Development and validation of the Multidimensional Health Profile. Part I: Psychosocial functioning.

This article describes the development and preliminary validation of the Multidimensional Health Profile, Part I: Psychosocial Functioning (MHP-P), a self-report screening instrument for use in mental health and primary care settings. The MHP-P assesses mental health, life stress, coping skills, and social resources. In Study 1, retest reliability, validity, social desirability response bias, and factor structure were examined in a national sample of men and women (N?=?673). In Study 2, the effect of time frame on the retest reliability of the mental health scales was examined in a sample of male and female college students (N?=?147). A national sample of men and women (N?=?2,411) provided data for additional confirmatory factor analyses and norm development in Study 3. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender bias in diagnostic criteria for personality disorders: An item response theory analysis.

The authors examined gender bias in the diagnostic criteria for Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision; American Psychiatric Association, 2000) personality disorders. Participants (N=599) were selected from 2 large, nonclinical samples on the basis of information from self-report questionnaires and peer nominations that suggested the presence of personality pathology. All were interviewed with the Structured Interview for DSM-IV Personality (B. Pfohl, N. Blum, & M. Zimmerman, 1997). Using item response theory methods, the authors compared data from 315 men and 284 women, searching for evidence of differential item functioning in the diagnostic features of 10 personality disorder categories. Results indicated significant but moderate measurement bias pertaining to gender for 6 specific criteria. In other words, men and women with equivalent levels of pathology endorsed the items at different rates. For 1 paranoid personality disorder criterion and 3 antisocial criteria, men were more likely to endorse the biased items. For 2 schizoid personality disorder criteria, women were more likely to endorse the biased items. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Loss, widowhood, and psychological distress among the elderly.

Psychological response to recent nonspousal familial loss was examined in a sample of elderly men and women (N?=?825). Loss was related to a higher level of depressive symptomatology in men, but not women. Both the presence of a spouse and membership in a church or temple moderated the impact of loss on depression among men, such that widowed men who experienced a loss, and men who experienced a loss and did not belong to a church/temple, showed elevated depression scores. Widowed men who experienced recent nonspousal familial loss and did not belong to a church/temple were most depressed of all, with fully 100% of the respondents with these characteristics scoring above the cutpoint for depression established in community studies. Discussion centers on the role of social ties in buffering distress and gender differences in coping with stress. Outreach by churches/temples and other community organizations is suggested as appropriate intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining the construct validity of the Eating Disorder Inventory.

The construct validity of the Eating Disorder Inventory (EDI) was examined in 3 samples. An archival clinic sample (n=318) of women completed the EDI, a structured interview, and the Millon Clinical Multiaxial Inventory--II (MCMI-II). Confirmatory factor analyses (CFAs) indicated that neither null nor 1-factor models of the EDI fit item-level or item-parcel data. The proposed 8-factor model did not fit at the item level but did fit item-parcel data. Reliability estimates of the 8 scales ranged from .82 to .93, and low-to-moderate interscale correlations among the eating and weight-related scales provided partial support for convergent validity. EDI personality scales showed moderate interscale correlations and were associated with MCMI-II scales. A final CFA of the EDI scales supported a 2-factor model (Eating and Weight, Personality) of the 8 EDI scales. Strong associations between depression and several EDI scale scores were found in a treatment study sample (n=50). The archival clinic sample scored significantly higher on the 8 EDI scales than the nonpatient college comparison sample (n=487). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Developing a screening instrument and at-risk profile for nonsuicidal self-injurious behavior in college women and men.

Archival data (N = 1,048 women, 1,136 men) from a mental health survey of college students were used to investigate incidence of nonsuicidal self-injury (NSSI), including cutting. Significant levels (defined as 4–5 lifetime incidents) were found in 9.3% of women and 5.3% of men. The Counseling Center Assessment for Psychological Symptoms (a global symptom inventory) and an assessment of trauma had been field tested with this sample. We randomly partitioned half of these data into a holdout sample and used the remainder to develop an NSSI screening inventory that included (a) 5 women’s screening items, including 1 item to assess trauma experienced; (b) 11 men’s screening items; and (c) 12 items common to men and women, including depression, dissociation, anger, unwanted thoughts, nightmares or flashbacks, and having witnessed trauma. Logistic regression and receiver-operating characteristic curve analysis suggested the inventory significantly discriminated NSSI men and women in the holdout sample, p     

Anger, hostility, and depression in domestically violent versus generally assaultive men and nonviolent control subjects.

