Validation of the Brief Cognitive Symptoms Index in Sjögren Syndrome

2014 ◽  
Vol 41 (10) ◽  
pp. 2027-2033 ◽  
Author(s):  
Barbara M. Segal ◽  
Nelson Rhodus ◽  
Kathy L. Moser Sivils ◽  
Craig A. Solid

Objective.The Brief Cognitive Symptoms Inventory (BCSI) is a short, self-report scale designed to measure cognitive symptomatology in patients with rheumatic disease. To facilitate research and clinical practice, we tested the internal consistency and validity of the BCSI in patients with Sjögren syndrome (SS).Methods.Patients who met the American-European Consensus Group criteria for SS and healthy controls completed a questionnaire assessing symptoms including cognitive complaints. We calculated Cronbach’s alpha to assess internal consistency and Pearson correlation coefficients to test for association between BCSI, symptoms, and demographic variables. Total score distribution was analyzed to establish cutoff criteria for differentiation of case versus non-case. We compared neuropsychological outcomes of patients with SS above and below the threshold BCSI score to assess the association of cognitive symptoms with objective cognitive deficits.Results.Complete data were available on 144 patients with SS and 35 controls. Internal consistency of the BCSI was good. Scores were similar in all patient groups and patients reported more cognitive symptoms than controls (p < 0.0001). BCSI scores correlated moderately with pain, depression, anxiety, fatigue, and health quality. High scores for cognitive dysfunction were reported by 20% of the patients with SS and only 3% of controls. Patients with cognitive scores > 50 had more depression, fatigue, pain (effect size all > 1), and worse performance on multiple cognitive domains.Conclusion.The BCSI should be a useful tool for the study of cognitive symptoms in SS. Both self-report and standardized tests should be considered in screening for cognitive disorders in SS.

2021 ◽  
Vol 14 (1) ◽  
pp. 43-50
Author(s):  
Selenia di Fronso ◽  
Claudio Robazza ◽  
Cristina Montesano ◽  
Maurizio Bertollo

Background: The Recovery-Stress Questionnaire for Athletes (RESTQ-Sport-36) is a self-report measure intended to monitor the recovery-stress balance in athletes. A validated Italian version of this instrument was not available so far. Objective: The aim of this study was to provide an initial validation in Italian language of the RESTQ-Sport-36. Methods: A sample of Italian athletes (N = 339; women = 148; men = 191) from various sports completed the RESTQ-Sport-36 and the Italian Mood Scale (ITAMS). We examined the factorial validity and the internal consistency of the RESTQ-Sport-36 and its concurrent validity with the ITAMS. Results: A confirmatory factor analysis supported a 12-factor structure after the removal of 3 items. Reliability analysis showed a satisfactory internal consistency of the 33-item Recovery-Stress Questionnaire for Athletes (RESTQ-Sport-33). Pearson correlation coefficients revealed that the RESTQ-Sport-33 and ITAMS share some common variance but measure different constructs. Conclusion: Our results provided support to the factorial validity and reliability of the RESTQ-Sport-33. This instrument can be used to reliably monitor recovery-stress balance of Italian athletes throughout the season.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 992.1-992
Author(s):  
C. Rogier ◽  
B. Van Dijk ◽  
E. Brouwer ◽  
P. De Jong ◽  
A. Van der Helm - van Mil

