Exploratory structural equation modeling,bifactor models,and standard confirmatory factor analysis models: Application to the BASC-2 Behavioral and Emotional Screening System Teacher Form

Several psychological assessment instruments are based on the assumption of a general construct that is composed of multiple interrelated domains. Standard confirmatory factor analysis is often not well suited for examining the factor structure of such scales. This study used data from 1885 elementary school students (mean age = 8.77 years, SD = 1.47 years) to examine the factor structure of the Behavioral Assessment System for Children, Second Edition (BASC-2) Behavioral and Emotional Screening System (BESS) Teacher Form that was designed to assess general risk for emotional/behavioral difficulty among children. The modeling sequence included the relatively new exploratory structural equation modeling (ESEM) approach and bifactor models in addition to more standard techniques. Findings revealed that the factor structure of the BASC-2 BESS Teacher Form is multidimensional. Both ESEM and bifactor models showed good fit to the data. Bifactor models were preferred on conceptual grounds. Findings illuminate the hypothesis-generating power of ESEM and suggest that it might not be optimal for instruments designed to assess a predominant general factor underlying the data.     

Chaplaincy,Cancer, Aged Care and COVID-19

Journal of Religion and Health - Four key topics are explored in this second issue of the Journal of Religion and Health for 2022. Following a condemnation of the Russian invasion of Ukraine, (1)...     

The Abbreviated Dimensions of Temperament Survey: Factor Structure and Construct Validity Across Three Racial/Ethnic Groups

The factor structure, reliability, and construct validity of an abbreviated version of the Revised Dimensions of Temperament Survey (DOTS–R) were evaluated across Black, Hispanic, and White early adolescents. Primary caregivers reported on 5 dimensions of temperament for 4,701 children. Five temperament dimensions were identified via maximum likelihood exploratory factor analysis and were labeled flexibility, general activity level, positive mood, task orientation, and sleep rhythmicity. Multigroup mean and covariance structures analysis provided partial support for strong factorial invariance across these racial/ethnic groups. Mean level comparisons indicated that relative to Hispanics and Blacks, Whites had higher flexibility, greater sleep regularity, and lower activity. They also reported higher positive mood than Blacks. Blacks, relative to Hispanics, had higher flexibility and lower sleep regularity. Construct validity was supported as the 5 temperament dimensions were significantly correlated with externalizing problems and socioemotional competence. This abbreviated version of the DOTS–R could be used across racial/ethnic groups of early adolescents to assess significant dimensions of temperament risk that are associated with mental health and competent (healthy) functioning.     

The Role of Deviant Lifestyles on Violent Victimization in Multiple Contexts

Little research utilizing lifestyles theory (Hindelang, Gottfredson, and Garofalo 1978) has examined the role that deviant lifestyles have on the likelihood of witnessing violence among ethnic-minority youth across various contexts. Therefore, we examined the effects of indicators of a deviant lifestyle (delinquent behavior and deviant peers) on exposure to both direct and indirect forms of violence across three contexts (home, school, and community) among 233 11th graders. Findings indicated that the effects of deviant lifestyle indicators on violence vary by context. Results suggest that lifestyles theory may be applicable for predicting the likelihood of witnessing violence among minority youth across contexts.     

Patients’ expectations for the functional and psychosocial outcomes of orbital decompression surgery for thyroid eye disease: a qualitative study

Patients with appearance-altering conditions may be dissatisfied with the outcomes of reconstructive surgery due to unmet expectations. This study explored patients’ expectations of orbital decompression surgery for thyroid eye disease (TED) and whether these were met. Semi-structured interviews were conducted at two times: (1) in the weeks after patients were listed for decompression surgery and before surgery; (2) up to 12 months after surgery. Thematic analysis was performed for each time point, to identify themes within the data. Fourteen adults with TED were interviewed prior to surgery and five were followed up after surgery. Thematic analyses found: (1) Prior to surgery, patients had formed expectations through online information about the procedure, consultations with physicians, the impact TED had on their lives, and speaking to relevant others. Patients had specific expectations about the procedure, the recovery, post-operative appearance and post-operative vision. (2) After surgery, patients generally felt their appearance and well-being had improved. However, dissatisfaction was linked to unanticipated specific aspects of surgical care, recovery, or appearance. Dissatisfaction can arise from unmet expectations for the outcomes of reconstructive surgery. Physicians should be aware of the processes by which patients form expectations, for example different types and quality of online information. Ensuring that preoperative expectations are realistic could enhance satisfaction after surgery.     

Co-occurring delinquency and depressive symptoms of adolescent boys and girls: a dual trajectory modeling approach

Co-occurring trajectories of delinquent behavior and depressive symptoms and their correlates were examined in a longitudinal sample of 985 middle-adolescent boys and girls (mean age = 15.54 years at Time 1). Dual trajectory analysis was used to identify the co-occurring trajectories. For boys (n = 472), 4 delinquency and 4 depression trajectory groups were found. For girls (n = 513), 3 delinquency and 3 depression trajectory groups were identified. The linkage between co-occurring trajectories was higher for girls than for boys. Stressful life events and childhood precursors of the outcomes predicted trajectory group membership for both genders fairly consistently. Findings suggest heterogeneity in developmental courses of delinquent behavior and depressive symptoms across adolescent boys and girls.     

A critical evaluation of coercive persuasion as used in the assessment of cults

An intense controversy regarding new and unpopular religious movements, or cults, continues to involve professionals at the juncture of psychiatry, religion, and the law. As the cults come under increasingly critical scrutiny, the concept most often used for assessing them is that of coercive persuasion. Briefly, such persuasion is seen as a means of psychological manipulation that leaves individuals without the normal control of their own minds. Considering recent pertinent cases and literature, the authors find major weaknesses in this theory. When applied it proves elastic, and it is regularly identified in cults for conduct that, on close examination, is similar to that of established religious groups. The concept of coercive persuasion as a means of thought control fails to pass scientific muster, and it serves poorly as a means of evaluating the connection between alleged harm and the cults. Instead, the authors suggest that a search for an alternative theory might well begin with one based on the individual as competent or not to make a choice regarding religion.     

The Care of the Ultra-Orthodox Jewish Patient

The Ultra-Orthodox Jewish community embraces a system of values and a rigorous behavioral code that are deeply rooted in religious tradition and history. Here we describe some of the unique challenges that stem from the encounter between modern medical practice and the Ultra-Orthodox world. Through examples of clinical and ethical scenarios ranging from prenatal care to end-of-life decisions, we illustrate problems related to observance of age-old practices in a modern hospital setting, balancing acceptance of Divine will with standard risk assessment, reconciliation of patient autonomy with deference to rabbinic authority and fear of stigma associated with mental illness in a traditional society. We also offer a generalizable model where inquiry precedes pre-formulated judgment to help clinicians provide enhanced care for this population.