scholarly journals The Brief Symptom Inventory and the Outcome Questionnaire-45 in the Assessment of the Outcome Quality of Mental Health Interventions

2016 ◽  
Vol 2016 ◽  
pp. 1-14 ◽  
Author(s):  
Aureliano Crameri ◽  
Christopher Schuetz ◽  
Andreas Andreae ◽  
Margit Koemeda ◽  
Peter Schulthess ◽  
...  
Keyword(s):  
Brief Symptom Inventory ◽  
Self Report ◽  
Reliable Change Index ◽  
Inpatient Setting ◽  
Outcome Questionnaire ◽  
Outcome Quality ◽  
Outpatient Psychotherapy ◽  
Symptom Inventory ◽  
Routine Outcome Assessment

Self-report questionnaires are economical instruments for routine outcome assessment. In this study, the performance of the German version of the Outcome Questionnaire-45 (OQ-45) and the Brief Symptom Inventory (BSI) was evaluated when applied in analysis of the outcome quality of psychiatric and psychotherapeutic interventions. Pre-post data from two inpatient samples (N=5711) and one outpatient sample (N=239) were analyzed. Critical differences (reliable change index) and cut-off points between functional and dysfunctional populations were calculated using the Jacobson and Truax method of calculating clinical significance. Overall, the results indicated that the BSI was more accurate than the OQ-45 in correctly classifying patients as clinical subjects. Nonetheless, even with the BSI, about 25% of inpatients with schizophrenia attained a score at admission below the clinical cut-off. Both questionnaires exhibited the highest sensitivity to psychopathology with patients with personality disorders. When considering the differences in the prescores, both questionnaires showed the same sensitivity to change. The advantage of using these self-report measures is observed primarily in assessing outpatient psychotherapy outcome. In an inpatient setting two main problems—namely, the low response rate and the scarce sensitivity to psychopathology with severely ill patients—limit the usability of self-report questionnaires.

Does clinical change always means the same? Comparison of different perspectives

2016 ◽  
Vol 33 (S1) ◽  
pp. S569-S569 ◽  
Author(s):  
S. Egger ◽  
G. Weniger ◽  
S. Prinz ◽  
S. Vetter ◽  
M. Müller
Keyword(s):  
Somatoform Disorders ◽  
Brief Symptom Inventory ◽  
Self Report ◽  
Clinical Impression ◽  
Symptom Inventory ◽  
Interaction Terms ◽  
Outcome Monitoring ◽  
Competing Interest ◽  
Monitoring Treatment ◽  
Report Measure

IntroductionIn psychiatric practice, the assessment of change from pre- to post-treatment is a key approach for monitoring treatment effects and for the prediction of treatment outcomes. The Health of the Nation Outcome Scales (HoNOS) as a clinician-rated measure and the Brief Symptom Inventory (BSI) as a self-report measure are tools (that are) often incorporated in outcome monitoring. Their usefulness, however, has been questioned by two important issues: their psychometric properties and their lack of concordance.Aims and objectivesThe aim of the study is to evaluate the responsiveness of HoNOS and BSI as well as their interactions to predict clinical meaningful change according to the Global Clinical Impression (CGI) as quasi-gold standard for treatment outcome.MethodsA consecutive sample of patients admitted to a Swiss psychiatric hospital for either alcohol use disorders, schizophrenic psychoses, mood disorders, anxiety and somatoform disorders, or personality disorders was assessed with Brief Symptom Inventory (BSI) at admission and discharge. The HoNOS and the CGI were rated by the responsible clinicians at admission and discharge. Ordinal logistic regressions will be conducted using the CGI categories as ordered categorical outcome. HoNOS and BSI scores as well as their interaction terms will be used as independent variables.Results and conclusionComplete data of admission and discharge is available from approximately 600 cases. Graphical presentations will illustrate the resulting associations.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A New Routine for Analyzing Brief Symptom Inventory Profiles in Chronic Pain Patients to Evaluate Psychological Comorbidity

2021 ◽  
Vol 12 ◽  
Author(s):  
Gabriele Helga Franke ◽  
Melanie Jagla-Franke ◽  
Dieter Küch ◽  
Katja Petrowski
Keyword(s):  
Psychological Distress ◽  
Process Control ◽  
Well Being ◽  
Brief Symptom Inventory ◽  
Repeated Measurements ◽  
Inpatient Setting ◽  
Group Setting ◽  
Symptom Inventory ◽  
Outpatient Group ◽  
Orthopedic Patients

