A Psychometric Evaluation of the Cognitive-Behavioral Avoidance Scale in Women with Major Depressive Disorder

The Cognitive-Behavioral Avoidance Scale (CBAS; Ottenbreit & Dobson, Behaviour Research and Therapy, 42, 292–313; 2004) is a multidimensional self-report measure designed to assess the construct of dispositional avoidance. Although findings to date support the reliability and validity of the CBAS within student samples, no study has yet evaluated the psychometric properties of the CBAS in a clinical sample of depressed individuals. The primary purpose of the present study was to examine the psychometric properties of the CBAS within a sample of 60 women diagnosed with Major Depressive Disorder. Results supported the internal consistency and 4-month test-retest reliability of the scale. As predicted, the CBAS total scale and subscales were correlated with convergent measures of avoidance as well as depressive symptoms. The results of this study provide support for the psychometric properties of the CBAS in samples of clinically depressed individuals. Study limitations and future research directions are discussed.     

Assessing Religious Faith in Medical Patients: Cross-Validation of the Santa Clara Strength of Religious Faith Questionnaire

Growing attention has focused on the relationship between religiosity and health outcomes. However, research has been constrained by the limited availability of measures suitable for use with medical patients. This study examined the psychometric properties of the Santa Clara Strength of Religious Faith Questionnaire (SCSORF) in two well-defined samples of medical patients, representing a range of illness severity: 1) 175 women seen at a gynecology clinic; and 2) 104 cancer patients treated at a bone marrow transplantation program. Evidence for convergent validity was demonstrated by moderately high correlations with other measures of religious involvement. Divergent validity was demonstrated by small associations with social desirability. The measure was not strongly associated with demographic background or medical variables. Modest correlations with conceptually-related measures commonly used in health research (e.g., social support, optimism, existential meaning, purpose in life) further supported the divergent validity of the instrument. Results suggest that this may be a useful, concise measure for assessing religious involvement in medical patients.     

The Need for Recovery scale: Adaptation to the Italian context

IntroductionNeed for Recovery scale is one of the main scales used to assess work-induced fatigue and quality of workers’ recovery time. In fact, need for recovery is considered relevant as a precursor of prolonged fatigue or psychological distress, an indicator of work stress, and a mediating or moderating characteristic in the etiology of work-related health problems, sick leave and work disability.ObjectiveThe purpose of the present study is to translate the Need for Recovery scale into Italian, and to adapt it to Italian culture; until now there has been no comparable valid instrument made for the Italian language that measures the need for recovery of employees. The stability and internal consistency of the scale will be assessed among Italian workers.MethodFor cross-cultural adaptation, a translation/back-translation method integrated with expert committee review and pre-testing was applied. Three hundred and seventy-eight Italian workers filled out the scale.ResultsThe psychometric properties proved to be good, both in terms of scale homogeneity and internal consistency, for the total sample and for subgroups of Italian employees in terms of gender, age and educational level. Exploratory factor analysis suggested a single factor solution with 44% of the variance explained.ConclusionsResults are encouraging for the possibility of using the Need for Recovery scale as a quick and adequate scale to measure early symptoms of work-induced fatigue and quality of Italian workers’ recovery time.     

ASSESSING WOMEN'S FEMINIST IDENTITY DEVELOPMENT Studies of Convergent, Discriminant, and Structural Validity

Researchers have called for increasing sophistication in the assessment of women's feminist identity development (Enns & Hackett, 1990; Hackett, Enns, & Zetzer, 1992) to understand important psychological processes. This series of studies examined recent efforts to operationalize Downing and Roush's (1985) model of feminist identity development. Specifically, the psychometric properties of two existing measures—the Feminist Identity Development Scale (Bargad & Hyde, 1991) and the Feminist Identity Scale (Rickard, 1987)—were examined in two studies with separate samples of women (total N = 486). Results of Study 1 indicated the strengths and significant limitations associated with each scale (e.g., low internal consistency for some subscales, item-subscale inconsistency). A composite measure (derived from these scales) with better overall psychometric properties is described. In Study 2, we found good support for the composite instrument's internal consistency, as well as convergent, discriminant, and factorial validity in a sample that included a wide age range and nonstudent community residents.     

