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Abstract: The Emotion Regulation Skills Questionnaire (ERSQ, 27 items) is an instrument designed to measure nine emotion regulation skills. This study examined the psychometric properties and longitudinal network structure of the Czech translation of the ERSQ in the clinical sample (primarily mood or neurotic disorders). Czech patients N = 427 completed the ERSQ weekly during treatment. The data were analyzed using confirmatory factor analysis (CFA) and network modeling. The CFA supported an eight-dimensional factor solution (with merged Acceptance and Tolerance subscales). The subscales’ internal consistency ranged from ωh = .669 (Bodily sensations) to ωh = .859 (Acceptance/Tolerance). The factor structure was invariant across genders, two age groups, and seven measurement waves (invariance tested as an assumption for network analysis). The longitudinal network model indicated the existence of perceptive and modulatory clusters of emotional regulation skills and revealed the central role of Modification, Bodily sensations, and Readiness for confrontation in emotional regulation. The Czech translation of the ERSQ is a psychometrically sound instrument comparable to the original version. Despite the high internal consistency of the total score (ωtot = .910), the ERSQ is not recommended for use as a unidimensional instrument. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 28 Apr 2022 00:00:00 GMT
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Abstract: The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) versions of the Clinician-Administered PTSD Scale (CAPS-5) and PTSD Checklist (PCL-5) are widely used PTSD measures. Researchers and clinicians routinely use both measures in tandem to quantify symptom change, despite substantive instrumentation differences beyond administration modality, and absent a theoretical rationale or differential hypotheses for the two measures. The degree to which these measures provide comparable estimates of symptom change is unknown. This study examined concordance in change between CAPS-5 and PCL-5 scores over time. Participants were male veterans (N = 198) randomly assigned to one of two group PTSD treatments. We administered both the CAPS-5 and PCL-5 at baseline, midtreatment, immediately posttreatment, and 3-, 6-, and 12-month posttreatment. Results indicated that CAPS-5 and PCL-5 scores changed over time in a similar manner, as evidenced by generally parallel repeated-measures effect sizes, highly correlated slopes of change (r = .878), and similar associations with improvements in measures of depression and psychosocial functioning. However, the two measures did not produce identical estimates of symptom change. Estimates of symptom improvement were somewhat less concordant at posttreatment follow-up assessments; by the 12-month posttreatment assessment, changes in CAPS-5 scores from baseline indicated somewhat greater symptom improvement than changes in PCL-5 scores (CAPS-5 ESsg = −0.67, PCL-5 ESsg = −0.53). Collectively, results indicate that CAPS-5 and PCL-5 scores produce similar but not identical estimates of PTSD symptom change. Thus, although PCL-5 scores closely approximate symptom change estimated by CAPS-5 scores, the two measures are not interchangeable. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 07 Apr 2022 00:00:00 GMT
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Abstract: The PHQ-9 has become a measure of reference in depression research and clinical practice. However, the issue of the PHQ-9’s unidimensionality has not been fully elucidated, and the usability of the PHQ-9’s total score requires clarification. In this study, we examined the dimensionality, scalability, and monotonicity properties of the PHQ-9 as well as the scale’s total-score reliability. We did so based on exploratory structural equation modeling (ESEM) bifactor analysis and Mokken scale analysis (MSA). We relied on a total of 58,272 participants (63% female; Mage = 43, SDage = 13) from 29 samples involving seven different countries (e.g., Germany, the U.S.) and five different languages (e.g., German, English). We found no concerning deviations from measurement invariance for our ESEM bifactor model, neither across samples nor across sexes, age groups, and languages. The PHQ-9 met the requirements for essential unidimensionality in the pooled sample and across sex-, age-, and language-based subsamples. In each case, the general factor was strong (e.g., factor loadings ranged from 0.725 to 0.893 in the pooled sample) and Omega Hierarchical values exceeded 0.900. The correlations between the general factor and the observed total scores were large (≥ 0.952). Our MSA, including multilevel MSA, revealed that the PHQ-9’s scalability is satisfactory. No monotonicity violation was detected, suggesting that the scale’s total score accurately orders respondents on the latent Depression variable. Total-score reliability was good. This study provides robust evidence that the PHQ-9 can be used as a unidimensional measure of depressive symptoms by researchers and practitioners. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 31 Mar 2022 00:00:00 GMT
