Preliminary Validation of the Subjective Academic Problems Scale: A New Tool to Aid in Triaging School Mental Health Screening Results

2017 ◽  
Vol 33 (3) ◽  
pp. 242-256 ◽  
Author(s):  
Tyler L. Renshaw
Keyword(s):  
Mental Health ◽  
Rating Scale ◽  
Mental Health Problems ◽  
School Mental Health ◽  
Measurement Model ◽  
Health Screening ◽  
Mental Health Screening ◽  
Self Report ◽  
Academic Problems ◽  
Behavior Rating Scale

The purpose of the present study was to investigate the preliminary structural, convergent, and incremental classification validity of responses to the Subjective Academic Problems Scale (SAPS), which is a seven-item self-report behavior rating scale intended for use as a triaging tool within secondary-level school mental health screening contexts. Findings from psychometric analyses carried out with Sample 1 ( N = 177) indicated that responses to the SAPS were characterized by a unidimensional measurement model and that scores derived from the scale had convergent validity with scores from several other self-reported measures of student wellbeing and mental health problems. Results from analyses conducted with Sample 2 ( N = 219) confirmed the unidimensionality of responses to the SAPS measurement model and demonstrated that SAPS scores had incremental validity, when used in conjunction with scores from a self-report internalizing problems screener, for identifying students with greater levels of mental health risk. Implications for future research and practice are discussed.

scholarly journals POS1321 MENTAL HEALTH SCREENING IN PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 943.1-943
Author(s):  
S. Eulert ◽  
M. Niewerth ◽  
J. Hörstermann ◽  
C. Sengler ◽  
D. Windschall ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Functional Limitations ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
Psychological Support ◽  
Web Based ◽  
Patient Health

Background:Mental disorders often begin in the vulnerable phase of adolescence and young adulthood. Young people with chronic diseases are particularly at risk. Early recognition of mental health problems is necessary in order to be able to support those affected in a timely and adequate manner. By implementing a web-based generic screening tool for mental health in routine care, patients with juvenile idiopathic arthritis (JIA) and mental health conditions can be identified and provided with targeted treatment.Objectives:To investigate the prevalence of mental health conditions in young people with JIA in routine rheumatology care.Methods:Mental health screening is implemented as an add-on module to the National Paediatric Rheumatology Database (NPRD). The current data was gathered over a period of 24 months. Patients complete the screening tool which includes the Patient Health Questionnaire1 (PHQ-9, score 0-27) and the Generalized Anxiety Disorder scale2 (GAD-7, score 0-21) via a web-based questionnaire. The cut-off for critical values in PHQ-9 and GAD-7 were defined as values ≥ 10. Simultaneously, other data, such as sociodemographic data, disease activity (cJADAS10, score 0-30), functional status (CHAQ, score 0-3) were collected as well.Results:The analysis included 245 patients (75% female) with a mean age of 15.7 years and a mean disease duration of 8.8 years. 38.8% of the patients had oligoarthritis (18.0% OA, persistent/20.8% OA, extended) and 23.3% RF negative polyarthritis. At the time of documentation 49 patients (30.6%) had an inactive disease (cJADAS10 ≤ 1) and 120 (49.4%) no functional limitations (CHAQ = 0). In total, 53 patients (21.6%) had screening values in either GAD-7 or PHD-9 ≥10. Patients with critical mental health screening values showed higher disease activity and more frequent functional limitations than inconspicuous patients (cJADAS10 (mean ± SD): 9.3 ± 6 vs. 4.9 ± 4.9; CHAQ: 0.66 ± 0.6 vs. 0.21 ± 0.42). When compared to males, females were significantly more likely to report either depression or anxiety symptoms (11.7% vs. 24.9%, p = 0.031).17.6% of all patients with valid items for these data reported to receive psychological support, meaning psychotherapeutic support (14.5%) and/or drug therapy (8.6%). Among those with a critical mental health screening score, 38.7% received psychological support (psychotherapeutic support (35.5%) and/or drug therapy (16.1%)).Conclusion:Every fifth young person with JIA reported mental health problems, however, not even every second of them stated to receive psychological support. The results show that screening for mental health problems during routine adolescent rheumatology care is necessary to provide appropriate and targeted support services to young people with a high burden of illness.References:[1]Löwe B, Unützer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the patient health questionnaire-9. Med Care. 2004 Dec;42(12):1194-201.[2]Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22; 166(10):1092-7.[3]The screening data were collected as part of COACH (Conditions in Adolescents: Implementation and Evaluation of Patient-centred Collaborative Healthcare), a project supported by the Federal Ministry of Education and Research (FKZ: 01GL1740F).Disclosure of Interests:Sascha Eulert: None declared, Martina Niewerth: None declared, Jana Hörstermann: None declared, Claudia Sengler: None declared, Daniel Windschall: None declared, Tilmann Kallinich: None declared, Jürgen Grulich-Henn: None declared, Frank Weller-Heinemann Consultant of: Pfizer, Abbvie, Sobi, Roche, Novartis, Ivan Foeldvari Consultant of: Gilead, Novartis, Pfizer, Hexal, BMS, Sanofi, MEDAC, Sandra Hansmann: None declared, Harald Baumeister: None declared, Reinhard Holl: None declared, Doris Staab: None declared, Kirsten Minden: None declared

