Neurobehavioral assessment before birth

The complexities of neurobehavioral assessment of the fetus, which can be neither directly viewed nor manipulated, cannot be understated. Impetus to develop methods for measuring fetal neurobehavioral development has been provided by the recognition that individual differences in neurobehavioral functioning do not originate with birth and acceptance of the key contribution of the antenatal period to postnatal life. Research has centered around four aspects of fetal functioning: heart rate, motor activity, behavioral state, and responsivity to stimulation. Longitudinal studies have revealed that the developmental trajectories of these characteristics parallel the developing nervous system, detected a transitional period between 28 and 32 weeks gestation, and established within-fetal stability during the second half of gestation. Despite the promise of fetal stimulation and habituation paradigms as measures of neural functioning, significant safety and ethical concerns exist. Construction of a unified fetal neurobehavioral scale is premature until a sufficient degree of normative data is available and the predictive validity of specific aspects of fetal neurobehavior to child developmental outcomes is better established.     

Myrtle McGraw''s Neurobehavioral Theory of Development

Myrtle McGraw's contribution to understanding infant growth and development is undisputed, but controversy stubbornly persists regarding her views about how the brain contributes to behavioral development. McGraw conducted a more complex analysis of neurobehavior than is generally acknowledged by those who characterize her position as maturationist. McGraw drew on several streams of scientific knowledge and philosophy in a collaboration that included John Dewey to advance a unique analysis of the ontogeny of the brain and consciousness that singled-out the reciprocal relationship between neural growth processes and experience in early development. McGraw's studies of the role of gravity, inhibition, and judgment in the integration of behavior particularly remain pertinent to researchers examining the neurobiological and quantum processes through which brain and behavior undergo transformation.     

Brazelton Neonatal Behavioral Assessment Scale: A psychometric study in a Portuguese sample

BackgroundThe Neonatal Behavioral Assessment Scale (NBAS, Brazelton &; Nugent, 1995) is an instrument conceived to observe the neonatal neurobehavior. Data analysis is usually performed by organizing items into groups. The most widely used data reduction for the NBAS was developed by Lester, Als, and Brazelton (1982).ObjectiveExamine the psychometric properties of the NBAS items in a sample of 213 Portuguese infants.MethodThe NBAS was performed in the first week of infant life (3 days ± 2) and in the seventh week of life (52 days ± 5).ResultsPrincipal component analyses yielded a solution of four components explaining 55.13% of total variance. Construct validity was supported by better neurobehavioral performance of 7-week-old infants compared with 1-week-old infants.ConclusionChanges in the NBAS structure for the Portuguese sample are suggested compared to Lester factors in order to reach better internal consistency of the scale.     

Culturally Sensitive Family Assessment: An Evaluation of the Family Assessment Device Used with Hawaiian-American and Japanese-American Families

This article reports the results of a study of the McMaster Family Assessment Device (FAD) used with samples drawn from two non-Anglo ethnic groups: Hawaiian-Americans and Japanese-Americans living in Hawaii. The results showed that the FAD appeared to make appropriate assessments of Hawaiian-American study participants' families and inappropriate assessments of Japanese-American study participants' families. Results also suggested that cultural norms regarding family functioning may vary according to socioeconomic status. FAD modifications are suggested.     

自编《中小学生非智力因素教师评价量表》的信、效度研究

通过自行编制的《中小学生非智力因素教师评价量表》,以天津市4所中、小学校的4个年级365名学生为被试考察了该量表的质量。研究结果表明：(1)《中小学生非智力因素教师评价量表》具有较高的信度;(2)《中小学生非智力因素教师评价量表》所构想的非智力因素结构模型是完全可以接受的,即有较好的结构效度。     

Establishing standards for the assessment of suicide risk among callers to the national suicide prevention lifeline

The National Suicide Prevention Lifeline was launched in January 2005. Lifeline, supported by a federal grant from the Substance Abuse and Mental Health Services Administration, consists of a network of more than 120 crisis centers located in communities across the country that are committed to suicide prevention. Lifeline's Certification and Training Subcommittee conducted an extensive review of research and field practices that yielded the Lifeline's Suicide Risk Assessment Standards. The authors of the current paper provide the background on the need for these standards; describe the process that produced them; summarize the research and rationale supporting the standards; review how these standard assessment principles and their subcomponents can be weighted in relation to one another so as to effectively guide crisis hotline workers in their everyday assessments of callers to Lifeline; and discuss the implementation process that will be provided by Lifeline.     