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Abstract: Acute dynamic risk factors can change over short periods of time, even within days or hours. When making risk assessments of individuals convicted of sexual offenses, it is necessary to consider this rapidity of change, in order to monitor appropriately the recidivism risk and to prevent future crimes. Until now, there is only one instrument—the Acute-2007—which assesses acute risk factors in individuals convicted of sexual offenses. However, the current state of research about its psychometric properties is still limited. The aim of the present study was to examine the German version of the Acute-2007 in a final sample of N = 534 adult male individuals convicted of a sexual offense in Germany. Within a prospective-longitudinal field study, appropriately trained parole officers used the Acute-2007 directly after a case was allocated to them. By using an average follow-up period of M = 3.83 years, recidivism data were drawn from the Federal Central Criminal Register of the Federal Office of Justice. Results revealed that the Acute-2007 predicted moderately general (AUC = .64), sexual (AUC = .64), and violent (AUC = .64) recidivism. By using Cox regression analysis, the Acute-2007 significantly predicted the time periods until a sexual reoffense. Furthermore, the Acute-2007 added incremental predictive validity beyond the Static-99 in the prediction of sexual recidivism. Taken together, the results of the present study support the relevance of acute dynamic risk factors in risk assessment and management of individuals convicted of sexual offenses. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 17 Mar 2022 00:00:00 GMT
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Abstract: The recently released Minnesota Multiphasic Personality Inventory-3 (MMPI-3) includes a revised set of Validity Scales on which there is currently limited validity and clinical utility evidence for the detection of overreporting. The present study evaluated the MMPI-3 Validity Scales in the identification of such response bias. An analogue simulation design was used in which participants in an overreporting condition (163 undergraduate students) were instructed to feign mental health symptoms when responding to the MMPI-3 in the context of a compensation-seeking claim. Two comparison groups (657 undergraduate students and 223 community mental health patients) were instructed to respond to the MMPI-3 under standard instructions. The results indicated that those in the overreporting group generally had higher scores on MMPI-3 substantive scales than did genuine responding patients and students. In addition, results indicated that the criterion validity of the substantive scale scores was compromised in the context of overreporting. All MMPI-3 Validity Scales, particularly Fp (g = 1.29), F (g = 1.05), and RBS (g = 1.11), differentiated the overreporting group from patients with genuine psychopathology. Classification accuracies associated with the overreporting Validity Scale scores were evaluated and generally supported their utility in correctly classifying overreporters and patients. Overall, the findings generally support the validity and clinical utility of the MMPI-3 Validity Scales in the detection of overreporting. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 24 Feb 2022 00:00:00 GMT
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Abstract: It is vital to identify substance use disorders (SUDs) in youths and adults early and accurately. Previous studies have investigated the validity and reliability of the Achenbach Child Behavior Checklist (CBCL) and Youth Self Report (YSR) for other related anxiety, mood, and behavior problems. The present study tested if the CBCL and YSR substance use items can discriminate adolescents with versus without a SUD diagnosis accurately enough to justify clinical application within an evidence-based assessment framework. N = 422 outpatient adolescents (age 9–18) and their caregivers completed semistructured diagnostic interviews. Caregivers completed CBCL, and adolescents completed the YSR. K-SADS-PL + diagnoses indicated that 34 youths met Diagnostic and Statistical Manual (DSM)-IV criteria for SUDs. Receiver Operating Characteristics (ROC) models estimated the likelihood of having Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime (KSADS-PL) + SUDs based on substance use scores of CBCL or YSR. Scores on all scales significantly identified KSADS-PL-diagnosed SUDs in adolescents: Area under the curve (AUCCBCL = .90, p< .0005; AUCYSR = .84, p < .0005). There was no significant difference in the accuracy comparing each informant used separately; CBCL showed incremental value above the YSR report when both were included in logistic regression models. CBCL and YSR substance items demonstrated diagnostic and clinical utility in identifying SUDs in adolescents. Findings suggest that Achenbach Scales could be a valuable intake instrument in detecting adolescents SUDs. A supplemental clinical vignette illustrates the clinical application of the study findings. It will be important for future research to replicate use of these measures across varying clinical scenarios and settings. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 24 Feb 2022 00:00:00 GMT
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Abstract: We examined the ability of the Minnesota Multiphasic Personality Inventory-3 (MMPI-3) scales to predict reflexive reactions to rejection elicited via a Cyberball task. In an effort to expand the criterion-related and incremental validity knowledge of the MMPI-3, we specifically focused on scale associations with the following adverse reflexive reactions: feelings of rejection, low positive and high negative affect, and high perceived threats to social needs. We hypothesized 10 substantive scales that assess negative emotionality, self-esteem, paranoia, and interpersonal difficulties to be positively associated with these adverse reactions, while we expected four scales indicative of interpersonal antagonism to be inversely related. The sample included 180 undergraduate students (80.6% female, 17.2% male; 59.5% White, 40.5% people of color), and analyses were conducted using the full sample and race-based subsamples. Results partially supported hypotheses, most notably in the case of indicators of mood/negative emotionality, Self-Doubt, and Self-Importance. Results were largely consistent across race-based subsamples with some notable exceptions. Our findings provide support for the validity of the MMPI-3 scales and their ability to assess reactions to an interpersonal stressor via a behavioral paradigm. Limitations (e.g., reliance on college student sample) and future directions (e.g., need for replication with larger samples) are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 17 Feb 2022 00:00:00 GMT
