Development and preliminary validation of the Paediatric Awareness Questionnaire for children and adolescents with traumatic brain injury

There is a lack of validated measures for assessing self-awareness of deficits after pediatric traumatic brain injury (TBI). The current study aimed to develop and examine the psychometric properties of the Paediatric Awareness Questionnaire (PAQ), and investigate factors related to self-awareness. The PAQ was administered to 32 children aged 8–16 years with mild to severe TBI (72% male, M age = 11.75, SD = 2.9), their parents, and treating clinicians, and to 32 age- and gender-matched typically developing controls and their parents. Children with TBI and their parents also completed the Knowledge of Injury Checklist (KIC), and parents completed the Depression Anxiety and Stress Scale 21. The PAQ was found to have fair to excellent (α = .79–.97) internal consistency for all versions across both groups and good concordance between parent and clinician total scores (ICC = .78). There was also evidence of convergent validity between the PAQ and KIC for both child (r = ?.45, p < .05) and parent ratings (r = ?.66, p < .001). Poorer self-awareness was significantly related to younger age at injury for the TBI group and lower parental education for the total sample. ANCOVA identified that children with TBI demonstrated significantly poorer awareness than controls after controlling for parental education. Children with TBI typically overestimated their functioning compared to their parents, whereas typically developing children tended to rate their functioning lower than their parents. These findings provide preliminary support for the reliability and validity of the PAQ for assessing self-awareness after pediatric TBI.     

The development of a scale for tuned‐in parenting

This article provides preliminary evaluation for a new and easy to use parental sensitivity scale, which is rated from a short videotaped play session with the parental figure. The five Tuned‐In Parent Rating Scales (TIP‐RS) have been developed for use with identified dyadic problems in infant–parent relationships and provide a window on the micro‐behaviours that may contribute to the dyadic disjunctions. A sample of 88 mothers who contacted a community early parenting unit was filmed in interaction with their infants and completed surveys including the Depression Anxiety and Stress Scale (DASS) and the Edinburgh Postnatal Depression Scale (EPDS). Six trained coders rated the videos. Confirmatory factor analysis supported the unidimensionality of the TIP‐RS. The TIP‐RS total score was negatively correlated with both the EPDS (r[N = 42] = ?.34, p = .024) and the DASS (r[N = 42] = ?.43, p = .029), providing evidence for its concurrent validity. Inter‐rater reliability across the six raters for each of the TIP‐RS sub‐scales and total score ranged from .68 to .83. The present results warrant continued investigation of the psychometric properties of the TIP‐RS as a tool for intervention with targeted parent–child relationships.     

Psychometric properties of the Norwegian version of the Dysfunctional Attitude Scale (Form A)

The present study reports the reliability and validity of the Norwegian version of the Dysfunctional Attitude Scale in non‐clinical and clinical populations. The participants were 344 young male military recruits, 41 healthy controls and 142 psychiatric outpatients. All the participants completed the Dysfunctional Attitude Scale, the Beck Depression Inventory and the Automatic Thoughts Questionnaire. The analysis of the Dysfunctional Attitude Scale revealed a Cronbach's alpha of 0.85, indicating satisfactory reliability. Evidence for the construct validity was obtained by the correlation between the Dysfunctional Attitude Scale and the Beck Depression Inventory (r?=?0.47) and the Dysfunctional Attitude Scale and the Automatic Thoughts Questionnaire (r?=?0.47). Finally, the Dysfunctional Attitude Scale significantly discriminated between clinically depressed, non‐depressed psychiatric patients and healthy controls. The results showed that the Norwegian version of the Dysfunctional Attitude Scale possess satisfactory psychometric properties suggesting that this instrument is appropriate for use as a cognitive measure in a Norwegian cultural context.     

Is there an association between severity of illness and psychiatric symptoms in patients with chronic renal failure?

