scholarly journals The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12403
Author(s):  
Hawkar Ibrahim ◽  
Claudia Catani ◽  
Frank Neuner

Background In populations affected by mass disaster such as armed conflict and displacement, children are at risk of developing mental ill-health, in particular post-traumatic stress disorder (PTSD). Valid and reliable screening instruments are needed to assess the severity of PTSD symptoms among children and to identify individuals in need of treatment. Method In the context of an ongoing war in the Middle East, we developed the KID-PIN as a semi-structured interview for PTSD symptoms that can be administered by trained paraprofessionals. To achieve a culturally and contextually appropriate instrument, the development was based on open-ended interviews with affected children and involved both local and international experts. Using the KID-PIN and instruments for constructs associated with PTSD, 332 Iraqi and Syrian displaced children were interviewed. A subset of the sample (n = 86) participated in validation interviews based on experts applying the Clinician-Administered PTSD Scale for DSM-5—Child/Adolescent Version (CAPS-CA-5). Results The KID-PIN demonstrated excellent internal consistency (Cronbach’s alpha = 0.94) with good convergent validity. Confirmatory factor analyses of the KID-PIN showed an acceptable fit with the DSM-5 and other common models; the best fit was reached with the Hybrid model. Receiver operating characteristic analyses indicated that the cut-off score of 28 or higher on the KID-PIN is the optimum cut-off for a probable PTSD diagnosis. Conclusion The utility of the newly developed KID-PIN as a screening instrument for PTSD in children is supported by the measure’s high internal consistency and good convergent and structural validity, as well as its diagnostic accuracy.

2019 ◽  
Author(s):  
Teresa Carvalho ◽  
Carolina da Motta ◽  
José Pinto Gouveia

<p>The PCL (Weathers et al., 1993) is a useful and widely used measure to assess PTSD symptoms in clinical and research contexts, exhibiting adequate psychometric properties across its several versions and translations (e. g. Carvalho et al., 2015; Wilkins et al., 2011). The current study analyzed the psychometric properties (latent structure, internal consistency, temporal reliability, and convergent validity) of the Portuguese version of the PCL for the DSM-5 (PCL-5, Weathers et al., 2013) in a sample of firefighters. This study also aimed to contribute with empirical data to clarify the best latent structure of DSM-5 PTSD symptoms. Specifically, the DSM-5 four-factor model and other competing models for PTSD symptoms (four-factor Dysphoria model, five-factor Dysphoric Arousal model, six-factor Anhedonia model, six-factor Externalizing Behavior model, and seven-factor Hybrid model) applied to PCL-5 were analyzed and compared in this paper.<br></p>


2019 ◽  
Author(s):  
Teresa Carvalho ◽  
Carolina da Motta ◽  
José Pinto Gouveia

<p>The PCL (Weathers et al., 1993) is a useful and widely used measure to assess PTSD symptoms in clinical and research contexts, exhibiting adequate psychometric properties across its several versions and translations (e. g. Carvalho et al., 2015; Wilkins et al., 2011). The current study analyzed the psychometric properties (latent structure, internal consistency, temporal reliability, and convergent validity) of the Portuguese version of the PCL for the DSM-5 (PCL-5, Weathers et al., 2013) in a sample of firefighters. This study also aimed to contribute with empirical data to clarify the best latent structure of DSM-5 PTSD symptoms. Specifically, the DSM-5 four-factor model and other competing models for PTSD symptoms (four-factor Dysphoria model, five-factor Dysphoric Arousal model, six-factor Anhedonia model, six-factor Externalizing Behavior model, and seven-factor Hybrid model) applied to PCL-5 were analyzed and compared in this paper.<br></p>


2017 ◽  
Vol 22 (2) ◽  
pp. 142-146 ◽  
Author(s):  
Chelsea McLellan ◽  
Mia Sisic ◽  
Hazel H. Oon ◽  
Jerry Tan

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease with adverse physical and psychosocial impacts. The development of an HS quality-of-life measure, HS-QoL, has been recently described. Objective: This study was designed to validate the HS-QoL. Method: Fifty-five patients with HS from 4 dermatology clinics completed the 30-minute online survey. Item reduction, reliability (internal consistency), and correlation analysis (to assess convergent validity) were conducted. Results: The HS-QoL was reduced from 53 items to 44 items, resulting in a 7-subscale questionnaire. All subscales demonstrated excellent internal consistency, except for the support subscale, which had adequate internal consistency. All 7 HS-QoL subscales were related to other measures of QoL, life satisfaction, and mental health, which demonstrates convergent validity. Conclusion: The 44-item HS-QoL demonstrated strong preliminary evidence of reliability (internal consistency) and convergent validity.


