The acceptance of modern myths about sexual aggression scale: development and validation in German and English

Scales of rape myth acceptance (RMA) often yield low means and skewed distributions. This is proposed to be because of a change in rape-related beliefs toward more subtle content. Incorporating insights from racism and sexism research, a 30-item self-report scale measuring the acceptance of modern myths about sexual aggression (AMMSA) is presented. Across four studies (total N=1,279), the reliability and validity of parallel German and English versions of the AMMSA scale were examined. The results show that both language versions are highly reliable; compared with a traditional RMA scale, means of AMMSA scores are higher and their distributions more closely approximate normality. Cross-sectional and longitudinal analyses provide evidence for the AMMSA scale's concurrent and predictive construct validity.     

The Achievement of Therapeutic Objectives Scale: interrater reliability and sensitivity to change in short-term dynamic psychotherapy and cognitive therapy

This study examined interrater reliability and sensitivity to change of the Achievement of Therapeutic Objectives Scale (ATOS; McCullough, Larsen, et al., 2003) in short-term dynamic psychotherapy (STDP) and cognitive therapy (CT). The ATOS is a process scale originally developed to assess patients' achievements of treatment objectives in STDP, but further operational definitions have led to a theoretically neutral assessment device, making it applicable to other treatment modalities as well. Videotapes from a randomized controlled trial comparing the effectiveness of STDP and CT for patients with Cluster C personality disorders were rated by independent raters, typically at Sessions 6 and 36. The results indicated good to excellent interrater reliability, as well as adequate sensitivity to change in theoretically expected ways, in both STDP and CT. The results lend further support to the psychometric soundness of the ATOS and show promise for its use when comparing STDP and CT.     

Psychological inflexibility in childhood and adolescence: development and evaluation of the Avoidance and Fusion Questionnaire for Youth

The authors describe the development and validation of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y), a child-report measure of psychological inflexibility engendered by high levels of cognitive fusion and experiential avoidance. Consistent with the theory underlying acceptance and commitment therapy (ACT), items converged into a 17-item scale (AFQ-Y) and an 8-item short form (AFQ-Y8). A multimethod psychometric approach provides preliminary support for the reliability and validity of the AFQ-Y and AFQ-Y8. In 5 substudies, 3 samples (total N = 1369) were used to establish (a) item comprehension (n = 181), (b) initial item selection (n = 513), (c) final item reduction and development of a short form for research (n = 346), (d) comprehensive psychometric evaluation of the AFQ-Y and AFQ-Y8 (n = 329), and (e) convergent and construct validity for both versions of the AFQ-Y. Overall, results suggest that the AFQ-Y and AFQ-Y8 may be useful child-report measures of core ACT processes.     

Validity and Reliability of the French Versions of the Body Shape Questionnaire

The validity of the 34-item and shortened versions of the Body Shape Questionnaire (BSQ) has been evaluated in various languages. To date, only the validity of the 34-item French BSQ scale has been tested in a nonclinical sample. This study assessed the reliability and validity of the 34-item French BSQ and 7 shortened versions in clinical and nonclinical samples. The 34-item French BSQ was administered to 159 obese women with and without binge eating disorders and to 1,169 female undergraduate students. The results suggested that the BSQ–8B was the best French BSQ to use in nonclinical and clinical samples.     

Spanish Adaptation of the Working Alliance Inventory-Short (WAI-S)

The goal of our research was to adapt the short forms of the Working Alliance Inventory into the Spanish language for patients and therapists (WAI-S-P and WAI-S-T). The psychometric properties of scores from these measurement instruments were evaluated in Spanish outpatients with depressive disorders and their therapists. The scores of both measures exhibited excellent reliability in terms of internal consistency and excellent convergent validity. Their discriminant validity exhibited some limitations, particularly when the scores of both short measures correlated with those of two empathy measures. Regarding predictive validity, the scores of the overall WAI-S-P and WAI-S-T significantly correlated with residual gain scores of patients in the Beck Depression Inventory (BDI) after the tenth psychotherapy session. Additionally, the overall WAI-S-T scores explained a moderate percentage of the variance in patient BDI score changes. These results are satisfactory and similar to those found in the studies that have utilized the respective original versions of WAI-S in English.     

