Reliability and Validity Analyses of the Self-Management Questionnaire

The authors developed a parent-report measure to enhance findings for diagnoses and evaluations, and therefore, improve on the assessments currently being widely used for this purpose. Data were gathered on 322 clients (4–18 years old) seeking treatment at a private practice setting. Factor analysis revealed 18 subscales. Scores were internally consistent and distinct from other subscales. In addition, the questionnaire showed good diagnostic utility for depression, Oppositional Defiant Disorder (ODD), and Pervasive Developmental Disorder (PDD). This study provides sufficient evidence of the reliability and validity of the Self-Management Questionnaire (SMQ) to recommend its use for skills and needs assessment with children and adolescents.     

Obsessive-Compulsive and Depressive Symptoms: The Role of Depressive Cognitive Styles

Obsessive-compulsive disorder (OCD) commonly co-occurs with depression, resulting in heightened severity and poorer treatment response. Research on the associations between specific obsessive-compulsive symptoms (OCS) and depressive symptoms has utilized measures that have not fully considered the relationship across OCS dimensions. Little is known about which factors explain the overlap between OCS and depressive symptoms. OCS and depressive symptoms may be related via depressive cognitive styles, such as rumination or dampening (i.e., down-regulating positive emotions). We evaluated the associations of OCS dimensions with depressive symptoms and cognitive styles. We also examined the indirect effects of rumination and dampening in the relationship between OCS and depressive symptoms. Participants (N = 250) completed questionnaires online. Greater depressive symptoms, rumination, and dampening were associated with greater levels of all OCS dimensions. Path analysis was utilized to examine a model including the direct effect of depressive symptoms on overall OCS and two indirect effects (through rumination and dampening). There was a significant indirect effect of depressive cognitive styles on the relationship between OCS and depressive symptoms, through rumination and dampening. Replication in a clinical sample and experimental manipulations may bear important implications for targeting depressive cognitive styles in treatments for OCD and depression.     

Rowland Universal Dementia Assessment Scale,Mini‐Mental State Examination and General Practitioner Assessment of Cognition in a multicultural cohort of community‐dwelling older persons with early dementia

Early dementia can be difficult to diagnose in older persons from culturally and linguistically diverse (CALD) backgrounds. The Folstein Mini‐Mental State Examination (MMSE), the General Practitioner Assessment of Cognition (GPCOG) and the Rowland Universal Dementia Assessment Scale (RUDAS) were compared in 151 older, community‐dwelling persons. Receiver operating characteristic (ROC) curve analysis was used to evaluate diagnostic accuracy, while logistic regression was used to evaluate the influence of age, gender, CALD status and years of education. All three instruments were equally accurate in predicting dementia (ROC area under curve 0.92–0.97, p > 0.05 for all comparisons). At the recommended cut‐offs, the RUDAS was best for ruling in dementia (positive LR = 8.77), while the GPCOG was best for ruling out dementia (negative LR = 0.03). All three instruments were influenced by concomitant depression. Whereas the MMSE was influenced by CALD status, the RUDAS and GPCOG were not. While the GPCOG combines participant and informant data, the RUDAS is a stand‐alone measure specifically designed for, and validated in, multicultural populations.     

Depression Following Traumatic Brain Injury: The Validity of the CES-D as a Brief Screening Device

The validity, reliability, and factor structure of the Center for Epidemiological Studies-Depression Scale (CES-D) was examined with 253 patients seen for neuropsychological evaluation following traumatic brain injury (TBI). All patients completed the CES-D; 31 also completed the Beck Depression Inventory (BDI) and 17 completed the Minnesota Multiphasic Personality Inventory-II (MMPI-II). The CES-D demonstrated good concurrent, construct validity, significantly correlating with the BDI (r = .673, p < .0001) and the MMPI-II (Depression Scale T score r = .536, p = .027). The CES-D also demonstrated good internal consistency (coefficient alpha = .8195) and split-half reliability (Spearman–Brown r = .8284). Principal components factor analysis with varimax rotation resulted in a four-factor solution that accounted for 56.01% of the variance. The factor structure differed from the originally reported factor structure, and indicated that somatic difficulties were strongly associated with dysphoric affect in TBI patients. The CES-D is a valid and reliable screening instrument for use with TBI patients.     

