The Clinician’s Subjective Experience during the Interaction with Adolescent Psychiatric Patients: Validity and Reliability of the Assessment of Clinician’s Subjective Experience

2021 ◽  
pp. 1-8
Author(s):  
Angelo Picardi ◽  
Sara Panunzi ◽  
Sofia Misuraca ◽  
Chiara Di Maggio ◽  
Andrea Maugeri ◽  
...  

<b><i>Introduction:</i></b> The last decade has witnessed a resurgence of interest in the clinician’s subjectivity and its role in the diagnostic assessment. Integrating the criteriological, third-person approach to patient evaluation and psychiatric diagnosis with other approaches that take into account the patient’s subjective and intersubjective experience may bear particular importance in the assessment of very young patients. The ACSE (Assessment of Clinician’s Subjective Experience) instrument may provide a practical way to probe the intersubjective field of the clinical examination; however, its reliability and validity in child and adolescent psychiatrists seeing very young patients is still to be determined. <b><i>Methods:</i></b> Thirty-three clinicians and 278 first-contact patients aged 12–17 years participated in this study. The clinicians completed the ACSE instrument and the Brief Psychiatric Rating Scale after seeing the patient, and the Profile of Mood State (POMS) just before seeing the patient and immediately after. The ACSE was completed again for 45 patients over a short (1–4 days) retest interval. <b><i>Results:</i></b> All ACSE scales showed high internal consistency and moderate to high temporal stability. Also, they displayed meaningful correlations with the changes in conceptually related POMS scales during the clinical examination. <b><i>Discussion:</i></b> The findings corroborate and extend previous work on adult patients and suggest that the ACSE provides a valid and reliable measure of the clinician’s subjective experience in adolescent psychiatric practice, too. The instrument may prove to be useful to help identify patients in the early stages of psychosis, in whom subtle alterations of being with others may be the only detectable sign. Future studies are needed to determine the feasibility and usefulness of integrating the ACSE within current approaches to the evaluation of at-risk mental states.

2020 ◽  
Author(s):  
José Toloza-Muñoz ◽  
Jean González-Mendoza ◽  
Ramón D. Castillo ◽  
Diego Morales-Bader

AbstractThe Reading the Mind in the Eyes Test (RMET) is used to measure high-level Theory of Mind. RMET consists of images of the regions surrounding the eyes and a glossary of terms that defines words associated with the gazes depicted in the images. People must identify the meaning associated with each gaze and can consult the glossary as they respond. The results indicate that typically developed adults perform better than adults with neurodevelopmental disorders. However, the evidence regarding the validity and reliability of the test is contradictory. This study evaluated the effect of the glossary on the performance, internal consistency, and temporal stability of the test. A total of 89 undergraduate students were randomly assigned to three conditions. The first group used the original glossary (Ori-G). The second group developed a self-generated glossary of gazes (Self-G). Finally, the third group developed a glossary that did not define gazes, but unrelated words instead (No-G). The test was administered before and after participants drew a randomly assigned image as a secondary task. The findings show that the number of correct answers was similar among the three conditions before and after the secondary task. However, the Self-G and No-G groups took less time to finish the test. The type of glossary affected the consistency and stability of the test. In our case, the Self-G condition made the responses faster, more consistent, and more stable. The results are discussed in terms of levels of processing and the detection of mental states based on gazes.


2019 ◽  
Vol 32 (1) ◽  
pp. 32-40 ◽  
Author(s):  
Yasuhiro Higashi ◽  
Shinichi Takabatake ◽  
Asako Matsubara ◽  
Koji Nishikawa ◽  
Hiroto Shigeta ◽  
...  

Background/objective The ADL-focused Occupation-based Neurobehavioral Evaluation (A-ONE) can be used to evaluate both performances of activities of daily living (ADL) tasks and neurobehavioural problems that interfere with ADL task performance among clients with neurological disorders. Research studies have demonstrated acceptable psychometric properties of the original version of the A-ONE as well as the Rasch analysed version. The aim of this study was to examine the reliability and validity of the Japanese version of the A-ONE (A-ONE J). Methods Rasch analysis was performed on data obtained from eight different hospitals in Japan on performances of 150 individuals diagnosed with a stroke based on the functional independence (FI) scale items. The rating scale structure was investigated and internal validity and reliability were examined. Unidimensionality of the items was examined by mean square infit values and principal component analysis of residuals. The targeting between person ability and item difficulty was explored, as well as the separation reliability. Finally, psychometric values and item difficulty hierarchies obtained in this study were compared to the original Rasch analysis of the A-ONE. Results The rating scale structure might be improved by collapsing two categories twice (from five categories to three categories). Unidimensionality of the items was obtained for 20 items. Targeting was acceptable, and separation reliability for item calibrations was high and acceptable for people. Conclusion/limitations: This study provides important information regarding the possibilities for revising the ordinal A-ONE J FI Scale, converting it into a unidimensional scale. Further study with increased and more diverse sample is needed.