Chronic renal failure (CRF) is a frequent condition in elderly subjects, and it is associated with psychiatric comorbidity, especially depressive symptoms. Purpose of the present research was to compare patients with different severity of chronic kidney disease (CKD) in terms of psychiatric symptoms. One hundred CKD subjects were randomly selected among those attending the Department of Nephrology, University of Milan. The patients were evaluated through the following rating scales: Mini-Mental State Examination (MMSE), Beck Depression Inventory (BDI), Symptom Checklist (SCL-90), Kidney Disease Quality of Life- Short Form (KDQOL-SF) and Cumulative Illness Rating Scale (CIRS). A multivariable linear regression analysis was performed considering eGFR as continuous-dependent variable and rating scale scores as independent variables. A worse eGFR significantly correlated with the score about the effects of kidney disease on daily life (r = 0.25, p = 0.01) and the burden of kidney disease (r = 0.18, p = 0.05). Statistical significance of kidney disease on daily life persisted also in the final multivariate model (t = 2.04, p = 0.04). Severity of renal dysfunction seems to influence few psychiatric outcomes, particularly those related to quality of life and daily functioning. This result might depend on the over-worrying derived from the necessity to start a renal replacement therapy in the near future.     

Reliability and validity of the Korean Youth Depression Adjective Check List (Y-DACL).

To develop a Korean version of the Youth Depression Adjective Check List (Y-DACL), bilingual Koreans achieved consensus in their translation of the 22 adjectives. Four hundred and seventeen male and 412 female adolescents from 8th through 12th grade of four Korean public schools (mean age ranged from 13.4 to 17.3) completed the state form of the Y-DACL, the Beck Depression Inventory (BDI), and the Self-rating Depression Scale (SDS). Internal consistency was high (alpha = .87), split-half reliability was moderately high (.72), and test-retest reliability was low (.26) as expected. Estimates of concurrent validity indicated a moderate level of correlation between the Y-DACL and the BDI and SDS. The findings suggest that the Korean Y-DACL is suitable for use in research.     

Validation of the Patient Health Questionnaire-2 with Iranian students

ABSTRACT

Depression is a serious public health problem in community settings and primary care. The Patient Health Questionnaire-2 (PHQ-2) is a brief screen for depression. The PHQ-2 has not had its validity examined in academic settings in Iran. A cross-sectional study was conducted to investigate the reliability, validity, and factorial structure of the PHQ-2 in a convenience sample of 157 Iranian volunteer college students selected from the Iran University of Medical Sciences. Participants completed the PHQ-2, and the Loneliness Scale (LS). The mean score of the PHQ-2 was 2.26 (SD?=?1.64). The Cronbach's α coefficient was .74, indicating high internal consistency. The PHQ-2 correlated .68 with the LS, demonstrating good construct validity. The results of the factor analysis of the PHQ-2 identified one factor labeled: General depression (79.87% of the variance). The PHQ-2 has a unidimensional structure, acceptable validity and reliability, and it can be used in the non-clinical settings in Iran.     

Perceived stigma of caregivers: Psychometric evaluation for Devaluation of Consumer Families Scale

Background/Objective: The Devaluation of Consumer Families Scale (DCFS) is commonly used to measure perceived stigma towards family members of people with mental illness. However, its factorial structure has never been confirmed using confirmatory factor analysis (CFA). This study aimed to test the psychometric properties of the DCFS Taiwan version (DCFS-TW). Method: Family caregivers (N=511) completed the DCFS-TW (97 completed the DCFS again after 2 to 4 weeks) and other instruments. CFA, test-retest reliability, internal consistency, concurrent validity, and known-group validity were analyzed. Results: The three-factor structure of the DCFS-TW performed better than the one-factor structure. Test-retest reliability (r = .66) and internal consistency were satisfactory (α = .85); concurrent validity (absolute r = .20 to .58) was acceptable; known-group validity was supported by the significantly different DCFS-TW scores in clinical characteristics (had been vs. had not been hospitalized; had been vs. had not been compulsorily admitted). Conclusions: The DCFS-TW has decent psychometric properties and is suitable for health professionals to measure perceived stigma towards family members of people with mental illness.     

