A factor analytic study of the dizziness handicap inventory: does it assess phobic avoidance in vestibular referrals?

1999 ◽  
Vol 9 (1) ◽  
pp. 63-68 ◽  
Author(s):  
Gordon J.G. Asmundson ◽  
Murray B. Stein ◽  
Desmond Ireland
Keyword(s):  
Functional Disability ◽  
Functional Limitations ◽  
General Pattern ◽  
Tertiary Care ◽  
Self Report ◽  
Dizziness Handicap Inventory ◽  
Oblique Rotation ◽  
Factor Solution ◽  
Valid Assessment ◽  
Vestibular Symptoms

Panic disorder and agoraphobia have been associated with increased functional disability in individuals who have vestibular problems. The Dizziness Handicap Inventory (DHI), a 25-item self-report questionnaire with three rationally derived subscales, was designed to measure functional, emotional, and physical disability associated with vestibular disturbance. Despite the apparent usefulness of the DHI, there have been few studies of its psychometric properties. The primary purpose of the present study was to assess the factor structure of the DHI. A principal components analysis with oblique rotation was conducted on data collected from 95 patients referred to a tertiary-care vestibular disorders clinic for assessment of vestibular disturbance. Both 2-factor and 3-factor solutions are reported. The 2-factor solution was indicative of General Functional Limitations and Postural Difficulties. In the 3-factor solution, General Functional Limitations was split into factors indicative of Disability in Activities of Daily Living and Phobic Avoidance, while the Postural Difficulties factor remained stable. We also characterized the 3-factor solution by assessing the correlation of factor scores with measures of vestibular symptoms, mood, and anxiety. The general pattern of results does not support the validity of the original subscale structure of the DHI. Implications for revising the DHI to provide a more comprehensive and factorially valid assessment of disability associated with vestibular disturbance are discussed.

scholarly journals Children and Adolescents with Complex Regional Pain Syndrome: More Psychologically Distressed than Other Children in Pain?

2013 ◽  
Vol 18 (2) ◽  
pp. 87-93 ◽  
Author(s):  
Deirdre E Logan ◽  
Sara E Williams ◽  
Veronica P Carullo ◽  
Robyn Lewis Claar ◽  
Stephen Bruehl ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Complex Regional Pain Syndrome ◽  
Diagnostic Criteria ◽  
Functional Disability ◽  
Tertiary Care ◽  
Somatic Symptoms ◽  
Pain Syndrome ◽  
Self Report ◽  
Pain Clinic

BACKGROUND: Historically, in both adult and pediatric populations, a lack of knowledge regarding complex regional pain syndrome (CRPS) and absence of clear diagnostic criteria have contributed to the view that this is a primarily psychiatric condition.OBJECTIVE: To test the hypothesis that children with CRPS are more functionally disabled, have more pain and are more psychologically distressed than children with other pain conditions.METHODS: A total of 101 children evaluated in a tertiary care pediatric pain clinic who met the International Association for the Study of Pain consensus diagnostic criteria for CRPS participated in the present retrospective study. Comparison groups included 103 children with abdominal pain, 291 with headache and 119 with back pain. Children and parents completed self-report questionnaires assessing disability, somatization, pain coping, depression, anxiety and school attendance.RESULTS: Children with CRPS reported higher pain intensity and more recent onset of pain at the initial tertiary pain clinic evaluation compared with children with other chronic pain conditions. They reported greater functional disability and more somatic symptoms than children with headaches or back pain. Scores on measures of depression and anxiety were within normal limits and similar to those of children in other pain diagnostic groups.CONCLUSIONS: As a group, clinic-referred children with CRPS may be more functionally impaired and experience more somatic symptoms compared with children with other pain conditions. However, overall psychological functioning as assessed by self-report appears to be similar to that of children with other chronic pain diagnoses. Comprehensive assessment using a biopsychosocial framework is essential to understanding and appropriately treating children with symptoms of CRPS.

