A re-evaluation of the psychometric properties of the Basic Character Inventory

The aim of this study was to re-evaluate the psychometric properties of the Basic Character Inventory (BCI). In a rather large sample of 503 subjects (323 women and 180 men, 88 non-psychotic psychiatric inpatients and 415 non-patients) factor analysis resulted in three factors with personality traits almost identical with the BCI Oral, Obsessive and Hysterical scales. BCI seems to be a fruitful and reliable assessment instrument for personality traits and character types as outlined in psychoanalytic theory. However, some of the trait subscales ought to be scrutinized in future psychometric re-evaluative studies of BCI on new, large samples. Another factor analysis showed that the BCI Oral scale, together with all the ten subscales of the psychiatric Symptom Check-list 90 (SCL-90), loaded on the first factor, and the BCI Obsessive and Hysterical scales loaded on the second factor, but with different signs. Orality seems to be related to psychopathology.     

Character and defense: Relationships between Oral, Obsessive and Hysterical character traits and defense mechanisms

The relationship between the Basic Character inventory (BCI) and Kragh's Defense Mechanism Test (DMT) was investigated. BCI is an inventory, measuring Oral, Obsessive and Hysterical character patterns, while DMT is a projective technique, measuring defense mechanisms by means of tachistoscopic exposures of pictures. Thirty-three pregnant women participated in the study. The results showed that the Obsessive character pattern was significantly related to the defense mechanism of isolation, the Hysterical character pattern was significantly related to introjection of the opposite-self role, and marginally to repression. The Oral character pattern was significantly related to sensitivity to oral stimulus themes in the DMT. The relevance of the findings for the psychoanalytic theory of phase specificity in charcter development is discussed.     

The empirical relationships of the religious orientations to personality

The aim of this study was to investigate the relationships between the religious orientations and the psychoanalytic character types, as assessed by the Basic Character Inventory (BCI). A person with an intrinsic religious orientation is sincere and integrated in his religiousness. A person with an extrinsic religious orientation uses his religion to promote his personal, social and economic goals. A person with a quest religious orientation is seeking, doubting and changeable in his religiousness. In a sample of 471 subjects, 168 men and 303 women, the level of intrinsic religious orientation was not related to the BCI scores. The levels of extrinsic and quest religious orientations were positively related to the BCI Oral score. Since the oral persons are dependent and craving, it seems likely that they may be extrinsically oriented. And as they also may be insecure, vague and indecisive, it is not unexpected that they also are quest oriented. The changeable quest orientation was also positively related to the changeable BCI Hysterical character.     

员工职业倦怠、应对方式、生活满意度与心理健康的相关研究

目的：探讨职业倦怠、应对方式、生活满意度对心理健康水平的影响。方法：运用问卷调查法测量了南京市移动公司共132名员工（剔除无效后获得有效问卷113份）的职业倦怠、应对方式、生活满意度和心理健康水平。所用工具分别是职业倦怠问卷（MBI中文修订）,简易应对方式量表,生活满意度指数（LSIA）,症状自评量表（SCL-90）。结果：（1）职业倦怠三个维度与症状自评量表总分存在显著相关（0.655;0.502;0.365）。（2）简易应对方式量表中,积极应对方式与症状自评量表存在负相关（-0.134）,消极应对方式与症状自评量表存在显著正相关（0.460）。（3）职业倦怠量表的情感枯竭,讥诮态度和简易应对方式量表的消极应对方式对心理健康有一定的预测效应。（4）生活满意度指数与症状自评量表没有达到显著相关,且该指数对心理健康没有明显的预测作用。     

Comparison of Eleven Short Versions of the Symptom Checklist 90-Revised (SCL-90-R) for Use in the Assessment of General Psychopathology

Eleven short versions of the Symptom Checklist (SCL-90-R) assessing general psychopathology, containing 5 to 53 items, were compared on the basis of data from a sample of one hundred mothers of 0-to-6-year-old children referred for treatment at a Child Psychiatric Family Day Hospital in Münster, Germany. The SCL short versions were compared with regard to internal consistency, sensitivity and specificity, ability to distinguish between subjects by a new test index (PDTS), and association with indicators of validity (SCL-90-R Global Severity Index, BDI scores). All short versions showed almost equally high internal consistency, sensitivity and specificity, and high correlations with validity indices. The PDTS test index describes a ‘good’ ability of the original SCL-90-R to differentiate between subjects, a ‘moderate’ performance for the BSI, the HSCL-25 and the SCL-27, and a ‘poor’ performance of the very short forms—according to the standards of interpreting PDTS scores. The SCL-10S is recommended for screening purposes because this scale represented the best compromise between economy and accuracy. However, for other research and clinical purposes, the use of one of the longer short versions (BSI, HSCL-25, or SCL-27) is recommended because of their superior discriminative ability.     