Assessment of Panic Frequency: Reliability and Validity of a Time-Line Follow-Back Method

The purpose of this study was to investigate the reliability and validity of a Panic Attack Frequency Calendar (PAFC), modeled after a time-line follow-back (TLFB) procedure (e.g., Sobell & Sobell, 1979). The latter has been used for years to reliably and validly assess daily alcohol use through self-report over extended periods of time. Seventy-four adult individuals (ages 18–57) who had experienced a panic attack within the past 2 weeks completed a battery of self-report questionnaires, including retrospective frequency measures, and were administered an 8-week PAFC initially and a 10-week PAFC 2 weeks later. Half the participants self-monitored their panic attacks in a diary. The PAFC showed high stability over 2 weeks across several panic behavior variables. The PAFC was also shown to be a valid instrument in assessing panic frequency when compared with panic data obtained from the diary and the retrospective frequency measure.     

The Depressive Experiences Questionnaire: Validity and Psychological Correlates in a Clinical Samples

This study sought to compare the original and revised scoring systems of the Depressive Experiences Questionnaire (DEQ) and to assess the construct validity of the Dependent and Self-critical subscales of the DEQ in a clinically depressed sample. Subjects were 103 depressed inpatients who completed the DEQ the Beck Depression Inventory (BDI), the Hopelessness Scale, the Automatic Thoughts Questionnaire (ATQ), the Rathus Assertiveness Schedule (RAS), and the Minnesota Multiphasic Personality Inventory (MMPI). The original and revised scoring systems of the DEQ evidenced good concurrent validity for each factor scale, but the revised system did not sufficiently discriminate dependent and self-critical dimensions. Using the original scoring system, self-criticism was significantly and positively related to severity of depression, whereas dependency was not, particularly for males. Factor analysis of the DEQ scales and the other scales used in this study supported the dependent and self-critical dimensions. For men, the correlation of the DEQ with the MMPI scales indicated that self-criticism was associated with psychotic symptoms, hostility/conflict, and a distress/exaggerated response set, whereas dependency did not correlate significantly with any MMPI scales. Females, however, did not exhibit a differential pattern of correlations between either the Dependency or the Self-criticism scales and the MMPI. These findings suggest possible gender differences in the clinical characteristics of male and female dependent and self-critical depressive subtypes.     

Internal Validity of the Disruptive Behavior Disorder Symptoms: Implications from Parent Ratings for a Dimensional Approach to Symptom Validity

A dimensional approach was used to evaluate the internal validity of the DSM-III-R ADHD-inattention, ADHD-hyperactivity/impulsivity, oppositional defiant disorder (ODD), and conduct disorder (CD) symptoms (i.e., whether a symptom has a stronger correlation with its own dimension than the other three). Parents rated 4,019 children between the ages of 2 and 19 on these symptoms. The results showed that 5 of the 6 inattention symptoms, 3 of the 4 hyperactivity symptoms, 1 of the 4 impulsivity symptoms, 6 of the 9 oppositional defiant disorder symptoms, and 8 of the 11 CD symptoms had significant internal validity. Confirmatory factor analysis (CFA) found support for inattention, hyperactivity/impulsivity, oppositional defiant, and conduct disorder dimensions. Multiple-group CFA also found support for factor pattern and loading invariance across gender. The implications of these results as well as the merits of the dimensional approach to symptom validity are discussed in the context of the DSM-IV changes in ADHD, ODD, and CD.     

大学生非智力因素测查问卷的编制报告

本研究在对非智力因素的结构进行理论探讨的基础上,结合对大学生的访谈资料,确定了10项与大学生学习活动关系比较密切的非智力因素。采用自陈量表编制原理,编制了具有较高信度和实证效度的大学生非智力因素量表。     

The Need for Dominance Scale of the Manifest Needs Questionnaire: Its Reliability and Validity

Le besoin d'une échelle de dominance dans le questionnaire Manifest Needs est démontre, pour rendre acceptables sa fidélité et sa validité. Des recherches complémentaires devraient permettre d'éprouver la fidélité interne de l'échelle, démontrer plus complètement sa valeur prédictive et améliorer notre compréhension des relations entre les concepts de dominance, d'autonomie et de réalisation.
The need for dominance scale of the Manifest Needs Questionnaire is shown to have acceptable reliability and validity. Further research should strive to improve the internal reliability of the scale, demonstrate more fully its predictive validity, and improve our understanding of the relationships between the constructs of dominance, autonomy, and achievement.     

Development, Reliability, and Validity of the Beliefs Toward Mental Illness Scale

The present study describes the development of a new scale to measure Beliefs toward Mental Illness (BMI), which was designed to measure cross-cultural differences in such beliefs as well as to predict treatment-seeking behavior among different cultural groups. A total of 216 students participated in this study (114 Asian students and 102 American students). A series of factor analyses examining construct validity for the BMI revealed that the BMI has three dimensions, including dangerousness, poor social and interpersonal skills, and incurability. Examination of the reliability estimates for each factor revealed moderate to high internal consistency of the BMI. Comparisons between American and Asian students revealed the expected cultural differences in their beliefs toward mental illness and treatment preference.     

