Practical Guidance for Targeting Insomnia in Primary Care Settings

Insomnia is among the most prevalent conditions in primary care. Despite the development of well-established, evidence-based cognitive and behavioral interventions for insomnia, they are not typically applied in primary care environments. One method for improving primary care delivery of these interventions is to integrate behavioral health providers as a service delivery team member in this environment. The population health focus and time-limited appointments of primary care require that these well-established interventions are adapted for effective implementation in primary care. Using a case example, we describe practical methods of delivering these interventions in the primary care setting.     

The Treatment Acceptability/Adherence Scale: Moving Beyond the Assessment of Treatment Effectiveness

It is becoming more broadly recognized that beyond effectiveness, the acceptability of interventions for anxiety disorders is an important consideration for evidence-based practice. Although advances in treatments for anxious psychopathologies have demonstrated that cognitive-behavioural interventions are more desirable than other types of psychotherapy or pharmacotherapy, there continue to be problems with adherence and dropout. It has been suggested that low treatment acceptability may be partially responsible for high dropout rates. Although a number of preliminary investigations in this domain have been conducted, further progress is hampered by the absence of a single self-report measure that assesses both acceptability and anticipated adherence. Therefore, the current paper aimed to test the psychometric properties of the newly developed Treatment Acceptability/Adherence Scale (TAAS). In two studies of brief cognitive-behavioural interventions, the TAAS was administered immediately following the therapy session. In Study 1 (N = 120 non-clinical undergraduates), the therapy included two variants of an exposure-based intervention for contamination fear. In Study 2 (N = 27 individuals with obsessive-compulsive disorder), the therapy was a cognitively based intervention evaluating a novel treatment technique for checking compulsions. Measures of convergent and divergent validity were included. Results demonstrated that the TAAS exhibited sound psychometric properties across the two samples. It is hoped that this measure will help clinicians to predict and intervene when a treatment is not acceptable and/or when the client anticipates poor adherence to it. Furthermore, the TAAS may aid researchers in continuing to improve upon effective interventions for anxiety and related disorders.     

Psychometric Properties of the European Portuguese Adaptation of the Insomnia Catastrophizing Scale (ICS)

Journal of Rational-Emotive & Cognitive-Behavior Therapy - The current study developed the first translation and adaptation of the ICS (Insomnia Catastrophizing Scale) into European Portuguese,...     

Delivering a Brief Insomnia Intervention to Depressed VA Primary Care Patients

Primary care is often the place where patients with depression and comorbid insomnia seek treatment. The experience of comorbid insomnia with depression can have a significant impact on the efficacy of other depression treatments and exacerbate depressive symptoms. Using the empirically based Cognitive-Behavioral Treatment for Insomnia (CBT-I) to target the comorbid experience of insomnia in patients with depression can help improve sleep and potentially modify some depressive symptoms. Additional rationale for such an approach includes that a positive therapeutic experience may enhance engagement with or adherence to other psychotherapeutic interventions. Although other brief CBT-I interventions have been developed for primary care, none of them were actually delivered to depressed patients or implemented in primary care. Therefore, this paper describes a brief CBT-I intervention that was designed to be delivered in 4 sessions lasting from 15 to 45 minutes each within a primary care setting to depressed veterans. A case study is provided along with sample materials used in this intervention. In addition, we share implementation tips based on our experiences and feedback from eight veterans who have completed the intervention to date. Overall, the intervention was generally well received and suggests that the intervention may be feasibly delivered in a primary care setting.     

Development and Validation of the Satisfaction in Couple Relationship Scale (SCR)

The aim of this study was to develop and validate the Satisfaction in Couple Relationship Scale (SCR) in order to provide a tool that is clear and useful for research and professional practice with couples. The sample was made up of 620 participants in a couple relationship (57.7% women and 42.3% men). Most of participants were aged 32 or older (51.6%), were not married (54%), lived with their partner (66.1%) and did not have children (57.9%). The sample was randomly divided in two subsamples in order to study the factor structure or construct validity; a cross-validation strategy was used consisting of an exploratory factor analysis (EFA) on the first one, and a confirmatory factor analysis (CFA) on the second one. Findings resulted in a 10-items scale made up of a single factor that explained 54.14% of the variance, and had excellent internal consistency reliability (α?=?0.93).     

