Development and initial validation of a brief mental health outcome measure

Using a combination of classical test theory and Rasch item analysis, we developed a short scale designed to measure the effectiveness of mental health treatment across a wide range of mental health services and populations. Item development for the scale was guided by literature review and interviews with senior clinicians and with patients. Using 3 different samples consisting of inpatients, outpatients, and nonpatients, we reduced our initial item pool from 81 to 10 items. The 10-item scale had an alpha of .96 and showed strong correlations with commonly used measures of psychological well-being and distress. Our results suggest that the scale appears to measure a broad domain of psychological health. The scale appeared to lack ceiling and floor effects, and it discriminated between inpatients, outpatients, and nonpatients, suggesting the scale has excellent potential to be broadly responsive to a variety of treatment effects. In addition, the new scale proved to be sensitive to treatment changes in a sample of 20 psychiatric inpatients. Overall, the initial data suggest that we have developed a brief, sensitive outcome measure designed to have wide application across psychiatric and psychological treatments and populations.     

Examining mental health symptoms in male and female incarcerated juveniles

Varying risk factors for both incarceration and mental health diagnoses have been identified for female juveniles, highlighting the need for gender-specific assessments and treatment protocols. The purpose of this study is to determine how the prevalence rates of mental health symptoms differ in male and female juvenile offenders. It was hypothesized that the prevalence rates would be greater for females than males. This study found significant differences between males and females on several clinical scales. These findings are consistent with past studies that have identified differences in mental health symptoms between genders.     

Development and preliminary validation of a mental toughness inventory for Australian football

ObjectivesThis paper describes the development and preliminary evaluation of the Australian football Mental Toughness Inventory (AfMTI).MethodsConfirmatory and exploratory factor analyses were employed to explore the factor structure of a pool of items designed to capture the key components of mental toughness in Australian football [Gucciardi, D.F., Gordon, S., & Dimmock, J.A. (2008). Towards an understanding of mental toughness in Australian football. Journal of Applied Sport Psychology, 20, 261–281.] Correlations between the four-factor inventory and flow, resilience, and social desirability were examined. The discriminant validity of the inventory was also assessed. Multisource ratings (self, parent, and coach) of the AfMTI were examined in experiment two.ResultsThe AfMTI is a 24-item scale that measures four components of mental toughness in Australian football – thrive through challenge, sport awareness, tough attitude, and desire success. It was shown to have adequate internal reliability estimates across different raters (α = .70–.89). Moderate correlations with flow and resilience were evidenced, while minimal correlations existed with social desirability. Multisource data were somewhat equivocal; correlational data suggested a disagreement between raters, whereas an ANOVA suggested agreement between raters.ConclusionsPreliminary data on the factor structure, internal reliability, and construct validity of the AfMTI were encouraging. However, the factor structure, reliability, and validity of the AfMTI must be verified through further psychometric examinations before it can be considered a useful tool for measuring mental toughness in Australian football.     

Comparing the mental health needs of female and male incarcerated juvenile delinquents

The present study was undertaken to survey the prevalence of mental disorder in juvenile justice facilities and to compare the mental health needs for females and males. Girls displayed significantly more mental health needs than boys. The estimated prevalence of mental disorder for boys was 27%, compared with 84% for girls. The difference is highly significant and is discussed in terms of service system issues in juvenile justice that affect males and females differently. ©1997 John Wiley & Sons, Ltd.     

Development and validation of an altruism scale for adults

A new self-report scale, the Altruism Scale for Adults, of 28 items was developed. 14 items were from the Altruism subscale of Wrightsman's Philosophies of Human Nature Scale, and the other 14 items were newly constructed. The scale, anchored by 1: true or 2: false, was administered to 592 Korean men and women in eight subgroups. Cronbach alpha internal consistency was .89, and test-retest reliabilities (n = 52) over 1 and 5 wk. were .90 and .80, respectively. Campbell and Fiske's 1959 multitrait-multimethod analysis showed satisfactory convergent and discriminant validities. Overall results were promising for use of the scale in research and for practical purposes.     

