The Lockdown Impact Scale for Students (LISS)

Background: The Covid-19 pandemic has resulted in many student populations learning online in lockdown. While the mental health consequences of lockdown are increasingly understood, the core features of ‘cabin fever’ are poorly described. Methods: We conducted a questionnaire survey of 649 undergraduate medicine and health sciences students. Item content was developed based on current literature and input from student representatives. Results: Mokken scaling identified seven questions that together formed a strongly unidimensional scale which comprised two domains : social isolation/cabin fever and demotivation / demoralisation. Scale scores were significantly associated with depression, self-rated mental health, impaired study efficacy and doomscrolling. Conclusions: The adverse effects of lockdown on student wellbeing appear to be driven to an important extent by an experience of isolation and demotivation that correspond to narrative descriptions of cabin fever. In the foreseeable event of future pandemics, these experiences are a promising target for health promotion in students studying in lockdown.

The teacher-class relationship

Teacher-student relationships have been shown to be highly relevant for student outcomes, but they are also important for teachers. Teachers have a basic need for relatedness with their students and recent empirical evidence underlines the relevance of teachers' relationships with the students of a class. However, a validated instrument which specifically addresses the relational phenomenon between a teacher and the entire group of students within a class – which we define as teacher-class relationship – is yet missing. Thus, the goal of the present research was to develop and validate an instrument which captures the teachers' self-reported quality of the teacher-class relationship (the TCR scale). To do so, we adopted a mixed methods approach: In Study 1 (qualitative, N = 56), we analyzed interviews to explore the cognitive validity of the TCR items, and in Study 2 (quantitative, N = 209), we tested the psychometric quality of the TCR scale and its external validity in terms of correlative links with related constructs. Study 1 results showed that seven out of the original 13 developed items were highly cognitively valid in that the teachers associated main aspects of relationship quality with these items and answered them by referring predominantly to the whole class instead of individual students. Study 2 results confirmed that these seven items formed a unidimensional scale with high internal consistency (Cronbach's α = .89). Furthermore, the TCR scale was significantly linked with teachers' class-specific teaching emotions and self-efficacy as well as with teachers' job-related burnout symptoms and emotional labor. We conclude that the TCR scale represents a reliable, valid and parsimonious instrument to measure the quality of teacher-class relationships. We hope that the existence of this scale fuels future research to further investigate teacher-class relationships and their connections with teachers' emotional and professional wellbeing.

Friendship Network Satisfaction: A multifaceted construct scored as a unidimensional scale

Although satisfying friendships are crucial for well-being throughout adulthood, measures of friendship satisfaction have been limited by: (1) item content relevant to children only, (2) a focus on single relationships rather than the friendship network, and (3) disagreement about the number of dimensions necessary to capture the construct. To overcome these limitations, we assembled an item pool from a number of existing measures, created additional items drawn from research on friendships, and then examined the structure and psychometric properties of those items in two online surveys of over 2000 respondents each. Factor analyses consistently identified two correlated factors—closeness and socializing—but bi-factor modeling revealed that scores on both subscales load strongly on a general factor, suggesting that the multifaceted content can be scored efficiently as a unidimensional composite. Analyses using item response theory (IRT) supported the creation of a reliable 14-item instrument that demonstrated adequate convergent and predictive validity. Thus, the Friendship Network Satisfaction (FNS) Scale is a psychometrically sound tool to advance research on friendships across the lifespan.

An Application of the Three-Step Test-Interview (TSTI) in the Validation of the Relational Depth Frequency Scale

The main objective of this study is to evaluate the utility of a new qualitative scale development methodology—Three-Step Test-Interview (TSTI)—in its first application in the validation of a psychotherapy scale: The Relational Depth Frequency Scale (RDFS). The TSTI is a cognitive pretesting method designed to uncover potential problems in scale construction. The RDFS is a six-item unidimensional scale of in-depth therapeutic relating, designed for use in large-scale outcome studies. Following the creation of an item pool and “expert ratings,” a purposive sample of four therapists and four clients (five females, three males, mean age: 49 years) was recruited to take part in the TSTI with the view to refine the original 36-item RDFS prior to psychometric exploration. Structured observations pointed to problems in test-takers’ patterns of responses in relation to theoretical knowledge of the relational depth construct. Issues uncovered and addressed included some misinterpretations of instructions and items, redundant content, double-barreled items, and test-takers’ reactions to intimate content wording. The method supported the refinement of the RDFS including amendment to its instructions and the removal of problematic items. TSTI results produced knowledge on the scale which could not be captured with statistical methods.

No Laughing Matter: How Humor Styles Relate to Feelings of Loneliness and Not Mattering

Loneliness and feeling that one does not matter are closely linked, but further investigation is needed to determine differentiating features. The relationship between not mattering to others (anti-mattering) and loneliness was explored by assessing how the two constructs correlated with an interpersonal dimension, specifically four humor styles (affiliative, self-enhancing, self-defeating, and aggressive). One hundred and fifty-eight women and 96 men completed a three-item loneliness scale, a new measure of anti-mattering, and a humor styles questionnaire. Confirmatory factor analysis results indicated that the new anti-mattering measure is a unidimensional scale. Loneliness and anti-mattering were strongly correlated, and each correlated in the same direction with approximately the same magnitude as the four humor styles. The discussion concludes that anti-mattering and loneliness are strongly linked, a finding which may be important in psychological treatment. Humor styles also play a role in psychological well-being and present a unique pathway to mental health.

