Interpretation of the personality inventory for children-revised (PIC-R): Influence of cognitive impairment

The Personality Inventory for Children-Revised (PIC-R) is a parent-report measure of social-emotional adjustment for children 3 to 16 years of age. The present study examined the clinical value of the PIC-R by exploring the impact of age and developmental status on PIC-R profiles, particularly on the Psychosis (PSY) scale, within a sample of preschool and school-age children referred for assessment of suspected cognitive impairment and learning problems. Compared to school-age children, significantly more preschoolers obtained elevated scores on the Psychosis scale; those preschoolers with cognitive impairments were even more likely to obtain significantly elevated Psychosis scale scores, despite the absence of diagnosed childhood psychosis. No significant relationship was found between Psychosis scale elevations and cognitive impairment in the school-age group. The PIC-R was moderately accurate in identifying cognitively impaired preschoolers but only minimally accurate in identifying cognitively impaired school-age children.     

Perception and the Rorschach

In this study we investigated the reliability and validity of the Rorschach Schizophrenia Index (SCZI) from Exner's (1978, 1993) Comprehensive System for a sample of 413 child psychiatric inpatients by examining relationships with the Personality Inventory for Children-Revised (PIC-R) and chart diagnoses. Interscorer reliability and internal consistency were acceptable. Multivariate analyses of variance results revealed significantly different PIC-R profiles for those with and without elevated SCZI scores, with significant differences emerging on the PIC-R Psychosis (PSY) scale and 2 cognitive triad scales (Intellectual Screening and Development), which have been reported to be more frequently elevated in PIC-R profiles of children with psychotic disorders. Significant differences were found across SCZI groups for the PSY scale, Reality Distortion scale, reality testing critical items and chart diagnoses of psychotic disorder. Implications for clinical interpretation of the SCZI with children and issues for further research with this population are discussed.     

The relationship of the Rorschach Schizophrenia Index to psychotic features in a child psychiatric sample

In this study we investigated the reliability and validity of the Rorschach Schizophrenia Index (SCZI) from Exner's (1978, 1993) Comprehensive System for a sample of 413 child psychiatric inpatients by examining relationships with the Personality Inventory for Children-Revised (PIC-R) and chart diagnoses. Interscorer reliability and internal consistency were acceptable. Multivariate analyses of variance results revealed significantly different PIC-R profiles for those with and without elevated SCZI scores, with significant differences emerging on the PIC-R Psychosis (PSY) scale and 2 cognitive triad scales (Intellectual Screening and Development), which have been reported to be more frequently elevated in PIC-R profiles of children with psychotic disorders. Significant differences were found across SCZI groups for the PSY scale, Reality Distortion scale, reality testing critical items and chart diagnoses of psychotic disorder. Implications for clinical interpretation of the SCZI with children and issues for further research with this population are discussed.     

Construction and validation of a physician career development inventory

The development and psychometric characteristics of the Medical Career Development Inventory (MCDI) are described. The MCDI represents the initial construction of a career maturity measure for a homogeneous population of adults who encounter a common set of vocational development tasks. The inventory is intended to measure both degree of vocational development and readiness to cope with the developmental tasks encountered in a physician's career. The MCDI includes 35 items that address coping behaviors germane to dealing with the vocational tasks constituting the career development continuum of physicians. Initial evaluation of the MCDI's psychometric properties with a sample of 160 student-physicians supported the content validity of the items, construct validity of the scales, and criterion validity of the inventory.     

Subtypes of Psychopathology in Children Referred for Neuropsychological Assessment

The validity of a Personality Inventory for Children-Revised edition (PIC-R) typology was examined in a sample of 323 children aged 6–16 years. These children had been referred to a children's mental health centre for neuropsychological assessment. In study 1, K-means cluster analysis (k = 12) was applied to the PIC clinical scales in an attempt to replicate the 12 clusters identified by Gdowski, Lachar, and Kline (1985). Partial cluster replication was achieved. Examination of the obtained clusters revealed significant overlap, suggesting that fewer clusters would represent an optimal solution. In study 2, a two-stage cluster analysis yielded a seven-cluster solution consistent with several key forms of psychopathology previously reported in the literature using specific neuropsychological populations. Identified subtypes included profiles characterized as: normal, cognitive deficit, cognitive deficit with internalized psychopathology, cognitive deficit with social impairment, cognitive deficit with hyperactivity, cognitive deficit with both internalized and externalized psychopathology, and combined internalized and externalized psychopathology without a cognitive deficit component.     

Subtypes of psychopathology in children referred for neuropsychological assessment.

