A multigroup confirmatory factor analysis of the Patient Health Questionnaire-9 among English- and Spanish-speaking Latinas

Depression is a significant problem for ethnic minorities that remains understudied partly due to a lack of strong measures with established psychometric properties. One screening tool, the Patient Health Questionnaire-9 (PHQ-9), which was developed for use in primary care has also gained popularity in research settings. The reliability and validity of the PHQ-9 has been well established among predominantly Caucasian samples, in addition to many minority groups. However, there is little evidence regarding its utility among Hispanic Americans, a large and growing cultural group in the United States. In this study, we investigated the reliability and structural validity of the PHQ-9 in Hispanic American women. A community sample of 479 Latina women from southern California completed the PHQ-9 in their preferred language of English or Spanish. Cronbach's alphas suggested that there was good internal consistency for both the English- and Spanish-language versions. Structural validity was investigated using multigroup confirmatory factor analysis. Results support a similar one-factor structure with equivalent response patterns and variances among English- and Spanish-speaking Latinas. These results suggest that the PHQ-9 can be used with confidence in both English and Spanish versions to screen Latinas for depression.     

The reward probability index: design and validation of a scale measuring access to environmental reward

Behavioral models of depression implicate decreased response-contingent positive reinforcement (RCPR) as critical toward the development and maintenance of depression (Lewinsohn, 1974). Given the absence of a psychometrically sound self-report measure of RCPR, the Reward Probability Index (RPI) was developed to measure access to environmental reward and to approximate actual RCPR. In Study 1 (n = 269), exploratory factor analysis supported a 20-item two-factor model (Reward Probability, Environmental Suppressors) with strong internal consistency (α = .90). In Study 2 (n = 281), confirmatory factor analysis supported this two-factor structure and convergent validity was established through strong correlations between the RPI and measures of activity, avoidance, reinforcement, and depression (r = .65 to .81). Discriminant validity was supported via smaller correlations between the RPI and measures of social support and somatic anxiety (r = – .29 to – .40). Two-week test–retest reliability was strong (r = .69). In Study 3 (n = 33), controlling for depression symptoms, hierarchical regression supported the incremental validity of the RPI in predicting daily diary reports of environmental reward. The RPI represents a parsimonious, reliable, and valid measure that may facilitate understanding of the etiology of depression and its relationship to overt behaviors.     

Identifying correlates of self-stigma in adults who stutter: Further establishing the construct validity of the Self-Stigma of Stuttering Scale (4S)

PurposeThis study was set up to further establish the construct validity of the Self-Stigma of Stuttering Scale (4S) by demonstrating its associations with other established scales and replicating its original factor structure and reliability estimates.MethodWeb surveys were completed by 354 adults who stutter recruited from Board Certified Specialists in Fluency Disorders, and adult chapters of the National Stuttering Association. Participants completed a series of psychometrically validated scales measuring self-stigma, hope, empowerment, quality of life, social support, anxiety, depression, and self-rated speech disruption.ResultsHigher subscale and total stigma scores on the 4S were associated with significantly lower levels of hope, empowerment, quality of life, and social support, and significantly higher levels of anxiety, depression, and self-rated speech disruption. The original factor structure of the 4S was replicated, and reliability estimates of the subscales ranged from adequate to excellent.ConclusionsThe findings of this study support the construct validity of the 4S and its use by clinicians and researchers intending to measure the construct of self-stigma in adults who stutter.Educational objectives: Readers should be able to: (a) distinguish between the various components of self-stigma; (b) describe how the various components of the self-stigma model relate to hope, empowerment, quality of life, and social support, self-rated speech disruption, anxiety, and depression; (c) summarize the psychometric properties of the Self-Stigma of Stuttering Scale (4S) in terms of reliability, factor structure, and construct validity; (d) discuss how the 4S could be used in research and clinical practice.     

A short and very short form of the physical self-inventory for adolescents: Development and factor validity

