scholarly journals Validation of the intolerance of uncertainty scale as a screening tool for perinatal anxiety

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Melissa Furtado ◽  
Benicio N. Frey ◽  
Sheryl M. Green

Abstract Background To date, there is a significant lack of research validating clinical tools for early and accurate detection of anxiety disorders in perinatal populations. Intolerance of uncertainty was recently identified as a significant risk factor for postpartum anxiety symptoms and is a key trait of non-perinatal anxiety disorders. The present study aimed to validate the Intolerance of Uncertainty Scale (IUS) in a perinatal population and evaluate its use as a screening tool for anxiety disorders. Methods Psychiatric diagnoses were assessed in a sample of perinatal women (n = 198), in addition to completing a self-report battery of questionnaires. Psychometric properties including internal consistency and convergent and discriminant validity were assessed. Determination of an optimal clinical cut-off score was measured through a ROC analysis in which the area under the curve, sensitivity, specificity, as well as positive and negative predictive values were calculated. Results The IUS demonstrated excellent internal consistency (α = 0.95) and an optimal clinical cut-off score of 64 or greater was established, yielding a sensitivity of 89%. The IUS also demonstrated very good positive (79%) and negative (80%) predictive values. Conclusions These findings suggest that the IUS represents a clinically useful screening tool to be used as an aid for the early and accurate detection of perinatal anxiety.

2012 ◽  
Vol 92 (1) ◽  
pp. 111-123 ◽  
Author(s):  
Margreth Grotle ◽  
Andrew M. Garratt ◽  
Hanne Krogstad Jenssen ◽  
Britt Stuge

Background There is little evidence for the measurement properties of instruments commonly used for women with pelvic girdle pain. Objective The aim of this study was to examine the internal consistency, test-retest reliability, and construct validity of instruments used for women with pelvic girdle pain. Design This was a cross-sectional methodology study, including test-retest reliability assessment. Methods Women with pelvic girdle pain in pregnancy and after delivery participated in a postal survey that included the Pelvic Girdle Questionnaire (PGQ), Oswestry Disability Index (ODI), Disability Rating Index (DRI), Fear-Avoidance Beliefs Questionnaire (FABQ), Pain Catastrophizing Scale (PCS), and 8-item version of the Medical Outcomes Study 36-Item Short-Form Health Survey questionnaire (SF-36). Test-retest reliability was assessed with a random subsample 1 week later. Internal consistency was assessed with the Cronbach alpha, and test-retest reliability was assessed with the intraclass correlation coefficient (ICC) and minimal detectable change (MDC). Construct validity based on hypotheses was assessed by correlation analysis. Discriminant validity was assessed with the area under the receiver operating characteristic curve. Results All participants responded to the main (N=87) and test-retest (n=42) surveys. Cronbach alpha values ranged from .88 to .94, and ICCs ranged from .78 to .94. The MDC at the individual level constituted about 7% to 14% of total scores for the 8-item version of the SF-36, ODI, and PGQ activity subscale; about 18% to 22% for the DRI, PGQ symptom subscale, and PCS; and about 25% for the FABQ. Hypotheses were mostly confirmed by correlations between the instruments. The PGQ was the only instrument that significantly discriminated participants who were pregnant from participants who were not pregnant as well as pain locations. Limitations A comparison of responsiveness to change of the various instruments used in this study was not undertaken, but will be carried out in a future study. Conclusions Self-report instruments for assessing health showed good internal consistency, test-retest reliability, and construct validity for women with pelvic girdle pain. The PGQ was the only instrument with satisfactory discriminant validity, thus, it is recommended for evaluating symptoms and disability in patients with pelvic girdle pain.


Author(s):  
Robert Enright ◽  
Julie Johnson ◽  
Fu Na ◽  
Tomaz Erzar ◽  
Matthew Hirshberg ◽  
...  

Until recently, researchers operationalized and measured the psychological construct of forgiveness at the individual, rather than the group, level. Social psychologists started applying forgiveness to groups and examining the role intergroup forgiveness may have in conflict resolution and peace efforts. Initial attempts to define and measure forgiveness at the group level either assumed individual and group capacities were the same, or insufficiently described what intergroup forgiveness meant. We developed a new measure of intergroup forgiveness, and a novel group administration process, that operationalized the construct in a philosophically coherent way. Our conceptualization of intergroup forgiveness was rooted in what groups, as opposed to the individuals who compose them, have the capacity to do. We collected data on the psychometric properties of the measure with 595 participants in three different geographic and cultural settings. We assessed the factor structure, internal consistency, and validity of the measure. We also assessed a novel group-based method of administering the measure to better understand the relationship between group based reports and self-reports of intergroup forgiveness. The factor structure of the measure was supported, and the measure had strong internal consistency, as well as convergent and discriminant validity. The group administration process revealed important group dynamics and was not statistically different than a standard self-report administration; this finding has important implications for research and practice.


