Examining the latent structure of the BESS Preschool Rating Scale for parent and teacher raters

2014 ◽  
Author(s):  
Christine Distefano ◽  
Elizabeth Leighton ◽  
Mihaela Ene
1991 ◽  
Vol 6 (6) ◽  
pp. 301-306 ◽  
Author(s):  
P Bech

SummaryThe algorithms for the demonstration of shared phenomenology of psychiatric syndromes in DSM-III are resistant to quantification. In contrast, the rating scale approach quantifies clinical target syndromes in psychiatry. The two most useful statistical models for quantifying shared phenomenology by symptom rating scales have been reviewed; namely factor analysis and latent structure analysis. Results have shown that factor analysis has demonstrated dimensions of dementia, delirium, schizophrenia, mania, outward aggression, depression and anxiety. Latent structure analysis has confirmed that the items of brief rating scales (such as the Melancholia Scale) are additively related implying that their total scores are sufficient statistics for the measurement of these factors or dimensions. Latent structure analysis should be considered as a psychometric “glasnost” compared to algorithm-resistant logic of quantification in DSM-III.


1994 ◽  
Vol 35 (9) ◽  
pp. 694
Author(s):  
R.S. Goldman ◽  
A. Tapp ◽  
R. Scholten ◽  
E. Dudley ◽  
P. Collier ◽  
...  

2016 ◽  
Vol 36 (4) ◽  
pp. 366-378 ◽  
Author(s):  
Tyler L. Renshaw ◽  
Clayton R. Cook

The present studies report on the initial development and validation of the Youth Internalizing Problems Screener (YIPS), which is a 10-item self-report rating scale for assessing general internalizing problems and identifying depression and anxiety caseness within the context of school mental health screening. Results from Study 1 ( N = 177) demonstrated that responses to the YIPS yielded a single-factor latent structure, that scores derived from the scale had concurrent validity with scores from measures of student subjective well-being and problem behavior, and showed that scores derived from the YIPS demonstrated incremental validity in comparison with scores from another common internalizing problems screener for predicting self-reports of broad student functioning. Findings from Study 2 ( N = 219) confirmed the latent structure and internal reliability of responses to the YIPS, demonstrated that scores derived from this scale had strong associations with scores from criterion measures of depression and anxiety, and showed that YIPS scores had good-to-excellent power for accurately discriminating between youth scoring at or above the clinical caseness thresholds on criterion measures of depression and anxiety. Taken together, results suggest the YIPS shows promise as a technically adequate instrument for measuring general internalizing problems and identifying depression and anxiety caseness among secondary students. Implications for future research and practice are discussed.


2015 ◽  
Vol 45 (12) ◽  
pp. 2595-2603 ◽  
Author(s):  
J. J. Prisciandaro ◽  
B. K. Tolliver

BackgroundEvidence supporting the continuous latent structure of mood phenomena has not been incorporated into psychiatric diagnostic systems, in part because the evidence has been incomplete. For example, no studies have investigated the boundary between ‘sick’ and ‘well’ periods in individuals with bipolar disorder, despite agreement that characterization of mood disorders as having a discrete episodic course is inaccurate. The present study examined the validity of mood episode symptom thresholds in out-patients with bipolar disorder using multiple methodologies: taxometrics and information-theoretic latent distribution modeling (ITLDM), to evaluate the continuity/discontinuity of mood symptoms; and structural equation mixture modeling (SEMM), to evaluate the continuity/discontinuity of associations between mood symptoms and general functioning.MethodA total of 3721 out-patients with bipolar disorder from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) were available for analysis. Data were collected at participants’ baseline STEP-BD visit. Taxometric [maximum covariance/means above minus below a cut (MAXCOV/MAMBAC) with simulated comparison data], ITLDM and SEMM methods were applied twice, once to the Montgomery–Åsberg Depression Rating Scale and again to the Young Mania Rating Scale.ResultsTaxometric results unequivocally supported a continuous interpretation of the data. ITLDM results favored many valued ‘discrete metrical’ models, suggesting that mood symptoms have continuous, but potentially non-normally distributed, latent structures in out-patients with bipolar disorder. Finally, SEMM results demonstrated that latent associations between mood symptoms and general functioning were linear.ConclusionsResults from the present study argue against the validity of DSM mood episode thresholds and argue for a graded continuum of care of bipolar symptom management.