scholarly journals Mental Health in Children with Cerebral Palsy: Does Screening Capture the Complexity?

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
H. M. Bjorgaas ◽  
I. Elgen ◽  
T. Boe ◽  
M. Hysing
Keyword(s):  
Mental Health ◽  
Cerebral Palsy ◽  
Psychiatric Disorders ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
High Prevalence ◽  
Children With Cerebral Palsy ◽  
Bergen Child Study

Introduction. Children with cerebral palsy (CP), one of the most common childhood neurological disorders, often have associated medical and psychological symptoms. This study assesses mental health problems compared to population controls and the ability of a mental health screening tool to predict psychiatric disorders and to capture the complexity of coexisting symptoms.Methods. Children with CP (N=47) were assessed according to DSM-IV criteria using a psychiatric diagnostic instrument (Kiddie-SADS) and a mental health screening questionnaire (SDQ). Participants from the Bergen Child Study, a large epidemiological study, served as controls.Results. Children with CP had significantly higher means on all problem scores including impact scores. Two in three children scored above 90th percentile cutoff on Total Difficulties Score (TDS), and 57% met criteria for a psychiatric disorder, yielding a sensitivity of 0.85 and a specificity of 0.55. Mental health problems coexisted across symptom scales, and peer problems were highly prevalent in all groups of psychiatric disorders.Conclusion. A high prevalence of mental health problems and cooccurrence of symptoms were found in children with CP compared to controls. Screening with SDQ detects mental health problems, but does not predict specific disorders in children with CP. ADHD is common, but difficult to diagnose due to complexity of symptoms. Mental health services integrated in regular followup of children with CP are recommended due to high prevalence and considerable overlap of mental health symptoms.

Mental health screening by self-report questionnaire among community adolescents in Southern Brazil

1997 ◽  
Vol 20 (3) ◽  
pp. 232-237 ◽  
Author(s):  
Ricardo B. Feijó ◽  
Mauricio Saueressig ◽  
Cristiano Salazar ◽  
Márcia L.F. Chaves
Keyword(s):  
Mental Health ◽  
Health Screening ◽  
Mental Health Screening ◽  
Self Report ◽  
Southern Brazil

scholarly journals Reliability and Validity of an Interviewer-Administered Adaptation of the Youth Self-Report for Mental Health Screening of Vulnerable Young People in Ethiopia

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0147267 ◽  
Author(s):  
Scott Geibel ◽  
Kassahun Habtamu ◽  
Gebeyehu Mekonnen ◽  
Nrupa Jani ◽  
Lynnette Kay ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Reliability And Validity ◽  
Health Screening ◽  
Mental Health Screening ◽  
Self Report ◽  
Youth Self Report

scholarly journals Revising the self-report strengths and difficulties questionnaire for cross-country comparisons of adolescent mental health problems: the SDQ-R

2019 ◽  
Vol 29 ◽  
Author(s):  
E. L. Duinhof ◽  
K. M. Lek ◽  
M. E. de Looze ◽  
A. Cosma ◽  
J. Mazur ◽  
...  
Keyword(s):  
Mental Health ◽  
Measurement Invariance ◽  
Mental Health Problems ◽  
Adolescent Mental Health ◽  
Measurement Model ◽  
Health Problems ◽  
The Self ◽  
Self Report ◽  
Emotional Symptoms ◽  
Cross Country