The Family Impact of Pain Scale: Preliminary Validation

A new questionnaire, the Family Impact of Pain Scale (FIPS), was designed in order to assess the effects of chronic pain on the significant other and family of the chronic pain patient. The FIPS is a 10-item self-report questionnaire examining the effect of pain on domestic duties, social functioning and communication within the family. It was administered to 177 chronic pain patients in two different samples to investigate its psychometric properties. Internal reliability (α = .94) and test–retest reliability (r = 0.79) were high. Exploratory factor analysis suggested a two-factor solution, relating to physical limitations and difficulties with communication. Construct validity was confirmed by significant Pearson correlations with pain intensity, pain distress, mood and the use of pain coping skills (r = −0.22–0.74, all at p < .05). Outcome data also showed that the measure is sensitive to the effects of a cognitive behavioural pain management intervention.     

The depression proneness rating scale: Reliability, validity, and factor structure

This study describes the development of the Depression Proneness Rating Scale (DPRS), a brief, self-administered measure of the tendency to experience frequent, long-lasting, and severe depressions, and three investigations into the scale’s reliability, validity, and factor structure. Study 1, using 100 university students, found a stability coefficient of .82 for the DPRS over a test-retest interval of nine weeks. Further, Time 1 (T1) DPRS scores predicted Time 2 (T2) symptoms of depression, even after adjusting for Time 1 symptoms (R² Change=.03). Study 2, using 440 university students, found the DPRS to be a better predictor of past depressive episodes (r=.41 to .47) than was the Beck Depression Inventory (r=.32). Study 3, using 1101 university students, found that all 13 items of the DPRS loaded .40 or greater on a single factor for both males and females. Overall, results provide substantial evidence for the DPRS as a valid, unidimensional, and practical measure of depression proneness.     

The depression proneness rating scale: Reliability,validity, and factor structure

This study describes the development of the Depression Proneness Rating Scale (DPRS), a brief, self-administered measure of the tendency to experience frequent, long-lasting, and severe depressions, and three investigations into the scale’s reliability, validity, and factor structure. Study 1, using 100 university students, found a stability coefficient of .82 for the DPRS over a test-retest interval of nine weeks. Further, Time 1 (T1) DPRS scores predicted Time 2 (T2) symptoms of depression, even after adjusting for Time 1 symptoms (R² Change=.03). Study 2, using 440 university students, found the DPRS to be a better predictor of past depressive episodes (r=.41 to .47) than was the Beck Depression Inventory (r=.32). Study 3, using 1101 university students, found that all 13 items of the DPRS loaded .40 or greater on a single factor for both males and females. Overall, results provide substantial evidence for the DPRS as a valid, unidimensional, and practical measure of depression proneness.     

Brief Trust/Mistrust in God Scale: psychometric properties of the Farsi version in Muslims

In Iran, a Middle Eastern Islamic country, far too little attention has been paid to the validation and cultural adaptation of measures of religion/spirituality. This has limited the potential for research in this area. The objective of the paper is to assess the psychometric properties of the Farsi version of the Brief Trust/Mistrust in God Scale (BTMGS). After translation of the original English version of the measure into Farsi using a standard forward–backward method, the BTMGS along with the Duke University Religion Index (DUREL) and Hoge Intrinsic Religiosity (Hoge IR) Scale was administered to 720 medical students, physicians, and nurses at Tehran University of Medical Sciences and affiliated hospitals. Internal consistency (α), test–retest reliability, concurrent validity, and construct validity were determined for the BTMGS. The Farsi version of the BTMGS had high internal consistency (α = 0.90 and 0.92 for trust and mistrust subscales, respectively) and test–retest reliability (intraclass correlation coefficient = 0.89 and 0.95 for trust and mistrust subscales, respectively), and was adequately correlated with other established measures of religiosity (i.e., the DUREL [r = 0.64, p < 0.001] and Hoge IR [r = 0.54, p < 0.001]) indicating support for the concurrent validity of the measure. A confirmatory factor analysis indicated that the Farsi version has two factors (i.e., Trust in God and Mistrust in God) consistent with the original scale. These findings suggest that the Farsi version of BTMGS is a valid and reliable measure in Farsi-speaking populations that may be used to assess relationships with health and well-being.     