ObjectivesThe Physical Self-Inventory (PSI)—a French adaptation of the Fox and Corbin's [1989. The Physical Self-Perception Profile: Development and preliminary validation. Journal of Sport and Exercise Psychology, 11, 408–430] Physical Self-Perception Profile—was originally developed for use with adults and no study has systematically verified its psychometric properties in adolescent populations. Additionally, this instrument remains too long to be efficiently completed in combination with multiple other instruments within extensive longitudinal or idiographic studies. The purpose of the present investigation was thus threefold: (a) testing the factor validity and reliability of the original PSI in a sample of adolescents; (b) developing and testing the factor validity and reliability of a very short (i.e., two items per scale) form of the PSI in a sample of adolescents; and (c) testing the equivalence of the factor pattern, structural parameters, latent mean structure, and criterion-related validity of both forms of the PSI.DesignStructural equation modeling approach.MethodTwo samples participated in this series of studies. In Study 1, a sample of 1018 adolescents completed the adult PSI (25 items) and was randomly split in two sub-samples. In Study 2, a new sample of 320 adolescents completed a very short form of the PSI (PSI-VSF). Factorial validity and gender and multigroup invariance of these instruments (PSI, PSI-VSF) were tested using confirmatory factorial analysis (CFA) and structural equation modeling (SEM).ResultsIn Study 1, CFA and SEM analyses provided evidence for the factor validity and reliability of a short (PSI-SF: 18 items) and very short (PSI-VSF: 12 items) form of the PSI for adolescents. In Study 2, CFAs and SEMs supported the equivalence of the factor pattern, structural parameters, latent mean structure, and criterion-related validity of both forms of the PSI (i.e., PSI-SF, PSI-VSF).ConclusionThe present results thus provide preliminary evidence regarding the reliability and validity of a short and a very short form of the PSI for French adolescents.     

Assessment of dispositional forgiveness in adolescence: a contribution to the Italian validation of the Forgiveness Likelihood Scale

ABSTRACT

The current study investigated the factor structure, factorial invariance, and reliability of the Italian version of the Forgiveness Likelihood Scale (FLS) among 604 adolescents in Italy (217 boys and 387 girls) with a mean age of 16.6 years (SD?=?1.3). The FLS is a 10-item Likert-type scale created to assess the predisposition to forgive across situations. The sample was randomly split into two subsamples to investigate the FLS structure. Results indicated a unidimensional structure, and factorial invariance was found for the factor solution across gender. Scale reliability was adequate, revealing appropriate internal consistency (α?=?.75). Evidence for convergent validity was also found. The results suggested that the Italian version of the FLS can be reliably used to measure forgiveness among Italian adolescents. Practice implications and future research directions are discussed.     

A psychometric evaluation of the Icelandic version of the WHO‐5

The psychometric properties of the Icelandic version of the World Health Organization five wellbeing index (WHO‐5) were evaluated using two samples, a randomly selected sample (N = 3,896) from the Icelandic National Registry and a convenience sample of primary care patients (N = 126). The factor structure of the scale was tested with confirmatory factor analysis (CFA). The correlation between the WHO‐5 and other measures of depression and anxiety were calculated to assess the scale's convergent and divergent validity. The discriminant validity of the WHO‐5 was explored with a receiver operating analysis compared to the Mini International Neuropsychiatric Interview. The CFA indicated that the factor structure of the WHO‐5 was one‐dimensional and factorial invariant between groups. The internal reliability of the WHO‐5 was adequate and the convergent, divergent and discriminant validity of the WHO‐5 was supported. It is concluded that the psychometric properties of the Icelandic version of the WHO‐5 are satisfactory.     

Evaluation of the psychometric properties of a modified Positive and Negative Affect Schedule including a direction scale (PANAS-D) among French athletes

ObjectivesThe goal of these studies was to provide validity and reliability evidence of a modified Positive and Negative Affect Schedule (PANAS) including a direction scale (PANAS-D). Study 1 tested the validity and reliability of the PANAS-D to measure both intensity and direction of affects. Study 2 examined the relationships between direction of affects and selected variables (i.e., coping, attainment of achievement goals and sport satisfaction) by controlling for intensity of affects.MethodA total of 306 and 296 athletes (studies 1 and 2) completed the PANAS-D and other self-report questionnaires. Data were analysed with reliability, confirmatory factor analyses (study 1) and correlational analyses (studies 1 and 2).DesignCross-sectional with self-reported questionnaires.ResultsIn study 1, the 4-factor structure of the PANAS-D (intensity and direction of positive affect and negative affect) fitted the data adequately. Multiple-group CFAs showed that PANAS-D was partially invariant across the two measurement occasions (before and after competition). The patterns of relationships between PANAS-D, attainment of achievement goals and coping provided evidence for the criterion-related validity of the PANAS-D. In study 2, direction of positive affect and negative affect were associated with selected outcomes (i.e., coping, attainment of sport achievement goals, and/or sport satisfaction) after intensity of these affective states were held constant.ConclusionsThis study provided support for the reliability and validity of the PANAS-D (study 1) and the incremental validity of the direction of affective states (study 2), supporting the distinction between athletes' intensity and direction of affective states.     