The Development of a Clinical Rating Scale the McMaster Model of Family Functioning

This article describes the development and validation of the McMaster Clinical Rating Scale (MCRS). The MCRS is a 7-item scale designed to be completed by a trained rater after completion of an in-depth interview of the family. We present data from four new studies and review previously published articles concerning the reliability, validity, and clinical utility of the MCRS. Adequate interrater reliability and rater stability were obtained. The MCRS was found to correlate significantly with the self-report Family Assessment Device and to discriminate between families in different phases of a depressive disorder.     

Using Structured Telephone Follow‐up Assessments to Improve Suicide‐Related Adverse Event Detection

Adverse event (AE) detection and reporting practices were compared during the first phase of the Emergency Department Safety Assessment and Follow‐up Evaluation (ED‐SAFE), a suicide intervention study. Data were collected using a combination of chart reviews and structured telephone follow‐up assessments postenrollment. Beyond chart reviews, structured telephone follow‐up assessments identified 45% of the total AEs in our study. Notably, detection of suicide attempts significantly varied by approach with 53 (18%) detected by chart review, 173 (59%) by structured telephone follow‐up assessments, and 69 (23%) marked as duplicates. Findings provide support for utilizing multiple methods for more robust AE detection in suicide research.     

Psychometric properties of Spanish version of the Mini-Mental Adjustment to Cancer Scale

Background/ObjectiveThe aim of the study was to examine the factor structure and psychometric properties of the Spanish version of the Mini-Mental Adjustment to Cancer Scale (Mini-MAC) in a large sample of patients with non-metastatic, resected cancer.MethodsProspective, observational, multicenter study for which 914 patients were recruited from 15 Spanish hospitals. Exploratory and confirmatory factor analyses, validity and reliability analyses were conducted.ResultsFactor-analytic results indicated a 4-factor structure of the Spanish version of the Mini-MAC. Three subscales have psychometric properties similar to those of Helplessness, Anxious preoccupation, and Cognitive avoidance of the original the Mini-MAC. The Fighting spirit and the Fatalism subscales were combined on the Positive attitude scale. The four factor-derived scale scores exhibited acceptable accuracy for individual measurement purposes, as well as stability over time in test-retest assessments at 6 months. Validity assessments found meaningful relations between the derived scale scores, and Brief Symptom Inventory depression and anxiety scores and Functional Assessment of Chronic Illness Therapy spiritual well-being scores.ConclusionsThe Spanish version of the Mini-MAC provides reliable and valid measures for patients with non-metastatic, resected cancer, and results corroborate the instrument’s cross-cultural validity.     

Taking “the boss” into the real world: Field interrater reliability of the Short‐Term Assessment of Risk and Treatability: Adolescent Version

There is emerging evidence that the performance of risk assessment instruments is weaker when used for clinical decision‐making than for research purposes. For instance, research has found lower agreement between evaluators when the risk assessments are conducted during routine practice. We examined the field interrater reliability of the Short‐Term Assessment of Risk and Treatability: Adolescent Version (START:AV). Clinicians in a Dutch secure youth care facility completed START:AV assessments as part of the treatment routine. Consistent with previous literature, interrater reliability of the items and total scores was lower than previously reported in non‐field studies. Nevertheless, moderate to good interrater reliability was found for final risk judgments on most adverse outcomes. Field studies provide insights into the actual performance of structured risk assessment in real‐world settings, exposing factors that affect reliability. This information is relevant for those who wish to implement structured risk assessment with a level of reliability that is defensible considering the high stakes.     