The validity of a Personality Inventory for Children-Revised edition (PIC-R) typology was examined in a sample of 323 children aged 6-16 years. These children had been referred to a children's mental health centre for neuropsychological assessment. In study 1, K-means cluster analysis (k = 12) was applied to the PIC clinical scales in an attempt to replicate the 12 clusters identified by Gdowski, Lachar, and Kline (1985). Partial cluster replication was achieved. Examination of the obtained clusters revealed significant overlap, suggesting that fewer clusters would represent an optimal solution. In study 2, a two-stage cluster analysis yielded a seven-cluster solution consistent with several key forms of psychopathology previously reported in the literature using specific neuropsychological populations. Identified subtypes included profiles characterized as: normal, cognitive deficit, cognitive deficit with internalized psychopathology, cognitive deficit with social impairment, cognitive deficit with hyperactivity, cognitive deficit with both internalized and externalized psychopathology, and combined internalized and externalized psychopathology without a cognitive deficit component.     

Development and initial validation of validity scales for the NEO-Five Factor Inventory

Based upon the methodology established by Schinka, Kinder, and Kremer (Schinka, J. A., Kinder, B. N., & Kremer, T. (1997). Research validity scales for the NEO-PI-R: Development and initial validation. Journal of Personality Assessment, 68, 127–138), a set of validity scales were developed for the NEO-Five Factor Inventory (NEO-FFI, Costa, P. T., & McCrae, R. R. (1992). Revised NEO Personality Inventory and NEO Five Factor Inventory Professional Manual. Odessa, FL: Psychological Assessment Resources). In Study 1, 111 undergraduates completed the NEO-FFI and item means, standard deviations, and intercorrelations were used to construct measures of Positive Impression Management, Negative Impression Management, and Inconsistent Responding. In Study 2, 146 participants completed the NEO-FFI under one of five instructional sets (control, fake good, fake bad, graduate psychology and police academy admissions). A set of randomly produced NEO-FFI profiles were added to this data set. ANOVA results provided support for the utility of the validity scales, as they were differentially sensitive to random responding, positive and negative impression management in hypothesized ways.     

Childhood Anxiety Sensitivity Index Factors Predict Unique Variance in DSM‐IV Anxiety Disorder Symptoms

Anxiety sensitivity (AS) is an established cognitive risk factor for anxiety disorders. In children and adolescents, AS is usually measured with the Childhood Anxiety Sensitivity Index (CASI). Factor analytic studies suggest that the CASI is comprised of 3 lower‐order factors pertaining to Physical, Psychological and Social Concerns. There has been little research on the validity of these lower‐order factors. We examined the concurrent and incremental validity of the CASI and its lower‐order factors in a non‐clinical sample of 349 children and adolescents. CASI scores predicted symptoms of DSM‐IV anxiety disorder subtypes as measured by the Spence Children's Anxiety Scale (SCAS) after accounting for variance due to State‐Trait Anxiety Inventory scores. CASI Physical Concerns scores incrementally predicted scores on each of the SCAS scales, whereas scores on the Social and Psychological Concerns subscales incrementally predicted scores on conceptually related symptom scales (e.g. CASI Social Concerns scores predicted Social Phobia symptoms). Overall, this study demonstrates that there is added value in measuring AS factors in children and adolescents.     

The inconsistency of inconsistency scales: a comparison of two widely used measures

This study compared the inconsistent responding validity scales of the Personality Assessment Inventory (PAI) and the Psychopathic Personality Inventory (PPI)/PPI-Revised (PPI-R) in two correctional samples to determine the extent to which they overlap in identifying invalid profiles. Results revealed substantial differences in the way the inconsistent responding validity scales of these measures performed. In particular, the PAI identified far fewer participants as having responded inconsistently compared with the PPI/PPI-R. We discuss the implications of our findings for clinical practice, and potential concerns with the use of a single measure to identify inconsistent responding in clinical practice and research.     

A multitrait-multimethod analysis of the MCMI-II clinical syndrome scales

Multitrait-multimethod procedures and factor analyses were utilized to assess convergent/discriminant validity of the revised version of the Millon Clinical Multiaxial Inventory (MCMI-II) clinical syndrome scales and effects of item overlap on scale performance. Except for the Delusional Disorder Scale (PP), convergent validity was supported, but poor discriminant validity was found for the Alcohol Dependence (B) scale, Drug Dependence (T) scale, and Scale PP. Item overlap did not influence performance for many scales. In fact, results indicate that some scales, such as Bipolar:Manic (N), may perform better in overlapping form, whereas others, such as Somatoform (H) and Scales B and T, are most affected by item overlap. Factor structure was generally stable, regardless of whether overlapping or nonoverlapping scales were utilized. However, substance abuse/dependence emerged as an independent factor when common item artifact was removed. Findings are discussed in terms of their implications for clinical practice and further research.     

