Development and preliminary evaluation of the anxiety in cognitive impairment and dementia (ACID) scales

2015 ◽  
Vol 27 (11) ◽  
pp. 1825-1838 ◽  
Author(s):  
Lindsay A. Gerolimatos ◽  
Caroline M. Ciliberti ◽  
Jeffrey J. Gregg ◽  
Sarra Nazem ◽  
Patricia M. Bamonti ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Impairment ◽  
Functional Ability ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Well Being ◽  
Self Report ◽  
Preliminary Evaluation ◽  
Term Care ◽  
General Physical

ABSTRACTBackground:Although rates of anxiety tend to decrease across late life, rates of anxiety increase among a subset of older adults, those with mild cognitive impairment (MCI) or dementia. Our understanding of anxiety in dementia is limited, in part, by a lack of anxiety measures designed for use with this population. This study sought to address limitations of the literature by developing a new measure of anxiety for cognitively impaired individuals, the anxiety in cognitive impairment and dementia (ACID) Scales, which includes both proxy (ACID-PR) and self-report (ACID-SR) versions.Methods:The ACID-SR and ACID-PR were administered to 45 residents, aged 60 years and older, of three long-term care (LTC) facilities, and 38 professional caregivers at these facilities. Other measures of anxiety, and measures of depression, functional ability, cognition, and general physical and mental health were also administered.Results:Initial evaluation of its psychometric properties revealed adequate to good internal consistency for the ACID-PR and ACID-SR. Evidence for convergent validity of measures obtained with the ACID-SR and ACID-PR was demonstrated by moderate-to-strong associations with measures of worry, depressive symptoms, and general mental health. Discriminant validity of measures obtained with the ACID-SR and ACID-PR was demonstrated by weak correlations with measures of cognition, functional ability, and general physical well-being.Conclusions:The preliminary results suggest that the ACID-SR and ACID-PR can obtain reliable and valid measures of anxiety among individuals with cognitive impairment. Given the subjective nature of anxiety, it may be prudent to collect self-report of anxiety symptoms even among those with moderate cognitive impairment.

Development and Validation of the Inventory of Depression and Anxiety Symptoms (IDAS)

2009 ◽  
Author(s):  
David Watson ◽  
Michael W O'Hara ◽  
Leonard J Simms ◽  
Scott Stuart ◽  
Roman Kotov ◽  
...  
Keyword(s):  
College Students ◽  
High School Students ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Psychiatric Patients ◽  
Well Being ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Depression And Anxiety ◽  
Specific Symptom

We describe a new self-report instrument, the Inventory of Depression and Anxiety Symptoms (IDAS), which was designed to assess specific symptom dimensions related to major depression and related anxiety disorders. We created the IDAS by conducting principal factor analyses in three large samples (college students, psychiatric patients, community adults); we also examined the robustness of its psychometric properties in five additional samples (high school students, college students, young adults, postpartum women, psychiatric patients) that were not involved in the scale development process. The IDAS contains 10 specific symptom scales: Suicidality, Lassitude, Insomnia, Appetite Loss, Appetite Gain, Ill Temper, Well-Being, Panic, Social Anxiety, and Traumatic Intrusions. It also includes two broader scales: General Depression (which contains items overlapping with several other IDAS scales) and Dysphoria (which does not). The scales (a) are internally consistent, (b) capture the target dimensions well, and (c) define a single underlying factor. They show strong short-term stability, and display excellent convergent validity and good discriminant validity in relation to other self-report and interview-based measures of depression and anxiety.

scholarly journals Psychometric Evaluation of the Mental Health Continuum-Short Form (MHC-SF) for Dutch Adolescents

2020 ◽  
Vol 29 (11) ◽  
pp. 3276-3286
Author(s):  
Anne Kennes ◽  
Sanne Peeters ◽  
Mayke Janssens ◽  
Jennifer Reijnders ◽  
Johan Lataster ◽  
...  
Keyword(s):  
Mental Health ◽  
School Environment ◽  
Convergent Validity ◽  
Positive Emotions ◽  
Short Form ◽  
Health Assessment ◽  
Psychometric Evaluation ◽  
Well Being ◽  
Self Report ◽  
Internal Reliability