Further Psychometric Validation of the Mindful Attention Awareness Scale (MAAS)

Mindfulness is an increasingly prominent construct in health research but its study has been impeded by a lack of well-validated measures. The Mindful Attention and Awareness Scale (MAAS; Brown and Ryan, Journal of Personality and Social Psychology, 84:822–848, 2003) is a promising measure and the goal of the present study was to further validate the MAAS in a large university sample (n = 711). Confirmatory factor analysis supported the unidimensional factor structure of the MAAS in the overall sample. No gender differences in MAAS performance were evident, but the factor structure was not confirmed in the subsample of men, apparently due to power limitations. No categorical differences were evident based on experience with meditation, and MAAS performance was not significantly associated with experience with meditation. These findings are interpreted as broadly supporting the MAAS as a valid measure of mindfulness, but suggesting that novice-level experience with meditation should not be presumed to be associated with greater mindfulness.     

A Validation Study of the Resilience Scale for Adolescents (READ)

In this study, the validity of the recently developed 28-item Resilience Scale for Adolescents (READ) was examined. Survey data from a representative sample of 6,723 Norwegian senior high school students between 18 and 20 years of age were used for this purpose. Validity and reliability were investigated by means of exploratory and confirmatory factor analysis, correlations with other relevant variables, and internal consistency measures. The results supported the construct and convergent validity of the five factors of a modified 23-item version of the scale, which also yielded acceptable psychometric properties. The paper concludes that the modified READ is a valid measure assessing relevant resilience factors with relatively few items, thereby serving as a valuable tool in resilience and risk-factor research.     

Validation of the Preschool and Early Childhood Functional Assessment Scale (PECFAS)

Efforts to determine the prevalence of serious emotional disturbance in preschool-aged children have been hampered by the lack of a validated measure. The Preschool and Early Childhood Functional Assessment Scale (PECFAS) is a multi-dimensional measure that assesses the psychosocial functioning of children aged 3–7 years. The concurrent validity and reliability of the PECFAS were assessed in a sample of 30 preschool-aged children in a large Head Start program in Ventura, California. PECFAS ratings based on in-depth interviews were significantly related to parental ratings that the children had mental health problems, psychiatric diagnoses, teacher ratings of the child's need for mental health evaluations, teacher ratings of behavior problems on a standardized screening inventory (DIAL-R), and actual referrals for mental health evaluations. Interrater reliability for the total PECFAS score was high (r = .90) as was internal consistency of the five subscales (alpha = .86). Using the PECFAS scores as a standard, the weighted prevalence of serious emotional disturbance in this West Coast Head Start program was 17%, at the lower end of the current estimated rate of SED for older children in low income samples (18–26%).     

Age discrimination in the workplace: Validation of the Nordic Age Discrimination Scale (NADS)

Furunes, T. & Mykletun, R. J. (2010). Age discrimination in the workplace: Validation of the Nordic Age Discrimination Scale (NADS). Scandinavian Journal of Psychology, 51 , 23–30.
Due to population ageing, older workers will make up a larger proportion of the workforce. However, recent reports show an increase in perceived age discrimination among older employees. Previous research found that age discrimination may result in negative feelings, such as uselessness, powerlessness and lower self-esteem. This study develops and validates a scale for monitoring age discrimination in the workplace. The validation study draws on three datasets, from Norway, Sweden and Finland respectively. The study provides a psychometric contribution to the study of the behavioral component of ageism.     

Development of the Treatment Acceptability Questionnaire

This article describes the development and psychometric properties of a measure designed to assess the treatment acceptability of psychological treatments for both adult and child populations. Initial evidence on the Treatment Acceptability Questionnaire (TAQ) indicates that it has a good internal consistency and test-retest stability (over a 3-week period). The pattern of correlations with other measures of treatment acceptability for child-oriented interventions provides evidence of concurrent validity. Suggestions are made regarding the further validation and use of the TAQ.     

Development and Validation of a Short-Form Parenting Self-Efficacy Scale: Me as a Parent Scale (MaaPs-SF)

Journal of Child and Family Studies - Higher levels of self-reported parenting self-efficacy have been associated with positive parent–child relationships, parental mental health and child...     