Clarifying the Role of Psychological Pain in the Risks of Suicidal Ideation and Suicidal Acts among Patients with Major Depressive Episodes

The role of psychological pain in the risk of suicide was explored using a three‐dimensional psychological pain model (pain arousal, painful feelings, pain avoidance). The sample consisted of 111 outpatients with major depressive episodes, including 28 individuals with suicidal histories. They completed the Chinese version of the Beck Scale for Suicide Ideation (BSI), the Beck Depression Inventory (BDI), the Psychache Scale, and the three‐dimensional Psychological Pain Scale (TDPPS). A structured clinical interview was conducted to assess the history of suicidal acts. Significant correlations were found among BDI, BSI, and TDPPS scores (p < .01). Stepwise regression analyses showed that only pain avoidance scores significantly predicted suicide ideation at one's worst point (β = .79, p < .001) and suicidal acts (β = .46, p < .001). Pain avoidance was also a better predictor of current suicidal ideation (β = .37, p = .001) than were BDI scores (β = .31, p < .01). Increased levels of pain avoidance during a major depressive episode may be a dominant component of the motivation for suicide. Future clinical assessments for populations at high risk of suicide should include measures of psychological pain to reduce the incidence of suicide.     

Confirmatory Factor Analysis of the Multi-Attitude Suicide Tendency Scale

This paper reports an examination of the factor structure of Orbach's Multi-Attitude Suicide Tendency Scale (MAST) utilizing confirmatory factor analytic techniques. Participants were 215 undergraduate students ranging in age from 18 to 20 who completed the MAST, the Reynolds Adolescent Depression Scale, the Suicide Ideation Questionnaire, and a self-harmful behavior scale. Support was found for the original factor structure, reliability, and validity of the MAST. A correlated model fit the data significantly better than an uncorrelated model. The results of this study indicate that the MAST is a valid and reliable measure appropriate for use with college-aged individuals for research purposes. Because the correlated model fit the data better than the uncorrelated, we suggest that future studies should attempt to replicate this finding, which would lead to a reexamination of the theory which underlies the MAST.     

The Effect of Religious Belief and Forgiveness on Coping with Diabetes

We aimed to investigate the relationship of religious beliefs and forgiveness in diabetic patients with various sociodemographic characteristics, emotional problems and glycaemic control. The study comprises 100 patients diagnosed with type 2 DM. We used a data collection form, the Scale of Forgiveness and Religiosity (SFR), Problem Areas in Diabetes Scale (PAID), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI) and the Audit of Diabetes-Dependent Quality of Life (ADDQoL). We also recorded blood glucose and HbA1c test results. A statistically significant relationship was determined only between the scores of the STAI-I and the religious belief scales (r = 0.198, p = 0.049). A statistically significant negative relationship was determined between the forgiveness scale points and the BDI (r = 0.326, p = 0.001), the STAI-II (r = 0.308, p = 0.002) and PAID (r = 0.313, p = 0.001) and a positive correlation with ADDQoL (r = 0.284, p = 0.004). To conclude, forgiveness by patient himself or others reduced the emotional problems which were experienced related to diabetes by reducing stress levels and could increase quality of life.     

Comparisons Across Depression Assessment Instruments in Adolescence and Young Adulthood: An Item Response Theory Study Using Two Linking Methods

Item response theory (IRT) methods allow for comparing the utility of instruments based on the range and precision of severity assessed by each instrument. As adolescents and young adults can display rapid increases in depressive symptoms, there is a crucial need to sensitively assess mild elevations of symptoms (as an index of initial risk) and moderate-severe symptoms (as an indicator of treatment disposition). We compare the information assessed by the Beck Depression Inventory (BDI) to the newly developed Patient Reported Outcome Measurement Information System – Depression measure (PROMIS-Depression), and the Center for Epidemiologic Studies – Depression (CES-D) scale. The present work is based on data from two fully independent samples of community adolescents and young adults. One sample completed the BDI and CES-D (n?=?1,482) and the second sample (n?=?673) completed the PROMIS-Depression measure and the CES-D. Using two different IRT-based linking methods, (1) equating based on common items and (2) concurrent calibration methods, analyses revealed that the PROMIS-Depression measure assessed information over the widest range of depressive severity with greatest measurement precision relative to the other instruments. This was true for both the 28-item and 8-item versions of the PROMIS-Depression measure. Findings suggest that the PROMIS-Depression measure assessed depression severity with greatest precision and over the widest severity range of the assessed instruments. However, future work is necessary to demonstrate that the PROMIS-Depression measure has reliable associations with external criteria and is sensitive to treatment response.     