Question: Comorbidity, i.e., additional psychological distress in patients already suffering from chronic somatic diseases (e.g., orthopedic conditions) is of growing importance. The quality of analyzing and interpreting the often used Brief Symptom Inventory (BSI) used with orthopedic patients should improve by employing a new “case definition” of four groups (instead of two) of differentially psychologically distressed patients instead of two groups as before.Methods: Four groups with the different psychological distress definitions of “no,” “mild,” “remarkable,” and “severe” were to be analyzed from a group of 639 orthopedic patients in inpatient rehabilitation clinics. The BSI is transformed into T values (M=50, SD=10). There is “no” distress if no T [two scales] is ≥60 and “mild” distress if T [two scales] and/or T [GSI] is ≥60 and <63. If T [two scales] and/or T [GSI] is ≥63 and <70, it is “remarkable,” and if T [two scales] and/or T [GSI] ≥70, it speaks for “severe” psychological distress.Results: The new tool for analyzing psychological distress based on the T-scores of the BSI resulted in the following four groups: No psychological distress (41.9%): unspecific health-related information stands for a useful intervention. About 13.3% demonstrated low psychological distress: shorter diagnostic interviews and a few more diagnostic examinations led to a low-level outpatient group program to improve health and well-being in a preventive sense; one repeated measurement in 4weeks is advised. Remarkable psychological distress (26%): in-depth exploration using interviews, tests, and questionnaires to choose specific interventions in a single and/or group setting, outpatient or inpatient treatment; repeated measurements and process control. About 18.8% reported severe psychological distress: in-depth exploration led to specific interventions in a single and/or group setting, almost an inpatient setting; immediately crisis intervention and high-frequent process control.Conclusion: The new evaluation strategy of the BSI should improve practice and research; further investigation is necessary.

scholarly journals Autoconceito (autoeficácia), Psicopatologia e Qualidade de Vida dos Doentes Alcoólicos em Tratamento

2016 ◽  
Vol 1 (1) ◽  
pp. 383
Author(s):  
Sandra Cristina Rodrigues Teixeira Reis
Keyword(s):  
Quality Of Life ◽  
World Health Organization ◽  
Brief Symptom Inventory ◽  
World Health ◽  
World Health Organization Quality ◽  
Symptom Inventory ◽  
Organization Quality ◽  
Health Organization

Este projeto de investigação no âmbito do Doutoramento em Psicologia, pretende analisar a importância do treino da autoeficácia (variável independente) para o tratamento da dependência alcoólica, observável na manutenção em tratamento e na modificação/elevação da qualidade de vida, objetivo último da intervenção e medida da sua eficácia (variável dependente). Neste sentido foram inquiridos de 146 dependentes alcoólicos que iniciaram tratamento na UAC, 90 (61,6%) dos quais abandonaram o tratamento após a fase de internamento, 35 (24%) após a 1ª consulta e 21 (14,4 %) se mantivera em tratamento. Este ainda é um problema ligado ao género, sendo que a maioria dos indivíduos são homens constituindo assim 87% da nossa amostra. As idades situam-se entre os 23 e os 68 anos, com um valor mediano de 44,7 (DP= 9, 127). Para avaliar as variáveis em estudo foram utilizados: a versão portuguesa do Brief Symptom Inventory (BSI) (Canavarro, 1999) para avaliar a sintomatologia psicopatológica; a versão portuguesa do Inventário Clínico do Autoconceito (ICAC) (Vaz Serra, 1985), para avaliar aspetos  e a versão portuguesa da World health Organization Quality of Life, versão breve (WHOQOL-Bref) “destina-se à avaliação da qualidade de vida, tal como foi definida pela OMS: perceção do indivíduo sobre a sua posição na vida, dentro dos contextos dos sistemas de cultura e valores nos quais está inserido e em relação aos seus objetivos, expetativas, padrões e preocupações” (Canavarro, Simões, Vaz Serra, Pereira, Rijo, Quartilho, Gameiro, Paredes & Carona, 2007, p. 77).Palavras Chave: Autoeficácia, Psicopatologia, QV e Tratamento da Síndrome Alcoólica

The trauma symptom inventory: Italian validation of an instrument for the assessment of post-traumatic symptoms