2010 ◽  
Vol 26 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Sara Germans ◽  
Guus L. Van Heck ◽  
Douglas R. Langbehn ◽  
Paul P.G. Hodiamont

The internal consistency, test-retest reliability, and predictive validity of the Iowa Personality Disorder Screen (IPDS) as a screening instrument for personality disorders (PDs) were studied in 195 Dutch psychiatric outpatients, using the SCID-II as the gold standard. All patients completed a self-administered version of the IPDS. Internal consistency was moderate (0.64), and the test-retest reliability was good (0.87). According to the SCID-II, 97 patients (50%) had at least one personality disorder (PD). The IPDS correctly classified 81.0 percent of all participants in the category PD present/absent. The sensitivity and specificity were 77% and 88%, respectively. Positive and negative predictive values were 83% and 79%. Test-retest reliability after a 2-week interval was 0.87. These results are comparable with those reported in earlier studies with respect to the interview version of the IPDS and more promising than previously reported results obtained with a self-report version of the IPDS. Therefore, it is concluded that a self-report version of the IPDS may be useful as a screening measure for determining the presence/absence of PD in a population of psychiatric outpatients.


2021 ◽  
Vol 12 ◽  
Author(s):  
Shin-Hyang Kim ◽  
Kiho Park ◽  
Seowon Yoon ◽  
Younyoung Choi ◽  
Seung-Hwan Lee ◽  
...  

Generalized anxiety disorder (GAD) can cause significant socioeconomic burden and daily life dysfunction; hence, therapeutic intervention through early detection is important. This study was the final stage of a 3-year anxiety screening tool development project that evaluated the psychometric properties and diagnostic screening utility of the Mental Health Screening Tool for Anxiety Disorders (MHS: A), which measures GAD. A total of 527 Koreans completed online and offline (i.e., paper-and pencil) versions of the MHS: A, Beck Anxiety Inventory (BAI), Generalized Anxiety Disorder-7 (GAD-7), and Penn State Worry Questionnaire (PSWQ). The participants had an average age of 38.6 years and included 340 (64.5%) females. Participants were also administered the Mini-International Neuropsychiatric Interview (MINI). Internal consistency, convergent/criterion validity, item characteristics, and test information were assessed based on the item response theory (IRT), and a factor analysis and cut-off score analyses were conducted. The MHS: A had good internal consistency and good convergent validity with other anxiety scales. The two versions (online/offline) of the MHS: A were nearly identical (r = 0.908). It had a one-factor structure and showed better diagnostic accuracy (online/offline: sensitivity = 0.98/0.90, specificity = 0.80/0.83) for GAD detection than the GAD-7 and BAI. The IRT analysis indicated that the MHS: A was most informative as a screening tool for GAD. The MHS: A can serve as a clinically useful screening tool for GAD in Korea. Furthermore, it can be administered both online and offline and can be flexibly used as a brief mental health screener, especially with the current rise in telehealth.


2015 ◽  
Vol 18 ◽  
Author(s):  
Wen Liu ◽  
Liang Chen ◽  
Ying Yang ◽  
Shuai Zhang

AbstractThis paper presents a Chinese adaption of the Formal Characteristics of the Behavior-Temperament Inventory (FCB-TI), a self-report instrument that evaluates six temperamental scales, based on Strelau’s concept of temperament. A first sample of 626 undergraduates completed the Chinese version of the Regulative Theory of Temperament Questionnaire (RTTQ), which is an initial pool of 381 items. Internal consistency suggests adequate reliability (.66 to .82), and an exploratory factor analysis revealed a six-factor solution consistent with the original instrument. A follow-up confirmatory factor analysis revealed good support for the temperament structure with a second sample of students (N = 2.980). Internal consistency and factorial structure were re-examined (Cronbach’s alpha ranged .64 to .85), and test-retest correlations over a two-week period ranged from .82 to .96 with a third sample of adults (N = 2.265). Convergent and discriminant validity was explored in relation to the Eysenck Personality Questionnaire-Revision Short Scale for Chinese (EPQ-RSC) model dimensions. Results indicate that the Chinese version of the FCB-TI has similar psychometric properties and generally satisfactory reliability and validity.