Development and psychometric evaluation of a post exercise exhaustion scale utilising the Rasch measurement model

ObjectivesThe objective of this study to report on the development and psychometric analysis of a scale to measure post exercise exhaustion.DesignThis study utilised the Rasch measurement model for the psychometric analysis of a new scale aimed at measuring acute onset exhaustion in athletes.MethodAn extensive literature review, feedback from athletes and an expert panel from educators in psychology, sports science and exercise physiology provided feedback on the scale, providing evidence of content validity. A final survey, consisting of the 25 items and completed by three hundred and seventy-nine athletes (Sport: 187 tri-athletes and 192 cyclists; gender: 211 males, and 168 females; age: 18–25 [31], 26–35 [114], 36–45 [120], and 46+ [114]), was submitted to Rasch analysis.ResultsAfter amendments a final 14 item scale provided internally consistent and reliable measures of exhaustion for participants. The items of the final scale have good fit, and the scale has high PSI providing statistical evidence of reliability. The scale could benefit from items dealing with mid-range levels of exhaustion. The correlational association between the new scale and a similar scale was positive and significant correlation adding to the evidence of the validity of the new scale.ConclusionsThe scale appears to be a valuable tool for the assessment of exercise-induced acute onset exhaustion and may be an attractive option for researchers, clinicians, and coaches seeking to measure the levels of exhaustion in individuals. In addition to its valid theoretical structure and sound psychometric properties, the scale has advantages over other exhaustion or fatigue scales as it is not disease-specific.     

The relationship between mental vitality and cardiovascular health

Past measurement of vitality has included both emotional and physical components. Since aspects of physical vitality such as fatigue can be indicative of physical illness, the usefulness of existing measures of vitality to predict health is limited. This research was designed to examine the psychometric properties of a new Mental Vitality Scale and to test its associations with measures of cardiovascular health over the course of 2 years. The measure of mental vitality was administered in a two-part study using three different samples. In part 1, the reliability and validity of the scale was assessed with a student and a clinic sample. In part 2, medical data on mental and physical health were abstracted over a two-year period from 1041 patient records from a multi-specialty medical practice, and mental vitality assessed through a mailed questionnaire. The findings indicate that the Mental Vitality Scale is a valid and reliable questionnaire for measuring this construct. Mental vitality was also associated with reduced odds of several cardiovascular outcomes and prospective analyses suggest that mental vitality may serve a protective function in the development of cardiovascular disease. The results lend support for the importance of mental vitality as a construct that may be relevant for considering resilience in relation to cardiovascular disease.     

Psychometric Properties of the Generalized Anxiety Disorder Questionnaire for DSM-IV Among Four Racial Groups

The Generalized Anxiety Disorder Questionnaire-IV (GAD-Q-IV) is a self-report diagnostic measure of generalized anxiety disorder. Previous studies have established the psychometric properties of the GAD-Q-IV, revealing excellent diagnostic specificity and sensitivity as well as good test–retest reliability and convergent and discriminant validity (Newman et al., 2002). Recent analyses with other measures of anxiety symptoms have revealed differences across racial or national groups. Given that the GAD-Q-IV was tested primarily on Caucasians (78%), the purpose of this study was to demonstrate the psychometric properties of the GAD-Q-IV across four racial groups: African American, Caucasian, Hispanic/Latino, and Asian. A student sample of 585 undergraduate psychology students completed the GAD-Q-IV as well as other measures of anxiety symptoms. A clinical replication sample included 188 participants who completed the GAD-Q-IV as part of a larger psychotherapy study. Results indicated excellent and very similar factor structures in the student sample and similar psychometric properties in both samples across the racial groups. Implications for the use of the GAD-Q-IV across racial groups are discussed.     

Putting the “IRT” in “Dirty”: Item response theory analyses of the Dark Triad Dirty Dozen—An efficient measure of narcissism,psychopathy, and Machiavellianism

The Dark Triad Dirty Dozen is a new, concise personality inventory designed to measure individual differences in narcissism, psychopathy, and Machiavellianism in sub-clinical populations. To date, the psychometric work on this measure has used classical test theory to assess its validity, reliability, and structure. In two independent samples (N = 1014), we provide the first analyses of this measure using item response theory. In both samples, the Dark Triad Dirty Dozen efficiently recovered information and showed some evidence of differential scale functioning by sex, with a lower endorsement threshold for men compared to women. Results shed new light on the measurement of these “dark” personality traits.     

A Systematic Review of Quality of Life Measures in Pregnant and Postpartum Mothers

Quality of life has emerged as an essential health component that broadens the traditionally narrow concerns focused on only morbidity and life expectancy. Although a growing number of tools to measure quality of life are in circulation, there is a lack of guidelines as well as rigorous assessment for their use with pregnant and postpartum populations. It is also unclear whether these instruments could validly be employed to measure patient-reported outcomes in comparative effectiveness research of maternal care interventions. This paper reviews articles cited in CINAHL, COCHRANE, EMBASE, PSYCINFO, and PUBMED that addressed quality of life in pregnant and postpartum populations. Instruments used to measure quality of life in selected articles were assessed for their adherence to international guidelines for health outcomes instrument development and validation. The authors identified 129 articles that addressed quality of life in pregnant and/or postpartum women. Out of these, only 64 quality (generic and specific) scales were judged relevant to be included in this study. Analysis of measurement scales used in the pregnant and/or postpartum populations revealed important validity, reliability and psychometric inadequacies that negate their use in comparative effectiveness analysis in pregnant and post-partum populations. Valid, reliable, and responsive instruments to measure patient-reported outcomes in pregnant and postpartum populations are lacking. To demonstrate the effectiveness of various treatment and prevention programs, future research to develop and validate a robust and responsive quality of life measurement scale in pregnant and postpartum populations is needed.     

