A novel construct of anhedonia revealed in a Chinese sample via the Revised Physical and Social Anhedonia Scales

2019 ◽  
Author(s):  
Qiongqiong Wu ◽  
Jiayue He ◽  
Shulin Fang ◽  
Panwen Zhang ◽  
Xingwei Luo ◽  
...  

Abstract Background: Anhedonia is experienced as a symptom of a number of mental disorders including major depressive disorder, posttraumatic stress disorder, obsessive-compulsive disorder, schizophreniaand schizotypal personality disorder, and schizophrenia (as a negative symptom). The Revised Physical Anhedonia Scale (RPAS) and the Revised Social Anhedonia Scale (RSAS) have been applied in clinical and non-clinical samples since 1980s. However, the factor structure of the RPAS has not been determined and the structure of the RSAS remains controversial. The construct of a unified RPAS&RSAS has never been explored. Therefore, the purpose of our study was to examine the factor structure of the RPAS, the RSAS and the unified RPAS&RSAS.Methods: The internal consistency and test-retest reliability of the RPAS and the RSAS were determined in a sample of 3,435 Chinese young adults. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were each conducted in halves of the sample to reveal the constructs of the RPAS and the RSAS. CFA was used to evaluate first- and second-order models for the unified RPAS&RSAS .Results: The psychometric robustness of the RPAS and the RSAS were confirmed by high internal consistency (Cronbach’s α = 0.884, 0.835) and test-retest reliablity (r = 0.572, 0.602) values. EFA and CFA indicated 2-factor structures for both scales, with the factors being defined as anticipatory physical/social anhedonia and consummatory physical/social anhedonia. The second-order model of the unified RPAS&RSAS had satisfactory fit index values (CFI=0.901, RMSEA=0.055).Conclusions: The unified simplified Chinese RPAS&RSAS can be used to assess anhedonia in young adults. A novel second-order structure of anhedonia was revealed.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Qiongqiong Wu ◽  
Jiayue He ◽  
Shulin Fang ◽  
Panwen Zhang ◽  
Xingwei Luo ◽  
...  

Abstract Background Anhedonia is a core clinical symptom of mental disorders. The Revised Physical Anhedonia Scale (RPAS) and the Revised Social Anhedonia Scale (RSAS) have been applied in clinical and non-clinical samples since 1980s. However, the construct of a unified RPAS&RSAS for comprehensive measurement of anhedonia has never been explored. Therefore, the purpose of our study was to examine the factor structure of the unified RPAS&RSAS among undergraduates and clinical patients. Methods A total of 3435 undergraduates from two universities and 294 clinical patients with mental disorders had completed the Chinese version of the RPAS and the RSAS. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were each conducted to reveal the constructs of the RPAS and the RSAS. CFA was used to evaluate first- and second-order models for the unified RPAS&RSAS in undergraduates and clinical patients. The internal consistency and test-retest reliability of the RPAS and the RSAS were also evaluated. Results EFA and CFA indicated 2-factor structures for RPAS and RSAS, with the factors being defined as anticipatory anhedonia and consummatory anhedonia. The second-order model of the unified RPAS&RSAS in the undergraduates and clinical patients both had satisfactory fit index values (Undergraduate sample: CFI = 0.901, TLI = 0.899, RMSEA = 0.055, SRMR = 0.086; Clinical sample: CFI = 0.922, TLI = 0.911, RMSEA = 0.052, SRMR = 0.078). The psychometric robustness of the RPAS&RSAS were confirmed by high internal consistency and test-retest reliability values. Conclusions The unified RPAS&RSAS with a second-order structure was confirmed in both undergraduates and clinical samples in Chinese. The construct of anhedonia was refreshed as covering physical and social domains, and each of them includes both anticipatory and consummatory components.


2017 ◽  
Vol 26 (4) ◽  
pp. 1199-1210 ◽  
Author(s):  
Hamid Sharif Nia ◽  
Vida Shafipour ◽  
Kelly-Ann Allen ◽  
Mohammad Reza Heidari ◽  
Jamshid Yazdani-Charati ◽  
...  