Background:Early diagnosis and management of patients with inflammatory arthritis(IA) are critical to improve long-term patient-outcomes. Assessment of joint swelling at joint examination is the reference of IA-identification; early access clinics are constructed to promote this early recognition of IA. However, due to the COVID-19 pandemic the face-to-face capacity of such services is severely reduced. The accuracy of patient-reported swelling in comparison to joint examination has been extensively evaluated in established RA (ρ 0.31-0.67), but not in patients suspected for IA.[1]Objectives:To promote evidence based care in the era of telemedicine, we determined the accuracy of patient-reported joint swelling for actual presence of IA in persons suspected of IA by general practitioners(GP).Methods:Data from two Dutch Early Arthritis Recognition Clinics were studied. These are screening clinics (1.5-lines-setting) where GPs send patients in case of doubt on IA. At this clinic patients were asked to mark the presence of swollen joints on a mannequin with 52 joints. For this study the DIP joints and the metatarsal joints were excluded and, therefore, a total of 42 joints were assessed for self-reported joint swelling. Clinically apparent IA of ≥1 joint determined by the physician was the reference to calculate sensitivity, specificity, positive and negative likelihood ratios (LR+,LR-), and positive and negative predictive values (PPV, NPV) on patient-level. Pearson correlation coefficients(ρ) were determined. Predictive values depend on the prevalence of a disease in a population. Because the prevalence of IA in a 1.5-lines-setting will differ from a primary care setting, post-test probabilities of IA were estimated for two lower prior-test probabilities as example, namely 20% (estimated probability in patients GPs belief IA is likely) and 2% (prior-test probability with less preselection by GPs), using likelihood ratios and nomograms.Results:A total of 1637 consecutive patients were studied. Median symptom duration was 13 weeks. 76% of patients marked ≥1swollen joint at the mannequin. 41% of patients had ≥1swollen joint at examination by rheumatologists. ρ was 0.20(patient-level)-0.26(joint-level).The sensitivity of patients-reported joint swelling was high, 87%, indicating that the majority of patients with IA had marked swelling on the mannequin. However the specificity was 31%, indicating that 69% of persons without IA had also done so. The LR+ was 1.25; the LR- 0.43. The PPV was 46%, the NPV 77%. Thus the PPV increased hardly (from 41% to 46%) and the NPV somewhat (from 59% to 77%). Also in settings with prior-test probabilities of 20% and 2%, estimated PPVs (from respectively 20% and 2% to 24% and 2%) and NPVs (from respectively 80% and 98% to 90% and 99%) hardly increased.Conclusion:Patient-reported joint swelling had little value in distinguishing patients with/without IA for different prior-test probabilities, and is less valuable in comparison to self-reported flare detection in established RA.References:[1]Barton JL, Criswell LA, Kaiser R, et al. Systematic review and metaanalysis of patient self-report versus trained assessor joint counts in rheumatoid arthritis. J Rheumatol 2009;36:2635-2641.Disclosure of Interests:None declared


2009 ◽  
Vol 36 (12) ◽  
pp. 2635-2641 ◽  
Author(s):  
JENNIFER L. BARTON ◽  
LINDSEY A. CRISWELL ◽  
RACHEL KAISER ◽  
YEA-HUNG CHEN ◽  
DEAN SCHILLINGER

Objective.Patient self-report outcomes and physician-performed joint counts are important measures of disease activity and treatment response. This metaanalysis examines the degree of concordance in joint counts between trained assessors and patients with rheumatoid arthritis (RA).Methods.Studies eligible for inclusion met the following criteria: English language; compared patient with trained assessor joint counts; peer-reviewed; and RA diagnosis determined by board-certified or board-eligible specialist or met 1987 American College of Rheumatology criteria. We searched PubMed and Embase to identify articles between 1966 and January 1, 2008. We compared measures of correlation between patients and assessors for either tender/painful or swollen joint counts. We used metaanalysis methods to calculate summary correlation estimates.Results.We retrieved 462 articles and 18 were included. Self-report joint counts were obtained by a text and/or mannequin (picture) format. The summary estimates for the Pearson correlation coefficients for tender joint counts were 0.61 (0.47 lower, 0.75 upper) and for swollen joint counts 0.44 (0.15, 0.73). Summary results for the Spearman correlation coefficients were 0.60 (0.30, 0.90) for tender joint counts and 0.54 (0.35, 0.73) for swollen joint counts.Conclusion.A self-report tender joint count has moderate to marked correlation with those performed by a trained assessor. In contrast, swollen joint counts demonstrate lower levels of correlation. Future research should explore whether integrating self-report tender joint counts into routine care can improve efficiency and quality of care, while directly involving patients in assessment of RA disease activity.


Assessment ◽  
1994 ◽  
Vol 1 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Mark A. Blais ◽  
Kenneth B. Benedict ◽  
Dennis K. Norman

The Millon Clinical Multiaxial Inventory—II (MCMI-II), a frequently used self-report measure of psychopathology, contains nine scales designed to assess Axis I psychopathology (the clinical syndrome and severe syndrome scales). This study explored the relationships among these nine MCMI-II clinical syndrome scales and the clinical scales of the Minnesota Multiphasic Personality Inventory–2 (MMPI-2). A sample of 108 psychiatric inpatients was administered both the MCMI-II and the MMPI-2 within 7 days of admission. Pearson correlation coefficients and principal component factors were obtained for the MCMI-II and MMPI-2 scales. The results provided support for the convergent validity of all the MCMI-II Axis I scales. However, the majority of the MCMI-II scales failed to demonstrate adequate discriminant validity in relation to the MMPI-2 scales. The principal component analysis revealed that method variance was the principal influence in determining factor loadings for the majority of test scales. This finding suggests that these two popular self-report tests differ substantially in how they measure psychopathology.