Dimensionality and Reliability Assessment of the Pain Patient Profile Questionnaire

2008 ◽  
Vol 24 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Brian E. McGuire ◽  
Michael J. Hogan ◽  
Todd G. Morrison
Keyword(s):  
Self Report ◽  
Pain Patient ◽  
Fit Indices ◽  
Depression And Anxiety ◽  
Oblique Rotation ◽  
Pain Experience ◽  
Patient Profile ◽  
Adequate Representation ◽  
Pain Patients ◽  
Report Measure

Abstract. Objective: To factor analyze the Pain Patient Profile questionnaire (P3; Tollison & Langley, 1995 ), a self-report measure of emotional distress in respondents with chronic pain. Method: An unweighted least squares factor analysis with oblique rotation was conducted on the P3 scores of 160 pain patients to look for evidence of three distinct factors (i.e., Depression, Anxiety, and Somatization). Results: Fit indices suggested that three distinct factors, accounting for 32.1%, 7.0%, and 5.5% of the shared variance, provided an adequate representation of the data. However, inspection of item groupings revealed that this structure did not map onto the Depression, Anxiety, and Somatization division purportedly represented by the P3. Further, when the analysis was re-run, eliminating items that failed to meet salience criteria, a two-factor solution emerged, with Factor 1 representing a mixture of Depression and Anxiety items and Factor 2 denoting Somatization. Each of these factors correlated significantly with a subsample's assessment of pain intensity. Conclusion: Results were not congruent with the P3's suggested tripartite model of pain experience and indicate that modifications to the scale may be required.

scholarly journals Differential Risk Factor Profiles in the Prediction of General and Pain-Specific Functional Limitations 12 Months after Major Pediatric Surgery

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 360
Author(s):  
Brittany N. Rosenbloom ◽  
P. Maxwell Slepian ◽  
M. Gabrielle Pagé ◽  
Lisa Isaac ◽  
Fiona Campbell ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anxiety Sensitivity ◽  
Pediatric Surgery ◽  
Functional Disability ◽  
Surgical Complication ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Major Surgery ◽  
Chronic Post Surgical Pain ◽  
Highly Correlated

Pediatric chronic post-surgical pain is a surgical complication associated with various levels of functional limitation. Two commonly used measures of functional limitations in youth are the Functional Disability Inventory (FDI) and the PROMIS Pediatric Pain Interference Scale (PPIS), where the former is general, and the latter, pain specific. The aim of the present study was to prospectively compare pre-surgical youth and parent risk factors for youth functional limitations, assessed by the FDI and PPIS, 12 months after major pediatric surgery. Risk factors for the FDI and PPIS were compared in 79 dyads consisting of youth (58% female, M = 14.56 years; SD = 2.31) undergoing major surgery and one of their parents. The FDI and PPIS were highly correlated prior to surgery (r = 0.698, p < 0.001) and even more so 12 months after surgery (r = 0.807, p < 0.001). Parent pre-surgical anxiety sensitivity and youth pre-surgical functional disability significantly predicted 12-month FDI (F(6,56) = 4.443, p = 0.001, Adjusted R2 = 0.25), whereas parent pre-surgical anxiety sensitivity, trait anxiety, pain anxiety, as well as youth pain-related anxiety and worry significantly predicted 12-month PPIS (F(6,45) = 4.104, p = 0.002, Adjusted R2 = 0.27). Risk factors for 12-month general and pain-specific functional limitations differ by dyad member and type. Functional limitations in youth after surgery are predicted by youth and parent factors, however the risk factors differ between the FDI and the PPIS.

scholarly journals Relationship of Parental Responses to Pain Catastrophization, Pain Intensity and Functional Limitations in Children with Functional Pain

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Jim Varghese ◽  
Sahana Madhyastha ◽  
Vijay Kumar
Keyword(s):  
Pain Intensity ◽  
Functional Disability ◽  
Functional Limitations ◽  
Psychosocial Problems ◽  
Parental Response ◽  
Functional Pain ◽  
Gender Based ◽  
Relationship Of ◽  
Parental Responses