Background: Moral distress is a growing problem for healthcare professionals that may lead to dissatisfaction, resignation, or occupational burnout if left unattended, and nurses experience different levels of this phenomenon. Objectives: This study aims to investigate the factor structure of the Persian version of the Moral Distress Scale–Revised in intensive care and general nurses. Research design: This methodological research was conducted with 771 nurses from eight hospitals in the Mazandaran Province of Iran in 2017. Participants completed the Moral Distress Scale–Revised, data collected, and factor structure assessed using the construct, convergent, and divergent validity methods. The reliability of the scale was assessed using internal consistency (Cronbach’s alpha, Theta, and McDonald’s omega coefficients) and construct reliability. Ethical considerations: This study was approved by the Ethics Committee of Mazandaran University of Medical Sciences. Findings: The exploratory factor analysis ( N = 380) showed that the Moral Distress Scale–Revised has five factors: lack of professional competence at work, ignoring ethical issues and patient conditions, futile care, carrying out the physician’s orders without question and unsafe care, and providing care under personal and organizational pressures, which explained 56.62% of the overall variance. The confirmatory factor analysis ( N = 391) supported the five-factor solution and the second-order latent factor model. The first-order model did not show a favorable convergent and divergent validity. Ultimately, the Moral Distress Scale–Revised was found to have a favorable internal consistency and construct reliability. Discussion and conclusion: The Moral Distress Scale–Revised was found to be a multidimensional construct. The data obtained confirmed the hypothesis of the factor structure model with a latent second-order variable. Since the convergent and divergent validity of the scale were not confirmed in this study, further assessment is necessary in future studies.


Author(s):  
Nádia Prazeres PINHEIRO-CAROZZO ◽  
Jorge Júlio de Carvalho Valadas GATO ◽  
Anne Marie Germaine Victorine FONTAINE ◽  
Sheila Giardini MURTA

Abstract The objective of this study was to assess the internal structure of the Brazilian version of the Parenting Practices Scales, examining its dimensionality and the internal consistency of their subscales in a sample of vulnerable young individuals (N = 452). The six-factor structure was replicated through Confirmatory Factor Analysis; however, Cronbach’s alpha values for two factors indicated poor internal consistency: autonomy granting (α = 0.55) and punitive control (α = 0.51). Considering the correlations between the factors and the theoretical framework, a 2nd-order structure was performed, evidencing two correlated latent dimensions: demandingness and responsiveness. This model presented a good fit to the data and the 2nd latent dimensions achieved satisfactory internal consistency. The results were discussed considering sociocultural-related issues. Recommendations about the usage of this instrument were made, regarding both assessment and intervention contexts.


2021 ◽  
Vol 12 ◽  
Author(s):  
Long She ◽  
Lan Ma ◽  
Fatemeh Khoshnavay Fomani

Background: The consideration of future consequences (CFC) determines the extent to which individuals consider the potential future outcomes of their current behavior. The significance of assessing the CFC scale’s validation in different contexts has been acknowledged by the previous studies. While the majority of the studies have been conducted in western countries, no study has been conducted in Malaysia. The aim of the current study was to validate a Malaysian version of the CFC scale among Malaysian young adults.Methods: The methodological cross-sectional approach was adopted in this study. The study recruited 529 young adults (age range from 25 to 40) who fulfilled the inclusion criteria of the paper survey. Construct validity was assessed using content validity, convergent validity, and discriminant validity. Cronbach’s alpha, McDonald’s omega, and average inter-item correlation (AIC) were used to assess the scale’s internal consistency. Also, composite reliability (CR) and maximal reliability (MaxR) were used to assess the construct reliability. Measurement invariance was tested across gender.Results: The findings of the exploratory factor analysis indicated that the Malaysian version of the CFC scale has a two-factor structure (i.e., CFC-Future and CFC-Immediate) with 10-item explaining 61.682% of the total variance. The confirmatory factor analysis (CFA) supported the two-factor structure of the CFC scale with good construct validity. The internal consistency and CR were acceptable. [The Cronbach’s alpha, McDonald’s omega, and CR for CFC-I were 0.901 (CI 95%: 0.881–918), 0.901, and 0.887, respectively. Also, these parameters for CFC-F were 0.867 (CI 95%: 0.838–891), 0.868, and 0.867, respectively].Conclusion: We found acceptable psychometric evidence for the 10-item two-factors CFC scale used in the context of young adults in Malaysia. The validated instrument can be used in future studies to assess young adults’ CFC tendency and CFC-related behavior in Malaysia.


2012 ◽  
Vol 28 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Paula Elosua ◽  
Alicia López-Jáuregui

In this study the Eating Disorder Inventory-3 was adapted to Spanish and analyzed the internal psychometric properties of the test in a clinical sample of females with eating disorders. The results showed a high internal consistency of the scores as well as high temporal stability. The factor structure of the scale composites was analyzed using confirmatory factor analysis. The results supported the existence of a second-order structure beyond the psychological composites. The second-order factor showed high correlation with the factor related to eating disorders. Overall, the Spanish version of the EDI-3 showed good psychometric qualities in terms of internal consistency, temporal stability and internal structure.


2021 ◽  
pp. 003435522110142
Author(s):  
Deniz Aydemir-Döke ◽  
James T. Herbert

Microaggressions are daily insults to minority individuals such as people with disabilities (PWD) that communicate messages of exclusion, inferiority, and abnormality. In this study, we developed a new scale, the Ableist Microaggressions Impact Questionnaire (AMIQ), which assesses ableist microaggression experiences of PWD. Data from 245 PWD were collected using Amazon’s Mechanical Turk (MTurk) platform. An exploratory factor analysis of the 25-item AMIQ revealed a three-factor structure with internal consistency reliability ranging between .87 and .92. As a more economical and psychometrically sound instrument assessing microaggression impact as it pertains to disability, the AMIQ offers promise for rehabilitation counselor research and practice.


