New issues in the use of behaviorally anchored rating scales: Level of analysis, the effects of incident frequency, and external validation.

This article introduces the somatic transform that operationalizes the relation between affect and cognition at the psychological level of analysis by capitalizing on the relation between the cognitive-denotative and affective-connotative meaning of concepts as measured with semantic differential rating scales. Following discussion of levels of analysis, the importance of language at the psychological level, and two principles (inextricability and complementarity) summarizing the relation between affect and cognition that are rendered explicit by the somatic transform, we present affect control theory (ACT) and its Bayesian extension (BayesACT) containing the somatic transform. We conclude by identifying examples of inextricability and complementarity in the social science and neuroscience literatures and discussing how our psychological model might be implemented in a realistic neural model.

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Measuring depression: comparison and integration of three scales in the GENDEP study

Psychological Medicine ◽

10.1017/s0033291707001730 ◽

2007 ◽

Vol 38 (2) ◽

pp. 289-300 ◽

Cited By ~ 153

Author(s):

R. Uher ◽

A. Farmer ◽

W. Maier ◽

M. Rietschel ◽

J. Hauser ◽

...

Keyword(s):

Psychometric Properties ◽

Rating Scales ◽

Rating Scale ◽

External Validation ◽

Self Report ◽

Three Dimensions ◽

Factor Scores ◽

Depression Severity ◽

Pharmacogenetic Study ◽

Study Item

BackgroundA number of scales are used to estimate the severity of depression. However, differences between self-report and clinician rating, multi-dimensionality and different weighting of individual symptoms in summed scores may affect the validity of measurement. In this study we examined and integrated the psychometric properties of three commonly used rating scales.MethodThe 17-item Hamilton Depression Rating Scale (HAMD-17), the Montgomery–Asberg Depression Rating Scale (MADRS) and the Beck Depression Inventory (BDI) were administered to 660 adult patients with unipolar depression in a multi-centre pharmacogenetic study. Item response theory (IRT) and factor analysis were used to evaluate their psychometric properties and estimate true depression severity, as well as to group items and derive factor scores.ResultsThe MADRS and the BDI provide internally consistent but mutually distinct estimates of depression severity. The HAMD-17 is not internally consistent and contains several items less suitable for out-patients. Factor analyses indicated a dominant depression factor. A model comprising three dimensions, namely ‘observed mood and anxiety’, ‘cognitive’ and ‘neurovegetative’, provided a more detailed description of depression severity.ConclusionsThe MADRS and the BDI can be recommended as complementary measures of depression severity. The three factor scores are proposed for external validation.

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Dysarthria Profiles in Adults With Hereditary Ataxia

American Journal of Speech-Language Pathology ◽

10.1044/2018_ajslp-msc18-18-0114 ◽

2019 ◽

Vol 28 (2S) ◽

pp. 915-924 ◽

Cited By ~ 2

Author(s):

Kristie A. Spencer ◽

Mallory Dawson

Keyword(s):

Rating Scales ◽

Feedforward Control ◽

Hereditary Ataxia ◽

Severity Rating ◽

Visual Analog Scales ◽

Speech Characteristics ◽

Ataxic Dysarthria ◽

Preliminary Study

Purpose This preliminary study examined whether speech profiles exist for adults with hereditary ataxia based on 2 competing frameworks: a pattern of instability/inflexibility or a pattern of differential subsystem involvement. Method Four dysarthria experts rated the speech samples of 8 adults with dysarthria from hereditary ataxia using visual analog scales and presence/severity rating scales of speech characteristics. Speaking tasks included diadochokinetics, sustained phonation, and a monologue. Results Speech profiles aligned with the instability/inflexibility framework, with the pattern of instability being the most common. Speech profiles did not emerge for the majority of speakers using the differential subsystem framework. Conclusions The findings extend previous research on pure ataxic dysarthria and suggest a possible framework for understanding the speech heterogeneity associated with the ataxias. The predominance of the instability profile is consistent with the notion of impaired feedforward control in speakers with cerebellar disruption.

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AAC Collaboration Using the Self-Anchored Rating Scales (SARS): An Aphasia Case Study

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac21.4.136 ◽

2012 ◽

Vol 21 (4) ◽

pp. 136-143

Author(s):

Lynn E. Fox

Keyword(s):

Augmentative And Alternative Communication ◽

Rating Scales ◽

Rating Scale ◽

Therapeutic Process ◽

Family Counseling ◽

The Self ◽

Alternative Communication ◽

Her Family ◽

Solution Focused

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.

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The Effect of Real-Time Feedback Using a Smartwatch on the Clinical Behavior of Novice Student Clinicians

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp2.sig11.79 ◽

2017 ◽

Vol 2 (11) ◽

pp. 79-90

Author(s):

Courtney G. Scott ◽

Trina M. Becker ◽

Kenneth O. Simpson

Keyword(s):

Real Time ◽

Rating Scales ◽

Qualitative Interviews ◽

Communication Disorders ◽

Preliminary Evidence ◽

Single Subject ◽

Clinical Behavior ◽

Stimulus Response ◽

Treatment Data ◽

Computer Monitors

The use of computer monitors to provide technology-based written feedback during clinical sessions, referred to as “bug-in-the-eye” (BITi) feedback, recently emerged in the literature with preliminary evidence to support its effectiveness (Carmel, Villatte, Rosenthal, Chalker & Comtois, 2015; Weck et al., 2016). This investigation employed a single-subject, sequential A-B design with two participants to observe the effects of implementing BITi feedback using a smartwatch on the clinical behavior of student clinicians (SCs). Baseline and treatment data on the stimulus-response-consequence (S-R-C) contingency completion rates of SCs were collected using 10 minute segments of recorded therapy sessions. All participants were students enrolled in a clinical practicum experience in a communication disorders and sciences (CDS) program. A celeration line, descriptive statistics, and stability band were used to analyze the data by slope, trend, and variability. Results demonstrated a significant correlative relationship between BITi feedback with a smartwatch and an increase in positive clinical behaviors. Based on qualitative interviews and exit rating scales, SCs reported BITi feedback was noninvasive and minimally distracting. Preliminary evidence suggests BITi feedback with a smartwatch may be an effective tool for providing real-time clinical feedback.

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