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Abstract: The present study features the development of new risk categories and recidivism estimates for the Violence Risk Scale (VRS), a violence risk assessment and treatment planning tool. We employed a combined North American multisite sample (k = 6, N = 1,338) of adult mostly male offenders, many with violent criminal histories, from correctional or forensic mental health settings that had complete VRS scores from archival or field ratings and outcome data from police records (N = 1,100). There were two key objectives: (a) to identify the rates of violent recidivism associated with VRS scores and (b) to generate updated evidence-based VRS violence risk categories with external validation. To achieve the first objective, logistic regression was applied using VRS pretreatment and change scores on treated samples with a minimum 5-year follow-up (k = 5, N = 472) to model 2-, 3-, and 5-year violent and general recidivism estimates, with the resulting logistic regression algorithms retained to generate a VRS recidivism rates calculator. To achieve the second objective, the Council of State Governments’ guidelines were applied to generate five risk levels using the common language framework using percentiles, risk ratios (from Cox regression), and absolute violent and general recidivism estimates (from logistic regression). Construct validity of the five risk levels was examined through group comparisons on measures of risk, need, protection, and psychopathy obtained from the constituent samples. VRS applications to enhance risk communication, treatment planning, and violence prevention in light of the updated recidivism estimates and risk categories are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 17 Feb 2022 00:00:00 GMT
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Abstract: Assessment of internalizing symptoms has generally relied on cross-sectional and retrospective self-reports, but ecological momentary assessment (EMA) is increasingly used to capture quick fluctuations in symptoms, enhance ecological validity, and improve recall accuracy. However, there are very few measures of internalizing symptoms that have been validated for use in EMA designs. In Study 1, we chose candidate items for EMA short forms of the Dysphoria and Well-Being scales from the Inventory of Depression and Anxiety Symptoms (IDAS), based on principal factor analyses and internal consistency analyses conducted on aggregated cross-sectional datasets (total N = 8,876). In Study 2, we tested the items using an EMA design in a sample of college students (N = 279) oversampled for elevated neuroticism. Scale structure, reliability, and convergent and discriminant validity (regarding baseline IDAS scales, baseline affect, and EMA affect) were evaluated at the within- and between-person levels using multilevel structural equation modeling. Exploratory and confirmatory factor analyses in separate subsamples revealed the expected two-factor structure, yielding a four-item Well-Being scale and a five-item Dysphoria scale. Both scales showed acceptable to good internal consistency, strong convergent validity, and generally adequate discriminant validity. However, some associations of the new scales with EMA affect (i.e., Dysphoria with negative affect; Well-Being with positive affect) were very strong at the between-person level, such that they were not empirically distinct. Overall, this study provides an initial validation of brief EMA-IDAS Dysphoria and Well-Being scales that can be used in research or clinical settings, with particular utility for capturing within-person, dynamic effects. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 17 Feb 2022 00:00:00 GMT
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Abstract: Despite increased recognition of the importance of evidence-based assessment in clinical psychology, utilization of gold-standard practices remains low, including during diagnostic assessments. One avenue to streamline evidence-based diagnostic assessment is to increase the use of diagnostic likelihood ratios (DLRs), derived from receiver operating characteristic curve analyses. DLRs allow for the adjustment of the likelihood that an individual has a disorder based on self-report data (e.g., questionnaires, psychosocial, family history). Although DLRs provide strong and readily implementable psychometric data to guide diagnostic decision-making, analyses necessary to derive DLRs are not commonplace in psychological curriculum and available resources require familiarity with specialized statistical methodologies and software. We developed a free, researcher-oriented dashboard, shinyDLRs (https://dlrs.shinyapps.io/shinyDLRs/), to facilitate the derivation of DLRs. shinyDLRs allows researchers to carry out multiple analyses while providing descriptive interpretations of statistics derived from receiver operating characteristic curves. We present the utility of this interface as applied to several freely available measures of mood and anxiety for the purposes of guiding diagnosis of psychopathology. The sample leveraged to accomplish this goal included 576 youth, 4–19 years of age, and a parent informant, both of whom completed several questionnaires and semi-structured interviews prior to participating in treatment at a university-based research clinic. Lastly, we provide recommendations for inclusion of DLRs in future research investigating the psychometric properties and diagnostic utility of assessments. (PsycInfo Database Record (c) 2022 APA, all rights reserved) PubDate: Thu, 17 Feb 2022 00:00:00 GMT