Randomized controlled trial of yogic meditation techniques for patients with obsessive-compulsive disorder

The objective of this study was to compare efficacy of two meditation protocols for treating patients with obsessive-compulsive disorder (OCD). Patients were randomized to two groups-matched for sex, age, and medication status-and blinded to the comparison protocol. They were told the trial would last for 12 months, unless one protocol proved to be more efficacious. If so, groups would merge, and the group that received the less efficacious treatment would also be afforded 12 months of the more effective one. The study was conducted at Children's Hospital, San Diego, Calif. Patients were selected according to Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised (DSM-III-R) criteria and recruited by advertisements and referral. At baseline, Group 1 included 11 adults and 1 adolescent, and Group 2 included 10 adults. Group 1 employed a kundalini yoga meditation protocol and Group 2 employed the Relaxation Response plus Mindfulness Meditation technique. Baseline and 3-month interval testing was conducted using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Symptoms Checklist-90-Revised Obsessive Compulsive (SCL-90-R OC) and Global Severity Index (SCL-90-R GSI) scales, Profile of Moods scale (POMS), Perceived Stress Scale (PSS), and Purpose in Life (PIL) test. Seven adults in each group completed 3 months of therapy. At 3 months, Group 1 demonstrated greater improvements (Student's independent groups t-test) on the Y-BOCS, SCL-90-R OC and GSI scales, and POMS, and greater but nonsignificant improvements on the PSS and PIL test. An intent-to-treat analysis (Y-BOCS) for the baseline and 3-month tests showed that only Group 1 improved. Within-group statistics (Student's paired t-tests) showed that Group 1 significantly improved on all six scales, but Group 2 had no improvements. Groups were merged for an additional year using Group 1 techniques. At 15 months, the final group (N=11) improved 71%, 62%, 66%, 74%, 39%, and 23%, respectively, on the Y-BOCS, SCL-90-R OC, SCL-90-R GSI, POMS, PSS, and PIL; P<0.003 (analysis of variance). This study demonstrates that kundalini yoga techniques are effective in the treatment of OCD.     

Reducing teachers' psychological distress through a mindfulness training program

Teachers constitute one of the professional collectives most affected by psychological problems. The purpose of this quasi-experimental study is to examine the efficacy of a mindfulness training programme to reduce psychological distress in a group of teachers. The sample comprised 68 teachers of Secondary School Education, from various public schools; half of them formed the experimental group, and the another half the control group. The levels of psychological distress were measured, in both groups, by the Symptom Checklist-90-R (SCL-90-R) before and after the application of the programme. Statistical analysis shows the significant reduction of three general measures of psychological distress (Global Severity Index, Positive Symptom Distress Index, and Positive Symptom Total), as well in all its dimensions (somatization, obsessive-compulsive, interpersonal sensibility, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism), in the experimental group compared with the control group. Follow-up measures show that these results were maintained for four months after termination of the intervention in the experimental group.     

Suicidal behavior in chemically dependent adolescents

Among 250 adolescents in a short-term residential treatment program for chemical dependency, 20% had attempted suicide in the two years prior to admission. Females, however, were found to have a higher attempt rate than did males. Suicide attempters were compared with a group of 50 nonsuicidal adolescents from the same treatment program and 50 non-chemically dependent, nonsuicidal high school students. Each adolescent was administered the Symptom Checklist 90-Revised (SCL-90-R), and a biographical history was obtained. The suicidal group was found to be more psychologically distressed than were the other two groups. Post hoc analysis revealed that there were significant differences between the chemically dependent groups (suicidal, nonsuicidal) on the Global Severity Index of the SCL-90-R, as well as the following subscales: Somatization, Depression, Anxiety, and Phobic Anxiety. It was also found that the majority of suicidal gestures or attempts had gone untreated beyond medical management. It was found that only 28% of the suicide attempters had received crisis intervention or emergency room treatment, and only 27% had received some type of follow-up treatment or counseling. These results are discussed, particularly in regard to the issue of "covert suicide."     

A validation and short form of the Basic Character Inventory

The Basic Character Inventory (BCI) contains 136 items, 17 lower-order personality factors and three higher-order personality factors derived from psychoanalytic theory: Oral, Obsessive Compulsion, and Hysteria. Previous research that investigated the BCI's psychometric properties examined small, special populations and did not use modern statistical methods to validate the BCI. The present study validates the BCI via confirmatory factor analyses using a large sample of 6,285 Norwegian nursing and teaching students. Reliability, convergent validity, and divergent validity of the BCI were also assessed. Results indicated general support for the original BCI factor structure in a reduced form of the BCI that possesses strong reliability and validity, and is suitable for use in time-limited measurement settings.     

