Development and psychometric properties of the OCD Family Functioning (OFF) Scale.

Obsessive–compulsive disorder (OCD) influences not only patients but also family members. Although the construct of family accommodation has received attention in OCD literature, no measures of overall family functioning are currently available. The OCD Family Functioning (OFF) Scale was developed to explore the context, extent, and perspectives of functional impairment in families affected by OCD. It is a three-part, self-report measure capturing independent perspectives of patients and relatives. A total of 400 subjects were enrolled between 2008 and 2010 from specialized OCD clinics and OCD research studies. Psychometric properties of this scale were examined including internal consistency, test–retest reliability, convergent and divergent validity, and exploratory factor analyses. Both patient and relative versions of the OFF Scale demonstrated excellent internal consistency (Cronbach's alpha coefficient = 0.96). The test–retest reliability was also adequate (ICC = 0.80). Factor analyses determined that the OFF Scale comprises a family functioning impairment factor and four OCD symptom factors that were consistent with previously reported OCD symptom dimension studies. The OFF Scale demonstrated excellent convergent validity with the Family Accommodation Scale and the Work and Social Adjustment Scale. Information gathered regarding emotional impact and family role-specific impairment was novel and not captured by other examined scales. The OFF Scale is a reliable and valid instrument for the clinical and research assessment of family functioning in pediatric and adult OCD. This will facilitate the exploration of family functioning impairment as a potential risk factor, as a moderator and as a treatment outcome measure in OCD. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A short, valid, predictive measure of work–family conflict: Item selection and scale validation.

The purpose of this research is to develop an abbreviated version of Carlson, Kacmar, and Williams’s (2000) multidimensional measure of work–family conflict. The abbreviated measure would have high utility in research situations in which a measure representative of the entire theoretical construct is desired, but the use of a long measure is precluded, as in diary and longitudinal designs. Two 3-item abbreviated measures based on Carlson et al.’s multidimensional measures were developed, 1 to assess work-to-family conflict and 1 to assess family-to-work conflict. Two samples were used to provide concurrent and predictive validity evidence for the abbreviated measure. Results from Study 1 indicate that the abbreviated measure has the expected factor structure and exhibited concurrent and predictive validity that replicated results found with Carlson et al.’s 18-item measure. Results from Study 2 provide additional psychometric and construct validity evidence for the abbreviated measure; the abbreviated measure was internally consistent, exhibited good test–retest reliability, and was systematically related to measures of role stressors, work–family balance, and well-being outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evaluating process in child and family interventions: Aggression prevention as an example.

This article reports on 2 studies designed to develop and validate a set of measures for use in evaluating processes of child and family interventions. In Study 1 responses from 187 families attending an outpatient clinic for child behavior problems were factor analyzed to identify scales, consistent across sources: Alliance (Satisfactory Relationship with Interventionist and Program Satisfaction), Parenting Skill Attainment, Child Cooperation During Session, Child Prosocial Behavior, and Child Aggressive Behavior. Study 2 focused on patterns of scale scores among 78 families taking part in a 22-week preventive intervention designed to affect family relationships, parenting, and child antisocial and prosocial behaviors. The factor structure identified in Study 1 was replicated. Scale construct validity was demonstrated through across-source convergence, sensitivity to intervention change, and ability to discriminate individual differences. Path analysis validated the scales' utility in explaining key aspects of the intervention process. Implications for evaluating processes in family interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and validation of work–family conflict and family–work conflict scales.

Researchers report on a 3-sample study that developed and validated short, self-report scales of work–family conflict (WFC) and family–work conflict (FWC). Using conceptualizations consistent with the current literature, the researchers offer content domains and definitions of the constructs. Advocated procedures were used to develop the scales and test dimensionality and internal consistency. Estimates of construct validity are presented by relating the scales to 16 other on- and off-job constructs. Mean-level difference tests between WFC and FWC also provide evidence of validity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Observed emotional involvement and overinvolvement in families of patients with bipolar disorder.