2012 ◽  
Vol 15 (3) ◽  
pp. 1411-1423 ◽  
Author(s):  
Marcela Matos ◽  
José Pinto-Gouveia ◽  
Cristiana Duarte

In the past two decades, there has been a growing theoretical and empirical interest on the role of shame, namely internal shame, on the conceptualization of human functioning and several interpersonal and emotional problems. The current study explores the psychometric properties of the Portuguese version of the Internalized Shame Scale (ISS), a self-report measure which assesses trait shame, composed by an Internal Shame subscale, measuring internalized shame, and a Self-Esteem subscale. The factor structure, internal consistency, test-retest reliability and convergent and discriminant validity for both subscales, are presented, in a sample of 385 college students. The Principal Components Analyses reveal that both Internal Shame and Self-Esteem subscales present a one-dimensional structure which explains, respectively, 48.54% and 57.7% of the variance. The subscales present high internal consistency, with high Cronbach'alphas (.95 and .85) and moderate to high item-total correlations. The two subscales present an excellent temporal stability. Convergent and discriminant validity of the subscales was corroborated through the moderate correlations with a measure of shame and of social comparison, and through the low and moderate correlations with the subscales depression, anxiety, and stress. The Portuguese version of the ISS is a valid and reliable instrument to measure internalized shame.


2009 ◽  
Vol 40 (7) ◽  
pp. 1125-1136 ◽  
Author(s):  
J. W. Griffith ◽  
R. E. Zinbarg ◽  
M. G. Craske ◽  
S. Mineka ◽  
R. D. Rose ◽  
...  

BackgroundSeveral theories have posited a common internalizing factor to help account for the relationship between mood and anxiety disorders. These disorders are often co-morbid and strongly covary. Other theories and data suggest that personality traits may account, at least in part, for co-morbidity between depression and anxiety. The present study examined the relationship between neuroticism and an internalizing dimension common to mood and anxiety disorders.MethodA sample of ethnically diverse adolescents (n=621) completed self-report and peer-report measures of neuroticism. Participants also completed the Structured Clinical Interview for DSM-IV (SCID).ResultsStructural equation modeling showed that a single internalizing factor was common to lifetime diagnosis of mood and anxiety disorders, and this internalizing factor was strongly correlated with neuroticism. Neuroticism had a stronger correlation with an internalizing factor (r=0.98) than with a substance use factor (r=0.29). Therefore, neuroticism showed both convergent and discriminant validity.ConclusionsThese results provide further evidence that neuroticism is a necessary factor in structural theories of mood and anxiety disorders. In this study, the correlation between internalizing psychopathology and neuroticism approached 1.0, suggesting that neuroticism may be the core of internalizing psychopathology. Future studies are needed to examine this possibility in other populations, and to replicate our findings.


2019 ◽  
Author(s):  
Katharina Rek ◽  
Isabel Thielmann ◽  
Miriam Henkel ◽  
Mike Crawford ◽  
Luigi Piccirilli ◽  
...  

The Standardized Assessment of Severity of Personality Disorder (SASPD) is a nine-item self-report screening instrument and was developed to assess personality disorder (PD) severity according to the initial proposal of ICD-11. Our aim was to investigate the psychometric properties of the German version of the SASPD in non-clinical and clinical samples. A total of 1,991 participants (N = 888 from non-clinical and N = 1,103 from clinical samples) provided ratings on the SASPD as well as other measures of psychopathology and personality. We examined the SASPD regarding its factor structure, internal consistency, and construct validity. A unidimensional structure of the SASPD provided inadequate model fit, whereas a three-factor solution provided good fit in both the non-clinical and clinical samples. Internal consistency of the SASPD total score was acceptable in the clinical and in the non-clinical sample based on this multi-factorial model. In terms of convergent validity, SASPD scores correlated fairly with other measures of PD severity across samples. Discriminant validity with measures of general symptom distress and measures of (normal) personality traits was mixed. In addition, the SASPD scores predicted levels of PD severity above and beyond a measure of symptom distress. The SASPD captures some theoretically expected features of PD severity. However, the multidimensional structure and limited convergent and discriminant validity may hamper future usage of the SASPD as a short screening tool of PD severity according to ICD-11.


