Is there an optimal factor structure of the Positive and Negative Syndrome Scale in patients with first‐episode psychosis?

The Positive and Negative Syndrome Scale (PANSS) is the most widely used scale to assess a variety of symptoms in patients with schizophrenia and other psychoses. The factor structure of the PANSS has been examined with confirmatory factor analyses in several studies, but not in a well‐defined first‐episode psychosis sample. The aim of this paper is to examine the statistical fit of five different PANSS models in a first‐episode, non‐affective psychosis sample. Confirmatory factor analyses were performed on PANSS data (n = 588). A main criterion for best fit was defined as the Expected Cross Validation Index (ECVI). No tested model revealed an optimally satisfactory model fit index. The Wallwork/Fortgang five‐factor model demonstrated the most optimal psychometric properties. The corresponding subscales of all evaluated five‐factor models were strongly intercorrelated. The Wallwork/Fortgang five‐factor model was found to be statistically and clinically ideal among patients with first‐episode psychosis. Therefore, we recommend this model in forthcoming studies among patients with first‐episode psychosis. However, to prevent the loss of clinically valuable information on an item level, we do not recommend removing any items from the original form. Our study also implies that the specific choice of model will not have a substantial effect on outcome results in studies on the course and outcome in first‐episode psychosis.     

Everyday emotion word and personal pronoun use reflects dyadic adjustment among couples coping with breast cancer

Dyadic adjustment is integral for couples facing breast cancer; therefore, it is important to identify its everyday indicators. A total of 52 couples coping with breast cancer wore the Electronically Activated Recorder (EAR) for one weekend and completed the Dyadic Adjustment Scale to investigate how dyadic adjustment manifests in noncancer‐related word use. Multilevel models revealed that partners', rather than one's own, positive emotion words positively related to dyadic adjustment. Conversely, spouses' negative emotion words and patients' anger words were negatively related to dyadic adjustment. Furthermore, focus on spouses rather than patients (spouses “I” and patients “you”) positively related to dyadic adjustment. Results revealed that dyadic adjustment can be reflected in couples' everyday word use, serving as an objective indicator of marital quality.     

VIRTUES, SOCIAL ROLES, AND CONTEXTUALISM

Abstract: Contextualism in epistemology has been proposed both as a way to avoid skepticism and as an explanation for the variability found in our use of "knows." When we turn to contextualism to perform these two functions, we should ensure that the version we endorse is well suited for these tasks. I compare two versions of epistemic contextualism: attributor contextualism (from Keith DeRose) and methodological contextualism (from Michael Williams). I argue that methodological contextualism is superior both in its response to skepticism and in its mechanism for changing contexts. However, methodological contextualism still faces two challenges: explaining why we are solidly committed to some contexts, and explaining why knowledge within a context is valuable. I propose virtue contextualism as a useful extension of methodological contextualism, focusing on the way that our virtues depend on our social roles. My proposed virtue contextualism retains the benefits of methodological contextualism while explaining both our commitment to particular contexts and the value of knowledge held within those contexts.     

Gender‐of‐author differences in study design of older adult friendship surveys

This research extends literature documenting gender differences in choice of quantitative or qualitative methods by examining whether men and women make different decisions regarding study design within one type of quantitative method—survey research. The population consists of 117 surveys (1960–1999) of older adults about friendship. We find that the use of communal methods, especially by women scholars, increased over time, and researchers who are women are more likely to use “communal” survey methods than researchers who are men. The gender difference in use of communal methods is not necessarily explained by essential differences between men and women or even by gender differences in commitment to feminist research as previous scholars have argued; rather, it is possibly explained by structured differences in access to resources to do agentic research.     

Impaired Clergy: Applications of Ethical Principles

Impaired clergy present problems for themselves, for those whom they serve, and for the profession itself. An ethical decision-making model is described to assist professionals in clarifying ethical issues and deciding on an appropriate course of action.