Author(s):  
El Shourbagi, Sahar ◽  
Abd-El-Fattah, Sabry M.

Aim: The aim of the present study was to report some initial findings concerning the validity and reliability of the Omani version of the Gilliam Autism Rating Scale-2 (OM-GARS-2). Sample: The sample of the study included 90 children aged 8-14 years and divided into two groups: Autistic group (n = 45), enrolled in two public centers of autism care in two governorates in Oman, and normal group (n =45), enrolled in two public schools in two governorates in Oman. Raters Sample: A total of 8 teachers (4 males and 4 females) working in these centers rated students on the OM-GARS-2. And 7 teachers (4 males and 3 females) in these schools rated students on the OM-GARS-2. All ratings were performed over a three-week period. Methodology: To answer the research questions, two types of reliability indictors were computed: (1) test-retest reliability, and (2) internal consistency reliability. Then, Pearson correlation coefficient was computed between students’ scores on OM-ABC which is studied by several researchers and the total score and the OM-GARS-2 subscales as well as total score. Finally, a multivariate analysis of variance (MANOVA) was conducted where group (autistic vs. normal) was set as an independent variable (factor) and the OM-GARS-2 subscales and Autism index was set as criterion variable to test the hypothesis that there would be one or more mean differences between groups. Results: The results of the study showed the OM-GARS-2 had temporal stability and internal consistency reliability. The OM-GARS-2 had criterion (type concurrent) validity and discriminant validity. Conclusion: To conclude, the reliability and validity indices of OM-GARS-2 are very similar to that of the original GARS-2 [1] and other studies conducted internationally.


Author(s):  
Hoda Burhan Seif El Din

This study aimed to examine the psychometric characteristics represented in the validity and reliability of The Cambridge Mindreading (CAM) Face Battery testing complex emotion recognition. This study aims to introduce the CAM battery of tasks, testing recognition of 20 complex emotions and mental states from faces to Arabic environment. CAM reading facial expressions have been applied on a sample of 164 individual either they are students at the University or higher. The results showed that the sample is mostly able to characterize complex emotions with a few amendments which will be discussed later. For the validity, the raters analyzed each video to check its accuracy, the split-have responses for each emotion was done to measure the stability of the of content. The results showed the reliability and validity with the amendments that have been taken into account where it can be applied to the Arab Environment. The video is valid and reliable and could be applied inn Arab society.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249942
Author(s):  
Juan Roldán-Merino ◽  
Celia Maria Ortega-Cejas ◽  
Teresa Lluch-Canut ◽  
Mariona Farres-Tarafa ◽  
Ainoa Biurrun-Garrido ◽  
...  

The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ-B) is an instrument that allows the experiences around fear of childbirth to be examined after the birth. It is currently the most widely used to measure different aspects related to the fear of childbirth and enables healthcare and additional assistance to women after birth to be adapted according to their needs. The objective of this study was to translate the W-DEQ-B into Spanish and analyse its reliability and validity. The study was carried out in two phases: (1) transcultural adaption of the questionnaire to Spanish and (2) a transversal study in a sample of 190 postpartum women from Sexual and Reproductive Health Clinics in the province of Barcelona (Spain). The psychometric properties were examined in terms of reliability (internal consistency and temporal stability) and construct validity (confirmatory factorial analysis [CFA] and exploratory factorial analysis [EFA]). The results of the CFA did not confirm unidimensionality of the W-DEQ-B questionnaire. The EFA suggested four very similar, but not identical, dimensions to those obtained in other studies in which the W-DEQ-B has been evaluated. Both the Cronbach’s alpha and the omega coefficient were adequate for the total questionnaire and for each of the four dimensions. The results of this study confirm that the W-DEQ-B is multi-dimensional. In the Spanish version of the W-DEQ-B-Sp four dimensions have been identified that allow the experiences around fear of childbirth to be examined after the birth. The Spanish version of the WDEQ-B (WDEQ-B-Sp) is reliable and valid for the measurement of fear of childbirth in clinical practice and for use in future research.


