Validating the bifactor structure of the Ruminative Thought Style Questionnaire—A psychometric study

The Ruminative Thought Style Questionnaire (RTSQ) is a self-report measure that aims to capture rumination globally, unbiased by depressive symptoms. We explored its psychometric properties among university students (N = 1123), as the existing models about the factor structure of the RTSQ have been inconclusive. In a second study (N = 320) we tested its convergent validity compared to the Ruminative Response Scale (RRS) and its construct validity compared to the Zung Self-rating Depression Scale (ZSDS). The results of Study 1 suggest that the factor structure of the RTSQ is best described with a 19-item bifactor Exploratory Structural Equation Modelling (ESEM), where most of the variance is explained by the general factor. The model was found to be invariant across genders. The correlations in Study 2 demonstrated that the RTSQ is congruent with the RRS, and that rumination captured by the RTSQ is rather maladaptive, as it was more strongly associated with the brooding subscale of the RRS than with reflective pondering. Significant positive associations were found with depressive symptoms, reaffirming the validity of the RTSQ due to the well-known association between rumination and depressive symptoms. Our results support that RTSQ assesses rumination globally, and it is a valid measure of ruminative thinking style that is rather negatively valenced but does not solely focus on depressive mood and symptoms.

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When altruists cannot help: The influence of altruism on mental health during COVID-19 pandemic

10.21203/rs.3.rs-25715/v1 ◽

2020 ◽

Author(s):

Yi Feng ◽

Dan Dong ◽

Min Zong ◽

Zhizun Yang ◽

Zhihong Qiao

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Negative Affect ◽

Perceived Risk ◽

Structural Equation ◽

Online Survey ◽

Depression Scale ◽

Well Being ◽

Self Report ◽

Valuable Insight

Abstract Background The positive predictive effect of altruism on physical and psychological well-being has been extensively demonstrated in previous studies, but few studies have examined the effect of altruism on negative mental health outcomes when altruists cannot perform altruistic behaviors. This study explored the influence of altruism on negative affect and mental health (anxiety and depression) during the outbreak of the COVID-19 pandemic, when people self-isolated at home in China.Method: College students were recruited via a cross-sectional online survey during the outbreak of COVID-19 in China. Self-reported perceived risk, altruism, negative affect, anxiety and depressive symptoms were measured using the Self-Report Altruism Scale (SRA), the Positive and Negative Affect Schedule (PANAS), the 7-item Generalized Anxiety Disorder Scale (GAD-7) and the 9-item PHQ depression scale (PHQ-9). A structural equation model was used to analyze the mediating and moderating effects on mental health.Results The final sample comprised 1346 Chinese participants (Mage = 19.76 ± 2.23 years, 73% female). Overall, the higher risk people perceived, the more negative affect they exhibited (β = 0.16, p < .001); thus, the more anxious and depressed they felt (β = 0.134, p < .001), but this relationship between risk perception and negative affect was moderated by altruism. Paradoxical to previous studies, the increase in negative affect associated with increased perceived risk was pronounced among individuals with high altruism ( t = 7.68, p < .001).Conclusions Individuals with high altruism exhibited more negative affect, indirectly increasing their anxiety and depressive symptoms. The findings enrich the theory of altruism and provide valuable insight into the influence of altruism on mental health during the COVID-19 outbreak.

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Hospital Anxiety and Depression Scale: Factor Structure, Internal Consistency and Convergent Validity in Patients with Dizziness

Audiology and Neurotology ◽

10.1159/000438740 ◽

2015 ◽

Vol 20 (6) ◽

pp. 394-399 ◽

Cited By ~ 10

Author(s):

Erin G. Piker ◽

David M. Kaylie ◽

Douglas Garrison ◽

Debara L. Tucci

Keyword(s):

Factor Structure ◽

Internal Consistency ◽

Convergent Validity ◽

Depression Scale ◽

Self Report ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Dizziness Handicap Inventory ◽

Unselected Group ◽

Outpatient Settings

Psychiatric comorbidities, particularly anxiety-related pathologies, are often observed in dizzy patients. The Hospital Anxiety and Depression Scale (HADS) is a widely used self-report instrument used to screen for anxiety and depression in medical outpatient settings. The purpose of this study was to assess the factor structure, internal consistency and convergent validity of the HADS in an unselected group of patients with dizziness. The HADS and the Dizziness Handicap Inventory (DHI) were administered to 205 dizzy patients. An exploratory factor analysis was conducted and indicated a 3-factor structure, inconsistent with the 2-subscale structure (i.e. anxiety and depression) of the HADS. The total scale was found to be internally consistent, and convergent validity, as assessed using the DHI, was acceptable. Overall findings suggest that the HADS should not be used as a tool for psychiatric differential diagnosis, but rather as a helpful screener for general psychiatric distress in the two domains of psychiatric illness most germane in dizzy patients.