Abstract This study examined the structure, reliability, and convergent validity of the adolescent version of the Mental Health Continuum-Short Form (Dutch MHC-SF-A), a self-report questionnaire for positive mental health assessment. This questionnaire was completed by 459 Dutch adolescents (178 boys and 281 girls) between the ages of 11 and 18 years at baseline and at a 4-week follow-up. Results revealed the 3-factor structure in emotional, psychological, and social well-being, a high internal reliability and a moderate test–retest reliability. Findings suggest that mental illness and well-being represent two related but distinct continua of mental health. Fostering adolescents’ well-being is important. Promoting positive emotions, creating a supportive and loving parent–adolescent relationship, and a supportive school environment will contribute to this.

scholarly journals Monitoring Positive Mental Health in Swedish Adolescents: Psychometric Evaluation of the Mental Health Continuum – Short Form

2020 ◽  
Author(s):  
Fredrik Söderqvist ◽  
Peter Larm
Keyword(s):  
Mental Health ◽  
Convergent Validity ◽  
Short Form ◽  
Well Being ◽  
Self Report ◽  
Specific Group ◽  
Retest Reliability ◽  
Model Based ◽  
Test Retest Reliability ◽  
Mental Well Being

Abstract BackgroundThe Mental Health Continuum – Short form (MHC-SF) is a self-report measure that has been increasingly used to monitor mental well-being at the population level. The aim of this study was to evaluate, for the first time, the psychometric properties of the MHC-SF in a Swedish population, more specifically adolescents. MethodsFirst, the evaluation was performed by examining face validity and test–retest reliability obtained in a pre-study (n = 93). Then using data from the Survey of Adolescent Life in Vestmanland 2020 (n = 3880; participation rate = 71%; females = 51%; mean age = 16.23 years), we performed confirmatory factor analysis on different factor structures based on theory and previous research. Model-based estimates were calculated for assessing the internal reliability of the factor structure with the best fit. Convergent validity was assessed by bivariate as well as model-based correlations, and test–retest reliability was evaluated by intra-class correlation coefficients. ResultsThis study on Swedish adolescents found that the MHC-SF is essentially unidimensional and best described with a bifactor model consisting of a dominant general well-being factor and three specific group factors of emotional, social and psychological well-being. Its overall reliability and the reliability of the general well-being factor were good to excellent, while the reliability of its subscales (specific group factor) was poor, and thus should not be used alone. Test–retest reliability of the total scale was good, and convergent validity was supported by strong to very strong correlations with the Short Warwick–Edinburg Mental Well-being Scale. ConclusionsIn conclusion, we consider the Swedish MHC-SF to be a psychometrically sound instrument for monitoring overall mental well-being in Swedish adolescents.

scholarly journals Psychometric evaluation of the mental health continuum – short form in Swedish adolescents

2021 ◽  
Author(s):  
Fredrik Söderqvist ◽  
Peter Larm
Keyword(s):  
Mental Health ◽  
Convergent Validity ◽  
Short Form ◽  
Well Being ◽  
Self Report ◽  
Specific Group ◽  
Retest Reliability ◽  
Model Based ◽  
Test Retest Reliability ◽  
Mental Well Being

AbstractThe Mental Health Continuum – Short form (MHC-SF) is a self-report measure that has been increasingly used to monitor mental well-being at the population level. The aim of this study was to evaluate, for the first time, the psychometric properties of the MHC-SF in a population of Swedish adolescents. First, the evaluation was performed by examining face validity and test–retest reliability obtained in a pre-study. Then using data from the Survey of Adolescent Life in Vestmanland 2020 (n = 3880) we performed confirmatory factor analysis on different factor structures based on theory and previous research. Model-based estimates were calculated for assessing the internal reliability of the factor structure with the best fit. Convergent validity was assessed by bivariate as well as model-based correlations, and test–retest reliability was evaluated by intra-class correlation coefficients. The results show that the MHC-SF is best described with a bifactor model consisting of a dominant general well-being factor and three specific group factors of emotional, social and psychological well-being. Its overall reliability was high to very high, while the reliability of its subscales was low. A practical implication of the latter is that the subcales should not be used on their own because they are more likely to reliably measure the general well-being factor than the specific group factors. Test–retest reliability of the total scale was acceptable, and convergent validity was supported. In conclusion, we consider the Swedish MHC-SF to be a psychometrically sound instrument for monitoring overall mental well-being in Swedish adolescents.