Measuring Change in Depression-Related Interpretation Bias: Development and Validation of a Parallel Ambiguous Scenarios Test

Depressed mood is associated with making negatively biased interpretations of ambiguous everyday events. Experimental modification towards a more optimistic interpretation has become a focus of recent research. However, to date, no measures exist that have been tested with respect to their psychometric properties that justify repeated administration to capture change. We aimed to develop and evaluate a pragmatic assessment instrument, consisting of a 30-item questionnaire (long version) and two 15-item parallel short versions (A and B). Items were generated as ambiguous sentences, reflecting three relevant content areas based on Beck's cognitive triad. The sentences were rated for pleasantness, and this emotional appraisal task indicates the emotional valence of the interpretation. Due to the intention to develop a parallel test version, item-twins were generated. All three versions of the instrument were found to be structurally stable, internally consistent and valid. In line with Beck's cognitive triad in depression, confirmatory factor analyses determined a three-factor solution (i.e. self, experiences and future). Significant correlations were found between all scales and depressive mood. The two short versions represent the same underlying constructs, share identical psychometric properties and possess high parallel-test reliability. This study is the first to evaluate and confirm the factorial validity as well as the parallel-test reliability of an interpretation bias measure. It is suitable to measure bias modification and has therefore great potential for research and clinical practice.     

Psychometric comparison of Chinese and English versions of the Emotion Regulation Questionnaire with bilingual Hong Kong Chinese students

The Emotion Regulation Questionnaire (ERQ; Gross & John, 2003) assesses two emotion regulation (ER) strategies: cognitive reappraisal and expressive suppression. Researchers have used the ERQ in cross-national studies, such as with participants in Hong Kong. There is inconsistency in psychometric equivalence data for the ERQ in Chinese among adults, and prior research in Hong Kong contradicted the ERQ's original factor structure (Matsumoto et al., 2008). The present study examined the factor structure, reliability and validity of a translated Traditional Chinese-ERQ and the English-ERQ with Hong Kong college students. Results revealed that both versions replicated the original two-factor structure of the ERQ (Gross & John, 2003). Evidence of the measure's convergent, discriminant and predictive validity was obtained as well. Implications for cross-cultural scale validation particularly with Hong Kong Chinese students are discussed.     

Development and validation of an in-competition emotion measure: The Brief In-Competition Emotion (BICE) scale

ObjectivesWe aimed to develop a concise psychometric scale to assess athletes’ in-competition emotions, which would reduce the practical and conceptual limitations of previous measures.DesignFour studies were designed to develop and assess the validity of the new Brief In-Competition Emotion (BICE) scale.MethodIn Study 1, the content validity of 39 emotion adjectives was investigated using expert analysis, 9 adjectives were subsequently removed. In Study 2, 402 university athletes used the remaining 30 adjectives to record their in-competition emotions and confirmatory factor analyses and a reliability removal method was used to create the 10-item BICE scale. Study 3 (N = 109) and Study 4 (N = 74) consisted of both concurrent and predictive validity assessments of the BICE scale.ResultsConstruct validity, reliability and confirmatory factor analyses completed during Study 1 and Study 2 resulted in the development of the 10-item BICE scale, consisting of five composite emotion factors: anger, anxiety, excitement, dejection and happiness. The findings from Study 3 and Study 4 showed that the BICE scale presented acceptable levels of concurrent and predictive validity.ConclusionsThe BICE scale is a rigorously developed parsimonious scale which offers researchers new opportunities for investigation and provides applied practitioners with a new method of evaluating in-competition intervention efficacies.     

Group Counseling and Group Psychotherapy with Rehabilitation Clients

An instrument designed to measure components of two distinct alcoholism aftercare treatments was developed and evaluated for reliability and validity. Trained judges reliably rated audiotaped samples of coping skills and interactional group therapy sessions. Coping skills groups engaged in significantly more education and skill training, problem solving, and role playing. Interactional groups showed more interpersonal learning, expression/exploration of feelings, and here-and-now focus. Groups that employed more education and skill training, less expression and exploration of feelings, and less her e-and-now focus were associated with fewer members reporting subsequent drinking-related problems. None of the ratings of group activities was related to abstinence.     