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Factor Structure of the Edinburgh Postnatal Depression Scale in a Sample of Postpartum Slovak Women

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18126298 ◽

2021 ◽

Vol 18 (12) ◽

pp. 6298

Author(s):

Zuzana Škodová ◽

Ľubica Bánovčinová ◽

Eva Urbanová ◽

Marián Grendár ◽

Martina Bašková

Keyword(s):

Factor Structure ◽

Postnatal Depression ◽

Convergent Validity ◽

Edinburgh Postnatal Depression Scale ◽

Negative Impact ◽

Depression Scale ◽

Depression Symptoms ◽

Three Dimensional Model

Background: Postpartum depression has a negative impact on quality of life. The aim of this study was to examine the factor structure and psychometric properties of the Slovak version of the Edinburgh Postnatal Depression Scale (EPDS). Methods: A paper and pencil version of the 10-item EPDS questionnaire was administered personally to 577 women at baseline during their stay in hospital on the second to fourth day postpartum (age, 30.6 ± 4.9 years; 73.5% vaginal births vs. 26.5% operative births; 59.4% primiparas). A total of 198 women participated in the online follow-up 6–8 weeks postpartum (questionnaire sent via e-mail). Results: The Slovak version of the EPDS had Cronbach’s coefficients of 0.84 and 0.88 at baseline (T1) and follow-up, respectively. The three-dimensional model of the scale offered good fit for both the baseline (χ2(df = 28) = 1339.38, p < 0.001; CFI = 0.99, RMSEA = 0.02, and TLI = 0.99) and follow-up (χ2(df = 45) = 908.06, p < 0.001, CFI = 0.93, RMSEA = 0.09, and TL = 0.90). A risk of major depression (EPDS score ≥ 13) was identified in 6.1% in T1 and 11.6% in the follow-up. Elevated levels of depression symptoms (EPDS score ≥ 10) were identified in 16.7% and 22.7% of the respondents at baseline and follow-up, respectively. Conclusions: The Slovak translation of the EPDS showed good consistency, convergent validity, and model characteristics. The routine use of EPDS can contribute to improving the quality of postnatal health care.

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Trajectories of maternal depressive symptoms and offspring’s risk behavior in early adolescence: data from the 2004 Pelotas birth cohort study

BMC Psychiatry ◽

10.1186/s12888-020-03026-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ana Beatriz Bozzini ◽

Jessica Mayumi Maruyama ◽

Tiago N. Munhoz ◽

Aluísio J. D. Barros ◽

Fernando C. Barros ◽

...

Keyword(s):

Cohort Study ◽

Depressive Symptoms ◽

Alcohol Use ◽

Maternal Depression ◽

Risk Behavior ◽

Birth Cohort ◽

Depression Scale ◽

Self Report ◽

Birth Cohort Study ◽

Maternal Depressive Symptoms

Abstract Background This longitudinal study explored the relationship between trajectories of maternal depressive symptoms and offspring’s risk behavior in adolescence contributing to an extremely scarce literature about the impacts of maternal depression trajectories on offspring risk behaviors. Methods We included 3437 11-year-old adolescents from the 2004 Pelotas Birth Cohort Study. Trajectories of maternal depressive symptoms were constructed using Edinburgh Postnatal Depression Scale (EDPS) from age 3 months to 11 years. We identified five trajectories of maternal depressive symptoms: “low” “moderate low”, “increasing”, “decreasing”, and “chronic high”. The following adolescent outcomes were identified via self-report questionnaire and analyzed as binary outcome –yes/no: involvement in fights and alcohol use at age 11. We used logistic regression models to examine the effects of trajectories of maternal depressive symptoms on offspring’s risk behavior adjusting for potential confounding variable. Results Alcohol use and/or abuse as well as involvement in fights during adolescence, were not significantly associated with any specific trajectory of maternal depressive symptoms neither in the crude nor in the adjusted analyses. Conclusion Alcohol use and involvement in fights at age 11 were not associated with any specific trajectory of maternal depression.