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S170-S171
Author(s):  
Edith Liemburg ◽  
Fokko Nienhuis ◽  
Wim Veling

Abstract Background In DSM-5, a number of “emerging measures” are included for further research and clinical evaluation. These patient assessment measures were developed to be administered at the initial patient interview and to monitor treatment progress. One of these instruments is the Clinician-Rated Dimensions of Psychosis Symptom Severity (CRDPSS). Using this instrument, a clinician can rate the severity of eight symptom dimensions of psychotic disorders. The psychometric properties and the applicability of the instrument in clinical practice have not yet been investigated. The current study aims to investigate the internal consistency, factor structure and external validity with other assessment instruments. Methods The CRDPSS measures eight symptom dimensions, namely Hallucinations, Delusions, Disorganized speech, Abnormal psychomotor behavior, Negative Symptoms, Impaired Cognition, Depression and Mania. Items are scored on a five-point scale ranging from “Not present” to “Present and Severe”. This interview has been applied in the Psychosis Recent Onset GRoningen Survey (PROGR-S), a diagnostic protocol for patients with a suspected recent-onset psychotic disorder (n = 164 in the current analysis). Besides the CRDPSS, scores on the Positive and Negative Syndrome Scale (PANSS), Health of Nations Outcome Measure (HoNOS), the Mongomery Asberg Depression Rating Scale (MADRS), Cambridge Cambridge Neuropsychological Test Automated Battery (CANTAB) and mini-Structural Clinical Assessment in Neuropsychiatry (mini-SCAN) were used for current analyses. The Crohnbach Alpha was calculated to investigate internal consistency, exploratory factor analysis was applied, and the convergent validity was investigated by calculating non-parametric correlations of the CRDPSS with similar items or subscales of the other instruments. Results The Cronbach’s alpha of the CRDPSS was 0.36, indicating low internal consistency. Factor analysis resulted in three Factors: 1. Delusions/Mania, 2. Abnormal psychomotor behavior/Negative Symptoms/Impaired cognition, 3. Hallucinations/Depression. For hallucinations, Delusions, and Depression a Kendall’s tau of 0.35 – 0.45 was observed with the other instrument scores and for Impaired cognition tau = 0.6, indicating a weak to moderate association. Negative symptoms resulted in tau &lt; 0.2 and for the other instruments tau &lt; 0.1, but in these cases the measure of the other instruments was of questionable quality. Discussion The internal consistency of the CRDPSS was poor and factor analysis resulted in factors that differed to some extent from previous findings. Moreover, the convergent validity with other instruments was poor to moderate. In conclusion, based on first analyses the reliability and clinical applicability of the CRDPSS appears limited. Future studies should investigate inter-rater reliability, test-retest reliability, use more optimal measures to investigate convergent validity and use larger samples.


Author(s):  
Erkut Konter ◽  
Yee Cheng Kueh ◽  
Garry Kuan

While courage is widely attributed to athletic pursuits, it has received little scientific attention from both researchers and applied practitioners. A reliable measurement is required to examine courage in sports and competitive activities. Therefore, this research aimed to adapt the original Turkish Sports Courage Scale-31 into American English (SCS-AE). The SCS-31 measure was translated from Turkish into the American English language by the Brislin forward and backward translation technique and language validity. Then, the translated SCS-AE was administered to 548 American university college students (Mean age = 19.02, SD = 1.21). All participants played a sport (e.g., football, soccer, basketball, gymnastics). Based on confirmatory factor analyses (CFA), 31 items of SCS-AE were reduced to 24 items with four factors (i.e., assertiveness, determination, mastery, and venturesome). The fit indices were satisfactory (RMSEA = 0.06, CFI = 0.97, SRMR = 0.06, NFI = 0.96 and NNFI = 0.97). The internal consistency measured by Cronbach alpha, ranging from 0.73 to 0.78, were considered acceptable. The convergent validity and discriminant validity of SCS-AE were also achieved. Our findings indicate strong support for research using the four-factor model of the SCS-AE and adequate support for the five-factor model with sufficient caution regarding the internal consistency of the self-sacrifice factor. While cultural differences in courage perception might exist between these countries, the findings showed more similarities than differences in courage. Results indicated that the SCS-AE is usable for research purposes in the suggested format. Future directions are discussed using the SCS-31 and SCS-AE for research.


2010 ◽  
Vol 107 (1) ◽  
pp. 39-57 ◽  
Author(s):  
Pablo Santos-Iglesias ◽  
Juan Carlos Sierra

The study analyzed psychometric properties of a Spanish version of the Hurlbert Index of Sexual Assertiveness in a Spanish sample of 400 men and 453 women who had had a partner for the last 6 mo. or longer at the time of the study. Exploratory and confirmatory factor analyses suggested a two-factor solution with the factors Initiation and No shyness/Refusal. Internal consistency values for total scores were .87 and .83 for the factors, respectively. Convergent validity tests were also satisfactory. It is therefore reasonable to conclude that the Spanish version of the scale has appropriate psychometric properties.