Many studies have examined the construct validity of the criticism component of expressed emotion, but little work has been done on clarifying the emotional overinvolvement (EOI) construct. In a sample of 115 recently episodic patients with bipolar disorder, the authors of the present study examined the construct validity of an observational coding system for both appropriate and inappropriate emotional involvement that permitted separate ratings for relatives' intrusiveness, self-sacrificing behaviors, and distress related to the patient's well-being. Findings support the measure's reliability and convergent validity and are moderately supportive of the measure's discriminant validity. Results also suggest that Camberwell Family Interview (C. E. Vaughn & J. P. Leff, 1976) EOI ratings do not discriminate among the different dimensions of the emotional involvement construct (or their appropriateness or inappropriateness) as revealed in laboratory-based interactions. The findings suggest that clinicians working with such families might consider differentiating among the various ways in which family members are involved with the patient and helping them learn to judge under what circumstances such involvement is appropriate and inappropriate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multiple sources of test bias on the WISC-R and Bender-Gestalt Test.

Test bias on the WISC-R and Bender-Gestalt Test was assessed through multiple statistical procedures: internal consistency, item difficulty, correlations of item–total correlations, concurrent validity, and construct validity. These procedures were applied to WISC-R and Bender data of 436 7–14 yr olds from 3 racial–ethnic groups (Anglo-American, Black, and Mexican American) and 2 social classes (low and middle). The statistical procedures investigated bias as a function of children's sex, race, socioeconomic status, age, birth order, health, family size, family structure, and urban acculturation. On the Bender, evidence of bias was infrequent and irregular. On the WISC-R, group differences were most discernible for age (as expected), sex, family structure, and race. Although these differences are noteworthy, consistent patterns of bias were not apparent among the 9 comparison groups. (10 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The problem of validity in field studies of psychological disorder.

Results of over 25 attempts to count untreated cases of psychological disorder in community populations are reviewed, and the problem of validity in the measures of disorder is analyzed. Evidence of validity is found to be scant. The position is taken that, with no generally accepted criteria available, and no universe of content agreed upon, construct validity takes on added importance. A lead to 1 possible nomological net for the construct of psychological disorder is the consistent finding that the lowest socioeconomic stratum has the highest rate of symptomatology. This lead is developed with reference to the transcience of symptomatology found in extreme situations, in contrast to the persistence of symptomatology observed in patients and in studies of experimental neurosis. (77 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measurement of emotion dysregulation in adolescents.

The construct of emotion dysregulation increasingly has been used to explain diverse psychopathologies across the lifespan. The Difficulties in Emotion Regulation Scale (DERS; K. L. Gratz & L. Roemer, 2004) represents the most comprehensive measure of the construct to date and exhibits good reliability and validity in adults; however, the measure has yet to be tested in adolescents. The present study examined the psychometric properties of the DERS in a community sample of 428 adolescents (ages 13–17 years). Exploratory factor analysis supported a 6-factor structure consistent with the 6 DERS subscales. Internal consistencies for the subscales were good to excellent (alphas ranged from .76 to .89). In support of the measure’s construct validity, the DERS exhibited robust correlations with psychological problems reflecting emotion dysregulation, specifically depression, anxiety, suicidal ideation, eating disorders, alcohol use, and drug use. Intercorrelations among the DERS subscales ranged from negligible to high (range: r = .04 to r = .68), and potential problems with discriminant validity were noted. In general, results support the reliability and validity of the DERS as a measure of emotion dysregulation in adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validity and reliability of a new questionnaire on patient satisfaction in rehabilitative therapy

BACKGROUND: The aim of this study was to examine some psychometric properties of a new questionnaire measuring patients' satisfaction with respect to the quality of care during stay in a rehabilitation unit. The instrument (called SAT-16) is composed of 16 four-level items and 2 open-ended questions. The construct validity of the 16-item section was already demonstrated in a previous study based on factorial analysis. In this study the concurrent validity, further aspects of the construct validity and test-retest reliability were analyzed. METHODS: The SAT-16 was administered to 339 inpatients, admitted consecutively to a Rehabilitation Center. RESULTS: 262 questionnaires (77%) were returned, of which 221 with all items filled in. The SAT-16 correlated well with two other measures of satisfaction (CSQ-8 and global satisfaction regarding the hospital stay). The answers to two open-ended questions came out to be consistent with those to the 16 closed-ended questions. The high values for the indices of test-retest reliability (ICC and kappa) are evidence of the stability of the scores in two repeated administrations. CONCLUSIONS: The SAT-16 was found to be provided with good psychometric characteristics. It can be proposed as a valid instrument for use in clinical practice for the continuous quality improvement of inpatient medical rehabilitation programmes.     

Depressive personality: Reliability, validity, and relation to dysthymia.