Validity and reliability of the Connor-Davidson Resilience Scale (CD-RISC) in competitive sport

ObjectiveThis study replicates and extends the work of Gucciardi, Jackson, Coulter, and Mallett (2011) in relation to the validity of the Connor-Davidson Resilience Scale (CD-RISC; Connor & Davidson, 2003) in sport. Three primary aims were explored: 1) Examine the factor structure and fit of three versions of the CD-RISC: the original 25-item CD-RISC, both as a 25-item five factor scale and as a 25-item unidimensional scale, and the 10-item CD-RISC-10; 2) examine gender invariance of the best fitting version of the CD-RISC; and 3) examine the validity of the best fitting CD-RISC by relating it to affect and performance anxiety in a sample of competitive American distance runners (N = 409).DesignCross-sectional.MethodsMultiple self-report questionnaires were delivered through an online medium.ResultsUsing confirmatory factor and item level analyses, the CD-RISC-10-item scale was psychometrically superior to the unidimensional 25-item and the five factor 25-item CD-RISC versions. The CD-RISC-10-item exhibited measurement invariance for gender, with significant configural, strong, and weak analyses. Using structure equation modeling, the CD-RISC-10-item scale moderately and positively correlated with positive affect and was inversely related to negative affect and performance anxiety, establishing convergent and divergent validity.ConclusionThe findings offer some initial psychometric evidence for the use of the CD-RISC-10 in sport performers.     

Do Better Trainees Make Worse Family Therapists? A Followup Study of Client Families

This study was designed to evaluate the effects of training on family therapy outcome and to validate measures of cognitive/perceptual and executive skills. Followup data on family satisfaction were obtained from 176 individuals (73 families) treated by 12 trainee family therapists in their first or second year of training. The prediction that clients' scores on a scale of family satisfaction with therapy (FSS) would increase with training was not confirmed. Instead, there was a tendency for FSS scores to decrease with training. However, trainees' ratings of outcome did increase significantly as training progressed. Cognitive/perceptual and executive skill measures were not validated by the FSS, but negative associations indicated a tendency for trainees with high course-skills to receive poor FSS scores. The results suggest that trainees became more confident as they acquired technical skills, but that they put aside their nonspecific therapist skills as training progressed, to the dissatisfaction of families.     

Defining the Assessment and Treatment Competencies to Deliver Low-Intensity Cognitive Behavior Therapy: A Multi-Center Validation Study

Despite the vastly increased dissemination of the low-intensity (LI) version of cognitive behavior therapy (CBT) for the treatment of anxiety and depression, no valid and reliable indices of the LI-CBT clinical competencies currently exist. This research therefore sought to develop and evaluate two measures: the low-intensity assessment competency scale (LIAC) and the low-intensity treatment competency scale (LITC). Inductive and deductive methods were used to construct the competency scales and detailed rating manuals were prepared. Two studies were then completed. The first study used a quantitative, fully-crossed design and the second a multi-center, quantitative longitudinal design. In study one, novice, qualified, and expert LI-CBT practitioners rated an LI-CBT assessment session (using the LIAC) and an LI-CBT treatment session (using the LITC). Study two used the LIAC and LITC across four training sites to analyze the competencies of LI-CBT practitioners over time, across raters, and in relation to the actor/patients’ feedback concerning helpfulness, the alliance, and willingness to return. Both the LIAC and LITC were found to be single factor scales with good internal, test-retest reliability and reasonable inter-rater reliability. Both measures were sensitive to measuring change in clinical competence. The LIAC had good concurrent, criterion, discriminant, and predictive validity, while the LITC had good concurrent, criterion, and predictive validity, but limited discriminant validity. A score of 18 accurately delineated a minimum level of competence in LI-CBT assessment and treatment practice, with incompetent practice associated with patient disengagement. These observational ratings scales can contribute to the clinical governance of the burgeoning use of LI-CBT interventions for anxiety and depression in routine services and also in the methods of controlled studies.     