The making of a personality inventory: Help from the WWW

Data collected electronically from the World-Wide Web (WWW) in two samples (n=429 and 1,657) were compared with traditional paper-and-pencil measure data from two university samples (n=760 and 148) in three psychometric studies of a new measure of self-trust, the Self-Trust Questionnaire. With the exception of scale score variance, which was larger in WWW samples, psychometric properties of the scale were comparable across samples collected from the two sources. WWW samples were more similar to psychology student samples (predominantly young females) than to typical Internet users. On balance, findings indicate that the advantages of the WWW as a data source, including large heterogeneous samples, outweigh problems with data accuracy and generalizability, making the WWW an attractive source of data for researchers developing self-report personality inventories.     

War Experiences Inventory: Initial Psychometric and Structural Properties

We examined the structural and psychometric properties of the War Experiences Inventory (WEI) with data from 255 post deployed service members (224 men and 31 women). Results from principal components analyses yielded a five-factor solution assessing sexual trauma, combat exposure, interpersonal distress, circumstances of deployment, and personal injury. Psychometric analyses revealed scale scores were internally consistent; validity evidence showed WEI subscales were significantly correlated with measures of readjustment, PTSD, psychological distress, and alcohol abuse. Findings provide preliminary evidence of structural and psychometric properties of the WEI and its utility in assessing war-related experiences in operations in Afghanistan and Iraq.     

Psychometric Evaluation and Standardization of the Self and Other Scale

This article evaluates and extends the psychometric properties of the Self and Other Scale (SOS). The scale is designed to measure two types of threat to self construction, namely, an insecurity threat (fear of exclusion) and an engulfment threat (fear of intrusion). Previous analysis of the SOS has been based on nonclinical student populations with a narrow age range. The present study addresses this limitation by examining the psychometric properties of the scale with an adult nonclinical population (N = 150) covering the life span and with varied socioeconomic status. Results are compared with those of the previous study. Statistical analysis supports the construct validity and the reliability of the scale. Clinical implications of the scale are explored.     

The self-assessment of resilience and anxiety: psychometric properties

This report describes the psychometric properties of the Self-Assessment of Resilience and Anxiety (SARA) scale within the context of a study of kava for generalized anxiety. This eight-item, patient-rated scale includes questions designed to measure calmness, mental clarity, confidence, physical well being, sociability, and resilience. The SARA scale was administered during a clinical trial of kava versus placebo in 38 subjects diagnosed with generalized anxiety disorder (GAD). Validation of the SARA scale was assessed against the Hamilton Rating Scale for Anxiety, Hospital Anxiety and Depression Scale, Penn State Worry Questionnaire, Sheehan Disability Scale, Arizona Sexual Experience scale, and Clinical Global Impression of Illness Improvement scale. Good test-retest reliability, internal consistency, convergent validity, and sensitivity to treatment were identified, and factor analyses revealed a three-factor internal structure. The SARA scale was responsive to symptom change over time and correlated with comparable GAD symptom measures. The SARA scale demonstrates solid psychometric properties and may serve as a reliable and valid measure in the use of kava or related medicinal herbs.     

A comparison of the psychometric properties of the psychopathic personality inventory full-length and short-form versions

The Psychopathic Personality Inventory (PPI) has shown promising construct validity as a measure of psychopathy. Because of its relative efficiency, a short-form version of the PPI (PPI-SF) was developed and has proven useful in many psychopathy studies. The validity of the PPI-SF, however, has not been thoroughly examined, and no studies have directly compared the validity of the short form with that of the full-length version. The current study was designed to compare the psychometric properties of both PPI versions, with an emphasis on convergent and discriminant validity in predicting external criteria conceptually relevant to psychopathy. We used both prison (n = 558) and college samples (n = 322) for this investigation. PPI scale scores were more reliable and more strongly correlated with the conceptually relevant criterion measures compared with the PPI-SF, particularly in the prison sample. There were no differences in relative discriminant validity. Thus, overall, the PPI full-length version showed more evidence of construct validity than did the short form, and the consequences of this psychometric difference should be considered when evaluating the clinical utility of each measure.     