2020 ◽  
Author(s):  
Lijuan Quan ◽  
Bijun Lv ◽  
Xiao Zhou ◽  
Guanghai Hou ◽  
Qingsong Sang

Abstract Background: Posttraumatic Stress Disorder (PTSD) is one of the most prevalent psychopathologies experienced by victims following natural disasters. The severity of traumatic experience may be a critical risk factor for the development of PTSD. Nevertheless, other factors may also lead to PTSD. We propose that fear and self-disclosure could be two important factors. Previous studies have examined their unique roles in PTSD, but their combined role in PTSD has been rarely assessed. To fill this gap, the aim of this study was to examine the relationship between severity of traumatic exposure, fear, self-disclosure, and PTSD among victims following flood disaster. Methods: one hundred ninety-nine participants completed self-report questionnaires. Descriptive statistics were obtained using SPSS 17.0 and Pearson correlation coefficients were calculated to obtain correlations between major variables. Results: results indicated that severity of traumatic exposure not only had a direct effect on PTSD, but also it had an indirect effect on PTSD via activating victims’ fear. Moreover, self-disclosure played a buffering role between fear and PTSD. However, the role of fear in PTSD may decrease with increases in levels of self-disclosure. Conclusions: Traumatic exposure had positive predictive effects for PTSD and fear. Self-disclosure had negative predictive effects for PTSD. Fear played a mediating role between severity of traumatic exposure and PTSD, self-disclosure played a moderating role in the relationship between fear and PTSD. Psychological interventions should focus on the regulation of fear and improvement of self-disclosure following traumatic exposure.


2019 ◽  
Author(s):  
Lijuan Quan ◽  
Bijun Lv ◽  
Xiao Zhou ◽  
Guanghai Hou ◽  
Qingsong Sang

Abstract Background: Posttraumatic Stress Disorder (PTSD) is one of the most prevalent psychopathologies experienced by victims following natural disasters. The severity of traumatic experience may be a critical risk factor for the development of PTSD. Nevertheless, other factors may also lead to PTSD. We propose that fear and self-disclosure could be two important factors. Previous studies have examined their unique roles in PTSD, but their combined role in PTSD has been rarely assessed. To fill this gap, the aim of this study was to examine the relationship between severity of traumatic exposure, fear, self-disclosure, and PTSD among victims following flood disaster. Methods: one hundred ninety-nine participants completed self-report questionnaires. Descriptive statistics were obtained using SPSS 17.0 and Pearson correlation coefficients were calculated to obtain correlations between major variables. Results: results indicated that severity of traumatic exposure not only had a direct effect on PTSD, but also it had an indirect effect on PTSD via activating victims’ fear. Moreover, self-disclosure played a buffering role between fear and PTSD. However, the role of fear in PTSD may decrease with increases in levels of self-disclosure. Conclusions: Traumatic exposure had positive predictive effects for PTSD and fear. Self-disclosure had negative predictive effects for PTSD. Fear played a mediating role between severity of traumatic exposure and PTSD, self-disclosure played a moderating role in the relationship between fear and PTSD. Psychological interventions should focus on the regulation of fear and improvement of self-disclosure following traumatic exposure.