Assessment of Tripartite Factors of Emotion in Children and Adolescents II: Concurrent Validity of the Affect and Arousal Scales for Children

The authors assessed the reliability and validity of the Affect and Arousal Scale for Children (AFARS; Chorpita, Daleiden, Moffitt, Yim, & Umemoto, 2000). The AFARS is a new measure of children's positive affect (PA), negative affect (NA), and physiological hyperarousal (PH). In the first study, 176 school children, 7 to 17 years of age, were administered measures of childhood worry, anxiety sensitivity, and autonomic arousal and their parents completed a child behavior problem checklist. In a second study, two groups of 100 and 114 school children, 8 to 18 years of age, were administered measures of childhood depression and anxiety, respectively, Also, 120 of these children took part in a 1-week retest administration of the AFARS. These studies provided preliminary evidence of acceptable 1-week test–retest reliability, convergent validity, and discriminant validity for the AFARS PA, NA, and PH scales. However, the predicted pattern of convergent and discriminant relations with parent-reported criterion only emerged for children over 11 years of age. Further, a consistent positive relation emerged between NA and PH, yet each of these scales accounted for unique variance in the prediction of criterion measures.     

Development of a Screening Instrument for Exposure to Violence in Children: The KID-SAVE

The present study provided psychometric data on the KID-SAVE, an empirically based measure of children's exposure to community violence. The KID-SAVE was administered to 470 inner-city children in the third through seventh grades and demonstrated excellent reliability. Factor analysis yielded three subscales: Traumatic Violence, Indirect Violence, and Physical/Verbal Abuse. Initial investigation of construct validity suggested that the KID-SAVE successfully discriminated between groups of children reporting high and low levels of traumatic symptoms. The KID-SAVE appears to be a promising assessment tool and allows for quantification of the severity of violence exposure.     

Specificity of Depressive Symptoms and Suicidality in a Juvenile Delinquent Population

Research which has related scores on the Children's Depression Inventory (CDI) to suicidality have generally neglected to examine the possibility that specific depressive factors within the CDI may be more predictive of suicidality than the full scale score. Knowledge of such factors would help to explain the relationship between depression and suicidality and improve the prediction of suicidal behavior. The current study examined the relationship of depressive factors to suicidality in a sample of 200 incarcerated juvenile delinquents. The published factor structure for the CDI and one derived from the delinquent population were compared. Results revealed two factors from the derived solution, hopelessness and low self-esteem, to be more powerful predictors of suicidal ideation than the full-scale CDI score. These results suggest that symptoms such as low self-esteem and hopelessness may be responsible for the well-documented relationship between depression and suicidality. Furthermore, it appears that the prediction of suicidality may be improved by examining specific depressive factors in suicide research as opposed to full-scale scores from depression inventories such as the CDI.     

Development and Validation of an Instrument for the Assessment of Dependency Among Bereaved Persons

Dependency among bereaved individuals has been hypothesized to be an important predictor of severe and enduring grief reactions. However, although there are a number of instruments that assess interpersonal dependency as a personality trait or style, no scales are available to assess bereavement-related dependency. Data from 170 widowed participants in a community-based longitudinal investigation, who had been bereaved for an average of 10.8 months, were used to investigate the reliability and validity of the Bereavement Dependency Scale (BDS), an instrument that was developed to assess dependency on the deceased among bereaved persons. Results indicated that the BDS demonstrated acceptable internal reliability and satisfactory convergent, discriminant, and construct validity. The BDS may be a clinically useful predictor of enduring and complicated grief reactions, major depressive disorder, and suicidality among recently bereaved individuals.     

Patient Personality and Relational Patterns in Psychotherapy: Factor Structure,Reliability, and Validity of the Psychotherapy Relationship Questionnaire