A Multitrait-Multimethod Analysis of the MCMI-II Clinical Syndrome Scales

Multitrait-multimethod procedures and factor analyses were utilized to assess convergent/discriminant validity of the revised version of the Millon Clinical Multiaxial Inventory (MCMI-II) clinical syndrome scales and effects of item overlap on scale performance. Except for the Delusional Disorder Scale (PP), convergent validity was supported, but poor discriminant validity was found for the Alcohol Dependence (B) scale, Drug Dependence (T) scale, and Scale PP. Item overlap did not influence performance for many scales. In fact, results indicate that some scales, such as Bipolar: Manic (N), may perform better in overlapping form, whereas others, such as Somatoform (H) and Scales B and T, are most affected by item overlap. Factor structure was generally stable, regardless of whether overlapping or nonoverlapping scales were utilized. However, substance abuse/ dependence emerged as an independent factor when common item artifact was removed. Findings are discussed in terms of their implications for clinical practice and further research.     

Malingering on the Personality Assessment Inventory: identification of specific feigned disorders

Profile validity is a primary consideration in the clinical assessment of psychopathology. Several indicators of negative impression management have been developed for the Personality Assessment Inventory (PAI; Morey, 1991) that can both indicate its presence and help differentiate effortful negative distortion from distortion arising from cognitive sets associated with psychopathology. In this study, we tested a method designed to delineate the specific Clinical scales relevant for interpretation of deliberately feigned disorders. We used associations between the Negative Impression Management (NIM) scale and Clinical scales in the normative standardization sample to derive NIM predicted scale scores in a regression framework. We contrasted these predicted scores with observed scores on Clinical scales to yield NIM predicted discrepancies hypothesized to identify those Clinical scales most salient for the interpretation of negative distortion. We found this method to be effective in identifying particular distortion on the relevant scales for individuals attempting to feign 3 specific diagnoses (major depressive disorder, generalized anxiety disorder, and schizophrenia).     

The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes

Klenberg, L., Jämsä, S., Häyrinen, T., Lahti‐Nuuttila, P. & Korkman, M. (2010). The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes. Scandinavian Journal of Psychology, 51, 439–448. This study presents a new inventory, the Attention and Executive Function Rating Inventory (ATTEX), and examines the psychometric properties and the clinical utility of ATTEX in indentifying the attention deficit hyperactivity disorder combined type (ADHD‐C) and the ADHD predominantly inattentive type (ADHD‐I) in school environments. A normative sample of Finnish 7‐ to 15‐year‐old children and adolescents (N = 701) and a clinical sample consisting of children with ADHD‐C (N = 190) and ADHD‐I (N = 25) were examined with the ATTEX and the ADHD Rating Scale‐IV. The ATTEX and its scales had good internal consistency reliability (0.67–0.98) and criterion validity (0.68–0.95). Normative data was provided for the total normative sample and for boys and girls separately. Gender differences were noted in the ATTEX scores, boys having consistently higher scores on all ATTEX scales. The effect of age was significant only for one of the ten scales, the Motor hyperactivity scale, 7‐year‐olds having more problems of hyperactivity than 14‐year‐olds. Lower parent education level and the child’s learning difficulties were related to higher ratings of EF problems in ATTEX. When different cutoff scores for boys and girls were applied, ATTEX was sensitive in identifying children with attention deficit disorders. In addition, ATTEX was accurate in differentiating children with ADHD‐I from children with ADHD‐C. In this Finnish sample, ATTEX showed solid psychometric properties and could be used as a reliable tool in the diagnostic evaluation of ADHD‐C and ADHD‐I.     

Adjective Checklist to Assess the Big Five Personality Factors in the Argentine Population

The aim of this work was to develop an adjective checklist to assess the Big Five personality factors in the Argentine population. The new instrument was administered to pilot (n= 112), validation (n= 372), and replication (n= 309) samples. The final version of the checklist included 67 adjectives encompassing its 5 dimensions. Factor analysis results were consistent with the Five-factor model. Internal consistency of scales was very good and convergent correlations with the Big Five Inventory (BFI; John, Donahue, & Kentle, 1991) were substantial. Face validity, as evaluated by 2 independent raters, was good. Preliminary evidence of validity for the checklist is presented. Finally, the Adjective Checklist for Personality Assessment and BFI are compared, taking into consideration their psychometric properties in our cultural context. Study limitations and future research are discussed.     

Cognitive ability in virtual reality: Validity evidence for VR game‐based assessments

Virtual reality (VR) technology may provide unique benefits for assessing individual characteristics, in contrast with traditional assessments. This study examined validity evidence for the use of VR game (VRG) scores to indicate specific cognitive abilities. Participants completed three VRGs, three computer‐based assessments (CBAs), and additional scales. To evaluate convergent validity, VRG scores were compared with CBA scores. For divergent validity, VRG scores were compared with five factors of personality based on the Five Factor Model. For criterion‐related validity, VRG scores were compared with academic achievement (i.e., grade point average). Findings generally provided support that the VRG scores are related to certain spatial reasoning subdimensions of cognitive ability. However, further research is needed to examine the qualities of VRGs as assessment tools.     