Introduction: Pain is primarily a psychological experience. Based on social learning theory, studies have examined association between parental behaviours and child’s functioning in various pain situations. Objectives: 1) to examine relationship of parental responses to pain catastrophization, functional disability and pain intensity in children with functional pain complaints. 2) to explore psychosocial problems associated with functional pain. Methodology: Participants were 43 children diagnosed with functional pain, referred from Paediatric units of Kasturba Hospital, Manipal. Measures examining parental responses to pain, pain catastrophization, pain intensity, functional limitations and psychosocial problems were administered. Results: Analyses revealed significant associations between pain catastrophization and some of its types and functional disability. On the whole, statistically significant relationship between parental responses and pain catastrophization was not observed. But, on gender based analysis, solicitous parental response predicted pain rumination aspect of pain catastrophization in females. Among psychosocial problems, school and family problems were predominant. Conclusions: This study highlighted the role of pain catastrophization in predicting functional limitations in children and role of parental attention in increasing pain rumination in females. Hence, intervention should target the exaggerated pain perceptions, parental attention and psychosocial problems to ameliorate the functional limitations.

Presence of vestibular symptoms and related disability in migraine with and without aura and chronic migraine

Cephalalgia ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Gabriela F Carvalho ◽  
Flávia Heck Vianna-Bell ◽  
Lidiane L Florencio ◽  
Carina F Pinheiro ◽  
Fabiola Dach ◽  
...  
Keyword(s):  
Chronic Migraine ◽  
Migraine With Aura ◽  
Migraine Without Aura ◽  
Cross Sectional Study ◽  
Control Group ◽  
Dizziness Handicap Inventory ◽  
Cross Sectional ◽  
Severe Handicap ◽  
Migraine Frequency ◽  
Vestibular Symptoms

Objective To assess the presence and handicap due to vestibular symptoms in three subgroups of patients with migraine and controls. Methods Women between 18–55 years old were diagnosed by headache specialists and stratified as migraine with aura (n = 60), migraine without aura (n = 60), chronic migraine (n = 60) and controls (n = 60). Information regarding demographics, headache and vestibular symptoms were collected in this cross-sectional study. The self-perceived handicap related to vestibular symptoms was assessed through the Dizziness Handicap Inventory questionnaire. Results A total of 85% of women with migraine with aura and chronic migraine had vestibular symptoms contrasted to 70% of the migraine without aura group ( p < 0.05), and 12% of the control group reported symptoms ( p < 0.0001). Patients with migraine exhibited greater Dizziness Handicap Inventory scores than controls ( p < 0.001); and migraine with aura and chronic migraine groups reached greater scores than migraine without aura ( p < 0.01). Presence of migraine is associated with a greater risk of vestibular symptoms (migraine without aura: 5.20, migraine with aura: 6.60, chronic migraine:6.20, p < 0.0003) and with a greater risk of moderate-to-severe handicap (migraine without aura: 20.0, migraine with aura: 40.0, chronic migraine: 40.0, p < 0.0003). The presence of aura and greater migraine frequency adds to the risk of any handicap (migraine with aura: 1.9, chronic migraine: 1.7, p < 0.04) and to the risk of moderate-to-severe handicap (migraine with aura: 2.0, chronic migraine: 2.0, p < 0.0003). Migraine aura, intensity and frequency predict 36% of the dizziness handicap. Conclusion The prevalence of vestibular symptoms is increased in migraine during and between headache attacks, particularly in migraine with aura and chronic migraine along with an increased handicap due to those symptoms. Vestibular symptoms among subgroups of migraine should be considered when evaluating the functional impact of migraine.