The aim of this study was to examine the factor structure and the psychometric properties of the Psychotherapy Relationship Questionnaire (PRQ; Bradley, Heim, &; Westen, 2005 Bradley, R., Heim, A. K., &; Westen, D. (2005). Transference patterns in the psychotherapy of personality disorders: Empirical investigation. The British Journal of Psychiatry, 186, 342–349. doi:10.1192/bjp.186.4.342[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]), a clinician report instrument that measures a wide spectrum of thoughts, feelings, motives, conflicts, and behaviors expressed by patients toward their therapists in psychotherapy. A national sample of psychiatrists and clinical psychologists (N = 314) of different theoretical orientations completed the PRQ, as well as the Shedler–Westen Assessment Procedure–200 (SWAP–200; Westen &; Shedler, 1999a Westen, D., &; Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.[PubMed], [Web of Science ®] , [Google Scholar], 1999b Westen, D., &; Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.[PubMed], [Web of Science ®] , [Google Scholar]) to assess the personality of a patient in their care. Factor-analytic procedures identified 6 transference dimensions that showed excellent internal consistencies: (a) hostile, (b) positive/working alliance, (c) special/entitled, (d) anxious/preoccupied, (e) avoidant/dismissing attachment, and (f) sexualized. Factor scores were significantly related to patients’ personality characteristics and psychological functioning, regardless of the clinicians’ orientations. The findings support that the PRQ is a valid and reliable tool for evaluating the patients’ relational patterns emerging in clinical practice in a clinically coherent and psychometrically robust way. Clinicians’ careful understanding of these patterns can be very useful for making accurate diagnostic formulations, as well as for providing a roadmap for effective therapeutic intervention.     

Quality of Relationships Between Youth and Community Service Providers: Reliability and Validity of the Trusting Relationship Questionnaire

We examined the factor structure and psychometric properties of the Trusting Relationship Questionnaire, a brief measure of relationship quality between youth and community-based service providers involved in their care. Data on youth residing in Therapeutic Foster Care and in Group Homes (N = 296) were collected. We identified a one-factor solution for the child version of the measure and a two-factor structure for the adult version: child's perception of the relationship and adult's perception of the relationship. Both versions appear to be highly reliable and possess adequate levels of construct, criterion, and discriminative validity. While no statistically significant age differences were noted on the parent version, on the child version, older youth were more likely to report lower relationship scores. Gender differences were found on both versions: Female youth reported higher scores on the child version as did adults reporters of relationships with female youth, but only for the first factor—child's perception of the relationship. Overall, the TRQ appears to capture the quality of the relationship between service providers and youth in their care, thus bridging a gap in assessment measures.     

Institutional Betrayal in the Canadian Medical System: Reliability and Validity of a Self-Report Questionnaire

Institutional betrayal (IB), an institutional failure to either prevent or to respond supportively to a traumatic event, tends to cause trauma survivors further psychological distress. The medical system may exhibit significant levels of IB given the frequency of medical interactions and vulnerability of patients. The current study aimed to assess the reliability and validity of a new measure of IB in the medical system in a sample of 352 Canadian adults with chronic medical conditions. An exploratory factor analysis found 3 stable and reliable factors of IB: negative healthcare experiences, cognitive-affective reactions, and systemic responses to these experiences. Subsequent analyses found evidence supporting the validity of the IB questionnaire. As expected, IB predicted poorer mental health even after controlling for demographics, and traumatic experiences. Future studies should confirm that these factors hold in different populations, and should employ different experimental designs to better understand the causal factors of IB.     

Screening for cognitive impairment in an Australian aged care assessment team as part of comprehensive geriatric assessment

Accurate detection of mild cognitive impairment (MCI) is important to stratify and address risk. Yet, few short cognitive screening instruments are validated for this. . In Australia, all clients referred to an Aged Care Assessment Team (ACAT) receive comprehensive geriatric assessment (CGA) including the Standardized Mini-Mental State Examination (SMMSE). We compared the accuracy of the quick mild cognitive impairment (Qmci) screen to the SMMSE in 283 participants: 195 with dementia, 47 with MCI, and 41 with subjective cognitive decline (SCD) in an Australian community-based ACAT. Both had similar accuracy in identifying dementia, AUC of 0.86 for the Qmci versus 0.93 for the SMMSE (p = 0.10), but the Qmci was more accurate than the SMMSE in differentiating MCI from SCD, AUC of 0.84 versus 0.71, respectively, p = 0.046. These suggest that the new, short (3–5 min) Qmci screenis appropriate for use in an ACAT or other units conducting CGA.     

An Evaluation of the Reliability and Validity of the Self-Appraisal Questionnaire (SAQ) in South African Context

The Self-Appraisal Questionnaire (SAQ: Loza, 2005) is a self-report questionnaire designed to assist with the prediction of violent and nonviolent recidivism among correctional populations. Use of scale could help in the assessment of risk and the identification of factors that could be addressed by programming or other intervention to reduce recidivism risk. Evidence for use of the SAQ in South African settings is needed. The SAQ was administered at two separate occasions and a week apart to a total of 125 male offenders in South Africa to evaluate its psychometric properties. Scores from the SAQ were reliable with South African inmates.