The reliability and validity of K. Schneider's (1958) construct of depressive personality was evaluated in a sample of 177 outpatients, who were administered structured diagnostic and family history interviews, an extensive battery of inventories, and a 6-mo follow-up assessment. The criteria for depressive personality had moderate to good interrater reliability, internal consistency, and test–retest stability, and the assessment of depressive personality traits was not influenced by patients' clinical states. In addition, preliminary support for the convergent and discriminant validity of the depressive personality construct was obtained. Although there were significant relations between the depressive personality and diagnoses of dysthymia from the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) and DSM-III—Revised (DSM-III—R), the depressive personality was not entirely subsumed by existing mood disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development of the Family Ritual Questionnaire: Initial reliability and validation studies.

In light of the increasing interest in the role of family rituals in promoting mental health, a self-report questionnaire was developed. The Family Ritual Questionnaire (FRQ) assesses family rituals across 7 settings ranging from dinnertime to religious celebrations and across 8 dimensions ranging from roles to symbolic significance. Four studies were conducted to evaluate the psychometric properties of the FRQ. Adequate internal consistency, construct validity in comparison to the Family Environment Scale (R. H. Moos and B. S. Moos, 1986), test–retest reliability, and within-family agreement were established. The symbolic significance associated with family rituals was positively related to adolescent self-esteem and negatively related to adolescent anxiety. Clinical implications for the importance of symbolic meaning associated with family rituals are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical utility of the Category Test as a multidimensional instrument.

The construct and criterion validities of the Category Test (CT) were evaluated in 162 participants who had sustained traumatic brain injury and had been screened carefully for confounding factors. Maximum likelihood factor analysis identified 2 latent constructs, consistent with previous research. However, only subtests associated with the Proportional Reasoning factor (Subtests V and VI) demonstrated consistent criterion validity in terms of sensitivity to injury severity. Performance of Subtest III, associated with the Spatial Positioning factor, was in the range of chance for more than a third of the sample, without any relationship to injury variables. It was concluded that the CT has construct validity as a multidimensional instrument but that only the Proportional Reasoning factor has criterion validity in the evaluation of sequelae of traumatic brain injury. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development, reliability, and validity of the Measure of Sexual Identity Exploration and Commitment (MOSIEC).

Four studies were conducted on the development and validation of the Measure of Sexual Identity Exploration and Commitment (MoSIEC). Exploratory factor analysis of an initial item pool yielded a 22-item measure with 4 distinct factors assessing commitment, exploration, sexual orientation identity uncertainty, and synthesis/integration. Exploratory factor analysis findings support the argument that sexual identity is a broad, multidimensional construct and that the MoSIEC assesses the construct of sexual identity in a manner consistent with J. E. Marcia's (1966) model of identity development. Confirmatory factor analyses demonstrated the stability of the MoSIEC factor structure, providing evidence of construct validity. Test-retest stability, internal consistency, and validity coefficients supported the use and continued development of the MoSIEC. Significant differences in levels of exploration and sexual orientation identity uncertainty were found among different sexual orientation identity groups, establishing the criterion-related validity of the MoSIEC. Implications for further development and use of the MoSIEC are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Chinese herbs: a clinical review of Astragalus, Ligusticum, and Schizandrae

BACKGROUND AND OBJECTIVES: The objective structured clinical exam (OSCE) is increasingly being used to evaluate student clinical performance. However, scant literature exists pertinent to this approach in evaluating family medicine clerkship performance. In this study, we assess 8 years' experience with a family medicine clerkship OSCE. METHODS: Eight annual clerkship OSCEs and the performance of 696 students are described. Comparisons of faculty evaluation, written exam, and OSCE performance are made for 335 students. Post-OSCE student and faculty feedback regarding OSCE validity and utility is also presented. RESULTS: Student performance is highest in medical history taking and physical examination and lowest in information-sharing stations. OSCE results appear to be relatively consistent on a year-to-year basis. OSCE, faculty evaluation, and written exam results have low overall levels of correlation, particularly in assessing performance that differs substantially from the mean. Students and faculty agree that the OSCE experience reflects skills that students should possess, but there is less agreement that the OSCE reflects clerkship-related learning and actual student performance. Both students and faculty derive insight from the OSCE regarding the definition of specific learning needs. CONCLUSIONS: The family medicine clerkship OSCE we describe appears to provide consistent measures of student performance. Although content validity is high, further assessment is needed to assure construct validity. The OSCE experience provides students with a rich resource for defining clerkship-related learning needs. Study results strongly suggest that OSCEs, faculty evaluations, and written exams provide differing measures of student performance. The reasons for these differences merit further exploration.     