Interpersonal Hostility Assessment Technique: Description and Validation Against the Criterion of Coronary Artery Disease

High levels of hostility are associated with adverse health outcomes. The Interpersonal Hostility Assessment Technique (IHAT; Barefoot, 1992) measures hostility from verbal behavior during a standardized interview. Four types of behaviors are scored as hostility: evading the question, irritation, and indirect and direct challenges to the interviewer. The sum of the frequencies of these acts is a Hostile Behavior Index (HBI), which is divided into two components: verbal, scored with speech content in mind, and paraverbal, based on vocal stylistics. This study examined characteristics of IHAT assessments in 129 male coronary patients. Satisfactory interrater reliabilities were obtained. The HBI correlated highly (.58) with coronary artery disease severity after controlling for traditional risk factors. This relation was not affected by question topic or by differential weighting of the four hostile, behaviors. Both HBI components were significantly correlated with disease. Results are discussed in terms of their implications for hostility assessment.     

Using dynamic risk and protective factors to predict inpatient aggression: Reliability and validity of START assessments

The Short-Term Assessment of Risk and Treatability (START; C. D. Webster, M. L. Martin, J. Brink, T. L. Nicholls, & S. L. Desmarais, 2009; C. D. Webster, M. L. Martin, J. Brink, T. L. Nicholls, & C. Middleton, 2004) is a relatively new structured professional judgment guide for the assessment and management of short-term risks associated with mental, substance use, and personality disorders. The scheme may be distinguished from other violence risk assessment instruments because of its inclusion of 20 dynamic factors that are rated in terms of both vulnerability and strength. This study examined the reliability and validity of START assessments in predicting inpatient aggression. Research assistants completed START assessments for 120 male forensic psychiatric patients through review of hospital files. They also completed Historical-Clinical-Risk Management-20 (HCR-20; C. D. Webster, K. S. Douglas, D. Eaves, & S. D. Hart, 1997) and Hare Psychopathy Checklist: Screening Version (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995) assessments. Outcome data were coded from hospital files for a 12-month follow-up period using the Overt Aggression Scale (OAS; S. C. Yudofsky, J. M. Silver, W. Jackson, J. Endicott, & D. W. Williams, 1986). START assessments evidenced excellent interrater reliability and demonstrated both predictive and incremental validity over the HCR-20 Historical subscale scores and PCL:SV total scores. Overall, results support the reliability and validity of START assessments and use of the structured professional judgment approach more broadly, as well as the value of using dynamic risk and protective factors to assess violence risk. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

The Influence of Service Era: Comparing Personality Assessment Inventory (PAI) Scale Scores Within a Posttraumatic Stress Disorder Treatment Clinic (PCT)

Research is mixed on the role of service era in symptom endorsement among Veterans, with differences emerging depending on the instrument evaluated. This study compares Personality Assessment Inventory (PAI) scale scores of VA test-takers who served during the Vietnam, Desert Storm, or Post-9/11 service eras. The sample was collected at a VA Posttraumatic Stress Disorder Clinical Team. Associations between gender and combat exposure were also examined as covariates. Results suggest that Veterans’ self-report on the PAI is influenced by service era, even after accounting for gender and combat exposure during deployment. The largest differences were between Vietnam or Post-9/11 Veterans and those from the Gulf War era. Symptom differences typically varied across scales commonly associated with symptoms of trauma exposure/posttraumatic stress disorder. Implications for the clinical use of, and research with, the PAI and other broadband personality assessments within the VA healthcare system and trauma treatment settings are discussed.

     

Development of the Revised Sex-Role Behavior Scale

This study describes the construction of the Revised Sex-Role Behavior Scale (SRBS-2), a 240-item self-report inventory comprised of male-valued, female-valued, and sex-specific items in four interest/behavior areas: Recreational and leisure activities, vocational preferences, social interaction, and marital behaviors. Two-hundred sixteen items were administered to 520 undergraduate males and females under three instructional sets. One-third of the subjects compared the typical young adult man and woman on the items, one-third rated the desirability of the items for men and women, and the remaining subjects rated themselves. Subjects in this latter condition also rated the 160 items from the SRBS-1. Typical and desirability ratings were used to select items to add to the SRBS-1 male-valued (more typical of men but desirable for both sexes), female-valued, and sex-specific (more typical of one sex and desirable only for that sex) scales. The resulting overall and area subscales had adequate internal consistency. Intercorrelations among the area subscales showed a fair degree of consistency across behavior areas, suggesting that global sex-role behavior assessments may be obtained with the overall SRBS-2 scales but that more detailed and accurate assessments require the use of separate area subscale scores.     

