Factor structure and measurement invariance of the Brief Symptom Inventory (BSI-18) in cancer patients

Background/Objective: The purpose of this study was to assess psychometric properties of the Brief Symptom Inventory (BSI-18), evaluate the measurement invariance with respect to sex, age, and tumor location, and to analyze associations between social support and sociodemographic and clinical variables among individuals with resected, non-advanced cancer. Method: A confirmatory factor analysis was conducted to explore the dimensionality of the scale and test invariance across sex, age, and tumor localization in a prospective, multicenter cohort of 877 patients who completed the BSI-18 and Multidimensional Scale of Perceived Social Support (MSPSS). Results: The results show that 3-factor and 1-factor measurement models provided a good fit to the data; however, a three-factor, second-order model was deemed more appropriate and parsimonious in this population. Alpha coefficients ranged between .75 and .88. Test of measurement invariance showed strong invariance results for sex, age, and tumor location; strong invariance over time was likewise assumed. Less perceived social support appears to correlate with all BSI factors. Conclusions: The study confirmed the tridimensional structure of the BSI-18 and invariance across age, sex, and tumor localization. We recommend using this instrument to measure anxiety, depression, and somatization in epidemiological research and clinical practice.     

Power-mapping—I. Background and basic methodology

Clinical and community psychology have yet to work out the full implications of taking seriously the structuring by power of the individual's social environment. Even the factor of social class has received little more than superficial attention. Some suggestions are offered as to why this might be so, and a theoretical framework for understanding psychological distress strictly as the result of the operation of social power is developed. A simple technique of ‘mapping’ power is outlined as a means for furthering such an understanding. © 1997 John Wiley & Sons, Ltd.     

Economic deprivation,experiential deprivation and social loneliness in unemployed and employed youth

One hundred and forty‐eight youth were allocated to one of four occupational sub‐groups: 47 unemployed with no access to paid work; 32 unemployed with access to some paid work; 30 unemployed with access to regular paid work; and 39 full‐time employed. All participants were assessed for levels of Economic Deprivation, Experiential Deprivation, Social Loneliness and Psychological Distress. Results indicated that Economic Deprivation and Experiential Deprivation varied according to occupational status, with those full‐time employed having the least deprivation and those not attached to the work‐force experiencing the most. Levels of deprivation were related to levels of Psychological Distress. Social Loneliness also varied across the occupational groupings. The unemployed with access to regular paid work experienced the least Social Loneliness; the unemployed with no paid work experienced the most. Lastly, both Economic and Experiential Deprivation were able to predict Psychological Distress; only Experiential Deprivation was able to predict Social Loneliness. Results are discussed in the context of Jahoda's ( 1982 ) deprivation model and Weiss's ( 1973 , 1974 ) social loneliness model. Copyright © 2001 John Wiley & Sons, Ltd.     

Psychological Distress Reported by Patients Undergoing Limb Reconstruction Surgery: Implications for Psychological Interventions

Limb reconstruction is an orthopaedic surgical technique designed to restore or improve functioning and appearance. The aims of the present study were to investigate levels of psychological distress in adults undergoing limb reconstruction as a result of traumatic injury, to examine which variables could account for any variations in distress during and after treatment, and to ascertain the potential relevance of psychological interventions. A cross-sectional sample of patients completed measures of psychological distress, posttraumatic symptomatology, coping, social support, pain, and disability. Self-reported levels of psychological distress and posttraumatic symptoms were high but did not tend to vary across stage of treatment, suggesting that distress is not solely attributable to limb reconstruction treatment per se but to other factors. Both medical variables (pain and mobility) and psychological variables (symptoms of trauma and coping strategies) accounted for a significant percentage of the variance in HAD scores. These results suggest that both medical and psychological interventions have potential for reducing distress and increasing well-being in an orthopaedic population who are experiencing high levels of emotional distress.     

Relationships Among Conflict Management Styles,Levels of Conflict,and Reactions to Work

Abstract

Relationships among (a) conflict management styles, (b) levels of conflict, (c) two general reactions to work, and (d) four types of individual outcomes experienced by employees in the United States were assessed in two studies. In Study 1, subordinates using a high-obliging style with supervisors experienced more intrapersonal conflict, supervisors using a high-integrating style with subordinates reported more intrapersonal and intragroup conflict, and low-dominating supervisors reported significantly greater intragroup conflict. In Study 2, high-integrating subordinates experienced less intrapersonal, intragroup, and intergroup conflict than low-integrating subordinates did. The results of analyses also indicated that there was a strong relationship between integrating and all six organizational outcomes. Lower job satisfaction and fewer interpersonal rewards were associated with a high-dominating style. Both integrating and compromising were positively related to interpersonal outcomes, and dominating and avoiding were negatively related to interpersonal outcomes. Finally, the more conflict individuals experienced on the job, the lower their job satisfaction and their outcomes were.     