Development and Validation of the Homophobia Scale

This study describes the development and validation of the Homophobia Scale. The scale was developed to assess the cognitive, affective, and behavioral components of homophobia. The participants (n=321 for the field trials and n=122 for test–retest reliability) were college students from a large Midwestern university. Results yielded a 25-item questionnaire consisting of three factors: a factor that assesses mainly negative cognitions regarding homosexuality, a factor that assess primarily negative affect and avoidance of homosexual individuals, and a factor that assesses negative affect and aggression toward homosexual individuals. Concurrent validity was established using The Index of Homophobia (Hudson & Ricketts, 1980). The phases of scale development and implications of the results are discussed.     

Validation of the Clance Imposter Phenomenon Scale

The Clance Impostor Phenomenon Scale (CIPS; Clance, 1985) was compared to the newly developed Perceived Fraudulence Scale (Kolligian & Sternberg, 1991). The two scales were found to have high internal consistency and to correlate in a similar manner with other measures. Further, discriminant validity evidence for the Impostor Phenomenon (IP) was provided by comparing the CIPS to measures of depression, self-esteem, social anxiety, and self-monitoring. The IP was related to, but substantially discriminable from, these constructs. Finally, construct validity evidence for the CIPS was provided through principal components analysis that yielded three stable factors: Fake, Discount, and Luck.     

Validation of the modified version of the Conflict Tactics Scale (M-CTS) in a Spanish population of youths

The modified version of the Conflict Tactics Scale (M-CTS), originally created by Straus in 1979, is one of the most extensively used instruments to detect violent verbal and physical behaviours in youths' and adolescents' dating relations. The aim of the present work was to analyze the psychometric properties of the instrument and to validate its adequacy in the Spanish population. The sample was made up of 5,355 Spanish youths from the Community of Madrid, ages between 16 and 26 years. By means of confirmatory factor analysis, four factors that were consistent with the theory and with previous research were identified: arguments, psychological/verbal aggression, slight physical aggression, and severe physical aggression. It is concluded that the scale assesses the presence of various types of aggression in youths' and adolescents' dating relationships with sufficient psychometric guarantees.     

Validation of the Children's Assertive Behavior Scale

Relationships between sociometric indices and scores of 160 elementary-school children on the Children's Assertive Behavior Scale (CABS) were examined to determine whether this instrument differentiates children of varying levels of social competence. Children who obtained either high or low scores on peer nominations of friendship and admiration were identified and compared on CABS passive, aggressive, and assertive scores. Children who scored high on positive peer nominations responded in a significantly less aggressive manner than children who received low scores on such nominations. These effects were observed for the CABS format that consisted of stimulus situations involving adults but not for the form involving peers. With regard to responses toward peers, a significant interaction between sex and sociometric status emerged. These findings suggest the importance of incorporating subject variables such as race and sex as well as assessments of behavior toward both adults and children in isolating and training components of social skill.The authors wish to express their appreciation to Jean Birbilis, Gail Hammersly, Marieta Knopf, and Donna Wadley for their assistance in data collection and analysis.     

Validation of a Brief Version of the Difficulties in Emotion Regulation Scale (DERS-18) in Five Samples

The field of affective clinical science has expanded dramatically over the past several decades (Rottenberg and Gross 2003; Tracy et al. 2014). An important part of this research is understanding emotion regulation and dysregulation, in particular, how individuals differ in their ability to identify, accept, and manage their emotional experiences. One of the most common and widely cited measures of emotion dysregulation is the Difficulties with Emotion Regulation Scale (DERS; Gratz and Roemer 2004), which has been extensively used to facilitate understanding of how emotion dysregulation is associated with psychiatric symptoms, other emotion-related constructs, and treatment progress. While this scale has contributed greatly to our understanding of emotion regulation problems, its length makes its inclusion in brief study protocols difficult, limiting its utility and increasing participant burden. In order to address this issue, we developed a short form version of the DERS (DERS-18) composed of the strongest items from each of the measure’s six subscales from the original DERS publication (Gratz and Roemer 2004), and then validated this measure in five datasets that vary in age and sample type. Our results demonstrate that an 18-item short-form of the DERS exhibits a similar structure as the original 36-item DERS, demonstrates excellent reliability and validity, and performs similarly to the original DERS despite comprising half the items. The DERS-18 has the potential to improve and expand emotion regulation assessment while reducing demands on research participants.