2011 ◽  
Vol 20 (4) ◽  
pp. 345-355 ◽  
Author(s):  
E. Gambetti ◽  
L. Bensi ◽  
R. Nori ◽  
F. Giusberti
Keyword(s):  
Convergent Validity ◽  
Brief Symptom Inventory ◽  
Self Report ◽  
Validity Scales ◽  
Italian Version ◽  
Trauma Symptom Inventory ◽  
Event Scale ◽  
Trauma Symptom ◽  
Symptom Inventory ◽  
Post Traumatic

Aim.The trauma symptom inventory (TSI; Briere, 1995) is a useful instrument for the assessment of post-traumatic and common trauma-related mental health symptoms. The purpose of the study was to validate the Italian version of the original TSI.Methods.Participants from non-clinical (n = 285), clinical (n = 110) and post-traumatic (n = 30) samples completed the TSI as part of a battery that included self-report measures of trauma exposure [MMPI-2 PK scale and Impact of Event Scale-Revised (IES-R)] and of psychological symptoms [brief symptom inventory (BSI) and symptom questionnaire (SQ)]. TSI validity scales were compared with MMPI-2 validity scales in order to assess convergent validity.Results.The TSI Italian version showed adequate internal consistency reliability and a good convergent validity. Discriminant function analysis indicates a classification accuracy of TSI scales of 90% for true-positive and 91.4% for true-negative post-traumatic stress disorder (PTSD) cases. A revised three-factor structural model, which demonstrated an adequate and the best fit for the data, was proposed.Conclusions.The study extended the generalization and validity of TSI and provided some suggestions for eventually revisiting factorial structure of the questionnaire.

The Brief Symptom Inventory: an introductory report

1983 ◽  
Vol 13 (3) ◽  
pp. 595-605 ◽  
Author(s):  
Leonard R. Derogatis ◽  
Nick Melisaratos
Keyword(s):  
Convergent Validity ◽  
Psychometric Evaluation ◽  
Good Evidence ◽  
Brief Symptom Inventory ◽  
Self Report ◽  
Symptom Scale ◽  
Symptom Dimensions ◽  
Symptom Inventory ◽  
Report Symptom ◽  
Validity Studies

SynopsisThis is an introductory report for the Brief Symptom Inventory (BSI), a brief psychological self-report symptom scale. The BSI was developed from its longer parent instrument, the SCL-90-R, and psychometric evaluation reveals it to be an acceptable short alternative to the complete scale. Both test-retest and internal consistency reliabilities are shown to be very good for the primary symptom dimensions of the BSI, and its correlations with the comparable dimensions of the SCL-90-R are quite high. In terms of validation, high convergence between BSI scales and like dimensions of the MMPI provide good evidence of convergent validity, and factor analytic studies of the internal structure of the scale contribute evidence of construct validity. Several criterion-oriented validity studies have also been completed with this instrument

scholarly journals Objectively measured sleep duration, sleep quality, and symptoms of psychopathology in the SIGMA cohort

2021 ◽  
Author(s):  
Noëmi Hagemann ◽  
Olivia J Kirtley ◽  
Ginette Lafit ◽  
Robin Achterhof ◽  
Karlijn Susanna Francisca Maria Hermans ◽  
...  
Keyword(s):  
General Population ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Brief Symptom Inventory ◽  
Self Report ◽  
Objective Measures ◽  
General Psychopathology ◽  
Symptom Inventory ◽  
Objectively Measured ◽  
Psychopathology Symptoms

While subjective measures have demonstrated an association between sleep duration, sleep quality, and symptoms of psychopathology in adolescents, findings from more reliable, objective measures remain limited. In this study, we investigate if objectively measured sleep duration and sleep quality are associated with symptoms of psychopathology in adolescents.Adolescents (N=558; 11-17 y) from the SIGMA cohort wore the Fitbit Charge 2 measuring sleep duration and sleep quality during 4-6 days. Participants completed the Brief Symptom Inventory-53, assessing symptoms of general psychopathology, depression, anxiety, and psychoticism. Sleep duration was not associated with symptoms of general psychopathology, depression, anxiety, and psychoticism in general population adolescents. Further, sleep quality was not associated with symptom levels of anxiety, and psychoticism, but small to negligible positive associations were found between sleep quality and general psychopathology and depression symptoms.Our non-significant findings converge with those of an increasing body of objectively measured sleep literature that does no find significant associations between sleep duration, sleep quality and psychopathology symptoms. Overall, our results suggest that associations between sleep duration and psychopathology symptoms in previous studies may be a function of the subjective, self-report nature of the employed measures, and do not generalize to objectively collected sleep data.