The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy

In the present study of 203 patients in psychodynamic group psychotherapy, we explore associations between patient and therapist global retrospective outcome evaluations (ROE), and pre-post-treatment changes on the Symptom Check List 90 Revised (SCL-90-R) and non-symptomatic focus of therapy. There were no significant associations between ROE, diagnoses and demographic variables, and pre-treatment SCL-90-R associations were negligible (less than 4% of overlapping variance). SCL-90-R subscale improvement expressed as residual gain score explained the overall largest percent of variance in both patients and therapists (44% and 25%, respectively) when compared with raw difference scores (32% and 18%), and percent reduction from baseline (34% and 23%). Moreover, ROE/end-state adjustment associations were substantial (42% and 24%). Therapists' evaluation of change showed the strongest association with improvement in non-symptomatic focus of therapy, while patients' evaluation had the strongest association with improvement in SCL-Depression. It is concluded that retrospective evaluations reflect changes related to treatment. However, unexplained variance may be independent of symptomatic state, and associated with personality factors or domains not captured by standard questionnaires.     

SCL-90-R symptom patterns for adolescent psychiatric inpatients

We collected Symptom Check List-90-Revised (SCL-90-R) symptom pattern and severity data from a sample of 486 adolescent psychiatric inpatients. Preliminary comparison of these data with previously published data for adolescent nonpatients suggested no meaningful differences in overall symptom severity, although the data suggested higher Positive Symptom Distress Index (PSDI) scores for inpatients, less severe somatization and psychoticism symptoms for inpatient males compared to nonpatient males, and more severe depressive symptoms for inpatient females compared to nonpatient females. Future studies should be directed toward further analyses of such data and the development of representative and generalizable adolescent inpatient norms for the SCL-90-R.     

抗震救灾官兵心理健康状况及相关因素分析

了解参加抗震救援官兵的心理健康状况及相关因素,为进行心理危机干预提供科学依据。方法 采用症状自评量表（SCL-90）、简易应对方式问卷（SCSQ）、艾森克人格问卷简式量表中国版（EPQ-RSC）及军事应激症状核查表（PCL-M）,对空军某部抗震救援官兵进行心理测评。结果 消极应对和PCL-M总分与SCL-90总分及各因子分呈正相关（p＜0.01）;积极应对方式与PCL-M总分、SCL-90总分及4项因子分呈低相关（p＜0.01）;不同气质类型PCL-M总分及SCL-90各项统计指标之间均有显著性差异（p＜0.01）。结论 气质类型与应对方式对心理健康状况有很大影响,个别官兵应及时给予心理疏导     

Personality,mental distress,and risk perception in subjects with multiple chemical sensitivity and toxic encephalopathy

Personality, mental distress, and risk perception were assessed in (a) cases of multiple chemical sensitivity (MCS; n = 17), (b) chemically intolerant toxic encephalopathy cases (TE), type 2A (n = 31) and 2B (n = 26), and (c) healthy referents (n = 200). MCS cases showed elevated mental distress scores on the Depression, Interpersonal Sensitivity, Global Severity Index, and Somatization scales in the Symptom Checklist 90 (SCL-90). In the Karolinska Scales of Personality (KSP) the MCS group showed an elevation only on the Psychasthenia scale. Both TE groups showed elevations across the KSP anxiety scales Muscular Tension, Psychasthenia, and Somatic Anxiety. TE type 2B subjects also showed elevations on the Irritability and Indirect Aggression scales. However, neither MCS nor TE groups showed deviating personality characteristics in the Meta Contrast Technique test. Similarly, none of the groups deviated from referents in a risk perception inventory.     

Measurement of depression in a military sample

Using the responses of 250 Navy health care providers, we considered the sensitivity and specificity of the SCL-90-R Depression subscale and the Global Severity Index in predicting mild, moderate, and severe depression in a deployed military sample. Using the 90th percentile norms to identify caseness for both measures, each performs with 100% certainty in ascertaining severe depression and with less certainty in pinpointing a nonevent (specificity). Results are further considered by sex.     

Cocaine use and post partum psychiatric symptoms.

