimination of nonfunctioning items and the improvement of response options for the face valid scales to increase functioning and ease of use.     

A brief screening tool for suicidal symptoms in adolescents and young adults in general health settings: reliability and validity data from the Australian National General Practice Youth Suicide Prevention Project

Using data from a nationwide project on young people in Australia aimed at assessing suicidality in general health settings, we present a brief screening tool for suicidality (the depressive symptom index suicidality subscale). Two thousand eight hundred and fifty-one (15-24 year old) patients presenting to 247 Australian general practitioners between 1996 and 1998 were assessed. In addition to the suicide screen, patients completed the general health questionnaire-12 and the Center for Epidemiological Studies depression scale. Patients' chief complaints were taken from the summary sheets completed by their general practitioners. Using inter-item correlational and factor-analytic techniques, as well as a general approach to construct validity, we show that the measure has favorable reliability and validity characteristics. We also provide results on cut-points that may facilitate its use in clinical and research settings. Because the screen is brief, easy to use, reliable, and valid, we encourage its use to combat the vexing international health problem of suicide.