A psychometric evaluation of the Hospital Anxiety and Depression Scale during pregnancy

The utility of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depression during pregnancy was investigated. A maximum likelihood factor analysis was conducted on the HADS to determine its psychometric properties and utility in 100 women from two culturally diverse populations (UK and Uzbekistan) at 12-weeks and 34-weeks pregnancy. The findings suggest that the HADS lacks the internal reliability requirements of a clinical assessment tool in this population. There was little evidence found to suggest that the HADS measures two dimensions of anxiety and depression consistently and reliably. The findings from this study suggest that the HADS could not be recommended as a clinical screening tool for anxiety and depression in pregnant women. Further research in this area is both desirable and required.     

A psychometric investigation into the body-cathexis scale

The Body-cathexis Scale is examined to assess its psychometric properties. Results indicate a strong unidimensional measure with high internal consistency. It is recommended as a scale for research into the role of body feelings in self-concept and personality.     

Psychometric Evaluation of the Spanish Versions of the Perceived Religious Influence on Health Behavior Scale and the Illness as Punishment for Sin Scale in a Sample of Churchgoing Latinas

The present study evaluated the psychometric properties of the Spanish versions of the Perceived Religious Influence on Health Behavior scale and the Illness as Punishment for Sin scale in a sample of churchgoing Latina women (N = 404). For the Perceived Religious Influence on Health Behavior scale, confirmatory factor analysis provided support for the expected one-factor model, internal consistency reliability was good, and there was evidence of convergent validity. For the Illness as Punishment for Sin scale, confirmatory factor analysis provided support for the expected one-factor model, but on a revised seven-item version of the measure. Internal consistency reliability and convergent validity for this revised version were good. It is recommended that future studies use the Perceived Religious Influence on Health Behavior scale and the revised Illness as Punishment for Sin scale when examining these constructs among Latina women.     

Validation of the Behavioral Activation for Depression Scale (BADS) in a Community Sample with Elevated Depressive Symptoms

The Behavioral Activation for Depression Scale (BADS) was previously developed to measure changes in avoidance and activation over the course of Behavioral Activation for depression. Initial scale development, definition of the factor structure and confirmation of the factor structure was performed with a non-depressed undergraduate sample. These prior results revealed four factors (Activation, Avoidance/Rumination, Work/School Impairment, and Social Impairment) with good factor structure, internal consistency, and test–retest reliability. The purpose of the current study was to evaluate the psychometric properties, factor structure and construct validity of the BADS with a community sample with elevated depressive symptoms (N = 193). Results indicated good psychometric properties, additional evidence for construct validity of the total scale and subscales, and adequate fit of the data to the original factor structure. Normative data are also provided separately for depressed men and women, and for Caucasians and African Americans.     

Validity of the decisional process inventory

Empirical research on career indecision has been criticized for lacking theoretical conceptualization. To address this problem we examined the validity of the decisional process inventory (DPI), a measure of career decision making derived from a model based in Gestalt psychotherapy theory. Undergraduate college students (91 women, 110 men) responded to the DPI and criterion measures of career indecision and vocational identity. Results supported hypothesized relations between and among DPI items and subscales, and the ability of the measure to differentiate individuals by expressed career choice status. Significant intercorrelations among DPI subscales and criterion measures supported the concurrent validity of the DPI. Confirmatory maximum likelihood factor analysis of the DPI items did not support the hypothesized structure of the DPI to measure three career decision-making process dimensions: readiness, action, and resistance. Although results supported the basic psychometric properties of the DPI as a brief measure of career decision making, additional research is needed to clarify the underlying factor structure of the instrument.     

Development and Testing of an Abbreviated Numeracy Scale: A Rasch Analysis Approach

Research has demonstrated that individual differences in numeracy may have important consequences for decision making. In the present paper, we develop a shorter, psychometrically improved measure of numeracy—the ability to understand, manipulate, and use numerical information, including probabilities. Across two large independent samples that varied widely in age and educational level, participants completed 18 items from existing numeracy measures. In Study 1, we conducted a Rasch analysis on the item pool and created an eight‐item numeracy scale that assesses a broader range of difficulty than previous scales. In Study 2, we replicated this eight‐item scale in a separate Rasch analysis using data from an independent sample. We also found that the new Rasch‐based numeracy scale, compared with previous measures, could predict decision‐making preferences obtained in past studies, supporting its predictive validity. In Study, 3, we further established the predictive validity of the Rasch‐based numeracy scale. Specifically, we examined the associations between numeracy and risk judgments, compared with previous scales. Overall, we found that the Rasch‐based scale was a better linear predictor of risk judgments than prior measures. Moreover, this study is the first to present the psychometric properties of several popular numeracy measures across a diverse sample of ages and educational level. We discuss the usefulness and the advantages of the new scale, which we feel can be used in a wide range of subject populations, allowing for a more clear understanding of how numeracy is associated with decision processes. Copyright © 2012 John Wiley & Sons, Ltd.