2010 ◽  
Vol 38 (5) ◽  
pp. 535-544 ◽  
Author(s):  
Jakob Smári ◽  
Ástdís Þorsteinsdóttir ◽  
Lilja Magnúsdóttir ◽  
Unnur J. Smári ◽  
Daníel Þ. Ólason

Introduction: Inflated responsibility has been hypothesized as an important influence on OCD symptoms. According to Salkovskis and colleagues (1999) there are in turn five developmental pathways that lead to inflated responsibility. Coles and Schofield (2008) proposed the Pathways to Responsibility Beliefs Scale (PIRBS) as a measure of these pathways. Method: In the present study the psychometric properties of an Icelandic translation of the PIRBS were evaluated and its factor structure was studied in a confirmatory factor analysis. Further it was tested whether responsibility mediated between pathways to responsibility beliefs and OCD symptoms. Results: While neither a four nor a five-factor structure of the PIRBS was found to be wholly satisfactory; support for the latter was slightly better. Correlations of the PIRBS scales with measures of responsibility and obsessive-compulsive disorder symptoms were moderate as expected. Support was found for a mediating role of responsibility attitudes between pathways measured by the PIRBS and OCD symptoms in support of Salkovskis and colleagues' theory (1999). Conclusion: The PIRBS is a promising approach to study the developmental precursors of inflated responsibility and OCD symptoms but its factor structure may need a revision


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Anne Vinggaard Christensen ◽  
Jane K. Dixon ◽  
Knud Juel ◽  
Ola Ekholm ◽  
Trine Bernholdt Rasmussen ◽  
...  

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.


2008 ◽  
Vol 193 (5) ◽  
pp. 410-415 ◽  
Author(s):  
Afia Ali ◽  
Andre Strydom ◽  
Angela Hassiotis ◽  
Rachael Williams ◽  
Michael King

BackgroundThere is a lack of validated instruments measuring perceived stigma in people with intellectual disability.AimsTo develop a valid and reliable self-rated instrument to measure perceived stigma that can be completed by people with mild to moderate intellectual disability.MethodA literature search was used to generate a list of statements. Professionals, individuals with intellectual disability and carers were consulted about the suitability of statements. An instrument was developed containing statements about stigma with accompanying photographs. Test–retest reliability, internal consistency and the factor structure of the instrument were evaluated.ResultsThe instrument was completed by 109 people once and 88 people twice. Items with limited variability in responses and kappa coefficients lower than 0.4 were dropped. Exploratory factor analysis revealed two factors: ‘perceived discrimination’ (seven items) and ‘reaction to discrimination’ (four items). One item loaded onto both factors. Cronbach's alpha for the ten-item instrument was 0.84.ConclusionsThis instrument will further our understanding of the impact of stigma in people with intellectual disability in clinical and research settings.


2020 ◽  
Vol 19 (7) ◽  
pp. 600-608
Author(s):  
Selina Kikkenborg Berg ◽  
Jane Færch ◽  
Pernille Fevejle Cromhout ◽  
Marianne Tewes ◽  
Preben Ulrich Pedersen ◽  
...  

Background: Patient participation in treatment and care is often encouraged and is desirable because of its proven positive impact on treatment, quality of care and patient safety. Aims: To develop an instrument to measure patient participation in health care and to investigate the measurement properties of the Patient Participation Questionnaire (PPQ). Methods: A literature review was conducted to develop a model of patient participation. The PPQ was constructed consisting of 17 items organized into four subscales. Psychometric evaluation of factor structure, convergent construct validity by hypothesis testing and analyses of internal consistency using Cronbach’s alpha were performed on data from a hospitalised mixed group of patients with cardiac disease, pulmonary disease and cancer ( N=378 patients). Results: Confirmatory factor analysis did not show a clear model fit, which is why an exploratory factor analysis was performed, suggesting a different four subscale structure consisting of a total of 16 items. The four subscales were labelled Shared decision power, Adapted and individualized knowledge, Collaboration and Human approach. There were strong ceiling effects on all items. Analysis of convergent construct validity showed a moderate correlation (0.59) between the PPQ and another instrument measuring patient participation. Internal consistency for the total PPQ score was high: 0.89. Conclusion: In a mixed group of patients with cardiac disease, pulmonary disease and cancer, the PPQ showed promising psychometric properties in terms of factor structure, convergent construct validity and internal consistency. The PPQ may be used to shed light on the experience of patient participation and guide quality improvements.


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