Anger, hostility, and depression were examined across four groups: a clinical sample of domestically violent men, two samples of more generally assaultive men, and a nonviolent control group. All subjects (N?=?129) were assessed using the Buss-Durkee Hostility Inventory, the Hostility and Direction of Hostility Questionnaire, and the Beck Depression Inventory. The domestically violent men and the generally assaultive men evidenced significantly higher levels of anger and hostility than the control subjects. The anger and hostility scores were very similar in the domestically violent and the generally assaultive men. However, the domestically violent men were more likely to be significantly depressed. The findings support the idea that anger dyscontrol is a key issue in the psychological profile of domestically violent men and indicate the need for clinical attention to depression as well as anger. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dimensions of perfectionism, daily stress, and depression: A test of the specific vulnerability hypothesis.

Tested whether perfectionism dimensions interact with specific stressors to predict depression. A depressed patient sample (N?=?51) and a general psychiatric sample (N?=?94) completed measures of perfectionism, hassles, and depression. Ss in Sample 2 also completed other personality measures to assess the amount of unique variance in depression. Partial support was obtained: In both samples, self-oriented perfectionism interacted only with achievement stressors to predict depression. Socially prescribed perfectionism interacted with interpersonal stress in Sample 1 and with achievement stress in Sample 2 to predict depression. Several personality variables, including socially prescribed perfectionism, accounted for unique variance in depression. The results suggest that perfectionism dimensions are associated with depression and may constitute specific vulnerability factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining scale discriminability in the BDI and CES-D as a function of depressive severity.

Scale discriminability is the ability of a measure to discriminate among individuals ordered along some continuum, such as depressive severity. We used a nonparametric item-response model to examine scale discriminability in the Beck Depression Inventory (BDI) and Center for Epidemiologic Studies Depression Scale (CES-D) in both college and depressed outpatient samples. In the college sample, the CES-D was more discriminating than the BDI, but a standard CES-D cutoff score of 16 overestimated the likely prevalence of depression (45%). The CES-D may be more effective than the BDI in detecting differences in depressive severity in college students but may be less specific. In the depressed outpatient sample, the CES-D was again more discriminating than the BDI. The superior scale discriminability of the CES-D offers one explanation for its poorer specificity in college samples. Endorsing many items that discriminate at low levels of depressive severity can result in scores that exceed a cutoff criterion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Structural invariance of vocational interests across Japanese and American cultures.

Two samples of college students (Japanese, N?=?373; American, N?=?401) were given the Inventory of Occupational Preferences (T. J. G. Tracey & J. Rounds, 1996a), and the structural invariance across cultures was examined at the item and at various scale levels. Correlations of principal-components factor loadings demonstrated that the item structure was similar across cultures. Three separate scale structures were examined: Holland's six-type circular model, Tracey and Round's eight-type circular model, and Tracey and Round's spherical representation. The fit of the six-type and spherical models to the Japanese sample was significantly worse than their fit to the U.S. sample. There were no differences in cross-cultural fit for the eight-type model. Few structure differences were found between and within genders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of an abbreviated Social Phobia and Anxiety Inventory (SPAI) using item response theory: The SPAI-23.

An abbreviated version of the Social Phobia and Anxiety Inventory (SPAI) was developed using methods based in nonparametric item response theory. Participants included a nonclinical sample of 1,482 undergraduates (52% female, mean age = 19.4 years) as well as a clinical sample of 105 individuals (56% female, mean age = 36.4 years) diagnosed with either generalized (73%) or specific social phobia (27%). Twenty-three of the 45 SPAI items demonstrated good discrimination along the social anxiety continuum. In addition, option characteristic curves (OCCs) indicated that the SPAI's 7-point scale may generate errors in ranking individuals. Thus, options were collapsed to improve item performance. No gender differences emerged between any of the items' OCCs, suggesting that items function similarly among men and women. The abbreviated version also correlated highly with the original 45-item SPAI and exhibited similar patterns of correlations with measures of social anxiety. The SPAI-23 has considerable practical benefits, including a screening of both social and agoraphobic anxiety as well as decreased assessment and scoring time. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Adolescent psychopathology: II. Psychosocial risk factors for depression.