scholarly journals Avaliação de Resultados de Psicoterapia Psicodinâmica Breve em Contextos Institucionais

2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Patricia Dotta ◽  
Fernanda Barcellos Serralta
Keyword(s):  
Brief Symptom Inventory ◽  
Outcome Questionnaire ◽  
Symptom Inventory ◽  
Defensive Style

Esse estudo de casos múltiplos investigou a efetividade da psicoterapia psicodinâmica breve (PPB) e o processo de mudança intra e interpessoal de pacientes atendidos em uma empresa. Participaram do estudo 03 funcionários com queixas psicológicas diversas. A coleta dos dados incluiu medidas de auto relato para a avaliação da mudança da psicoterapia (OQ-45 - Outcome Questionnaire), sintomas psicopatológicos (BSI - Brief Symptom Inventory), mecanismos de defesa (DSQ- 40-Defensive Style Questionnaire) e empatia (EMRI-Escala Multidimensional de Reatividade Interpessoal), aplicadas na 1ª, 6ª e na 12ª sessão (término do tratamento). Em todos os casos foi constatado abrandamento sintomatológico e melhora nos relacionamentos interpessoais e em dois casos as mudanças sintomáticas foram clinicamente significativas e confiáveis. O estudo sugere que a PPB pode promover mudanças significativas na saúde mental dos trabalhadores e que as intervenções mais efetivas são aquelas que incidem sobre crises. Estudos em maior escala são necessários para generalizar os achados.

Remission, Response und deren Prädiktion nach einer Dialektisch-Behavioralen Therapie der Borderline-Persönlichkeitsstörung im stationären Setting

2013 ◽  
Vol 42 (1) ◽  
pp. 45-54 ◽  
Author(s):  
Christoph Kröger ◽  
Susanne Harbeck ◽  
Imke Rickert ◽  
Eileen Wollburg ◽  
Katrin Gersch ◽  
...  
Keyword(s):  
Severity Index ◽  
Brief Symptom Inventory ◽  
Reliable Change Index ◽  
Global Severity Index ◽  
Reliable Change ◽  
Symptom Inventory

Theoretischer Hintergrund: Bislang wurde die Wirksamkeit der Dialektisch-Behavioralen Therapie (DBT) für die Borderline-Persönlichkeitsstörung (BPS) im stationären Bereich überwiegend anhand von gruppenstatistischen Kennwerten aufgezeigt. Fragestellung: Wie hoch fallen die Remissions- und Responseraten aus? Lassen sich Prädiktoren hinsichtlich der Responserate finden? Methode. Soziodemographische und klinische Merkmale von 366 stationären, konsekutiven Patienten mit einer BPS wurden erhoben. Der Therapieerfolg wurde durch den Global Severity Index (GSI) des Brief Symptom Inventory erfasst und auf vier verschiedene Arten (Effektstärke [ES], Remission, Response anhand des Reliable Change Index [RCI] bzw. der prozentualen Symptomverbesserung [PSV]) definiert. Ergebnisse: Es ergab sich im Prä-Post-Vergleich des GSI eine ES von 0.52 (95 %-KI: 0.48 – 0.56). Die Responseraten betrug 42 % nach dem Kriterium des RCIs bzw. 33 % nach der PSV. Etwa 33 % erreichten ein Belastungsniveau, das dem einer ambulanten Stichprobe entspricht. Unverändert blieben 47 %, verschlechtert haben sich 11 %. Einen prädiktiven Einfluss auf die Response zeigten eine höhere Ausprägung der allgemeinen Symptombelastung und Depressivität zu Therapiebeginn und eine höhere Schulbildung. Schlussfolgerungen: Zukünftig sollten Nachbefragungen durchgeführt werden, um zu untersuchen, inwiefern die Response- bzw. Remissionsraten nach der Behandlung über die Zeit hinweg stabil bleiben. Um studien- und verfahrensübergreifende Vergleiche durchführen zu können, erscheinen einheitliche Definitionen notwendig.

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