scholarly journals The longitudinal validity of proxy-reported CHU9D

2021 ◽  
Author(s):  
Rasmus Trap Wolf ◽  
Julie Ratcliffe ◽  
Gang Chen ◽  
Pia Jeppesen
Keyword(s):  
Mental Health ◽  
Construct Validity ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Mental Health Problems ◽  
Health Utility ◽  
Well Being ◽  
Health Problems ◽  
Adolescent Population ◽  
Mean Differences

Abstract Objectives The Child Health Utility 9D (CHU9D) currently represents the only preference-based health-related quality-of-life instrument designed exclusively from its inception for application with children. The objective of this study was to examine the construct validity and responsiveness of the proxy-reported (parent) CHU9D in a mental health setting using utility weights derived from an adult and adolescent population, respectively. Methods The discriminant validity and convergent validity were examined using the mental health-specific ‘The Strengths and Difficulties Questionnaire’ (SDQ) and the generic KIDSCREEN-27. Responsiveness was assessed by examining the floor-ceiling effects, the magnitude of change over time, and the ability to differentiate between improvement and no improvement. Results The study included 396 children with mental health problems. CHU9D showed good construct validity, with correlation coefficients ranging between 0.329 and 0.571 for SDQ Impact score and KIDSCREEN-27 Psychological Well-being. CHU9D was able to distinguish between groups of children with different levels of mental health problems (p < 0.001). The absolute magnitudes of the group mean differences were larger using adolescent weights. No evidence of a floor/ceiling effect was found at the baseline. A standardized response mean of 0.634–0.654 was found for the children who experienced clinically significant improvements. CHU9D was able to discriminate between children who experienced positive and no health improvements (p < 0.001). Conclusion This study provides the first evidence on responsiveness for CHU9D in a mental health context. The findings demonstrate that CHU9D is an appropriate HRQOL measure for use in mental health trials. Furthermore, the results show that the preference weights generated from an adolescent population resulted in the larger mean differences between groups.

CODEM Instrument

GeroPsych ◽  
2014 ◽  
Vol 27 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Anne Kuemmel (This author contributed eq ◽  
Julia Haberstroh (This author contributed ◽  
Johannes Pantel
Keyword(s):  
Convergent Validity ◽  
Interrater Reliability ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Well Being ◽  
Communication Behavior ◽  
People With Dementia ◽  
Pearson's R ◽  
Pearson’S R

Communication and communication behaviors in situational contexts are essential conditions for well-being and quality of life in people with dementia. Measuring methods, however, are limited. The CODEM instrument, a standardized observational communication behavior assessment tool, was developed and evaluated on the basis of the current state of research in dementia care and social-communicative behavior. Initially, interrater reliability was examined by means of videoratings (N = 10 people with dementia). Thereupon, six caregivers in six German nursing homes observed 69 residents suffering from dementia and used CODEM to rate their communication behavior. The interrater reliability of CODEM was excellent (mean κ = .79; intraclass correlation = .91). Statistical analysis indicated that CODEM had excellent internal consistency (Cronbach’s α = .95). CODEM also showed excellent convergent validity (Pearson’s R = .88) as well as discriminant validity (Pearson’s R = .63). Confirmatory factor analysis verified the two-factor solution of verbal/content aspects and nonverbal/relationship aspects. With regard to the severity of the disease, the content and relational aspects of communication exhibited different trends. CODEM proved to be a reliable, valid, and sensitive assessment tool for examining communication behavior in the field of dementia. CODEM also provides researchers a feasible examination tool for measuring effects of psychosocial intervention studies that strive to improve communication behavior and well-being in dementia.

