Assessing suicide risk with the Clinical Interview for Psychotic Disorders (CIPD): Preliminary reliability and validity of the Suicide Risk Scale for Psychosis (SRS-P)

2017 ◽  
Vol 41 (S1) ◽  
pp. S188-S189
Author(s):  
M.J. Martins ◽  
P. Castilho ◽  
C. Carvalho ◽  
T. Pereira ◽  
J. Gonçalves ◽  
...  

BackgroundSuicide risk is an important variable to consider both in assessment and throughout the therapeutic process in psychotic disorders. The SRS-P is an 18-item scale computed from the patient and clinician-rated scores obtained in the CIPD. The scale comprises lifetime assessment of depressed mood, anhedonia and its current interference and severity, current and past feelings of hopelessness, suicidal ideation, ‘voices’ about suicide, and suicide-related behaviors.AimsTo assess reliability and convergent validity of the SRS-P in a sample of participants with psychosis.MethodsThe sample comprised 22 participants (68.2% male), single (72.7%), between 19 and 47 years old (M = 31.05; SD = 7.088), with 4–17 years of education (M = 11.77; SD = 3.176), employed (50%). The most prevalent diagnosis was schizophrenia (68.2%) and the participants had a mean of 1.90 hospitalizations (SD = 2.548). The mean age of illness onset was 23.57 years (SD = 5.555). The participants were assessed with the CIPD, Depression, Anxiety and Stress Scales-21, Forms of Self-Criticism and Reassurance Scale, Self-Compassion Scale, Other as Shamer Scale and the Empowerment with Psychotic Symptoms Scales.ResultsThe SRS-P has shown good reliability (α = .87) and validity in relation to depressive symptoms (r = .67; P = .001), anxiety (r = .74; P < .001), stress (r = .59; P = .004), inadequate self (r = .43; P = .046), hated self (r = .54; P = .009), reassured self (r = –.65; P = .001), self-compassion (r = –.63; P = .002), shame (r = .46; P = .033) and empowerment regarding positive symptoms (r = –.54; P = .015).ConclusionsThe SRS-P presented adequate reliability and convergent-divergent validity. Further studies are planned in order to test the factorial structure of the scale and confirm the presented results in a larger sample.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Author(s):  
ALIAA Khaja ◽  
Owayed AL-Mutairi ◽  
abdulaziz Alkhudair ◽  
Awdhah Abdulkarim

Abstract Background The Harris Hip Score (HHS) is a widely used Patient-Related Outcomes score. It measures pain and function levels in patients with hip pathologies. Objectives The main objective of this study is to translate and culturally adapt the HHS into Arabic, and to further assess the reliability and validity of translated version Material & Methods 110 patients participated in this survey. The internal consistency tests were performed using Cronbach’s alpha. Test-retest reliability (intra-correlation coefficient), convergent construct validity, convergent validity, floor & ceiling effects and responsiveness was also calculated. In order to measure the level of agreement, Bland-Altman Plot, forest Plots are performed. Results Test reliability for the first testing situation - calculated using Cronbach's alpha - was 0.98 for the pain subscale, 0.98 for the stiffness, and 0.99 for the physical function subscale. For the second testing, reliability was 0.99, 0.97, and 0.99 (pain, stiffness, and physical function, respectively). This only proves that WOMAC is an instrument with good reliability. Same calculation of Cronbach’s alpha was essential to testing the reliability of the Harris Hip Score. For each of the three testing occasions the reliability was very good or excellent – α 1 = 0.92, α 2 = 0.91, and α 3 = 0.90. Intra-class correlation coefficient was good with the score of 0.76 (95% CI 0.44-0.88). Conclusion Overall, Arabic version of HOOS could be used as diagnostic tool for patients with hip problems, when it comes to information about the overall condition of the patient, especially about the improvement or deterioration, however, it is important to be cautious using HHS when the change magnitude of patient’s condition is investigated, since there is a potential probability that the level of improvement of the patient’s condition will be overestimated by HHS.


1998 ◽  
Vol 15 (3) ◽  
pp. 187-193 ◽  
Author(s):  
Kay Wilson ◽  
Eleonora Gullone ◽  
Simon Moss

This study investigated the psychometric properties of the revised Positive and Negative Affect Schedule for Children (PANAS-C; Joiner, Catanzaro & Laurent, 1996) in 228 nonclinical children and adolescents aged between 8 and 15 years. The results revealed that the PANAS-C possesses high internal consistency and encouraging convergent validity, as demonstrated by correlations with the theoretically related constructs of Neuroticism and Extraversion. Construct validity was supported through confirmatory factor analysis, which revealed a two dimensional structure comprising Negative and Positive Affect. Divergent validity was confirmed by the nonsignificant correlation between positive and negative affect. Thus, the PANAS-C was demonstrated to have good reliability and validity, subject to minor changes in item content.