Infant mental health: A brief review of a gigantic work

While it can reasonable be said that parents have been the leaders in infant mental health research for much longer, the literature traces our beginnings only to the early decades of this century. Early work focused on the astonishing developmental changes in infants deprived of maternal contact during hospitalization, and early questions arose about the possibility of lifelong psychological disorder resulting from such early deprivation. Later research demonstrated that even though the infants are clearly vulnerable, they are also active and very much a reciprocating part of the attachment process. Most recently we have learned to understand caregiver-infant interaction as a display of both the joys and the conflicts in relationship, and methods of intervention are slowly evolving.     

Development and validation of a brief form of the Multidimensional Personality Questionnaire

The Multidimensional Personality Questionnaire (MPQ; A. Tellegen, 1982, in press) provides for a comprehensive analysis of personality at both the lower order trait and broader structural levels. Its higher order dimensions of Positive Emotionality, Negative Emotionality, and Constraint embody affect and temperament constructs, which have been conceptualized in psychobiological terms. The MPQ thus holds considerable potential as a structural framework for investigating personality across varying levels of analysis, and this potential would be enhanced by the availability of an abbreviated version. This article describes efforts to develop and validate a brief (155-item) form, the MPQ-BF. Success was evidenced by uniformly high correlations between the brief- and full-form trait scales and consistency of higher order structures. The MPQ-BF is recommended as a tool for investigating the genetic, neurobiological, and psychological substrates of personality.     

Development and validation of a psychometric instrument for the assessment of depression in the elderly

Depression is one of the main the psychological disorders in the gerontological population. However, in many cases the depressive alterations can go unnoticed or masked by the elderly s somatic complaints; or even the depressive symptoms can be ascribe to the own aging process. Moreover, it has to be added that old patients tend not to request help to specialised mental health centres. Therefore, the correct diagnosis of the depressed elderly's emotional problems becomes into a question of extraordinary importance. In this work is presented a new specific instrument for the evaluation of depression in the elderly people which has, among other characteristics, the advantage of requiring a little time to its application and a low knowledge on psychopathology. The initial results show an extraordinary sensitivity and specificity regarding to DSM-IV-TR criteria. Nevertheless, further studies with a higher number of clinical populations are necessary to confirm and enlarge these preliminary results.     

The Iowa Personality Disorder Screen: development and preliminary validation of a brief screening interview

The length and expense of comprehensive personality disorder interviews makes them unwieldy for routine use. A brief but sensitive screen could eliminate administration of longer instruments in many instances. We describe the development of the Iowa Personality Disorder Screen (IPDS)--a mini-structured interview which can be completed in less than 5 minutes. Retrospective analyses using 1,203 SIDP-R interviews suggested that the IPDS items should provide good sensitivity and specificity. We present results from a prospective validation study, using a mixed group of 52 nonpsychotic inpatients and outpatients who were diagnosed using the SIDP-IV. Blind administration of the IPDS yielded excellent sensitivity (92%) and good specificity (79%), using a subset of five screening items. Addition of two more items leads to an estimated sensitivity of 79% and specificity of 86%. The IPDS shows promise as a quick personality disorder screen for use in research settings or standard clinical interviews.     

Assessment and validation of diagnostic interviewing skills for the mental health professions

A behavioral test was developed to assess the quality of diagnostic interviewing skills of (future) mental health professionals. Two aspects of diagnostic interviewing ability are distinguished: process skills, reflecting the interpersonal and communication skills; and content skills, referring to the information-gathering ability of the interviewer. It was found that diagnostic interviewing can be reliably measured with respect to interrater reliability. However, interviewer performance on one case proved to be a poor predictor of performance on other cases. It was concluded that a large number of cases is required to obtain reliable scores of general diagnostic interviewing ability. Validity was supported by the correlational analyses. Process skills were strongly related to patient satisfaction, whereas content skills were related to the amount of relevant information given by the patient and the accuracy of the diagnostic formulation and treatment plan.     

Development of a spanish version of the Schwartz Outcome Scale-10: a brief mental health outcome measure.