Relationships between mindfulness, self-control, and psychological functioning

The purpose of this study was to investigate whether dispositional mindfulness (the tendency to be mindful in general daily life) accounts for variance in psychological symptoms and wellbeing after accounting for the influence of dispositional self-control (the tendency to be self-disciplined, reliable, hardworking, etc.). A large sample of undergraduate students (N = 280) completed self-report measures of mindfulness, self control, psychological wellbeing, and general psychological distress (depression and anxiety, and stress). As expected, both mindfulness and self-control were positively correlated with wellbeing and negatively correlated with general distress. Mindfulness was found to account for significant variance in psychological wellbeing and general distress after accounting for self-control. In addition, mindfulness was a significant moderator of the relationship between self-control and psychological symptoms. Results show that although self-control predicts significant variance in psychological health, mindfulness predicts incremental variance, suggesting that a mindful approach to ongoing experience can contribute to mental health in persons who are highly self-disciplined and hardworking.     

Coping,mastery, stress appraisals,mental preparation,and unit cohesion predicting distress and performance: a longitudinal study of soldiers undertaking evacuation tasks

Abstract

The study aimed to assess the associations of psychological and military variables with distress and performance evaluation among 168 Israeli soldiers who took part in evacuating fellow Israeli civilians in the summer of 2005 during the disengagement from Gaza. Coping, mastery, stress appraisals, mental preparation, unit cohesion, and psychological distress were assessed at T1, one to two weeks before the disengagement. A sub-sample of 68 of the 168 soldiers completed the distress measure again at T2, eight to nine weeks after T1, together with performance evaluation of the disengagement task. The main findings indicated positive associations of T1 distress with high T1 emotion-focused coping, and negative associations with education and T1 mastery. Emotion-focused coping at T1 predicted low performance evaluation at T2, while mental preparation at T1 predicted high performance evaluation at T2. Stress appraisals at T1 were found to be an important mediator of the associations of T1 coping, mastery, unit cohesion, and mental preparation with T1 distress. Similar mediator results were found for T2 performance evaluation.     

Cognitive Schemas,Adversity, and Interpersonal Functioning: An Exploratory Study within Undergraduate Women

Healthy relationships are an important indicator of adjustment for survivors of psychological adversity. However, experiences of adversity and stress symptoms can impair the quality of relationships. This study explores the underlying cognitive mechanisms that contribute to intimacy and conflict styles in close relationships. Global maladaptive schemas (GMS) and relational health schemas were used in this investigation of 109 undergraduate women. Participants reported a range of adverse experiences and stress symptoms. The findings indicated that relational health schemas were positively associated with integrating and compromising conflict styles, which blend concern for self and close friends in conflict situations. Higher GMS were associated with withdrawal conflict style. Findings also indicated that perceptions of intimacy were predicted by low stress symptoms.     

Reliability and Factor Structure of the Psychological Maltreatment and Neglect Scales of the Computer Assisted Maltreatment Inventory (CAMI)

The primary objective of this study was to evaluate the psychometric properties of the Psychological Maltreatment (PM) and Neglect subscales of the Computer Assisted Maltreatment Inventory (CAMI; DiLillo et al., 2010 DiLillo, D., Hayes-Skelton, S. A., Fortier, M. A., Perry, A. R., Evans, S.Messman-Moore, T. L. 2010. Development and initial psychometric properties of the Computer Assisted Maltreatment Inventory (CAMI): A comprehensive self-report measure of child maltreatment history. Child Abuse and Neglect, 34: 305–317. [Crossref], [Web of Science ®] , [Google Scholar]). The CAMI is a retrospective self-report measure that assesses multiple forms of child maltreatment (i.e., sexual, physical, psychological, neglect, exposure to interparental violence) retrospectively from adults. The CAMI's PM and Neglect subscales were administered to a geographically diverse sample of 400 college students and a sample of 412 newlyweds. Exploratory factor analyses were conducted for each group separately by subscale. Represented in the PM factor structures were items that depict emotional responsiveness, terrorizing/spurning, demanding/rigid, corrupting, and isolating parental behaviors. The Neglect scale included items depicting basic needs, cleanliness, abandonment, monitoring and medical neglect factors. Revised versions of the CAMI PM and Neglect subscales based on the factor analysis are presented.