The association of mental health symptoms with cocaine use was studied among post partum women. Gestational cocaine use was determined by confidential interview or urine assay. A structured Psychiatric Symptom Index was used to measure mental health symptoms. Among 155 women, 24 (15%) used cocaine. Cocaine-using women had less education, higher parity, less weight gain during pregnancy, and used more cigarettes, marijuana, and opiates in pregnancy than nonusers. High frequency of symptoms (standardized Psychiatric Symptom Index score greater than or equal to 20) was found in 71% of women for the Total Index score, 81% on depression, 61% on anxiety, 36% on cognitive disturbance, and 75% on anger. No differences in Psychiatric Symptom Index Total or factor scores were associated with cocaine use.     

Psychopathological correlates of contextualized images in dreams

A contextualized image is a powerful central image in a dream which provides a picture context for the dominant emotion of the dreamer. This study examined the psychopathological correlates of both dream and nightmare contextualized images in a community-based sample of 378. As predicted, mean nightmare contextualized image scores were significantly higher than mean dream scores. In addition, while dream contextualized images were unrelated to psychopathology, nightmare contextualized images were significantly associated with elevated scores on three SCL-90-R subscales and the General Symptom Distress Index.     

Psychological characteristics of elderly insomniacs

Sixty insomniacs, aged 60 years or over, fulfilling the DSM-IV criteria for primary insomnia, completed a set of questionnaires measuring psychological distress. These included the Sleep Impairment Index (SIM), the Symptom Check List 90-Revised (SCL-90-R), the Penn State Worry Questionnaire (PSWQ), the Toronto Alexithymia Scale-20 (TAS-20) and the Elders Life Stress Inventory (ELSI). The insomniacs were compared on these measures with two contrast groups, one of elderly good sleepers and one an elderly community sample. As norms were developed for the SCL-90-R and PSWQ, insomniacs were also contrasted with the norm groups on these measures. In general, the results indicated a higher level of psychological distress among insomniacs than among the good sleepers, while there were negligible differences between insomniacs and the community sample on most measures. Overall, elderly insomniacs scored higher on measures of worry compared with the other groups, followed by measures of somatization, obsessive-compulsion and depression. It is concluded that excessive worrying was the most characteristic feature of elderly insomniacs.     

五省部分地区农民工子女心理健康调查

目的：了解农民工子女的心理现状,以提高其心理健康水平。方法：本研究的被试采用《症状自评量表-SCL90》进行测试。结果：（1）农民工子女心理问题的发生率为18．73％,排在前四位的影响因子是：人际敏感、抑郁、焦虑和偏执。（2）农民工子女的人际敏感、抑郁、焦虑、偏执、强迫和精神病性6因子均分显著高于常模;女生的人际敏感、偏执、敌对、强迫和精神病性5因子均分显著高于男生;非独生子女的强迫、人际敏感、忧郁和精神病性4因子均分显著高于独生子女。（3）“留守子女”的抑郁、焦虑、偏执、强迫和精神病性5因子均分显著高于随父母进城的农民工子女。结论：农民工子女的心理健康总体水平不高,社会应给予高度关注。     

Six- and ten-item indexes of psychological distress based on the Symptom Checklist-90

Clinicians, provider organizations, and researchers need simple and valid measures to monitor mental health treatment outcomes. This article describes development of 6- and 10-item indexes of psychological distress based on the Symptom Checklist-90 (SCL-90). A review of eight factor-analytic studies identified SCL-90 items most indicative of overall distress. Convergent validity of two new indexes and the previously developed SCL-10 were compared in an archival sample of posttraumatic stress disorder patients (n = 323). One index, the SCL-6, was further validated with archival data on substance abuse patients (n = 3,014 and n = 316) and hospital staff (n = 542). The three brief indexes had similar convergent validity, correlating .87 to .97 with the SCL-90 and Brief Symptom Inventory, .49 to .76 with other symptom scales, and .46 to .73 with changes in other symptom measures over time. These results indicate the concise, easily administered indexes are valid indicators of psychological distress.     

Changes in Attitudes Toward Religion Among Those with Mental Illness

Despite the increased attention given to the religious experiences of those with mental illness, the specific nature of the changes in religious attitudes that occur within this population remain yet unknown. In this study, 406 individuals with persistent mental illness who attended one of 13 Los Angeles County Mental Health facilities completed a demographic questionnaire, an adapted version of the Religious Coping Index, and the Symptom Checklist 90-R. Over 54% of the participants reported a change in their religious beliefs such that their faith became stronger or weaker as a result, and 66% perceived these changes to be positive in nature. Qualitative codings suggest that a constructive or destructive use of religion and the quality of one's self-image and relationship with God are the primary themes underlying these changes. Those changes that were predominantly positive were associated with less severe symptomatology and more religious coping when compared to predominantly negative changes. These findings suggest that religious attitudes may be an ongoing and dynamic part of the experience of mental illness that should be considered in the treatment and research afforded by mental health professionals.