The lack of culturally appropriate psychometric instruments for the assessment of cognitive and emotional functioning in minority populations has been a concern often discussed in the assessment literature. With the increased focus on the measurement of outcome in mental health treatment, the lack of appropriate instruments for minorities has become readily apparent in this venue as well. We report on the Spanish translation of a brief and reliable measure of psychological health and well-being that has been shown to be sensitive to treatment outcomes. The original and Spanish translated versions of this measure are highly correlated, providing clinicians and organizations with a instrument that can be used for assessment of psychological well-being and treatment outcomes with Hispanic patients.     

Pre-retirement anxiety: Development and validation of a measurement instrument in a Nigerian sample

Two studies were conducted to develop and provide evidence supporting the construct validity and internal consistency of scores from the Nigerian Pre-retirement Anxiety Scale (NPAS). The measure comprises three dimensions: financial preparedness, social obligation, and social alienation. In the first study, data collected from 424 civil servants supported the proposed dimensionality of scale scores and internal consistency (Cronbach’s alpha for the full scale = 0. 83). In the second study, data collected from a total sample of 216 employees who were also civil servants from different government agencies likewise supported the internal consistency of scores from the NPAS (Cronbach alpha for the full scale = 0.73), as well as validity. Scores from the NPAS appear to have evidence for research purposes.     

The sensitivity of the Bender-Gestalt Test as a screening instrument for neuropsychological impairment in older adults

We investigated the sensitivity of the Bender (1938) Visual-Motor Gestalt Test (BGT) using the Halstead-Reitan Neuropsychological Battery (HRB) as the criterion for cortical dysfunction. We studied 95 subjects over age 55 who had been diagnosed as having dementia or pseudodementia. Subjects were classified as mild, moderately, or severely impaired on the HRB and as impaired or unimpaired on the BGT. The results indicated that the BGT is less sensitive (36%) than was expected when used on an impaired geriatric population. The data further indicated that false negatives occurred more frequently with the BGT when individuals had mild neuropsychological impairment. Less frequent misclassifications occurred as the severity of impairment on HRB indices increased.     

Development and validation of the Eating Disorders Screen for Athletes (EDSA): A brief screening tool for male and female athletes

ObjectivesTo develop and validate the Eating Disorders Screen for Athletes (EDSA), a brief eating disorders screening tool for use in both male and female athletes. Methods: Data from Division I athletes at a Midwestern university (N = 434) were used to conduct exploratory factor analysis (EFA) by gender. Data from athletes competing at various levels at universities across the United States (N = 862) were then used to conduct confirmatory factor analysis (CFA) and receiver operator characteristic (ROC) curve analysis by gender. Athletes from a range of lean and non-lean sports were included. Gender-specific empirically derived cut-offs on the Eating Disorder Examination-Questionnaire were used to classify high eating disorder risk for ROC curve analysis. Measurement invariance by gender, level of competition, and sport type was also examined. Results: A six-item, one-factor structure for the EDSA was supported by EFA and CFA in both genders, and internal consistency was good for both male (α = 0.80) and female athletes (α = 0.86). ROC curve analyses indicated that the EDSA was highly accurate in predicting eating disorder risk status and identified a score of 3.33 as the optimal cut-off for both male (sensitivity = 0.96, specificity = .80) and female athletes (sensitivity = 0.96, specificity = .64). Results also supported strong measurement invariance for the EDSA by gender, level of competition (Division I versus club), and sport type (lean versus non-lean). Conclusions: The EDSA shows promise as a brief screening tool to identify male and female athletes at risk for eating disorders.     