2020 ◽  
Author(s):  
Nirmala Priyadarshanie ◽  
DMS Fernando ◽  
MDIA Waas ◽  
BCV Senaratna ◽  
CSE Goonewardena ◽  
...  

Abstract Background Anxiety disorders during pregnancy are not routinely assessed in Sri Lanka despite being common and leading to adverse pregnancy outcomes. A screening tool will help early detection and management of anxiety to improve pregnancy outcomes. Our aim was to determine the validity of Sinhala translation of Perinatal Anxiety Screening Scale (PASS) to detect anxiety among Sri Lankan pregnant women.Methods A cross-sectional study was conducted in antenatal clinics of ateaching hospital in Colombo. PASS was translated to Sinhala language using the standard translation/back-translation method. Pregnant women (n=221) were sequentially recruited and assessed by a psychiatrist until 81 women with anxiety disorder were diagnosed usingInternational Classification of Diseases-10 criteria(gold standard). Sinhala translation of PASS (PASS-S) was administered to all recruited women, including to 139women without anxiety. Receiver-Operator-Characteristics(ROC) analysis was performed, the optimal cut-off score for PASS-S was determined, and its validity was assessed using sensitivity, specificity, predictive values and positive and negative likelihood ratios.Internal consistency was assessed using Cronbach’salpha.Test-retest and inter-rater reliabilityfor PASS-S score and anxiety classification were assessed using intraclass correlation coefficient (ICC) and Cohen’s kappa (k), respectively.Results Mean age( + SD) of women was 30( + 5.8) years. Of them,53.7% were multiparous. Psychiatrist diagnosed anxiety disorder in 37.0% of women while PASS-S at its optimal cut-off of 20 classified 37.5% of women as having anxiety. Area under the ROC curve for PASS-S was 0.96 (95% CI0.94-0.99).Sensitivity, specificity and positive and negative predictive values of PASS-S were 0.93(95%CI 0.84-0.97), 0.90(95%CI0.83-0.94), 0.85(95%CI0.75-0.90)and 0.95(95% CI0.89-0.98),respectively. Positive and negative likelihood ratios were 8.8(95%CI 5.3-14.5) and 0.08(95% CI0.04-0.18), respectively. Internal consistency was high (Cronbach’s alpha 0.95).Four factor structures obtained by exploratory factor analysis were“Generalized anxiety, acute anxiety and adjustment difficulties”,“Social anxiety, excessive worry and specific fears”,”Perfectionism, control andtrauma” and “Generalized anxiety”.Test-retest reliability was high for the PASS-S score (ICC 0.85 [95%CI 0.65-0.96]) and anxiety classification (k0.77 [95%CI 0.34-1.2]).Inter-interviewer reliability was also high(ICC 0.92 [95%CI0.81-0.97] for the PASS-S score and (k0.86 [95%CI0.59-1.1] for anxiety classification).Conclusion Sinhala translation of PASS is a valid and reliable instrument to screen for anxiety disorders among antenatal women in Sri Lanka.


2021 ◽  
Author(s):  
Mojtaba Elhami Athar ◽  
Elham Azamian Jazi ◽  
Zahra Lashgari ◽  
Morteza Azizi ◽  
Sirvan Karimi ◽  
...  

Abstract Background The Five-Factor Borderline Inventory-Short Form (FFBI-SF) is a self-report measure developed to assess traits of Borderline Personality Disorder (BPD) from the perspective of the Five-Factor Model of general personality. This study was designed to examine the factor structure, internal consistency, and convergent/discriminant validity of the Persian FFBI-SF in a sample of Iranian university students. Methods A total of 641 university students (M-age = 28.04, SD = 8.21, 66.7% women) completed the online forms of the FFBI-SF, PID-5-BF, and Mini IPIP. Results Confirmatory factor analysis supported the proposed twelve-factor model. Also, Cronbach's alpha (α) for the FFBI-SF scores ranged from unacceptable to excellent ranges. However, when relying on MIC values to measure internal consistency, the FFBI-SF Total and subscale scores demonstrated adequate internal consistency. Finally, the FFBI Total and subscale scores showed the expected relations with external correlates (e.g., Neuroticism, Antagonism, and Conscientiousness), which supports the validity of the interpretation of the FFBI-SF scores. Conclusions The findings indicated that FFBI-SF is a useful tool with sound psychometric properties for assessing BPD traits in Iranian students and may spark research in other Iranian settings (e.g., clinical samples).


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