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Factor Structure and Convergent Validity of the Portuguese version of the Inventory of Interpersonal Problems – 32

Journal of Relationships Research ◽

10.1017/jrr.2020.18 ◽

2020 ◽

Vol 11 ◽

Author(s):

Bruno Faustino ◽

António Branco Vasco

Keyword(s):

Factor Structure ◽

Convergent Validity ◽

Interpersonal Problems ◽

Brief Symptom Inventory ◽

Self Report ◽

Reactivity Index ◽

Cross Sectional ◽

Portuguese Version ◽

Inventory Of Interpersonal Problems ◽

Interpersonal Styles

Abstract The identification of dysfunctional patterns in individuals’ interpersonal interactions is a cornerstone of psychotherapy. The Inventory of Interpersonal Problems (IIP-32) is one of the most used measures to explore individuals’ interpersonal styles. However, an IIP-32 Portuguese version is missing. Therefore, this study describes a preliminary psychometric study of an IIP-32 Portuguese version in a nonclinical sample. In a cross-sectional correlational design, 250 participants (M age = 20.67, SD = 4.88, males = 33, females = 217) were assessed with self-report questionnaires. Exploratory factor analysis (EFA), convergent, and divergent validities of the IIP-32 were tested with the Interpersonal Reactivity Index (IRI). Relationships with symptomatology were also tested with the Brief Symptom Inventory (BSI-53). The EFA showed a theoretically coherent eight-factor structure. Almost all of the IIP-32 subscales were positively correlated with personal discomfort and with BSI-53 subscales. Vindictive/self-centred, socially inhibited, domineering/controlling and self-sacrificing subscales predicted symptomatology. Promising preliminary psychometric properties were found that may support the IIP-32 as a reliable instrument to assess interpersonal styles. However, more research is required to deepen the analysis of the IIP-32 in the Portuguese population.

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Prevalence of depression and depressive symptoms among outpatients: a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2017-017173 ◽

2017 ◽

Vol 7 (8) ◽

pp. e017173 ◽

Cited By ~ 83

Author(s):

Jinghui Wang ◽

Xiaohang Wu ◽

Weiyi Lai ◽

Erping Long ◽

Xiayin Zhang ◽

...

Keyword(s):

Systematic Review ◽

Depressive Symptoms ◽

Meta Analysis ◽

Significant Proportion ◽

Depression Scale ◽

Developed Countries ◽

Self Report ◽

Cochrane Library ◽

Significant Heterogeneity ◽

Prevalence Of Depression

ObjectivesDepression and depressive symptoms are common mental disorders that have a considerable effect on patients’ health-related quality of life and satisfaction with medical care, but the prevalence of these conditions varies substantially between published studies. The aim of this study is to conduct a systematic review and meta-analysis to provide a precise estimate of the prevalence of depression or depressive symptoms among outpatients in different clinical specialties.DesignSystematic review and meta-analysis.Data sources and eligibility criteriaThe PubMed and PsycINFO, EMBASE and Cochrane Library databases were searched to identify observational studies that contained information on the prevalence of depression and depressive symptoms in outpatients. All studies included were published before January 2016. Data characteristics were extracted independently by two investigators. The point prevalence of depression or depressive symptoms was measured using validated self-report questionnaires or structured interviews. Assessments were pooled using a random-effects model. Differences in study-level characteristics were estimated by meta-regression analysis. Heterogeneity was assessed using standard χ2tests and the I2statistic. The study protocol has been registered with PROSPERO under number CRD42017054738.ResultsEighty-three cross-sectional studies involving 41 344 individuals were included in this study. The overall pooled prevalence of depression or depressive symptoms was 27.0% (10 943/41 344 individuals; 95% CI 24.0% to 29.0%), with significant heterogeneity between studies (p<0.0001, τ2=0.3742, I2=96.7%). Notably, a significantly higher prevalence of depression and depressive symptoms was observed in outpatients than in the healthy controls (OR 3.16, 95% CI 2.66 to 3.76, I2=72.0%, χ2=25.33). The highest depression/depressive symptom prevalence estimates occurred in studies of outpatients from otolaryngology clinics (53.0%), followed by dermatology clinics (39.0%) and neurology clinics (35.0%). Subgroup analyses showed that the prevalence of depression and depressive symptoms in different specialties varied from 17.0% to 53.0%. The prevalence of depression and depressive symptoms was higher among outpatients in developing countries than in outpatients from developed countries. Moreover, the prevalence of depression and depressive symptoms in outpatients slightly decreased from 1996 to 2010. Regarding screening instruments, the Beck Depression Inventory led to a higher estimate of the prevalence of depression and depressive symptoms (1316/4702, 36.0%, 95% CI 29.0% to 44.0%, I2=94.8%) than the Hospital Anxiety and Depression Scale (1003/2025, 22.0%, 95% CI 12.0% to 35.0%, I2=96.6%).ConclusionOur study provides evidence that a significant proportion of outpatients experience depression or depressive symptoms, highlighting the importance of developing effective management strategies for the early identification and treatment of these conditions among outpatients in clinical practice. The substantial heterogeneity between studies was not fully explained by the variables examined.