Abstract Aims The Strengths and Difficulties Questionnaire (SDQ) has been used in many epidemiological studies to assess adolescent mental health problems, but cross-country comparisons of the self-report SDQ are scarce and so far failed to find a good-fitting, common, invariant measurement model across countries. The present study aims to evaluate and establish a version of the self-report SDQ that allows for a valid cross-country comparison of adolescent self-reported mental health problems. Methods Using the Health Behaviour in School-aged Children study, the measurement model and measurement invariance of the 20 items of the self-report SDQ measuring adolescent mental health problems were evaluated. Nationally representative samples of 11-, 13- and 15-year old adolescents (n = 33 233) from seven countries of different regions in Europe (Bulgaria, Germany, Greece, the Netherlands, Poland, Romania, Slovenia) were used. Results In order to establish a good-fitting and common measurement model, the five reverse worded items of the self-report SDQ had to be removed. Using this revised version of the self-report SDQ, the SDQ-R, partial measurement invariance was established, indicating that latent factor means assessing conduct problems, emotional symptoms, peer relationships problems and hyperactivity-inattention problems could be validly compared across the countries in this study. Results showed that adolescents in Greece scored relatively low on almost all problem subscales, whereas adolescents in Poland scored relatively high on almost all problem subscales. Adolescents in the Netherlands reported the most divergent profile of mental health problems with the lowest levels of conduct problems, low levels of emotional symptoms and peer relationship problems, but the highest levels of hyperactivity-inattention problems. Conclusions With six factor loadings being non-invariant, partial measurement invariance was established, indicating that the 15-item SDQ-R could be used in our cross-country comparison of adolescent mental health problems. To move the field of internationally comparative research on adolescent mental health forward, studies should test the applicability of the SDQ-R in other countries in- and outside Europe, continue to develop the SDQ-R as a cross-country invariant measure of adolescent mental health, and examine explanations for the found country differences in adolescent mental health problems.

scholarly journals Mental health screening questionnaire: A Study on reliability and correlation with perceived stress score

2019 ◽  
Vol 8 (2) ◽  
pp. 4-8
Author(s):  
P. Sharma ◽  
G. Devkota
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Perceived Stress ◽  
Health Screening ◽  
Mental Health Screening ◽  
Self Report ◽  
Perceived Stress Scale ◽  
Screening Questionnaire ◽  
Stress Scale ◽  
Distress Scale

 Introduction: Screening of mental disorders and psychological distress is important in clinical as well as research setting. The objective of this study is to test the reliability of mental health screening questionnaire developed by authors and see its correlation with perceived stress scale scores. Material and Method: A self-report screening instrument was designed by the authors in consultation with experts and was tested for reliability among 162 participants from general population gathered for stress management program. The correlation of the designed scale was tested with the Perceived Stress Scale score. Results: Scale reliability (Cronbach’s alpha) for the designed psychological distress scale was found to be 0.7558 which is regarded as having acceptable internal consistency. The questions of the designed scale had weak to moderate positive correlation with the score on Perceived Stress Scale. Conclusion: Despite many shortcomings of the designed scale we may be able to use it for basic screening of psychological distress and mental health problems. We recommend the validity of scale be tested in larger sample size.

scholarly journals Mental health screening amongst police officers: factors associated with under-reporting of symptoms

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruth E. Marshall ◽  
Josie Milligan-Saville ◽  
Katherine Petrie ◽  
Richard A. Bryant ◽  
Philip B. Mitchell ◽  
...  
Keyword(s):  
Mental Health ◽  
Police Officers ◽  
Common Mental Disorder ◽  
Health Screening ◽  
Mental Health Screening ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Factors Associated

Abstract Background Mental health screening in the workplace aims to identify employees who are becoming symptomatic, in order to provide timely support and evidence-based interventions to those affected. Given the stigma associated with mental illness, accurate disclosure of mental health symptoms cannot be assumed. The present study sought to investigate factors associated with the accurate reporting of mental health symptoms amongst police officers. Methods A total of 90 serving police officers completed identical mental health screening surveys, one administered by the employer and the other anonymously by an independent organisation. Responses were then linked to compare differences in the number and severity of mental health symptoms reported on each questionnaire. Results Comparisons of matched self-report scores indicated that employees under-reported symptoms of mental health disorders when completing screening administered by their employer, with only 76.3% of symptoms declared. Under-reporting occurred regardless of gender and symptom type. Less senior staff (p = 0.05) and those with the most severe post-traumatic stress disorder and common mental disorder symptoms (p = 0.008) were significantly more likely to under-report symptoms. Conclusions Employer-administered mental health screening is not able to accurately capture all mental health symptoms amongst first responders. The fact that the severity of symptoms predicted the level of under-reporting means that simple changes to cut-off values cannot correct this problem.