Dementia ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 1840-1857
Author(s):  
Jérôme Erkes ◽  
Cameron J Camp ◽  
Stéphane Raffard ◽  
Marie-Christine Gély-Nargeot and ◽  
Sophie Bayard

This study evaluated the validity and reliability of the Montessori Assessment System. The Montessori Assessment System assesses preserved abilities in persons with moderate to severe dementia. In this respect, this instrument provides crucial information for the development of effective person-centered care plans. A total of 196 persons with a diagnosis of dementia in the moderate to severe stages of dementia were recruited in 10 long-term care facilities in France. All participants completed the Montessori Assessment System, the Clinical Dementia Rating Scale and/or the Mini Mental State Examination and the Severe Impairment Battery-short form. The internal consistency and temporal stability of the Montessori Assessment System were high. Additionally, good construct and divergent validity were demonstrated. Factor analysis showed a one-factor structure. The Montessori Assessment System demonstrated satisfactory psychometric properties while being a useful instrument to assess capabilities in persons with advanced stages of dementia and hence to develop person-centered plans of care.


2020 ◽  
Vol 37 (2) ◽  
pp. 59-73
Author(s):  
Daniel Talbot ◽  
John Cass ◽  
Evelyn Smith

AbstractFigural rating scales are tools used to measure male body dissatisfaction. The present review aimed to examine the design and psychometric properties of male figural rating scales and make recommendations based on findings. Relevant databases were systematically searched for studies that had developed and validated male figural rating scales. Twenty studies were included in this review. Figural rating scales differed in terms of the number of images represented and type of stimuli used (hand-drawn silhouettes, hand-drawn figures, computer-rendered figures, and photograph figures). Reliability and validity evidence varied greatly in strength across all scales. Four of the 20 scales included a correlational analysis between figural rating scale scores and eating disorder symptoms. Results showed the moderate to high positive correlations between eating disorder symptoms and figural rating scale perceived and index scores, suggesting that figural rating scales are sensitive to detecting eating disorder symptoms. Ideally, male figural rating scales should show strong validity and reliability, include variations in both body fat and muscularity, utilise realistic body stimuli, and be interval scales. No existing male figural rating scale meets these criteria. However, this review identifies five figural rating scales that meet the majority of the recommended criteria.


2021 ◽  
pp. 156918612110219
Author(s):  
De-Chang Liu ◽  
David Strauser ◽  
Ay-Woan Pan

Background Work personality was found to relate to successful work adjustment, job readiness, work motivation and job maintenance. The revised developmental work personality scale (RDWPS) is a self-reported assessment to evaluate the work personality of the examinee which further psychometric study is required and needs to be applied to different culture. The aim of this study was to examine the theoretical structure, validity, and reliability of the traditional Chinese version of the RDWPS. Methods The subjects were 113 university students with no known physical or mental illness who aged between 19 and 22. Cluster analysis was used to examine the theoretical structure. Rasch analysis was applied to examine the psychometric properties. Results We dropped the unfit three items and found the 11 items of traditional Chinese version of the RDWPS was adequate to fit the theoretical construct. The results of the Rasch analysis showed that the 11 items with a three-point rating scale of the traditional Chinese version of the RDWPS had acceptable internal consistency (α = 0.76), moderate reliability, and met the criteria of unidimensionality. Conclusions The results of this study provided initial evidence that the traditional Chinese version of the RDWPS can be readily applied to research related to work behavior for those whose primary language is traditional Chinese, with adequate reliability and validity.


1988 ◽  
Vol 152 (5) ◽  
pp. 660-664 ◽  
Author(s):  
Yanping Zheng ◽  
Jingping Zhao ◽  
Michael Phillips ◽  
Jianbai Liu ◽  
Minfang Cai ◽  
...  

The reliability and validity of the Chinese version of the 17-item Hamilton Depression Rating Scale (CHDS) was assessed. Interrater reliability was excellent, the item total-score correlations were good, and the internal reliability was satisfactory. The concurrent validity was tested by correlating the CHDS score with the Global Assessment Scale score; the strong negative correlation found indicated that the CHDS reflects the overall level of disability. Five distinct factors were generated by principle-component analysis; these factors account for 52.4% of the total variance. Rigorous evaluation of the numerous translated scales being used in clinical and research settings of non-Western countries is important.


1968 ◽  
Vol 23 (3) ◽  
pp. 823-835 ◽  
Author(s):  
Paul McReynolds

The Hospital Adjustment Scale (HAS) is a 90-item behavior-rating scale designed for the assessment of the over-all level of psychological functioning, irrespective of psychiatric symptomatology, of hospitalized psychiatric patients. This paper reviews the research which has been done on and with the scale since its publication in 1953 and indicates the uses and limitations of the scale based on 15 yr. experience with it. It is concluded that adequate reliability and validity have been demonstrated to justify the scale's continued use as a measure of change in hospitalized psychiatric patients.


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