In a prospective study of adolescent depression, adolescents (N?=?1,508) were assessed at Time 1 and after 1 yr (Time 2) on psychosocial variables hypothesized to be associated with depression. Most psychosocial variables were associated with current (n?=?45) depression. Formerly depressed adolescents (n?=?217) continued to differ from never depressed controls on many of the psychosocial variables. Many of the depression-related measures also acted as risk factors for future depression (n?=?112), especially past depression, current other mental disorders, past suicide attempt, internalizing behavior problems, and physical symptoms. Young women were more likely to be, to become, and to have been depressed. Controlling for the psychosocial variables eliminated the gender difference for current and future but not for past depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological separation and adjustment to college.

We examined the relationship between psychological separation and adjustment to college in freshmen (N?=?130) and upperclassmen (N?=?123) samples. Psychological separation was measured with the Psychological Separation Inventory. Adjustment to college was assessed with the College Adjustment Inventory. Freshmen tended to show more psychological dependencies on mother and father, and poorer social and personal-emotional adjustment to college than did upperclassmen. A pervasive relationship was found between separation and adjustment, although separation did not predict adjustment across the board. Separation appears more strongly related to personal-emotional adjustment, particularly functional and emotional independence from mother and conflictual independence from father. Sex effects also emerged, with women showing more psychological dependencies than men. Finally, our results show that advances in separation across the four dimensions are not uniform. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Progress in the technology of measurement: Applications of item response models.

Despite advances in psychometric theory and analytic techniques, a number of issues regarding the assessment of depression remain unresolved, including the relative effectiveness of response options (option effectiveness), the ability of existing measures to detect differences in depressive severity (scale discriminability), and the extent to which certain groups of individuals use items and options differently (differential item functioning). One part of the article introduces the fundamentals of nonparametric item response models; the 2nd part of the article illustrates how item response models can be applied to address specific psychometric issues. Although the article focuses on the assessment of depression, the problems addressed in this article are present in virtually every field of psychological research, and the techniques offered may be applied broadly. Analytic techniques based on item response models are not only helpful in identifying and ultimately resolving many of these issues, they are essential to ensure that traits, abilities, and conditions, such as depression, are assessed fairly and equitably. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in cognitive diathesis-stress domain match: Implications for differential pathways to depression.

The frequency of cognitive diathesis-stress match was compared in a sample of depressed women and men to investigate hypotheses positing gender differences in the relation of cognitive diathesis-stress factors to depression. Depressed women were more likely to have experienced a match between a cognitive diathesis and a preonset negative stressor compared with depressed men. Comparisons of women and men on the cognitive and stress variables singly yielded differences in stress variables but not in cognitive variables. Depressed women were more likely to have experienced a negative severe event before the onset of depression and had a greater frequency of negative interpersonal events. Results supported the hypothesis of gender differences in pathways to depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender and history of suicidality: are these factors related to U.S. college students' current suicidal thoughts, feelings, and actions?

Gender and history of suicidality (HS vs. NoHS) were related to current symptoms of depression, reasons for living, and reports of self-destructive and life-threatening behavior in a college student sample. Overall, college men reported engaging in more life-threatening and potentially suicidal behavior than college women on the Life Attitudes Schedule (LAS). No gender effects were obtained on the symptoms of depression and reasons for living measures. Results suggest that the LAS may be a particularly effective way to identify college students at risk for self-destructive and suicidal behavior. As expected, HS individuals were more depressed, had fewer reasons for living, and reported engaging in more current suicidal and life-threatening behavior than NoHS participants. However, gender and history of suicidality were found to interact. NoHS women reported avoiding a variety of injury-producing and health-diminishing behaviors that were common for all other groups of college students. Meanwhile, HS women endorsed fewer current reasons for living than did NoHS women, NoHS men, and NoHS men. These findings were interpreted both with regard to cultural and gender-specific expectations for the expression of self-destructive, suicidal, and life-threatening behavior. Implications for the prevention of college women's and men's suicidal behavior were also noted.     