Acceptability and cost-effectiveness of military telehealth mental health screening

Telehealth has been touted as one solution to the shortage of mental health providers within the military. Despite developing evidence for the equivalence of telehealth mental health care, there is no research that covers the use of telehealth for population mental health screening, a standard component of postdeployment medical screening. This paper summarizes soldier perceptions of three separate screening events in which telehealth was used and the cost-effectiveness of telehealth versus in-person implementations of the same screening. Soldiers who have not been through telehealth screening report a strong preference for in-person screening. Soldiers who have been through telehealth screening still report preference for in-person screening, but they express more ambivalence about the screening method. Using telehealth-only mental health screening for large numbers of soldiers within a compressed time frame is more expensive than in-person screening. Telehealth resulted in higher referral rates than in-person screening. Government and military leaders should use care when making decisions about telehealth implementation. Although telehealth for small numbers may be sufficiently equivalent and economical, there is no evidence of cost savings or improved acceptability for telehealth mental health post-deployment screening.     

Development and validation of the Dutch Questionnaire God Image : Effects of mental health and religious culture

This article presents the Dutch Questionnaire God Image (QGI), which has two theory-based dimensions: feelings towards God and perceptions of God's actions. This instrument was validated among a sample of 804 respondents, of which 244 persons received psychotherapy. Results showed relationships between the affective and cognitive aspect of the God image. The God image of psychiatric patients had a more negative and threatening nature than the God image of the non-psychiatric respondents. Also, religious culture appeared to affect the God image.     

Development and preliminary validation of a semi-structured interview for the screening of law enforcement candidates

A standard practice among most law enforcement agencies is to include psychological screening in the selection of job candidates. Although the use of personality tests in predicting job performance of law enforcement officers has received empirical support (e.g., the Minnesota Multiphasic Personality Inventory, the Inwald Personality Inventory), there is a conspicuous absence of data regarding the reliability and validity of interview procedures. The present study represents the first step in the development of a standardized, semi-structured interview for use in the screening of law enforcement personnel. This interview, the Law Enforcement Candidate Interview, was constructed using content areas drawn from measures used in the screening of law enforcement personnel (e.g., Inwald Personality Inventory) and assessment of personality functioning (Structured Clinical Interview for DSM-III-R Personality Disorders). This interview was then administered by two doctoral students to a group of law enforcement academy cadets (n=34). A modest degree of inter-rater reliability was achieved, although internal consistency was somewhat lacking. Interview scores were correlated with measures of academy performance (final grade-point average and peer and supervisor ranking of academy performance). Results of these analyses suggest the LECI is a modest predictor of academy performance. Potential uses of the LECI and future research indications are outlined.     

Relations between social and emotional competence and mental health: a construct validation study

Researchers working fairly independently of each other have created numerous measures of social and emotional competence (SEC). These measures tend to correlate (sometimes highly) with each other and with measures of stressful events, suggesting potential redundancy. We evaluated which, if any, SEC variables predicted unique variance in social and mental health after controlling for other SEC variables in the study and the impact of stressful events. Three-hundred and thirty-one university students participated in an anonymous, cross-sectional study. We measured stressful events, and a wide variety of SECs, including: social problem solving skill (effective problem orientation, automatic processing, and problem solving), alexithymia (difficulty identifying and describing emotions; minimising emotions), effective emotional control (low rumination, high impulse control, high aggression control, low defensive inhibiting of emotions), and level of emotional awareness. We also assessed a variety of aspects of social and mental health (e.g. depression, anxiety, hopelessness, suicidal ideation, life satisfaction, social support). Covariance analyses revealed that all SEC measures except minimising emotions had significant incremental value over the other measures and over stressful events in predicting social and mental health. The optimal set of predictors differed depending upon the type of health predicted. These findings have important implications for the design of social and emotional intervention programs.     

Examining a brief suicide screening tool in older adults engaging in risky alcohol use

Alcohol misuse increases risk of suicidal behavior in older adults. The Depressive Symptom Inventory‐Suicidality Subscale (DSI‐SS; Metalsky & Joiner, 1997) and its relation to suicide attempt history was examined to see if it differed for older adults as a function of their alcohol use. Structural equation modeling was used in a sample (N = 1,061) of older adult outpatients to examine the scale’s measurement invariance and population heterogeneity and its relation to suicide attempt history. Analyses supported the equivalence of the DSI‐SS in risky and nonrisky drinkers. The DSI‐SS significantly predicted past suicide attempts. Findings support the viability of the DSI‐SS as suicide screening tool for older adults.