scholarly journals Neurological and mental health consequences of COVID-19: potential implications for well-being and labor force

2021 ◽  
Author(s):  
I B Meier ◽  
C Vieira Ligo Teixeira ◽  
I Tarnanas ◽  
F Mirza ◽  
L Rajendran
Keyword(s):  
Mental Health ◽  
Central Nervous System ◽  
Nervous System ◽  
Cognitive Impairment ◽  
Immune Cell ◽  
Previous History ◽  
Well Being ◽  
Acute Disseminated Encephalomyelitis ◽  
The Central Nervous System ◽  
Neurological Protection

Abstract Recent case studies show that the SARS-CoV-2 infectious disease, COVID-19, is associated with accelerated decline of mental health, in particular, cognition in elderly individuals, but also with neurological and neuropsychiatric illness in young people. Recent studies also show a bidirectional link between COVID-19 and mental health in that people with previous history of psychiatric illness have a higher risk for contracting COVID-19 and that COVID-19 patients display a variety of psychiatric illnesses. Risk factors and the response of the central nervous system to the virus show large overlaps with pathophysiological processes associated with Alzheimer’s disease, delirium, post-operative cognitive dysfunction and acute disseminated encephalomyelitis, all characterized by cognitive impairment. These similarities lead to the hypothesis that the neurological symptoms could arise from neuroinflammation and immune cell dysfunction both in the periphery as well as in the central nervous system and the assumption that long-term consequences of COVID-19 may lead to cognitive impairment in the well-being of the patient and thus in today’s workforce, resulting in large loss of productivity. Therefore, particular attention should be paid to neurological protection during treatment and recovery of COVID-19, while cognitive consequences may require monitoring.

Examining the Link Between Character Strengths and Positive and Negative Mental Health Indicators in Iranian Adolescents

2021 ◽  
pp. 073428292110053
Author(s):  
Mahsa Jabbari ◽  
Shahriar Shahidi ◽  
Leili Panaghi ◽  
Mohammad Ali Mazaheri ◽  
Eva Oberle
Keyword(s):  
Convergent Validity ◽  
Character Strengths ◽  
Reliability And Validity ◽  
Health Indicators ◽  
Well Being ◽  
Self Report ◽  
Positive Development ◽  
Response Patterns ◽  
Confirmatory Factor ◽  
Grade Level Differences

Character strengths are an important foundation for positive development and thriving in adolescence. Most research on character strengths has been conducted with youths in Western cultures. We examined character strengths in relation to positive and negative well-being indicators in a sample of Iranian youths. We investigated the reliability and validity of the Farsi version of the Values in Action Inventory of Strengths for Youth (VIA Y-96)—a self-report survey commonly used in Western contexts. Participants were adolescents in Iran ( N = 1,359; 48.5% female; M age = 13.54, SD = 1.00) who completed the VIA Y-96 and questionnaires assessing life satisfaction, positive/negative experiences, depression, anxiety, and stress. We found that reliability coefficients were acceptable for most of the VIA subscales. A confirmatory factor analysis (CFA), as well as a second-order CFA, supported the construct validity of the Farsi VIA Y-96. Correlations between the character strengths and positive and negative well-being indicators supported convergent validity. Measurement invariance for the VIA Y-96 was established in this study comparing boys’ and girls’ response patterns. Sex and grade level differences were found for some of the subscales. Overall, the Farsi VIA Y-96 had acceptable psychometric properties, suggesting that it can be used in research on character strengths with Iranian youths.

scholarly journals NCOG-70. RELIABILITY AND VALIDITY OF A NEW SELF-REPORT INDEX OF COGNITIVE CONCERNS IN BRAIN TUMOR PATIENTS

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii145-ii145
Author(s):  
Giuliana Zarrella ◽  
Alice Perez ◽  
Jorg Dietrich ◽  
Michael Parsons
Keyword(s):  
Brain Tumor ◽  
Verbal Memory ◽  
Cognitive Abilities ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Reliability And Validity ◽  
Cognitive Testing ◽  
Self Report ◽  
Measurement Information ◽  
Patient Reported