2021 ◽  
Vol 36 ◽  
pp. 153331752199532
Author(s):  
Jennifer R. Roberts ◽  
Molly Maxfield

A modified version of the Dementia Worry Scale (DWS) used the terminology “Alzheimer’s disease and related dementias” (versus the DWS’ use of “dementia”). Two studies investigated psychometric properties of the modified DWS (MDWS). Study 1 compared the psychometric properties of the DWS and MDWS; both versions had single factor structures and exhibited excellent internal consistency (αs ≥ .95). The MDWS exhibited greater test-retest reliability after a 4-week interval (DWS r = .68; MDWS r = .90). In Study 2, the MDWS again displayed a single factor structure, excellent internal consistency (α = .95), and good test-retest reliability after an 8-week interval (r = .78). Additionally, results support convergent validity between the MDWS and fear of dementia, subjective memory, general anxiety, health anxiety, and neuroticism. The MDWS is psychometrically consistent with the DWS, maintains strong test-retest reliability, and is appropriate for use in cross-sectional and longitudinal research.


2018 ◽  
Author(s):  
Anna McKinnon ◽  
Michael Scheeringa ◽  
Richard Meiser-Stedman ◽  
Peter Watson ◽  
Alexandra De Young ◽  
...  

Objective. A subtype of the posttraumatic stress disorder diagnosis for children 6 years and younger (PTSD-6Y) was introduced in the Diagnostic and Statistical Manual, Fifth Edition (DSM-5). However, the latent structure of PTSD symptoms in this age group has not been previously investigated. The present study therefore utilized confirmatory factor analytic (CFA) techniques to evaluate the proposed DSM-5 PTSD-6Y factor structure and criterion and convergent validity against competing models. Method. Data for N=284 (3-6 years) trauma-exposed young children recruited following a variety of traumas in New Orleans were examined. We compared the DSM-5 PTSD-6Y model to DSM-IV, and alternate 1- 2- and 4-factor models. Convergent validity was established aganst the Child Behaviour Checklist (CBCL). Criterion related validity was established by comparing each model to a categorical rating of impairment. Results. In terms of symptom structure, the Dysphoria and PTSD-6Y models offered the better accounts, although neither satisfied minimum requirements for a good fitting model. These two models also only showed small levels of convergence with CBCL dimensions. With respect to patterns of criterion validity, the 1-factor model offered the most compelling balance of sensitivity and specificity, with the 2-factor model and the Dysphoria model following closely behind. Conclusions. There is little support for the symptom cluster instantiated in DSM-5 PTSD-6Y. Although a 4-factor Dysphoria model offers a better overall account of clustering patterns, alongside acceptable sensitivity and specificity for detecting clinical impairment, it also falls short of being an adequate model in this younger age group.


2019 ◽  
Vol 9 (1) ◽  
pp. 24-30
Author(s):  
Hiten P. Dave ◽  
Karina Mesarosova ◽  
Alex B. Siegling ◽  
Paul F. Tremblay ◽  
Donald H. Saklofske

Abstract. The present study systematically assessed the factor structure, internal consistency, and construct validity of the Aviation Safety Locus of Control scale (ASLOC) on 476 European pilots (4.6% female). Independent confirmatory factor analyses showed a strong correlation between the latent factors of Internal and External LOC, justifying proceeding with a one-factor solution (assessing internal LOC after reverse-scoring items). This model achieved adequate fit with excellent internal consistency, after refining with structural equation modeling. Furthermore, flight hours significantly predicted Internal LOC after controlling for age, suggesting that pilots’ work experience can enhance internal attributions of control. This has implications for safety-related behaviors and protection against accidents.


2021 ◽  
pp. JNM-D-20-00136
Author(s):  
Ratchneewan Ross ◽  
Rosanna F. Hess ◽  
Carly Pittman ◽  
Amanda Croasmun ◽  
Martha B. Baird

BackgroundBhutanese refugees’ mental problems are relatively high. The Hopkins Symptom Checklist-25 (HSCL-25) has been used widely in examining refugees’ mental health, but its psychometric properties in Nepali version is unknown.PurposeTo examine psychometric properties of the HSCL-25/Nepali version.MethodsBhutanese refugees (n = 209) responded to demographic questionnaire, the HSCL-25/Nepali, and the Refugee Health Survey-15. Exploratory factor analysis (EFA), convergent validity, and internal consistency were performed. Results: After three rounds of EFA, item 14 was deleted resulting in HSCL-24/Nepali with good construct validity and excellent internal consistency (α = .94).ConclusionsThe HSCL-24/Nepali version is reliable and valid and can be used to culturally, appropriately assess psychological distress of Bhutanese refugees as it omits item 14 that captures individual’s sexual interest.


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