Salud Mental ◽  
2017 ◽  
Vol 40 (5) ◽  
pp. 209-218 ◽  
Author(s):  
Omar Hernández-Orduña ◽  
◽  
Rebeca Robles-García ◽  
Nicolás Martínez-López ◽  
Carolina Muñoz-Toledo ◽  
...  

Introduction. Valid and feasible measures to properly assess the most impaired areas of functioning in various groups of patients with mental disorders would allow the development and evaluation of interventions designed to modify the specific environmental barriers that contribute to patients´ disability. Objective. This article seeks to evaluate the internal consistency and construct and convergent validity of the Spanish version of the World Health Organization’s Disability Assessment Schedule WHODAS 2.0, as well as its relationship with sociodemographic variables and symptomatic severity in Mexican patients with and without psychotic symptoms. Method. The WHODAS 2.0 and the Social and Occupational Functioning Assessment Scale SOFAS were administered to 153 patients with any of the following diagnoses: affective disorders, anxiety disorders, stress-related disorders, and psychotic disorders. Results. The WHODAS 2.0 showed high internal consistency in patients with psychotic symptoms (Cronbach’s alpha = .92) and without psychotic symptoms (Cronbach’s alpha = .89). Nevertheless, only in patients without psychotic symptoms, was a significant negative correlation between WHODAS (disability) and SOFAS (functioning) total scores observed, together with significant differences in WHODAS scores between those with mild and severe symptomatology. Discussion and conclusion. The WHODAS 2.0 is an adequate measure of disability in patients without psychotic symptoms. It could be used as a complementary measure of disability in those with psychotic symptoms. Further studies are required to determine other psychometric properties of the WHODAS 2.0, particularly those related to temporal stability and sensitivity to change.


Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 361 ◽  
Author(s):  
Sher ◽  
Kahn

Suicide is an important public health problem. The most frequent psychiatric illnesses associated with suicide or severe suicide attempt are mood and psychotic disorders. The purpose of this paper is to provide an educational overview of suicidal behavior in individuals with schizophrenia. A lifetime suicide rate in individuals with schizophrenia is approximately 10%. Suicide is the largest contributor to the decreased life expectancy in individuals with schizophrenia. Demographic and psychosocial factors that increase a risk of suicide in individuals with schizophrenia include younger age, being male, being unmarried, living alone, being unemployed, being intelligent, being well-educated, good premorbid adjustment or functioning, having high personal expectations and hopes, having an understanding that life’s expectations and hopes are not likely to be met, having had recent (i.e., within past 3 months) life events, having poor work functioning, and having access to lethal means, such as firearms. Throughout the first decade of their disorder, patients with schizophrenia are at substantially elevated suicide risk, although they continue to be at elevated suicide risk during their lives with times of worsening or improvement. Having awareness of symptoms, especially, awareness of delusions, anhedonia, asociality, and blunted affect, having a negative feeling about, or non-adherence with, treatment are associated with greater suicide risk in patients with schizophrenia. Comorbid depression and a history of suicidal behavior are important contributors to suicide risk in patients with schizophrenia. The only reliable protective factor for suicide in patients with schizophrenia is provision of and compliance with comprehensive treatment. Prevention of suicidal behavior in schizophrenia should include recognizing patients at risk, delivering the best possible therapy for psychotic symptoms, and managing comorbid depression and substance misuse.


2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Arash Jelodari ◽  
Samira Gheydari

The current study was conducted with the aim of examining the confirmatory factor structure of the revised Persian version of self-compassion rating scale among a group of male prisoners of Sepidar prison of Ahvaz. One hundred and seventy-eight male prisoners were selected using convenient sampling method among male prisoners and completed RPVSC and GHQ-11-item. The confirmatory factor analysis confirmed 6 factors. The Cronbach’s α coefficient for the entire scale was .91, for the 6 factors was from .77 to .92 and its convergent validity with the General Health Questionnaire was -.45 and for the 6 subscales with the GHQ was calculated from -.28 to -.48. Finally, the self-compassion scale can be used as a validated instrument in assessing aspects of self-compassion in male prisoners population.