Depression Following Traumatic Brain Injury: The Validity of the CES-D as a Brief Screening Device

The validity, reliability, and factor structure of the Center for Epidemiological Studies-Depression Scale (CES-D) was examined with 253 patients seen for neuropsychological evaluation following traumatic brain injury (TBI). All patients completed the CES-D; 31 also completed the Beck Depression Inventory (BDI) and 17 completed the Minnesota Multiphasic Personality Inventory-II (MMPI-II). The CES-D demonstrated good concurrent, construct validity, significantly correlating with the BDI (r = .673, p < .0001) and the MMPI-II (Depression Scale T score r = .536, p = .027). The CES-D also demonstrated good internal consistency (coefficient alpha = .8195) and split-half reliability (Spearman–Brown r = .8284). Principal components factor analysis with varimax rotation resulted in a four-factor solution that accounted for 56.01% of the variance. The factor structure differed from the originally reported factor structure, and indicated that somatic difficulties were strongly associated with dysphoric affect in TBI patients. The CES-D is a valid and reliable screening instrument for use with TBI patients.     

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.     

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.     

Development of the Japanese Version of the Generic Conspiracist Beliefs Scale (GCBS-J)

Generic conspiracist belief refers to the general tendency toward conspiracist ideation independent of specific event-based conspiracy theories. The present research aimed to develop a Japanese version of the Generic Conspiracist Beliefs Scale (GCBS-J). In two studies, we examined the factor structure, reliability, and convergent and discriminant validity of the GCBS-J. In Study 1 (N = 600), exploratory factor analysis with a split-half subsample proposed a two-factor solution dissociating extraterrestrial conspiracy from other conspiracist ideations. Subsequent confirmatory factor analysis with the other split-half subsample confirmed the two-factor structure. Study 1 also established convergent validity by indicating strong positive correlations with other measures of conspiracist belief. Study 2 (N = 178) added further evidence to indicate a positive correlation with related psychological constructs, such as paranormal beliefs. Study 2 also confirmed temporal test–retest reliability and the discriminant validity of the GCBS-J by indicating no association with an unrelated construct, namely Big-Five personality traits. These findings suggest that the GCBS-J is a useful tool for assessing generic conspiracist beliefs within Japanese samples.     

Validation of the Behavioral Activation for Depression Scale (BADS) in a Community Sample with Elevated Depressive Symptoms

The Behavioral Activation for Depression Scale (BADS) was previously developed to measure changes in avoidance and activation over the course of Behavioral Activation for depression. Initial scale development, definition of the factor structure and confirmation of the factor structure was performed with a non-depressed undergraduate sample. These prior results revealed four factors (Activation, Avoidance/Rumination, Work/School Impairment, and Social Impairment) with good factor structure, internal consistency, and test–retest reliability. The purpose of the current study was to evaluate the psychometric properties, factor structure and construct validity of the BADS with a community sample with elevated depressive symptoms (N = 193). Results indicated good psychometric properties, additional evidence for construct validity of the total scale and subscales, and adequate fit of the data to the original factor structure. Normative data are also provided separately for depressed men and women, and for Caucasians and African Americans.     

THE TOTALITARIAN STATE OF MIND

The paper describes the development of Dynamic Interpersonal Therapy for use with complex depression (DITCC), and a pilot study testing DITCC’s effectiveness. The pilot found large pre-post improvements in well-being and distress; moderate rates of reliable improvement and clinically significant change; and curvilinear declines in depression and anxiety. Treatment completers and near-completers (N= 19) showed a significant curvilinear decline in symptoms of depression (PHQ-9) and anxiety (GAD-7). The results provide preliminary evidence that DITCC can be used as an effective treatment approach for complex depression. However, further research is needed to test its effectiveness in different settings with a larger sample size, using appropriate comparison groups under controlled conditions to further elaborate the short-term and long-term effects.     

L’évaluation du risque et des besoins criminogènes à la lumière des données probantes : une étude de validation de la version française de l’inventaire de niveau de service et de gestion des cas – LS/CMI

IntroductionInstruments of the LS family are among the world's most widely used risk assessment instruments.ObjectiveThis study is testing the psychometric properties of the French version of the Level of Service/Case Management Inventory (LS/CMI; Andrews, Bonta, & Wormith, 2004).MethodReliability and predictive validity of the scales, as well as the total scale are tested on a sample of 3682 offenders (301 women and 3381 men) serving a sentence of less than two years.ResultsResults indicate psychometric properties consistent with the English version. Internal consistency, exploratory factor analysis, and predictive validity are good.ConclusionThe current French version of the LS/CMI is a reliable and valid instrument to assess risk for recidivism, and is a solid foundation to support correctional treatment implementation.     