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The Revised Child Anxiety and Depression Scale: A Psychometric Investigation with Australian Youth

Behaviour Change ◽

10.1375/bech.19.2.90 ◽

2002 ◽

Vol 19 (2) ◽

pp. 90-101 ◽

Cited By ~ 57

Author(s):

Raelene L. de Ross ◽

Eleonora Gullone ◽

Bruce F. Chorpita

Keyword(s):

Anxiety Disorder ◽

Convergent Validity ◽

Child Anxiety ◽

Depression Scale ◽

Separation Anxiety Disorder ◽

Self Report ◽

Anxiety And Depression ◽

Normative Study ◽

Major Depressive ◽

Compulsive Disorder

AbstractThe Revised Child Anxiety and Depression Scale (RCADS) is a 47-item self-report measure intended to assess children's symptoms corresponding to selected DSM-IV anxiety and major depressive disorders. The scale comprises six subscales (e.g., Separation Anxiety Disorder; Social Phobia; Obsessive Compulsive Disorder; Panic Disorder; Generalised Anxiety Disorder; and Major Depressive Disorder). To date, only one normative study of youth has been published with results providing strong initial support for the reliability and validity of this new measure (Chorpita, Yim, Moffitt, Umemoto, & Francis, 2000). The present investigation provides additional psychometric data derived from an Australian sample comprising 405 youth aged 8 to 18 years. In general, the data were found to be consistent with those reported in the initial normative study. Internal consistency for the overall scale and its subscales was found to be adequate. Good convergent validity was demonstrated through moderate to strong correlations between the subscales of the RCADS with scores on the Revised Children's Manifest Anxiety Scale (RCMAS) and the Children's Depression Inventory (CDI). Confirmatory factor analysis suggested reasonable fit for the six-factor model by Chorpita et al. (2000). Notwithstanding the need for additional validation, it is concluded that the RCADS is a promising instrument for use in both clinical and research settings.

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Construct validation using multitrait‐multimethod‐twin data: The case of a general factor of personality

European Journal of Personality ◽

10.1002/per.760 ◽

2010 ◽

Vol 24 (3) ◽

pp. 258-277 ◽

Cited By ~ 61

Author(s):

Rainer Riemann ◽

Christian Kandler

Keyword(s):

Study Design ◽

Convergent Validity ◽

Structural Equation ◽

Twin Studies ◽

Higher Order ◽

Genetic Effects ◽

Order Structure ◽

General Factor ◽

General Factor Of Personality ◽

Peer Report

We describe a behavioural genetic extension of the classic multitrait‐multimethod study design that allows estimating genetic and environmental influences on method effects in twin studies (MTMM‐T). Genetic effects and effects of the environment shared by siblings are interpreted as indicators of convergent validity. In an application of the MTMM study design, we used self‐ and peer report data to examine the higher‐order structure of the NEO‐PI‐R. Structural equation modelling did not support a general factor of personality in multimethod data. The higher‐order factor Stability turns out to be, at most, a weak trait factor. Genetic effects on method factors indicate that especially self‐reports but also peer reports show convergent validity between twins but not between methods. Copyright © 2010 John Wiley & Sons, Ltd.

