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Selected AbstractsAppraisal of Social Concerns: A cognitive assessment instrument for social phobiaDEPRESSION AND ANXIETY, Issue 4 2004Michael J. Telch Ph.D. Abstract The current study describes the validation of a new cognitive assessment measure for social phobia, entitled the Appraisal of Social Concerns (ASC). Item content is relevant to a range of social situations. The ASC can be used to tailor interventions to patients' idiosyncratic concerns. Data are presented from both clinical (n=71) and non-clinical (n=550) samples. Preliminary data indicate that the ASC has good internal consistency and test,retest reliability. The construct validity of the ASC is comparable to that of well-established measures in use with social phobics. A strength of the ASC is its sensitivity to the effect of treatment. An exploratory factor analysis yielded three factors tapping concerns about negative evaluation, observable symptoms, and social helplessness. Subscale scores were strongly correlated. Preliminary findings suggest that the ASC is a psychometrically sound, time efficient instrument that can be used for both clinical and research purposes. Depression and Anxiety 19:217,224, 2004. © 2004 Wiley-Liss, Inc. [source] Quality of life measurement in paediatric and adolescent populations with HIV: a review of the literatureCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 4 2009P. A. Garvie Abstract Purpose To review the quality and utility of currently available self-report generic quality of life (QOL) and health-related quality of life (HRQOL) measures for use with children and adolescents with human immunodeficiency virus and/or acquired immunodeficiency syndrome (HIV/AIDS). Methods Literature searches were conducted to identify QOL and HRQOL measures developed for, adapted for, or otherwise used with paediatric and adolescent populations with HIV/AIDS. The quality of measures (i.e. item generation techniques, instrument properties including reliability, validity and responsiveness) were compared and critically evaluated. Results Nineteen QOL/HRQOL measures were identified. Item content was generated from the respondent (adult) population in only eight (42%) measures. Seventeen (90%) measures reported internal reliability in the accepted range between 0.70 and 0.90 and four (21%) reported reproducibility statistics in this range. Although validity was reported for 19 (100%) measures, only six (32%) showed evidence for three or more properties, with construct validity being the most commonly reported aspect. The authors of eight (42%) measures reported evidence for responsiveness. Conclusions While almost all measures reviewed demonstrated adequate psychometric properties, only one-third demonstrated all aspects of validity, and less than half demonstrated responsiveness. None included paediatric or adolescent populations with HIV/AIDS in their development, neglecting to obtain input from target respondents in item generation to determine what health-related and daily functioning factors are of importance to them. Despite noted limitations, the AUQUEI or the SWED-QUAL appear the best currently available generic measure, and the MQOL-HIV the preferred disease-specific measure, at least for use with older adolescents/young adults. [source] Refining and validating the Social Interaction Anxiety Scale and the Social Phobia ScaleDEPRESSION AND ANXIETY, Issue 2 2009R. Nicholas Carleton M.A. Abstract Background: The Social Interaction Anxiety Scale and Social Phobia Scale6 are companion measures for assessing symptoms of social anxiety and social phobia. The scales have good reliability and validity across several samples,3, 6 however, exploratory and confirmatory factor analyses have yielded solutions comprising substantially different item content and factor structures. These discrepancies are likely the result of analyzing items from each scale separately or simultaneously. The current investigation sets out to assess items from those scales, both simultaneously and separately, using exploratory and confirmatory factor analyses in an effort to resolve the factor structure. Methods: Participants consisted of a clinical sample (n5353; 54% women) and an undergraduate sample (n5317; 75% women) who completed the Social Interaction Anxiety Scale and Social Phobia Scale, along with additional fear-related measures to assess convergent and discriminant validity. Results: A three-factor solution with a reduced set of items was found to be most stable, irrespective of whether the items from each scale are assessed together or separately. Items from the Social Interaction Anxiety Scale represented one factor, whereas items from the Social Phobia Scale represented two other factors. Conclusion: Initial support for scale and factor validity, along with implications and recommendations for future research, is provided. Depression and Anxiety, 2009. © 2009 Wiley-Liss, Inc. [source] A step toward DSM-V: cataloguing personality-related problems in living,EUROPEAN JOURNAL OF PERSONALITY, Issue 4 2005Robert R. McCrae Intractable problems with DSM-IV's Axis II mandate an entirely new approach to the diagnosis of personality-related pathology. The Five-Factor Model of personality provides a scientifically grounded basis for personality assessment, and Five-Factor Theory postulates that personality pathology is to be found in characteristic maladaptations that are shaped by both traits and environment. A four-step process of personality disorder (PD) diagnosis is proposed, in which clinicians assess personality, problems in living, clinical severity, and, optionally, PD patterns. We examine item content in five problem checklists to update the list of personality-related problems used in Step 2 of the four-step process. Problems were reliably assigned to relevant factors and facets, and a number of additions were made to an earlier catalogue. The four-step process can be used by clinicians, and may be incorporated in a future DSM. This article is a U.S. government publication and is in the public domain in the United States. [source] Attributed disability: a spot of local difficultyJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 1 2006George Peat PhD MCSP Abstract There has been an exponential growth of publications relating to the development and application of health measurement instruments. Condition-specific measures have formed a large part of this