DSM-5 Field Trials in the United States and Canada, Part II: Test-Retest Reliability of Selected Categorical Diagnoses

Objectives: To describe the development and psychometric properties of the 2014 Ontario Child Health Study Emotional Behavioural Scales (OCHS-EBS) for dimensional measurement of 7 disorders based on criteria from the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5). Methods: Scale items were selected by agreement among 19 child psychologists and psychiatrists rating the correspondence between item descriptions and DSM-5 symptoms. Psychometric evaluation of the item properties and parent/caregiver and youth scales came from a general population study of 10,802 children and youth aged 4 to 17 years in 6537 families. Test-retest reliability data were collected from a subsample of 280 children and their caregivers who independently completed the OCHS-EBS checklist on 2 occasions 7 to 14 days apart. Structural equation modelling was used to assess internal and external convergent and discriminant validity—the latter tested against the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). Results: Confirmatory factor analyses exhibited adequate item fit to all scales. Except for conduct disorder and youth-assessed separation anxiety disorder, internal (Cronbach’s α) and test-retest reliability (Pearson’s r) for scale scores were 0.70 or above. Except for youth-assessed conduct disorder, the OCHS-EBS met criteria for internal and convergent and discriminant validity. Compared with the MINI-KID, the OCHS-EBS met criteria for external convergent and discriminant validity. Conclusions: The OCHS-EBS provide reliable and valid dimensional measurement of 7 DSM-5 disorders assessed by caregivers and youth in the general population. Part II describes use of the OCHS-EBS as a categorical (present/absent) measure of disorder.

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Reliability and Validity ofan Adapted QuestionnaireAssessing OccupationalExposures to HazardousChemicals among HealthCare Workers in Bhutan

The International Journal of Occupational and Environmental Medicine ◽

10.34172/ijoem.2020.1878 ◽

2020 ◽

Vol 11 (3) ◽

pp. 128-139 ◽

Cited By ~ 2

Author(s):

Rajni Rai ◽

Sonia El-Zaemey ◽

Nidup Dorji ◽

Lin Fritschi

Keyword(s):

Health Care ◽

Health Care Workers ◽

The United States ◽

Percentage Agreement ◽

Occupational History ◽

Retest Reliability ◽

History Data ◽

Validated Questionnaire ◽

Care Workers ◽

Test Retest Reliability

Background: Collection of reliable and valid occupational history data is of utmost importanceto assess work-related exposures and their health effects. Few standardized questionnairesare available for the collection of occupational history data in low-and-middle incomecountries. Objective: To adapt and test a validated questionnaire developed in the United States by theNational Institute of Safety and Health, in order to assess occupational chemical exposuresamong health care workers in Bhutan. Methods: The questionnaire was first adapted to suit the Bhutanese context with the adviceof an expert review committee. 30 health care workers then completed the questionnaire atbaseline and 10–14 days later. Test-retest reliability was assessed by calculating Cohen's κand percentage agreement. Results: The questionnaire had high test-retest reliability. Cohen's κ ranged from 0.61 to1.00, and percentage agreement ranged from 86.7% to 100%. Further adaptations includedomitting questions on chemicals not available in Bhutan. Conclusion: The adapted questionnaire is appropriate for assessing occupational chemicalexposures among health care workers in Bhutan.

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The Relevance of Insomnia in the Diagnosis of Perinatal Depression: Validation of the Italian Version of the Insomnia Symptom Questionnaire

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312507 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12507

Author(s):

Lavinia De Chiara ◽

Cristina Mazza ◽

Eleonora Ricci ◽

Alexia Emilia Koukopoulos ◽

Georgios D. Kotzalidis ◽

...

Keyword(s):

Convergent Validity ◽

Predictive Power ◽

Discriminant Validity ◽

Late Pregnancy ◽

Italian Version ◽

Retest Reliability ◽

Dsm 5 ◽

Insomnia Symptom ◽

Symptom Questionnaire ◽

Test Retest Reliability

Background. Sleep disorders are common in perinatal women and may underlie or trigger anxiety and depression. We aimed to translate and validate and evaluate the psychometric properties of the Italian version of the Insomnia Symptom Questionnaire (ISQ), in a sample of women during late pregnancy and 6-months postpartum according to the DSM-5 criteria. Methods. The ISQ was administered to 292 women prenatally along with other measures of sleep quality, depression, and anxiety, to examine its construct and convergent validity. Women were readministered the ISQ six months postdelivery to assess test–retest reliability. Women were divided into DSM-5 No-Insomnia (N = 253) and Insomnia (N = 39) groups. Results. The insomnia group had received more psychopharmacotherapy, had more psychiatric family history, increased rates of medically assisted reproduction, of past perinatal psychiatric disorders, and scored higher on almost all TEMPS-A dimensions, on the EPDS, HCL-32, PSQI, and on ISQ prenatally and postnatally. ISQ scores correlated with all scales, indicating adequate convergent and discriminant validity; furthermore, it showed antenatal–postnatal test–retest reliability, 97.5% diagnostic accuracy, 79.5% sensitivity, 94.9% specificity, 70.5% positive predictive power, and 92.8% negative predictive power. Conclusions. The ISQ is useful, valid, and reliable for assessing perinatal insomnia in Italian women. The Italian version showed equivalent properties to the original version.

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WELCOMING REMARKS

PEDIATRICS ◽

10.1542/peds.44.5.791 ◽

1969 ◽

Vol 44 (5) ◽

pp. 791-792

Author(s):

Merritt Low

Keyword(s):

United States ◽

American Academy ◽

One Health ◽

The United States ◽

Field Trials ◽

Accident Prevention ◽

American Academy Of Pediatrics ◽

Job Safety ◽

Developing Area ◽

Made In

The American Academy of Pediatrics has long been interested in the control of Childhood Injuries; its first formal committee was the Committee on Accident Prevention. The pediatrician is a primary accident preventer and should indeed have a big stake and commitment here. He is basically a "consumer," yet he must be convinced of the product he uses and in turn passes on. Though he has the humility of an amateur, he is allied with the expert and begs for his help. He sees the great strides made by industry, even in the newly developing area of "off-the-job" safety, and the advances made in the therapeutic but not the prophylactic responsibilities of accident prevention as he surveys the situation. Yet, is he truly convinced? If so, he could do more. We exhort ourselves to immunize our children with a safety vaccine, but is this just borrowed jargon? What are the ingredients of the vaccine? Are they dead or alive? Where are the field trials? Where are the proving figures of effectiveness? A hard look shows us that this number one health problem is not being solved. (I scarcely need remind this group of the statistics and facts: 15,000 children under 15, including 5,000 pre-school children, die of accidents in the United States each year; 15 million children go to doctors for care of accidents in a year; all accidents cost the country over 15 billion dollars a year). In our primary reliance on the tool of "education," we fall victims to the fact-of-life fallacy-if we provide facts we automatically get results.

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