Development of a Patient Adherence Scale for Exposure and Response Prevention Therapy

Exposure and response prevention (EX/RP) is an evidence-based treatment for obsessive-compulsive disorder (OCD). For EX/RP to be maximally effective, it is believed that patients must adhere outside of sessions to the procedures they learn in therapy. To date, there is no standard measure of patient EX/RP adherence, despite the importance of accurately assessing EX/RP adherence in both clinical research and practice. This paper describes the development of the Patient EX/RP Adherence Scale (PEAS), which assesses the patient's between-session adherence to the therapist's EX/RP instructions, and presents initial data on the scale's reliability and validity. The scale was designed to focus on the key procedures of EX/RP and to be brief enough to be used at each treatment session. The scale demonstrates excellent interrater reliability and good face and content validity. The usefulness of the scale is considered in the context of being an important tool to researchers trying to understand and improve outcomes of EX/RP for OCD as well as to EX/RP therapists in clinical practice. Future research will need to test the scale's reliability and validity in a larger sample of patients over the course of treatment.     

Serial Mediators of Memory Support Strategies Used With Cognitive Therapy for Depression: Improving Outcomes Through Patient Adherence and Treatment Skills

Patient memory for treatment is poor. Memory support strategies can be integrated within evidence-based psychological treatments to improve patient memory for treatment, and thereby enhance patient outcomes. The present study evaluated possible mechanisms of these memory support strategies. Specifically, we tested whether therapist use of memory support strategies indirectly predicts improved patient outcomes via serial improvements in (a) patient adherence throughout treatment and (b) patient utilization and competency of treatment skills. Adults with major depressive disorder (N = 178, mean age = 37.93, 63% female, 17% Hispanic or Latino) were randomized to Cognitive Therapy plus a Memory Support Intervention or Cognitive Therapy-as-usual. Because therapists from both treatment groups used memory support strategies, data from conditions were combined. Blind assessments of depression severity and overall impairment were conducted before treatment, immediately posttreatment (POST), at 6-month follow-up (6FU), and at 12-month follow-up (12FU). Patient adherence to treatment was rated by therapists and averaged across treatment sessions. Patients completed measures of treatment mechanisms—namely, utilization and competency in cognitive therapy skills—at POST, 6FU, and 12FU. Results of serial mediation models indicated that more therapist use of memory support predicted lower depression severity at POST, 6FU, and 12FU indirectly and sequentially through (a) increased patient adherence during treatment and (b) more utilization and competency of Cognitive Therapy skills at POST, 6FU, and 12FU. The same patterns were found for serial mediation models predicting lower overall impairment at POST, 6FU, and 12FU. Together, boosting memory for treatment may represent a promising means to enhance pantreatment mechanisms (i.e., adherence and treatment skills) as well as patient outcomes.     

Development and preliminary validation of a Chinese version of the Buss-Perry Aggression Questionnaire in a population of Hong Kong Chinese

I developed a Chinese version of the Aggression Questionnaire (Buss & Perry, 1992) by translating scale items into Chinese and subjecting them to standard validation procedures. I used confirmatory factor analysis via structural equation modeling to compare several measurement models. Models based on Buss and Perry's (1992) original four-factor (29-item) scale failed to replicate in the Chinese sample; however, the construct validity of Bryant and Smith's (2001) abridged version of the Aggression Questionnaire received strong overall support. The new 12-item scale demonstrated good fit to the data and adequate internal reliability. Evidence for criterion validity was provided by the scale's sensitivity to differing levels of aggression in males and females. Convergent and discriminant validity received partial support from the pattern of correlations with a measure of anger rumination. Linguistic and metric equivalence were supported by high correlation coefficients between scores on Chinese and English versions of the scale completed by bilingual Chinese on separate occasions. Consistent replications of these preliminary results across three independent samples suggest that the Chinese version of the Aggression Questionnaire may be useful for clinical assessment and cross-cultural research.     