Predicting observers' ratings of the big five from the CPI,HPI, and NEO–PI–R: a comparative validity study

The present study compares the ability of three widely used personality inventories to predict averaged acquaintance ratings. Scores from 135 individuals on the California Psychological Inventory (CPI; Gough, 1987), Hogan Personality Inventory (HPI; Hogan and Hogan, 1992) and NEO Personality Inventory (NEO‐PI‐R; Costa and McCrae, 1992) were correlated with four sets of acquaintance ratings representing four variants of the Five‐Factor Model. Validity coefficients for the NEO‐PI‐R primary domain scales equalled or surpassed the CPI and HPI validity coefficients. Across all inventory scales and subscales, the magnitude of validity coefficients was moderated by the congruence between a predictor's and criterion's secondary factor loading. Copyright © 2000 John Wiley & Sons, Ltd.     

Validation of the BRIEF-P in a sample of Canadian preschool children

The Behavior Rating Inventory for Executive Function-Preschool (BRIEF-P) is an instrument designed to assess preschoolers’ executive function (EF) in the context of where the behavior occurs. The present study examined the psychometric properties and measurement structure of the BRIEF-P using parents’ and teachers’ reports on 625 typically developing children aged 25 to 74 months. Results indicated that the BRIEF-P scales had good internal consistency and convergent validity in this sample of children. However, the measurement models examined exhibited poor fit statistics and showed that the EF construct was not unidimensional but rather multidimensional with interrelated subconstructs. Further analyses showed that three of the clinical scales (Emotional Control, Plan/Organize, and Working Memory) were unidimensional and invariant across informant. The other two clinical scales (Inhibit and Shift) were multidimensional and differed by informant. Results support a multidimensional construct of EF and, accordingly, different measurement models are proposed by informant.     

Sex role conformity in homosexual and heterosexual males

Nine principal components were extracted from the scores of 26 homosexual and 26 heterosexual males matched on age, education, occupation status, and sampling frame on Adjective Check List, Bem Sex Role Inventory, Chapin Social Insight Test, Experience Inventory, and Sixteen Personality Factor Questionnaire scales selected to represent a variety of "masculine" and "feminine" sex role attributes. The four most general varimax factors, accounting for 48% of the total variance, were: I) "Feminine Openness," II) "Masculine Boldness," III) "Reflection," and IV) "Novelty Seeking." Factor scores were constructed and indicated that the homosexual sample was significantly more identified with Factor I (p < .00l; 17% of total variance). There was no significant difference between the samples on Factor II, nor on the remaining two general factors which were not sex typed.     

Detection of back random responding: effectiveness of MMPI-2 and Personality Assessment Inventory validity indices

Two experiments examined the detection and effects of back random responding (BRR) on the Minnesota Multiphasic Personality Inventory--2 (MMPI-2) and the Personality Assessment Inventory (PAI). Experiment 1 revealed that MMPI-2 Clinical and Content scales were relatively resistant to the effects of BRR. Fb--F > or = 20T was the most effective index for identifying invalid protocols. Experiment 2 revealed greater susceptibility of the PAI interpretive scales to the effects of BRR and less successful detection of BRR. The most effective PAI validity index was the combined indicator, ICN > or = 73T or INF > or = 75T. Clinical and empirical implications of these findings are discussed, and tentative modifications to the MMPI-2 interpretative guidelines are provided.     

Childhood anxiety sensitivity index factors predict unique variance in DSM-IV anxiety disorder symptoms

Anxiety sensitivity (AS) is an established cognitive risk factor for anxiety disorders. In children and adolescents, AS is usually measured with the Childhood Anxiety Sensitivity Index (CASI). Factor analytic studies suggest that the CASI is comprised of 3 lower-order factors pertaining to Physical, Psychological and Social Concerns. There has been little research on the validity of these lower-order factors. We examined the concurrent and incremental validity of the CASI and its lower-order factors in a non-clinical sample of 349 children and adolescents. CASI scores predicted symptoms of DSM-IV anxiety disorder subtypes as measured by the Spence Children's Anxiety Scale (SCAS) after accounting for variance due to State-Trait Anxiety Inventory scores. CASI Physical Concerns scores incrementally predicted scores on each of the SCAS scales, whereas scores on the Social and Psychological Concerns subscales incrementally predicted scores on conceptually related symptom scales (e.g. CASI Social Concerns scores predicted Social Phobia symptoms). Overall, this study demonstrates that there is added value in measuring AS factors in children and adolescents.