Is the Vineland-3 Comprehensive Interview Form a Multidimensional or Unidimensional Scale?: Structural Analysis of Subdomain Scores Across Early Childhood to Adulthood

As the Vineland Scales are among the most relevant, well-developed, and popular measures of adaptive behavior available for use, this study evaluated the factor structure and dimensionality of the Vineland-3 Comprehensive Interview Form. Drawing data from 2,560 participants in the norming sample, exploratory and confirmatory factor analyses were completed across two independent samples from four age-groups ranging from preschool-age children to adults. Results from exploratory factor analysis revealed evidence for a unidimensional model across age-groups, but results from confirmatory factor analysis indicated that multidimensional models were better fitting than unidimensional models for each age-group. Discussion focuses on whether the Vineland-3 Comprehensive Interview Form is truly a unidimensional or multidimensional measure.

The Higher-Order Structure of Schema Modes

In schema therapy, modes are proposed as a key concept and main target for treatment of personality disorders. The present study aimed to assess a comprehensive set of 20 modes, to explore their higher-order structure, and to link the mode factors to the generic schema factor and basic personality traits. The sample consisted of N = 533 inpatients. Earlier versions of the Schema Mode Inventory (SMI, SMI-2) were merged into the German Extended SMI (GE-SMI). Item-level confirmatory factor analyses indicated that the structure of 16 out of 20 GE-SMI scales might be unidimensional. Scale-level exploratory factor analysis revealed three hierarchically structured mode factors: internalization, externalization, and compulsivity. Regressing mode factor scores on the Big Five factors and the generic schema factor supported the validity of the mode factors. The hierarchical structure of modes will be linked to the Hierarchical Taxonomy of Psychopathology, and implications for case conceptualization and treatment will be discussed.

Burnout Syndrome in Chilean Midwifery Students

The student Burnout Syndrome is a response to chronic and severe stress linked to the role of the students and their academic context. This study aims at determining the prevalence and severity of the student Burnout Syndrome on a sample of midwifery students and its associated factors. The study is observational, cross-sectional, and analytical, with a sample of 140 students of a Chilean university. The study variables were as follows: sociodemographic background, academic profile, student Burnout Syndrome scale, and behaviors in everyday psychosocial activities. The instrument for measuring the Burnout Syndrome was the Unidimensional Scale of Student Burnout. For the analysis, descriptive statistics were used, and the association of the independent over the dependent variables was assessed through linear regression. Of the third-year students, 77.2% had a moderate or deep burnout level, which increases to 91.8% in the fourth-year students. A significant and direct association was found between the syndrome and the career year. A significant association was also found between the Burnout Scale and the scale of psychosocial risk behavior. All the students present some degree of Burnout Syndrome, which is related to both their studies and psychosocial risks.

The revised Green et al., Paranoid Thoughts Scale (R-GPTS): psychometric properties, severity ranges, and clinical cut-offs

Background The Green et al., Paranoid Thoughts Scale (GPTS) – comprising two 16-item scales assessing ideas of reference (Part A) and ideas of persecution (Part B) – was developed over a decade ago. Our aim was to conduct the first large-scale psychometric evaluation. Methods In total, 10 551 individuals provided GPTS data. Four hundred and twenty-two patients with psychosis and 805 non-clinical individuals completed GPTS Parts A and B. An additional 1743 patients with psychosis and 7581 non-clinical individuals completed GPTS Part B. Factor analysis, item response theory, and receiver operating characteristic analyses were conducted. Results The original two-factor structure of the GPTS had an inadequate model fit: Part A did not form a unidimensional scale and multiple items were locally dependant. A Revised-GPTS (R-GPTS) was formed, comprising eight-item ideas of reference and 10-item ideas of persecution subscales, which had an excellent model fit. All items in the new Reference (a = 2.09–3.67) and Persecution (a = 2.37–4.38) scales were strongly discriminative of shifts in paranoia and had high reliability across the spectrum of severity (a > 0.90). The R-GPTS score ranges are: average (Reference: 0–9; Persecution: 0–4); elevated (Reference: 10–15; Persecution: 5–10); moderately severe (Reference: 16–20; Persecution:11–17); severe (Reference: 21–24; Persecution: 18–27); and very severe (Reference: 25+; Persecution: 28+). Recommended cut-offs on the persecution scale are 11 to discriminate clinical levels of persecutory ideation and 18 for a likely persecutory delusion. Conclusions The psychometric evaluation indicated a need to improve the GPTS. The R-GPTS is a more precise measure, has excellent psychometric properties, and is recommended for future studies of paranoia.

A Measurement Scale to Assess Children’s Satisfaction with Hospitalization in the Andalusian Population

Background: Patient satisfaction is a principal indicator in the evaluation of the stay of pediatric patients in hospitals, since its consequences can emotionally interfere with health treatment. The aim of this study was to obtain a valid scale to assess children’s satisfaction with their time spent as a patient in an Andalusian hospital. Method: The Children’s Satisfaction with Hospitalization Questionnaire (CSHQ) was applied to 623 pediatric patients hospitalized in Andalusia. An exploratory factor analysis (EFA) showed one dimension underlying the children’s satisfaction with their hospitalization. After that, we developed a depuration analysis process to achieve a valid and unidimensional scale to assess children’s satisfaction. Results: The eleven-item one-dimension solution showed suitable consistency and goodness-of-fit indices. The final scale addresses hosting aspects as the main dimension of a minor’s satisfaction in Andalusian hospitals. Conclusion: A unidimensional scale has been determined for the assessment of children’s satisfaction with their stay in Andalusian hospitals based on hosting aspects. Nonetheless, other dimensions underlying the satisfaction of patients should also be considered.