An Examination of the Latent Structure of the Difficulties in Emotion Regulation Scale

The Difficulties in Emotion Regulation Scale (DERS; Gratz and Roemer, Journal of Psychopathology and Behavioral Assessment 26:41?C54, 2004) is a popular multidimensional self-report measure of emotion regulation. The present study sought to examine the latent factor structure of the DERS. An examination of latent factor intercorrelations and a higher-order confirmatory factor analysis (CFA) suggested that the DERS-AWARENESS dimension may not represent the same higher-order emotion regulation construct as the other five DERS dimensions. Furthermore, findings supported the adequacy of a revised five-factor model of the DERS in which the AWARENESS dimension was removed. This revised DERS total scale did not diminish concurrent relations between the DERS and outcomes relevant to the emotion regulation domain (i.e., depression, anxiety, posttraumatic stress symptoms). Implications for the conceptualization and assessment of emotion regulation are discussed.     

Applying the Mixed Rasch Model to the Runco Ideational Behavior Scale

Previous research using creativity assessments has used latent class models and identified multiple classes (a 3-class solution) associated with various domains. This study explored the latent class structure of the Runco Ideational Behavior Scale, which was designed to quantify ideational capacity. A robust state-of the-art technique called the Mixed Rasch Model (MRM) was utilized with a sample of 765 Turkish middle school students. Consistent with previous studies, 3 clear latent classes were found in this study. Class 1 represents the regular ideators class, Class 2 the idea-producers class, and Class 3 the idea-averters class. In this study the 3-class solution represents 3 different skills, rather than 3 different domains. This study showed a promising application of MRMs as an alternative to the latent class analysis (LCA) technique for researchers in the field. The study also provided further evidence for the multiple class structure found in previous creativity assessments.     

Development of a short-form Sex Role Behavior Scale

This article describes the construction of a short-form of the Sex Role Behavior Scale (SRBS). The SRBS is a self-report inventory that samples the interest/behavior domain of sex roles comprehensively. It consists of male-valued (M), female-valued (F), and sex-specific (MF) interests and behaviors in four areas: leisure activity preferences; vocational interests; social interaction; and marital, or primary relationship, behaviors. We administered the SRBS to 411 college men and women along with measures of sex role personality traits and attitudes. Items were selected from the SRBS for inclusion in the short form. We examined male-female differences on the short-form scales, internal consistency, intercorrelations among the scales, and relations of the short-form scales with the long form and with measures of sex role traits and attitudes. The results indicate that the short-form SRBS is a satisfactory substitute for the lengthy inventory from which it was drawn. However, limited internal consistency for some of the separate behavior area subscales suggests that the short form is most suitable for global assessments of sex role interests/behaviors, whereas the long form is more appropriate when more specific assessments are required in the separate interest/behavior areas represented on the SRBS.     

Development of a Short-Form Sex Role Behavior Scale

This article describes the construction of a short-form of the Sex Role Behavior Scale (SRBS). The SRBS is a self-report inventory that samples the interest/behavior domain of sex roles comprehensively. It consists of male-valued (M), female-valued (F), and sex-specific (MF) interests and behaviors in four areas: leisure activity preferences; vocational interests; social interaction; and marital, or primary relationship, behaviors. We administered the SRBS to 411 college men and women along with measures of sex role personality traits and attitudes. Items were selected from the SRBS for inclusion in the short form. We examined male-female differences on the short-form scales, internal consistency, intercorrelations among the scales, and relations of the short-form scales with the long form and with measures of sex role traits and attitudes. The results indicate that the short-form SRBS is a satisfactory substitute for the lengthy inventory from which it was drawn. However, limited internal consistency for some of the separate behavior area subscales suggests that the short form is most suitable for global assessments of sex role interests/behaviors, whereas the long form is more appropriate when more specific assessments are required in the separate interest/behavior areas represented on the SRBS.