Validation of a reflective thinking instrument for third-year undergraduate nursing students participating in high-fidelity simulation

Background: nursing students are required to think reflectively in both real and simulated clinical practice. Although the Reflective Thinking instrument is reliable in its measurement of reflective thinking, its validity is unknown. Method: confirmatory factor analysis was undertaken in an iterative manner within a non-equivalent control-group study to measure nursing students’ reflective thinking and satisfaction with high-fidelity simulation. The validity and reliability of the Reflective Thinking instrument was tested. Results: the resulting instrument consisted of 15 items across four factors. The final model was plausible as it demonstrated ‘goodness of fit’; however, it had neither convergent or discriminatory validity, nor reliability. Internal consistency was fair to reasonable for the four subscales. Conclusion: the testing of the Reflective Thinking instrument using confirmatory factor analysis is a vital initial step in the modification of this instrument. Further development using exploratory factor analysis will enhance the instrument’s relevance within high-fidelity simulation.     

A practice-based exploration of therapeutic change in a charitable,community-based person-centred counselling service using routine outcome measures of anxiety and depression. I: Statistical and clinically significant change

Background

Establishing the value of differing treatments for depression and anxiety is crucial in a climate of delimited spending and increased demand. Drawing from a well-founded, diverse evidence base is salient to constructive evaluation and any subsequent recommendations being fit for purpose.

Design

This study employed a practice-based quantitative design to explore therapeutic gains in adult counselling clients attending person-centred therapy (n = 301), delivered in a charitable, community-based UK service.

Measures

Outcome measures PHQ-9 and GAD-7 were used from three time points: initial assessment (IA), first ongoing session and last or 6th ongoing appointment (whichever occurred first; T1, T2 and T3).

Analysis

Repeated measures ANOVA, CSI, RI and RCSI calculations were used to consider significant change in clients.

Findings

Reductions in PHQ-9 and GAD-7 outcome measures were observed over time (between T2 & T3 and T1 & T3) and were all statistically significant (p = <0.001). By T3: CSI was achieved by 48.1% of clients on PHQ-9 and 50.8% of clients on GAD-7, RI was achieved by 47.8% of clients on PHQ-9 and 60.5% of clients on GAD-7, and RCSI was achieved by 32.6% of clients on PHQ-9 and 41.2% of clients on GAD-7.

Conclusions

The treatment observed resulted in effective outcomes equivalent to other therapies reviewed in the literature for clients' symptoms of anxiety and depression as measured by GAD-7 and PHQ-9.     

Psychometric Properties of the Persian Version of Spiritual Well-Being Scale in Patients with Acute Myocardial Infarction

The purpose of this study was to assess the psychometric properties of the Persian version of Spiritual Well-Being Scale (SWBS) in patients with acute myocardial infarction. A multisite, cross-sectional survey was employed to determine the instrument’s reliability (Cronbach’s α and construct reliability) and validity (face, content, and construct). Using systematic sampling of adult outpatients at primary care clinic sites in the Qazvin City, Iran (N = 300), it was found that the Cronbach’s alpha and construct reliability of both factors associated with the SWBS were above 0.7. The construct validity of the scale was determined using exploratory factor analysis. The findings supported two factors: relation with God and relation with life. Further investigation through confirmatory factor analysis (eigenvalues of greater than one) confirmed a third factor construct associated with the SWBS. A total of 50.65 % of the variance were explained by these three factors. The overall findings of the study demonstrated that the SWBS is a valid and reliable instrument that has potential utility in future research and clinical practice settings.     

Self-Rating of religiosity (SRR) in Iran: validity,reliability, and associations with the Big Five

ABSTRACT

The present research aimed to examine the psychometric properties of the Self-Rating of Religiosity (SRR) in Iran. In addition, the associations between the Persian version of this single-item measure of religiosity and the Big Five personality dimensions were investigated. Study 1 (n?=?51) suggested that the Persian translation of the SRR had adequate test-retest reliability over a three-week period. Study 2 (n?=?228) provided evidence for good convergent validity of the SRR, indexed by strong positive associations with scores on the Duke University Religion Index (DUREL). The Big Five dimensions of personality were measured using the Ten-Item Personality Inventory (TIPI). Moreover, the scores on the SRR were positively associated with Agreeableness (r?=?.23, p?<?.01) and Conscientiousness (r?=?.16, p?<?.05), while negatively associated with Openness to Experience (r?=??.25, p?<?.01). These findings are in line with cross-cultural findings on personality correlates of intrinsic religiosity. Limitations and future directions are discussed.