Abstract INTRODUCTION Subjective cognitive dysfunction is an important outcome measure in neuro-oncology and may provide additional information beyond performance-based neuropsychological testing. The Functional Assessment of Cancer Therapy-Brain (FACT-Br) is a frequently used quality of life (QoL) measure that includes indices of physical, emotional, social, and neurologic aspects of disease, but does not measure cognitive concerns. This study seeks to develop and validate an index of self-reported cognition derived from existing items on the FACT-Br. METHODS 145 patients (Mage=51.08, Medu=15.63) with heterogeneous brain tumor diagnoses completed neuropsychological evaluation including cognitive testing and self-report measures. Nine FACT-Br items regarding cognition were combined to form the Cognitive Index (CI). Reliability of the CI was measured with Cronbach’s alpha. Concurrent validity was assessed by correlating the CI with the Patient-Reported Outcomes Measurement Information System (PROMIS) Cognitive Abilities-8 or PROMIS Cognitive Concerns-8. Discriminant validity was assessed by correlation of the CI with other FACT-Br indices and the Beck Depression and Anxiety Inventories (BDI, BAI). RESULTS Internal consistency within the CI was high (Cronbach’s a 0.864). The CI correlated strongly with the PROMIS-Abilities (r =.680; p&lt; 0.001) and PROMIS-Concerns (r=.780; p&lt; 0.001) indicating high convergent validity. Moderate correlations were observed between the CI and the physical and functional subscales of the FACT (r=.453 and .555), whereas correlations with the social and emotional functioning subscales were weaker (r=.381 and .325). The FACT-Br-CI correlated strongly with BDI (r=-.622) and more weakly with the BAI (r=-.344). Consistent with prior literature, the CI showed modest correlations with neuropsychological measures, including verbal memory encoding (r=.300), verbal fluency (r=.252) and a composite measure of cognition (r=.249; all p’s&lt; .01). CONCLUSIONS The FACT-Br-CI is a reliable and valid measure of self-reported cognition. Studies that include the FACT-Br could be retrospectively analyzed to assess self-reported cognitive outcomes, enriching the information gained from prior research.

scholarly journals Development and Validation of the Adolescent Insomnia Questionnaire

2019 ◽  
Author(s):  
Maggie H Bromberg ◽  
Rocio de la Vega ◽  
Emily F Law ◽  
Chuan Zhou ◽  
Tonya M Palermo
Keyword(s):  
Psychometric Properties ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Parent Report ◽  
Self Report ◽  
Cutoff Score ◽  
Screening Measure ◽  
Brief Screening

Abstract Objective Insomnia is a highly prevalent sleep disorder that is particularly common among adolescents with health conditions. We aimed to develop and validate a brief screening measure of insomnia in adolescents that can be used across clinical and community samples. We hypothesized that we would identify evidence supporting reliability, convergent/discriminant validity, and that we would determine preliminary clinical cutoff scores. Methods A team of experts in behavioral sleep medicine developed a 13-item brief screening measure of insomnia in adolescents (Adolescent Insomnia Questionnaire [AIQ]). We evaluated the psychometric properties of the AIQ in a sample of 315 youth (11–18 years old, Mean = 14.90, SD = 2.02; 64% female) who had chronic pain (n = 37), headache (n = 170), insomnia diagnosed by a sleep specialist (n = 22), or were otherwise healthy (n = 86). Results Using Exploratory and Confirmatory Factor Analysis, we identified three subscales consistent with major diagnostic criteria of insomnia. As expected, the measure showed strong reliability through high internal consistency (α =.91). We also found strong convergent validity through expected positive relationships between the AIQ and self-report measures of sleep disturbance, and divergent validity via weak relationships with parent-report of snoring. Results of receiver operating characteristic (ROC) identified a clinical cutoff score that may assist in clinical decision making. Conclusions We found that the AIQ has sound psychometric properties in a large heterogeneous sample of treatment-seeking youth and youth from the community. The AIQ can quickly screen adolescent insomnia and could address an important clinical need in identifying youth in need of insomnia treatment in pediatric practice settings.

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