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Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey

Health and Quality of Life Outcomes ◽

10.1186/s12955-019-1264-0 ◽

2020 ◽

Vol 18 (1) ◽

Cited By ~ 7

Author(s):

Anne Vinggaard Christensen ◽

Jane K. Dixon ◽

Knud Juel ◽

Ola Ekholm ◽

Trine Bernholdt Rasmussen ◽

...

Keyword(s):

Factor Analysis ◽

Factor Structure ◽

Internal Consistency ◽

Convergent Validity ◽

Depression Scale ◽

Anxiety And Depression ◽

Divergent Validity ◽

Hospital Anxiety ◽

Item Functioning ◽

Confirmatory Factor

Abstract Background Anxiety and depression symptoms are common among cardiac patients. The Hospital Anxiety and Depression Scale (HADS) is frequently used to measure symptoms of anxiety and depression; however, no study on the validity and reliability of the scale in Danish cardiac patients has been done. The aim, therefore, was to evaluate the psychometric properties of HADS in a large sample of Danish patients with the four most common cardiac diagnoses: ischemic heart disease, arrhythmias, heart failure and heart valve disease. Methods The DenHeart study was designed as a national cross-sectional survey including the HADS, SF-12 and HeartQoL and combined with data from national registers. Psychometric evaluation included analyses of floor and ceiling effects, structural validity using both exploratory and confirmatory factor analysis and hypotheses testing of convergent and divergent validity by relating the HADS scores to the SF-12 and HeartQoL. Internal consistency reliability was evaluated by Cronbach’s alpha, and differential item functioning by gender was examined using ordinal logistic regression. Results A total of 12,806 patients (response rate 51%) answered the HADS. Exploratory factor analysis supported the original two-factor structure of the HADS, while confirmatory factor analysis supported a three-factor structure consisting of the original depression subscale and two anxiety subscales as suggested in a previous study. There were floor effects on all items and ceiling effect on item 8. The hypotheses regarding convergent validity were confirmed but those regarding divergent validity for HADS-D were not. Internal consistency was good with a Cronbach’s alpha of 0.87 for HADS-A and 0.82 for HADS-D. There were no indications of noticeable differential item functioning by gender for any items. Conclusions The present study supported the evidence of convergent validity and high internal consistency for both HADS outcomes in a large sample of Danish patients with cardiac disease. There are, however, conflicting results regarding the factor structure of the scale consistent with previous research. Trial registration ClinicalTrials.gov: NCT01926145.

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Are Perfectionistic Thoughts an Antecedent or a Consequence of Depressive Symptoms? A Cross-Lagged Analysis of the Perfectionism Cognitions Inventory

Journal of Psychoeducational Assessment ◽

10.1177/0734282919877764 ◽

2019 ◽

Vol 38 (1) ◽

pp. 99-111 ◽

Cited By ~ 3

Author(s):

Avi Besser ◽

Gordon L. Flett ◽

Simon B. Sherry ◽

Paul L. Hewitt

Keyword(s):

Depressive Symptoms ◽

Life Events ◽

Structural Equation ◽

Longitudinal Research ◽

Depression Scale ◽

Automatic Thoughts ◽

Equation Modeling ◽

Major Life Events ◽

Major Life ◽

Cross Sectional

Perfectionistic automatic thoughts have been linked with depressive symptoms in numerous cross-sectional studies, but this link has not been assessed in longitudinal research. An investigation with two timepoints was conducted to test whether perfectionistic automatic thoughts, as assessed by the Perfectionism Cognitions Inventory (PCI), are contributors to subsequent depression or vice versa. The possible role of a third factor (major life events stress) was also evaluated. A sample of 118 university students completed the PCI, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Life Experiences Survey on two occasions with a 5-month interval. A cross-lagged analysis using structural equation modeling showed that above and beyond within-time associations and across-time stability effects, perfectionism automatic thoughts contributed to subsequent depressive symptoms and not vice versa. Negative life events stress was correlated significantly with both depressive symptoms and perfectionism automatic thoughts but did not have an influence on Time 2 depressive symptoms or on perfectionistic automatic thoughts. Our discussion focuses on perfectionistic automatic thoughts as a contributor to depressive vulnerability according to the perfectionism cognition theory.

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