2014 ◽  
Vol 40 (2) ◽  
pp. 200-205 ◽  
Author(s):  
J. K. Kim ◽  
H. M. Lim

The purpose of this study was to translate and culturally adapt the Carpal Tunnel Questionnaire to produce an equivalent Korean version. A total of 53 patients completed the Korean version of the Carpal Tunnel Questionnaire pre-operatively and 3 months after open carpal tunnel release. All 53 also completed the Korean version of the Disabilities of Arm, Shoulder, and Hand questionnaire pre-operatively and 3 months post-operatively. Reliability was measured by determining the test–retest reliability and internal consistency. Test–retest reliability was assessed using intraclass correlation coefficients and paired t-tests, and internal consistency using Cronbach’s alpha coefficients. Pearson correlation analysis was carried out on the Korean version of the Carpal Tunnel Questionnaire scores and the Korean version of the Disabilities of Arm, Shoulder, and Hand scores to assess construct validity. Responsiveness was evaluated using effect sizes and standardized response means. The reliability of the Korean version of the Carpal Tunnel Questionnaire was good. The scores in the Korean version of the Disabilities of Arm, Shoulder, and Hand strongly correlated with the scores in the Korean version of the Carpal Tunnel Questionnaire. Standardized response mean and effect size were both large for the Korean version of the Carpal Tunnel Questionnaire. The study shows that the Korean version of the Carpal Tunnel Questionnaire is a reliable, valid and responsive instrument for measuring outcomes in carpal tunnel syndrome.


1998 ◽  
Vol 83 (1) ◽  
pp. 263-274 ◽  
Author(s):  
Charles L. Spirrison ◽  
Suksoon Choi

Native Korean speakers attending English-speaking universities in the United States (47 men, 37 women) were administered Form S (self-report) or Form R (observer's ratings) of both the English and Korean language versions of the Revised NEO-Personality Inventory. Analyses of internal consistency reliability, Pearson correlation coefficients, and t tests computed across languages and within forms suggested chat the Korean translations of Form S and Form R were essentially equivalent to the English originals. Using the Korean versions of the Form S and Form R domains, correlations were computed between self-reported personality traits and the traits as rated by each participant's spouse. The resulting correlation matrix supported the convergent and discriminant validity of this Korean translation of the Revised NEO-Personality Inventory.


2020 ◽  
Vol 24 (4) ◽  
pp. 212-220
Author(s):  
Eun Joo Lee ◽  
Ji Yeong Lee ◽  
Su Jin Lee ◽  
Se Eun Yu

Purpose: This study aimed to identify the effect of self-esteem and spouse support on prenatal depression.Methods: The subjects were 131 pregnant women who visited two women clinics located in Changwon City. Data were collected from September 25 to November 20, 2019, and the self-report questionnaire included spouse support, self-esteem, and prenatal depression. The collected data were analyzed by IBM SPSS Statistics ver. 23.0 using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis.Results: Prenatal depression had a significant negative correlation with self-esteem (r=-0.39, p=0.001) and spouse support (r=-0.36, p<0.001). The factors affecting prenatal depression were religion (β=-0.16, p=0.035), monthly family income (β=-0.15, p=0.040), self-esteem (β=-0.25, p=0.002), and spouse support (β=-0.19, p=0.017); these variables explained 28.4% of the variance in prenatal depression.Conclusion: To prevent depression in pregnant women, professional counseling and support systems such as spouses, religious and social environments should be applied to pregnant women, especially those with low self-esteem. Additionally, more financial support should be provided for low-income pregnant women. Further, there is a need to screen and manage the risk of depression in pregnancy.


2006 ◽  
Vol 29 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Marina Bandeira ◽  
Maria Gláucia Pires Calzavara ◽  
Lucas Cordeiro Freitas ◽  
Sabrina Martins Barroso

OBJECTIVE: Psychiatric deinstitutionalization resulted in greater involvement of families in daily care of patients. Family caregivers burden has been described by international researches. In Brazil very few studies investigated family burden with validated scales, perhaps due to the restrict availability of scales to measure this construct. The present study examined the reliability of the Brazilian version of the Family Burden Interview Schedule. METHOD: Scale reliability was assessed through its internal consistency and temporal stability. A sample of 243 family caregivers of psychiatric patients attending public outpatient services were interviewed with the scale. Socio-demographic data were collected with a standardized form. A sub-sample of 42 relatives participated in a re-test, after 3 weeks, for assessment of the scale temporal stability. RESULTS: Cronbach alpha coefficients ranged from 0.58 to 0.90 for global and domains scores. Pearson correlation coefficients and intra-class correlation coefficients for test and retest ranged from 0.54 to 0.90. DISCUSSION: Results for internal consistency were similar to the original scale. Four subscales presented alpha coefficients superior to the original ones. The temporal stability cannot be compared because this analysis was not performed for the original scale. CONCLUSION: The Brazilian version of the scale had good psychometric properties of temporal stability and internal consistency.


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