2007 ◽  
Vol 34 (12) ◽  
pp. 1623-1637 ◽  
Author(s):  
Glenn D. Walters

Three taxometric procedures, mean above minus below a cut (MAMBAC), maximum eigenvalue (MAXEIG), and latent mode factor analysis (L-Mode), were applied to the Lifestyle Criminality Screening Form (LCSF), the Psychological Inventory of Criminal Thinking Styles (PICTS), and a combination of the two in a group of 771 male federal prisoners. It was hypothesized that the rating scale (LCSF) would demonstrate taxonic structure and the self-report measure (PICTS) would demonstrate dimensional structure. The PICTS—dimensional relationship was found but the LCSF—taxon relationship failed to surface. When the four most valid and factorially meaningful PICTS scales were combined with the four LCSF sub-scales, there was clear and consistent evidence of dimensional structure in the criminal lifestyle.


2019 ◽  
Vol 28 (4) ◽  
pp. 1381-1387
Author(s):  
Ying Yuan ◽  
Jie Wang ◽  
Dongyu Wu ◽  
Dahua Zhang ◽  
Weiqun Song

Purpose Severe dysphagia with weak pharyngeal peristalsis after dorsal lateral medullary infarction (LMI) requires long-term tube feeding. However, no study is currently available on therapeutic effectiveness in severe dysphagia caused by nuclear damage of vagus nerve after dorsal LMI. The purpose of the present investigation was to explore the potential of transcutaneous vagus nerve stimulation (tVNS) to improve severe dysphagia with weak pharyngeal peristalsis after dorsal LMI. Method We assessed the efficacy of 6-week tVNS in a 28-year-old woman presented with persisting severe dysphagia after dorsal LMI who had been on nasogastric feeding for 6 months. tVNS was applied for 20 min twice a day, 5 days a week, for 6 weeks. The outcome measures included saliva spitted, Swallow Function Scoring System, Functional Oral Intake Scale, Clinical Assessment of Dysphagia With Wallenberg Syndrome, Yale Pharyngeal Residue Severity Rating Scale, and upper esophagus X-ray examination. Results After tVNS, the patient was advanced to a full oral diet without head rotation or spitting. No saliva residue was found in the valleculae and pyriform sinuses. Contrast medium freely passed through the upper esophageal sphincter. Conclusion Our findings suggest that tVNS might provide a useful means for recovery of severe dysphagia with weak pharyngeal peristalsis after dorsal LMI. Supplemental Material https://doi.org/10.23641/asha.9755438


2015 ◽  
Vol 25 (1) ◽  
pp. 50-60
Author(s):  
Anu Subramanian

ASHA's focus on evidence-based practice (EBP) includes the family/stakeholder perspective as an important tenet in clinical decision making. The common factors model for treatment effectiveness postulates that clinician-client alliance positively impacts therapeutic outcomes and may be the most important factor for success. One strategy to improve alliance between a client and clinician is the use of outcome questionnaires. In the current study, eight parents of toddlers who attended therapy sessions at a university clinic responded to a session outcome questionnaire that included both rating scale and descriptive questions. Six graduate students completed a survey that included a question about the utility of the questionnaire. Results indicated that the descriptive questions added value and information compared to using only the rating scale. The students were varied in their responses regarding the effectiveness of the questionnaire to increase their comfort with parents. Information gathered from the questionnaire allowed for specific feedback to graduate students to change behaviors and created opportunities for general discussions regarding effective therapy techniques. In addition, the responses generated conversations between the client and clinician focused on clients' concerns. Involving the stakeholder in identifying both effective and ineffective aspects of therapy has advantages for clinical practice and education.


2012 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Lynn E. Fox

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.


1968 ◽  
Vol 11 (1) ◽  
pp. 5-17 ◽  
Author(s):  
Martin A. Young ◽  
Tom D. Downs

Ratings by observers are often used in speech pathology to measure complex speech dimensions; this seems reasonable since a speech “disorder” represents the product of an observer’s evaluation and a speaker’s performance. An index of the validity of these evaluations may be estimated by the amount of agreement among the observers. In this paper, the semi-interquartile range and the intraclass correlation are discussed as possible indices of agreement, and another index is suggested, based on the range of observer ratings. Under the assumption that the distribution of ratings is uniform when ratings are randomly assigned, that is, the observers show no agreement, tables were constructed to indicate the probability of any range for selected numbers of observers and rating scale categories. Some applications for this index concern the training of observers, estimating the number of observers needed, and the construction of master scales.


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