2014 ◽  
Vol 22 (2) ◽  
pp. 41E-51E ◽  
Author(s):  
Pavlos Sarafis ◽  
Igoumenidis Michael ◽  
Tzavara Chara ◽  
Malliarou Maria

Background and Purpose: This study aimed to investigate the psychometric characteristics of the Transcultural Self-Efficacy Tool (TSET). Methods: The translated questionnaire was distributed to 250 nurses and 150 student nurses. Internal consistency was determined and convergent validity was examined. The structure of the questionnaire was investigated using factor analysis. Results: The internal consistency coefficient for all subscales was acceptable and more than .70. Cronbach's alpha was .91 for affective and self-awareness subscales and .85 for recognition and advocation. Six factors were revealed with eigenvalues of more than 1 and accounted for 60% of the total variance. Conclusions: The factorial composition of the TSET continues to be consistent with the underlying theoretical framework and the related literature. The Greek version of TSET was found to possess good reliability and validity.


2017 ◽  
Vol 41 (S1) ◽  
pp. S276-S277
Author(s):  
M.J. Martins ◽  
C. Carvalho ◽  
P. Castilho ◽  
A.T. Pereira ◽  
J. Gonçalves ◽  
...  

BackgroundEmpowerment has been defined as the ability to act autonomously, the willingness to take risks and being aware of responsibility. The importance of this construct in psychosis has been emphasized by recovery models. An integrant part of the Clinical Interview for Psychotic Disorders (CIPD), the EWPSS is a visual analog scale in which the participants assess their sense of empowerment regarding symptoms (delusions, hallucinations, negative symptoms and disorganization). EWPSS focuses on personal empowerment (self-worth and self-efficacy) as it could apply to symptoms.AimsTo preliminarily assess the psychometric properties of the EWPSS in a sample of participants with psychosis.MethodsThe sample comprised 22 participants (68.2% male), 72.7% single, 50% employed, between 19 and 47 years old (M = 31.05; SD = 7.088), with 4–17 years of education (M = 11.77; SD = 3.176). The most prevalent diagnosis was schizophrenia (68.2%) and the participants had a mean of 1.90 hospitalizations (SD = 2.548). The participants were assessed with the CIPD (EWPSS) and Depression, Anxiety and Stress Scales-21.ResultsEWPSS has shown acceptable reliability for all dimensions (with alphas ranging between .54 and .78). Empowerment with delusions was associated with the other dimensions, excepting for empowerment with negative symptoms (which in turn was not associated significantly with any dimension). Empowerment regarding hallucinations and with disorganization were only associated with empowerment with delusions, which was also associated with anxiety symptoms (r = –.52, P = .016).ConclusionsThe EWPSS presented adequate reliability and validity. Further studies intended to explore the factorial structure of the EWPSS are under development.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Matthew D. Erlich ◽  
Thomas E. Smith ◽  
Ewald Horwath ◽  
Francine Cournos

Patients with schizophrenia experience three categories of symptoms: positive (delusions and hallucinations); negative (blunting of affective expression, loss of volition, and apathy); and disorganized (as reflected by a formal thought disorder). A diagnosis of schizophrenia requires that continuous signs of illness, which may include prodromal and residual symptoms, be present for at least 6 months. Research indicates that schizophrenia is likely a neurodevelopmental illness with clear heritable risk factors. Patients with schizophrenia tend to have an illness onset by young adulthood and a generally debilitating and long-term course, but the degree of disability and functional impairment is widely variable. Other illnesses characterized by prominent psychotic symptoms include schizoaffective disorder and delusional disorder. Treatment for psychotic illnesses includes antipsychotic medication and recovery-oriented psychosocial interventions aimed at “psychiatric rehabilitation” wherein patients can learn or relearn skills necessary to live independently and work competitively.


2018 ◽  
Author(s):  
Ciarán O'Driscoll ◽  
Simone Farrelly ◽  
Philip Burgess ◽  
George Szmukler ◽  
Madiha Shaikh

Objectives: The social network supporting an individual with psychosis may be adversely affected by the experience of caregiving. The Experience of Caregiving Inventory (ECI) is 66 item self-report measure of the impact of caregiving for carers of people diagnosed with psychotic disorders. This study aimed to create a brief version of the ECI, and evaluate its reliability and validity (n=626). Methods: The validation process was conducted through a multidimensional item response theory (MIRT) approach, using a graded response model and a complementary network approach. Results: This resulted in a 19 item, four factor inventory with a good model fit, displaying good reliability and validity. Conclusion: The BECI is a valid measure. The simplicity, ease of application and robust psychometric properties further enhances its acceptability and usefulness as a brief measure in clinical research and trials, as well as in routine practice providing reliable and valid data on experience of caregiving in families of an individual with psychosis.


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