trend. This article questions the rationale behind the concept of condition-specific disability, a common domain in such measures, taking musculoskeletal medicine as an example. It argues that physical functions are seldom unique to a specific condition and that measurement specificity therefore relies on attributing functional consequences to the health condition of interest. The presence of multi-morbidity (musculoskeletal and non-musculoskeletal), and the influence of personal and environmental factors, pose problems for attribution that have seldom been empirically investigated. Furthermore, attributing disability to a specific health condition of interest potentially limits insights into important interventions such as managing co-morbid interactions and targeting barriers in the physical, social, and attitudinal environment. Efforts to identify regionally relevant item content and to measure participation in daily life are a step in the right direction. Attribution is not needed for either. [source] Multi-item outcome measures for lateral ligament injury of the ankle: a structured reviewJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 2 2004K.L. Haywood BSc(Hons) DPhil MCSP Abstract Objective, To identify and review evidence relating to the measurement properties of published multi-item outcome measures for the conservative management of lateral ligament injuries of the ankle. Methods, Systematic literature searches were used to identify measures, which were then assessed against pre-defined criteria relating to development, item content, reliability, validity and responsiveness. Results, Seven disease-specific measures of ankle status [Ankle Joint Functional Assessment Tool, Clinical Trauma Severity Score, Composite Inversion Injury Scale, Kaikkonen Functional Scale (KFS), Karlsson Ankle Function Score (KAFS), Olerud and Molander Ankle Score (OMAS), and the Point System] and two generic measures of health (McGill Pain Questionnaire, Sickness Impact Profile) met the review inclusion criteria. While all measures had been used in acute injuries, only two had also been applied during later stages of recovery (>6 months). The studies covered a comprehensive range of graded ligament injuries. Expert opinion dominated item generation for all measures. All measures lack evidence of test-retest or internal consistency reliability in patients with ankle sprain. Several measures were assessed for validity through comparison with other measures, but there was limited evidence of construct validity and no formal assessment of responsiveness for any measure. Conclusion, The disappointing lack of evidence for measurement properties suggests that any measure should be used with caution until appropriate evidence is provided. On the basis of limited evidence, the KFS offers the most promising approach to a combined clinician- and patient-assessment of ankle function, and the KAFS or OMAS if a patient-assessed evaluation of function is required. [source] SITUATIONAL JUDGMENT TESTS, RESPONSE INSTRUCTIONS, AND VALIDITY: A META-ANALYSISPERSONNEL PSYCHOLOGY, Issue 1 2007MICHAEL A. McDANIEL Situational judgment tests (SJTs) are personnel selection instruments that present job applicants with work-related situations and possible responses to the situations. There are typically 2 types of instructions: behavioral tendency and knowledge. Behavioral tendency instructions ask respondents to identify how they would likely behave in a given situation. Knowledge instructions ask respondents to evaluate the effectiveness of possible responses to a given situation. Results showed that response instructions influenced the constructs measured by the tests. Tests with knowledge instructions had higher correlations with cognitive ability. Tests with behavioral tendency instructions showed higher correlations with personality constructs. Results also showed that response instructions had little moderating effect on criterion-related validity. Supplemental analyses showed that the moderating effect of response instructions on construct validity was not due to systematic differences in item content. SJTs have incremental validity over cognitive ability, the Big 5, and over a composite of cognitive ability and the Big 5. [source] Change in psychological resources of younger and older cancer patients during chemotherapyPSYCHO-ONCOLOGY, Issue 7 2007Martin Pinquart Abstract Psychological resources were investigated in 150 recently diagnosed adult cancer patients and in 150 healthy control group members. Before the start of chemotherapy, cancer patients reported higher levels of optimism, purpose in life than their healthy peers, and self-esteem (only younger patients) whereas no between-group differences emerged for internal locus of control. However, the mobilization of psychological resources was limited to younger patients, and varied by item content. Over a 9-month period, most psychological resources of cancer patients showed a small but significant decline, and patients with higher illness-related stressors (e.g. stronger functional impairments, low perceived success of therapy) were more likely to decline in resources. We conclude that in line with cognitive adaptation theory cancer diagnosis leads to an initial mobilization of psychological resources in younger patients, but that over the course of therapy psychological resources decline to a level that would be expected in healthy adults. Copyright © 2006 John Wiley & Sons, Ltd. [source] Examination of the content of individualism/collectivism scales in cultural comparisons of the USA and JapanASIAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 3 2007Kenji Noguchi The definitions of individualism/collectivism and the content of scale items used to assess them could explain the lack of cross-cultural differences reported in some research. Specifically, existing scales may not adequately assess expected cultural differences. In study 1, a new scale was given in Japan and the USA. Three factors were identified in both cultures. Japanese scored higher on the others focus factor but scored lower on the helping others factor than the US Americans. In study 2, a forced choice version replicated results in study 1. In studies 3 and 4, the factor structure and cultural differences were replicated and the convergent and the divergent validities of the scale were examined. Results indicate that Japanese may be more others oriented depending on the item content. [source] |