青年学生自信问卷的编制

自信是指对自己的信任,对自己身体、心理和社会性的信任,表现为有信心,不怀疑。为了编制青年学生自信问卷,首先采用开放式问卷对130名大学生和高中学生进行了调查,内容分析表明青年学生自信包含五类行为,在此基础上编制了青年学生自信预试问卷。391份有效问卷的探索性因素分析表明,青年学生自信问卷测查的是个五因素结构,包括才智自信、人际自信、品质自信、应对自信和成就自信。为了进一步检验青年学生自信问卷的构想效度,并考察其效标效度,1084名青年学生完成了该问卷和五项效标的测查。验证性因素分析支持青年学生自信问卷的结构,结合信度分析和多元回归分析的结果,表明青年学生自信问卷具有较好的信度与效度。     

Monitoring stress among internal medicine residents: an experience-driven,practical and short measure

Residents experience severely high levels of stress, depression and burnout, leading to perceived medical errors, as well as to symptoms of impairment, such as chronic anger, cognitive impairment, suicidal behavior and substance abuse. Because research has not yet provided a psychometrically robust population-specific tool to measure the level of stress of medicine residents, we aimed at building and validating such a measure. Using an inductive scale development approach, a short, pragmatic measure was built, based on the interviews of 17 medicine residents. The Internal Medicine Residency Stress Scale (IMRSS) was then administered in a sample of 259 internal medicine residents (199 females, 60 males, M_Age = 25.6) along with the Hospital Anxiety and Depression Scale, Maslach Burnout Inventory, Satisfaction With Life Scale and Ways of Coping Checklist. The IMRSS showed satisfactory internal reliability (Cronbach’s α = .86), adequate structural validity – studied through Confirmatory Factor Analysis (χ²/df = 2.51, CFI = .94; SRMR = .037, RMSEA = .076) – and good criterion validity – the IMRSS was notably strongly correlated with emotional exhaustion (r = .64; p < .001) and anxiety (r = .57; p < .001). Because of its short length and robust psychometric qualities, the use of the IMRSS is recommended to quickly and frequently assess and monitor stress among internal medicine residents.     

Validation of a telephone screening test for Alzheimer's disease

ABSTRACT

Financial constraints, mobility issues, medical conditions, crime in local areas can make cognitive assessment difficult for elders and telephone interviews can be a good alternative. This study was carried out to evaluate the reliability, validity and clinical utility of a Brazilian telephone version of the Mini Mental State Examination (Braztel-MMSE) in a community sample of healthy elderly participants and AD patients. The MMSE and the Braztel-MMSE were applied to 66 AD patients and 67 healthy elderly participants. The test–retest reliability was strong and significant (r = .92, p = .01), and the correlation between the Braztel-MMSE and the MMSE were significant (p = .01) and strong (r = .92). The general screening ability of the Braztel-MMSE was high (AUC = 0.982; CI95% = 0.964–1.001). This telephone version can therefore be used as a screening measure for dementia in older adults that need neuropsychological screening and cannot present for an evaluation.     

Reliability, validity and normative data for the Danish Beck Youth Inventories

This study examines reliability and validity and establish Danish norms for the Danish version of the Beck Youth Inventories (BYI) ( Beck, Beck & Jolly, 2001 ), which consists of five self-report scales; Self-Concept (BSCI), Anxiety (BAI), Depression (BDI), Anger (BANI) and Disruptive Behavior (BDBI). A total of 1,116 school children and 128 clinical children, aged 7–14, completed BYI. Internal consistency coefficients were high. Most test-retest correlations were >0.70. A test-retest difference was found for BAI. Exploratory and confirmatory factor analysis indicated that the five factor structure of the instrument was justified. The BSCI, BAI and BDI discriminated moderately between the norming sample and the clinical group, and the latter group included more children who exceeded the 90th percentile of the norming sample. Diagnostic groups scored higher on relevant scales than norms. Only BSCI and BDI differentiated between diagnostic groups. The BYI showed acceptable internal consistency and test-retest stability, except for BAI. The BYI did not adequately differentiate between internalizing disorders.