Evaluation of the MacDonald, Kessel, and Fuller Self-Report Trust Scale

1988 ◽  
Vol 63 (3) ◽  
pp. 961-962 ◽  
Author(s):  
Rosemary R. Lagace ◽  
Gary K. Rhoads
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
The Self ◽  
Self Report ◽  
Full Time ◽  
Factor Solution ◽  
Confirmatory Factor ◽  
Trust Scale

An assessment of the dimensionality and reliability of the Self-report Trust Scale developed by MacDonald, Kessel, and Fuller in 1972 was made. Using 287 full-time employed adults as subjects, the initial confirmatory factor analysis of a one-factor solution was soundly rejected. Further analyses supported a two-factor solution with four items each. It is recommended that both dimensions (trust and suspicion) be investigated in research.

scholarly journals Clinical profile and functional disability of patients with migraine

2016 ◽  
Vol 07 (02) ◽  
pp. 250-256 ◽  
Author(s):  
Vishnu Renjith ◽  
Mamatha Shivananda Pai ◽  
Flavia Castelino ◽  
Aparna Pai ◽  
Anice George
Keyword(s):  
Functional Disability ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Primary Headache ◽  
Headache Disorder ◽  
Episodic Migraine ◽  
Clinical Profile ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional

ABSTRACT Background: Migraine is a common disabling primary headache disorder. Globally, migraine was ranked as the seventh highest cause of disability. Aim: The aim of the study was to explore the clinical profile and functional disability of patients with migraine. Settings and Design: A cross-sectional survey was conducted at the neurology outpatient department of a tertiary care hospital in Karnataka. Materials and Methods: Using a consecutive sampling technique, 60 patients were recruited for the study. Descriptive and inferential statistics were used to analyze the data. Results: Majority of the participants were in the age group of 18–40 years with a mean age 35.22 years. There was a female preponderance with 70% of study participants being females. The various symptoms experienced by patients include throbbing pain (90%), photophobia (93.3%), phonophobia (85%), nausea (76.7%), and vomiting (41.7%). Most of the subjects (73.3%) under the study belonged to moderate to severe levels of functional disability. About 53.3% of patients were in the category of episodic migraine and 46.7% were in the category of chronic migraine. Conclusion: Migraine is associated with moderate to severe functional disability. Frequency of migraine has a positive correlation with the levels of disability/migraine disability assessment scores of migraineurs.

Development of the Pedestrian Anger Scale. A Pilot Study

2019 ◽  
Vol 22 ◽  
Author(s):  
David Herrero-Fernández ◽  
Mireia Oliva-Macías ◽  
Pamela Parada-Fernández
Keyword(s):  
Road Safety ◽  
Global Scale ◽  
Incremental Validity ◽  
Self Report ◽  
Future Research ◽  
Road Accidents ◽  
Factor Solution ◽  
Aged People ◽  
Good Internal Consistency ◽  
Practical Implications

AbstractAnger has been closely related to risky behavior, and this last has been related to road accidents. The current research aimed to develop and validate a self-report questionnaire to measure anger in pedestrians (n = 550, 40.73% male) of a wide age rage (14–65 years, M = 27.91, SD = 13.21). The Parallel Analysis showed that the 15 items of the Pedestrian Anger Scale fitted satisfactorily in a four-factor solution: Anger because of obstructions or slowdowns caused by other pedestrians (α = .79), Anger because of hostility from drivers (α = .64), Anger because of bad conditions of the infrastructure (α = .62), and Anger because of dangerous situations caused by vehicles (α = .71). The global scale had also a good internal consistency (α = .83). Further analyses suggested convergent, divergent and incremental validity by correlating the global score of the questionnaire with both risk and anger measures. Middle-aged people (19–30 years) scored higher in anger as pedestrians than eldest (&gt; 45 years), η2 = .02, but no significant effect were obtained by gender. Practical implications from both clinical and road safety viewpoints are discussed, and both future research proposals and limitations of the current study are also commented.

scholarly journals Factor structure, internal consistency and reliability of the Posttraumatic Stress Disorder Checklist (PCL): an exploratory study