Refugees' Responses to Mental Health Screening

2003 ◽  
Vol 46 (2) ◽  
pp. 235-250 ◽  
Author(s):  
Nancy Ovitt ◽  
Christopher R. Larrison ◽  
Larry Nackerud
Keyword(s):  
Mental Health ◽  
Qualitative Data ◽  
Mental Health Problems ◽  
The United States ◽  
Health Screening ◽  
Mental Health Screening ◽  
High Rate ◽  
Structured Interviews ◽  
Hopkins Symptom Checklist ◽  
Migration Factors

For a variety of reasons related to pre- and post-migration factors, refugees experience a high rate of mental health problems. The early detection of these problems among refugees arriving in the United States benefits those individuals, the agencies that sponsor them and the communities that absorb them. The development of culturally-sensitive mental health screening instruments to identify pathology among refugees has been the focus of some research. This study explores the reactions of eight Bosnian refugees who were administered the Hopkins Symptom Checklist-25 as part of a mental health screening during the resettlement process. Through structured interviews with this sample, the authors elicited qualitative data about the mental health screening, from which preliminary conclusions were drawn about including such screening in the resettlement process.

scholarly journals Psychological Screening and Tracking of Athletes and Digital Mental Health Solutions in a Hybrid Model of Care: Mini Review

10.2196/22755 ◽  
2020 ◽  
Vol 4 (12) ◽  
pp. e22755
Author(s):  
Luke Balcombe ◽  
Diego De Leo
Keyword(s):  
Mental Health ◽  
Machine Learning ◽  
Hybrid Model ◽  
Mental Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
Model Of Care ◽  
Psychological Screening ◽  
Prevention And Intervention ◽  
Digital Platforms

Background There is a persistent need for mental ill-health prevention and intervention among at-risk and vulnerable subpopulations. Major disruptions to life, such as the COVID-19 pandemic, present an opportunity for a better understanding of the experience of stressors and vulnerability. Faster and better ways of psychological screening and tracking are more generally required in response to the increased demand upon mental health care services. The argument that mental and physical health should be considered together as part of a biopsychosocial approach is garnering acceptance in elite athlete literature. However, the sporting population are unique in that there is an existing stigma of mental health, an underrecognition of mental ill-health, and engagement difficulties that have hindered research, prevention, and intervention efforts. Objective The aims of this paper are to summarize and evaluate the literature on athletes’ increased vulnerability to mental ill-health and digital mental health solutions as a complement to prevention and intervention, and to show relationships between athlete mental health problems and resilience as well as digital mental health screening and tracking, and faster and better treatment algorithms. Methods This mini review shapes literature in the fields of athlete mental health and digital mental health by summarizing and evaluating journal and review articles drawn from PubMed Central and the Directory of Open Access Journals. Results Consensus statements and systematic reviews indicated that elite athletes have comparable rates of mental ill-health prevalence to the general population. However, peculiar subgroups require disentangling. Innovative expansion of data collection and analytics is required to respond to engagement issues and advance research and treatment programs in the process. Digital platforms, machine learning, deep learning, and artificial intelligence are useful for mental health screening and tracking in various subpopulations. It is necessary to determine appropriate conditions for algorithms for use in recommendations. Partnered with real-time automation and machine learning models, valid and reliable behavior sensing, digital mental health screening, and tracking tools have the potential to drive a consolidated, measurable, and balanced risk assessment and management strategy for the prevention and intervention of the sequelae of mental ill-health. Conclusions Athletes are an at-risk subpopulation for mental health problems. However, a subgroup of high-level athletes displayed a resilience that helped them to positively adjust after a period of overwhelming stress. Further consideration of stress and adjustments in brief screening tools is recommended to validate this finding. There is an unrealized potential for broadening the scope of mental health, especially symptom and disorder interpretation. Digital platforms for psychological screening and tracking have been widely used among general populations, but there is yet to be an eminent athlete version. Sports in combination with mental health education should address the barriers to help-seeking by increasing awareness, from mental ill-health to positive functioning. A hybrid model of care is recommended, combining traditional face-to-face approaches along with innovative and evaluated digital technologies, that may be used in prevention and early intervention strategies.

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