Examining the validity of self-report assessments of family functioning: A question of the level of analysis.

Family assessment instruments attempt to measure family functioning at a particular level of the family system: individual, dyad, or family as a whole. This article introduces the concept of level validity, that is, whether an assessment measures family functioning at the level that it was intended to measure. The authors argue that whenever higher-order factors (e.g., dyadic subsystems) are the target of a measure, these factors should explain variance that is independent of their lower-order constituents (e.g., individual-level characteristics). Previously published data targeting dyadic subsystems within the family were reanalyzed using a model that controls for lower-order effects. Dyad-level factors rarely emerged independent of individual-level factors and, when they did, they did not replicate across samples. The results suggest that level validity should be tested and reported along with other aspects of construct validity before accepting such measures as valid assessments of family functioning. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Construct validity study of the Racial Identity Attitude Scale.

In the present study, we examined the construct validity of the Racial Identity Attitude Scale (RIAS; Parham & Helms, 1981), an instrument designed to measure attitudes consistent with the four stages of Cross's (1971) Negro-to-Black conversion experience. Black students (N?=?186) from two geographically dispersed, predominantly white university campuses served as subjects. Using oblique factor analytic methods and examining alternative factor solutions, we found strong support for Cross's constructs known as the pre-encounter, immersion–emersion, and internalization stages. Little statistical support was found for the construct of encounter stage as represented in the RIAS items. The difficulty in discerning the encounter stage in terms of attitude items is noted, and suggestions for future research on the RIAS and on the Cross model are given. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The reliability and validity of the Psychopathy Checklist: Youth Version (PCL:YV) in nonincarcerated adolescent males.

Current knowledge about the validity of the psychopathy syndrome in youth is limited largely to studies relying on parent-teacher rating scales or slight modifications of adult measures. Recently, the Psychopathy Checklist: Youth Version (PCL:YV) was designed for use with adolescents. However, most studies that have used this measure examined incarcerated mates and addressed only validity criteria related to antisocial behavior. We investigated the generality and construct validity of the psychopathy syndrome in an adolescent sample by assessing 115 adolescent males on probation with the PCL:YV. Reliability of measurement was high. PCL:YV ratings predicted not only antisocial behavior but also other indices of childhood psychopathology, interpersonal behaviors associated with adult psychopathy, and a lack of attachment to parents. These findings suggest that the PCL:YV identifies a syndrome in adolescence consistent with theory and research on adult males. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Construction et validation du Questionnaire sur les réactions parentales aux émotions positives exprimées par l'enfant.

Studied the psychometric properties of the French-language Questionnaire on Parental Reactions to Children's Expression of Positive Emotions (QPRCEPE). The QPRCEPE includes 12 scenarios that may elicit positive affect in children. The scenarios are accompanied by 4 parental reactions: socialization, encouragement, reprimand, and discomfort. Two studies were conducted in Canada. The results of Study 1, performed with 164 mothers of children aged 4-7 yrs, showed good construct validity. The results of Study 2, performed with 200 mothers of children aged 4-7 yrs, showed that each QPRCEPE subscale had satisfactory internal consistency and high temporal stability. It is maintained that the findings are consistent with the model proposed by T. Dix (1991), according to which parents' emotional state affects their child rearing practices and their perception and interpretation of child behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Construct validity of the Rorschach Oral Dependency Scale: 1967–1995.

A review of research examining the construct validity of J. M. Masling, L. Rabie, and S. H. Blondheim's (1967) Rorschach Oral Dependency (ROD) scale as a measure of interpersonal dependency revealed that this scale has demonstrated good interrater reliability, and that evidence regarding the convergent and discriminant validity of the ROD scale is generally strong. Mixed results have been obtained in studies assessing the internal reliability of ROD scale scores. There have been very few studies examining the predictive validity and retest reliability of the ROD scale, and few studies assessing the relationship of ROD scores to scores on other objective and projective measures of dependency. Implications of these findings for laboratory and clinical research involving the ROD scale are discussed, and suggestions for future studies in this area are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)