2012 ◽  
Vol 34 (4) ◽  
pp. 215-222 ◽  
Author(s):  
Eduardo de Paula Lima ◽  
Sandhi Maria Barreto ◽  
Ada Ávila Assunção
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Factor Analysis ◽  
Posttraumatic Stress ◽  
Internal Consistency ◽  
Stress Disorder ◽  
Traumatic Events ◽  
Self Report ◽  
Oblique Rotation ◽  
Language Version ◽  
Temporal Reliability

INTRODUCTION: Posttraumatic stress disorder (PTSD) is an anxiety disorder resulting from exposure to traumatic events. The Posttraumatic Stress Disorder Checklist (PCL) is a self-report measure largely used to evaluate the presence of PTSD. OBJECTIVE: To investigate the internal consistency, temporal reliability and factor validity of the Portuguese language version of the PCL used in Brazil. METHODS: A total of 186 participants were recruited. The sample was heterogeneous with regard to occupation, sociodemographic data, mental health history, and exposure to traumatic events. Subjects answered the PCL at two occasions within a 15 days’ interval (range: 5-15 days). RESULTS: Cronbach’s alpha coefficients indicated high internal consistency for the total scale (0.91) and for the theoretical dimensions of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) (0.83, 0.81, and 0.80). Temporal reliability (test-retest) was high and consistent for different cutoffs. Maximum likelihood exploratory factor analysis (EFA) was conducted and oblique rotation (Promax) was applied. The Kaiser-Meyer-Olkin (KMO) index (0.911) and Bartlett’s test of sphericity (χ² = 1,381.34, p < 0.001) indicated that correlation matrices were suitable for factor analysis. The analysis yielded three symptom clusters which accounted for 48.9% of the variance, namely, intrusions, avoidance, and numbing-hyperarousal. CONCLUSION: Our findings provide additional data regarding the psychometric properties of the PCL, including internal consistency, test-retest reliability, and factor validity. Results are discussed in relation to PTSD theoretical models.

scholarly journals Shared leadership in tertiary care: design of a simulation for patient safety decision-making in healthcare management teams

2020 ◽  
pp. bmjstel-2020-000627
Author(s):  
Lisa Aufegger ◽  
Emma Soane ◽  
Ara Darzi ◽  
Colin Bicknell
Keyword(s):  
Decision Making ◽  
Patient Safety ◽  
Real World ◽  
Shared Leadership ◽  
Improve Patient Safety ◽  
Tertiary Care ◽  
Management Training ◽  
Healthcare Management ◽  
Self Report ◽  
Good Opportunity

IntroductionSimulation-based training (SBT) on shared leadership (SL) and group decision-making (GDM) can contribute to the safe and efficient functioning of a healthcare system, yet it is rarely incorporated into healthcare management training. The aim of this study was design, develop and validate a robust and evidence-based SBT to explore and train SL and GDM.MethodUsing a two-stage iterative simulation design approach, 103 clinical and non-clinical managerial students and healthcare professionals took part in an SBT that contained real-world problems and opportunities to improve patient safety set within a fictional context. Self-report data were gathered, and a focus group was conducted to address the simulation’s degree of realism, content, relevance, as well as areas for improvement.ResultsParticipants experienced the simulation scenario, the material and the role assignment as realistic and representative of real-world tasks and decision contexts, and as a good opportunity to identify and enact relevant tasks, behaviours and knowledge related to SL and GDM. Areas for improvement were highlighted with regard to involving an actor who challenges SL and GDM; more preparatory time to allow for an enhanced familiarisation of the content; and, video debriefs to reflect on relevant behaviours and team processes.ConclusionsOur simulation was perceived as an effective method to develop SL and GDM within the context of patient safety and healthcare management. Future studies could extend this scenario method to other areas of healthcare service and delivery, and to different sectors that require diverse groups to make complex decisions.

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