Item content versus item wording: Disentangling role conflict and role ambiguity.

The Role Ambiguity Scale and Role Conflict Scales (J. R. Rizzo et al [1970]) assess ambiguity with 6 negatively worded items and conflict with 8 positively worded items, respectively. This methodological confound between item wording and content precludes unambiguous interpretation. In the present study, confirmatory factor analysis of these 2 scales and the Role Overload Scale (T. A. Beehr et al; see record 1976-11156-001) which has positively and negatively worded items was used to disentangle this confound. Across 2 independent samples (N?=?767 and N?=?363), a 3-factor model consistent with conceptual definitions of role ambiguity, conflict, and overload fit the data better than models with (a) one general role-stress factor, (b) a general role-stress and a method (item wording) factor, or (c) two method (positive and negative wording) factors. These results support the construct validity of Rizzo's scales; the consistency of the results across 2 independent samples suggests their generalizability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Childhood abuse and current psychological functioning in a university counseling center population.

84 university counseling center clients (61 women and 23 men) self-reporting childhood physical, sexual, or emotional abuse (n?=?30) or no childhood abuse (n?=?54) completed 3 measures of psychological functioning. Multivariate analysis of variance revealed that clients reporting abuse were more depressed (with the mean Beck Depression Inventory score in the borderline clinical depression range), had more symptomatology (with the mean Global Severity Index of the Brief Symptom Inventory at about the average level of a psychiatric outpatient population), and scored higher on the Borderline Personality scale of the Millon Clinical Multiaxial Inventory (with the mean base-rate score near the cutoff score for presence of borderline personality features). 19 clients reporting emotional abuse only did not differ on any measure from 11 clients reporting sexual or multiple forms of abuse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beyond group-mean differences: The concept of item bias.

Describes item bias analysis in attitude and personality measurement using the techniques of item response theory (IRT). Data from 179 male and 119 female college students on the Mosher Forced-Choice Sex Guilt Inventory illustrate the procedures developed to distinguish true group differences in a psychologically meaningful construct from artifactual differences due to some aspect of the test construction process. This analysis suggests that the sex difference in scores on this inventory reflects the item composition of the measure rather than a true group difference on a global guilt continuum. Recommendations for the application of IRT item analysis are presented. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Current and past depression as predictors of family functioning: A comparison of men and women in a community sample.

The association between family functioning and parental depression has primarily been studied in samples of women. In particular, very little research exists that examines how parent gender and past diagnoses of depression are related to family functioning. The family relationships of 469 couples from a community sample were examined using self- and partner report measures of the marital relationship and youth report and interviewer-rated measures of the parent-youth relationship. Both currently and formerly depressed men and women were shown to have poorer family functioning than nondepressed and never depressed individuals, respectively. Interactions of gender and depression status indicated that depression and poorer marital functioning were more strongly related for women than for men, but there were few gender differences in the parent-youth relationship. The results highlight the need for further research on men's family functioning and suggest that targeting current depressive symptoms in treatment may not be sufficient to resolve marital and parent-youth difficulties that endure after depressive episodes remit. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use of log-linear models for assessing differential item functioning in a measure of psychological functioning.

Log-linear models are used to investigate contingency tables that cross-classify respondents according to item response, mental health status (MHS), and the background variables of ethnicity and gender. Specifically, log-linear models are used to examine item validity, defined as an item response by MHS interaction, and differential item functioning (DIF), defined as an interaction between item response and a background variable. The investigation focused on a set of items that measure subjective well-being and coping behavior. Female (n?=?627) and male (n?=?338) respondents represented 3 ethnic groups: African American, Anglo-American, and Hispanic/Latino. Strong evidence of item validity and some evidence of DIF was found. Most of the interaction between item response and either ethnicity or gender occurred among Ss with diminished mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)