Assessment of acquired capability for suicide in clinical practice

The Interpersonal Psychological Theory of suicide proposes that the interaction between Thwarted Belongingness, Perceived Burdensomeness, and Acquired Capability for Suicide (ACS) predicts proximal risk of death by suicide. Instruments to assess all three constructs are available. However, research on the validity of one of them, the acquired capability for suicide scale (ACSS), has been limited, especially in terms of its clinical relevance. This study aimed to explore the utility of the different versions of the ACSS in clinical assessment. Three versions of the scale were investigated, the full 20-item version, a 7-item version and a single item version representing self-perceived capability for suicide. In a sample of patients recruited from a clinic specialising in the treatment of suicidality and in a community sample, all versions of the ACSS were found to show reasonable levels of reliability and to correlate as expected with reports of suicidal ideation, self-harm, and attempted suicide. The item assessing self-perceived acquired capacity for suicide showed highest correlations with all levels of suicidal behaviour. However, no version of the ACSS on its own showed a capacity to indicate suicide attempts in the combined sample. It is concluded that the versions of the scale have construct validity, but their clinical utility is limited. An assessment using a single item on self-perceived ACS outperforms the full and shortened versions of ACSS in clinical settings and can be recommended with caution for clinicians interested in assessing this characteristic.     

Construct Validity of the Acquired Capability for Suicide Scale: Factor Structure,Convergent and Discriminant Validity

The Acquired Capability for Suicide Scale (ACSS) assesses one of three main constructs in the Interpersonal Theory of Suicide but evidence of its validity is limited. In two studies (Ns = 287 and 738) validity of the full 20-item ACSS and its shorter versions (ACSS-5, ACSS-8, ACSS-FAD) were examined in terms of factor structure and relation to indices of self-reported suicidal behaviour and self-harm. Confirmatory factor analysis (CFA) failed to show good fit for one-, two-, or three-factor models of the ACSS in its various versions. Exploratory factor analysis of the 20-item scale in the first study pointed instead to a five-factor structure and this was supported using CFA in the second study. In both studies all scale versions showed moderate negative correlations to fear of death and dying, indicating scale validity for the purpose of assessing fearlessness about death. In the second study, a model in which the five factors were indicators of a latent variable of Capability was found to predict a latent variable of Suicidality as indicated by suicidal behaviours, but the prediction was substantially enhanced by the addition of Item 20 to the model. This single item was also found in the first study to better predict suicidal and self-harming behaviour than the full ACSS or any of its short versions.     

The marital status inventory: Development of a measure of dissolution potential

Abstract

The development of a 14-item intensity scale measuring likelihood of marriage dissolution is described. The Marital Status Inventory (MSI) forms a Guttman-like scale. Preliminary discriminant validity data are presented for the self-report scale indicating that couples presenting with marital problems score significantly higher than couples seeking parent-child related therapy. The predictive validity of the scale remains to be demonstrated, but the MSI is reported for use by researchers and clinicians.     

Assessing negative cognitive style: Development and validation of a Short-Form version of the Cognitive Style Questionnaire

The Cognitive Style Questionnaire (CSQ) is a frequently employed measure of negative cognitive style, associated with vulnerability to anxiety and depression. However, the CSQ's length can limit its utility in research. We describe the development of a Short-Form version of the CSQ. After evaluation and modification of two pilot versions, the 8-item CSQ Short Form (CSQ-SF) was administered to a convenience sample of adults (N = 278). The CSQ-SF was found to have satisfactory internal reliability and test-retest reliability. It also exhibited construct validity by demonstrating predicted correlations with measures of depression and anxiety. Results suggest that the CSQ-SF is suitable for administration via the Internet.     

Assessing the Key to Effective Coaching in Parent–Child Interaction Therapy: The Therapist-Parent Interaction Coding System

This paper describes the initial evaluation of the Therapist-Parent Interaction Coding System (TPICS), a measure of in vivo therapist coaching for the evidence-based behavioral parent training intervention, parent–child interaction therapy (PCIT). Sixty-one video-recorded treatment sessions were coded with the TPICS to investigate (1) the variety of coaching techniques PCIT therapists use in the early stage of treatment, (2) whether parent skill-level guides a therapist’s coaching style and frequency, and (3) whether coaching mediates changes in parents’ skill levels from one session to the next. Results found that the TPICS captured a range of coaching techniques, and that parent skill-level prior to coaching did relate to therapists’ use of in vivo feedback. Therapists’ responsive coaching (e.g., praise to parents) was a partial mediator of change in parenting behavior from one session to the next for specific child-centered parenting skills; whereas directive coaching (e.g., modeling) did not relate to change. The TPICS demonstrates promise as a measure of coaching during PCIT with good reliability scores and initial evidence of construct validity.