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The childhood trauma questionnaire in a community sample: psychometric properties and normative data.

Interpretation of research on the prevalence and sequelae of childhood trauma has been hindered by the use of assessment instruments with unknown psychometric properties. Thus, we examined the psychometric properties of a new childhood trauma measure, the Childhood Trauma Questionnaire (CTQ). The CTQ has demonstrated strong psychometric properties in clinical samples; limited information exists on its psychometric properties in community samples. Therefore, we explored the factor structure and reliability of the CTQ in a community sample and calculated normative data. Consistent with previous literature, a 5-factor model best described the CTQ, with a hierarchical model also providing excellent fit. Additionally, the CTQ demonstrated acceptable internal consistency. Overall, our findings suggest that the CTQ is appropriate for use in a community sample.

Adolescent↗

Electroencephalographic and psychometric differences between boys with and without attention-deficit/Hyperactivity disorder (ADHD): a pilot study.

Attention-Deficit/Hyperactivity Disorder (ADHD) is reported to have an incidence of 3-5%, and is associated with a variety of interpersonal, academic, and social problem behaviors. There is controversy as to whether ADHD is a learned behavioral or brain dysfunction. Research has explored a variety of measures to assess behavioral and brain dysfunctions in this population, with no consistent and clearly diagnostic results. We investigated whether a new psychometric and a new electroencephalographic procedure would clearly differentiate ADHD. The psychometric was based on DSM-IV criteria and the EEG measure was based on the assumption that ADHD interferes with cognitive transition from one discrete task to another. Parents of four ADHD boys (ages 8-12) and four age- and interest-matched non-ADHD boys completed the ADHD Symptom Inventory, while their sons' EEG was monitored during viewing of a video and reading of a book. For the ADHD boys, this was repeated a second time, 3 months later, to assess test-retest reliability. Both the psychometric and the EEG measures clearly differentiated the two samples (p's < .01) with no overlap in scores, were reliable over 3 months (r = .87), and were significantly correlated with one another (r = .85). While a small sample size, these robust, related and reliable findings suggest that both the psychometric and the psychophysiological EEG measures deserve further replication and exploration.

Attention Deficit Disorder with Hyperactivity↗

A psychometric analysis of the Needs Assessment Checklist (NAC).

DESIGN: Consecutive series, psychometric validation study. OBJECTIVE: To evaluate the psychometric reliability and validity of a clinically focused measure of rehabilitation outcome, known as the Needs Assessment Checklist (NAC). SETTING: Tertiary care, spinal cord injury centre (National Spinal Injuries Centre), Stoke Mandeville Hospital, UK. PARTICIPANTS: In total, 43 spinal cord injured (SCI) in-patients (38 male and five female). During this study all patients actively participated in a comprehensive, multidisciplinary Goal Planning and Needs Assessment Rehabilitation Programme. INTERVENTION: Test-retest and concurrent assessment, conducted in one administration, within a week of routine clinical assessment. Reliability analyses were performed examining the NAC's internal consistency, test-retest reliability, and concurrent validity. MAIN OUTCOME MEASURES: The NAC is a rehabilitation outcome measure, specifically developed for the SCI population, which is used to assess patient attainment in core rehabilitation areas at mobilisation and prior to discharge. The Spinal Cord Independence Measure (SCIM) and Hospital Anxiety and Depression Scale (HADS) were also employed as comparable benchmark assessment measures with established psychometric properties. Patient comments were gained during this administration, rating the NAC with regard to its usefulness, clarity, and personal relevance. RESULTS: Reliability analyses yielded high internal consistency coefficients (mean alpha = 0.8587, SD = 0.918). All subscales performed above the specified level (0.7). The mean item-internal validity correlation for NAC subscales was 0.5921 (SD = 0.1411). Test-retest correlations ranged between 0.694 (Bladder Management) and 0.904 (Skin Management) (P < or = 0.01). The mean percentage of agreement between clinical and test-retest assessment over all NAC subscales was 75.5% (SD = 5.01%). Concurrent validity analyses correlating individual subscale scores with SCIM and HADS subscales produced high correlations between 0.850 (Activities of Daily Living with SCIM Self-Care, P < or = 0.01) and -0.466 (Psychological Issues with HADS-Depression, P < or = 0.01). Significant differences were identified between injury category within NAC subscales; however, this was not consistent. The NAC achieved high patient ratings, attaining mean ratings of seven (out of 10) for usefulness, and eight for its clarity and personal relevance. CONCLUSION: The findings of this study indicate that the NAC is a psychometrically reliable and valid clinical measure of rehabilitation outcome.

Activities of Daily Living↗

Psychometric performance before and after laser palatoplasty for non-apnoeic snoring.

Psychometric tests are an objective way of examining cognitive functioning, and have shown impairment in patients with obstructive sleep apnoea. Non-apnoeic snoring may cause reduced concentration, but psychometric tests have been used rarely in this population. We investigate whether their use can demonstrate an improvement in cognitive performance in 20 non-apnoeic snorers following Laser Palatoplasty (LPP). The subjects completed psychometric tests, Beck Anxiety and Depression Inventories and an Epworth Sleepiness Scale on two occasions before LPP and once postoperatively. The only index to show any significant change with LPP was the Beck Depression Inventory (P < 0.005), which was reduced by a mean of 1.6 units following surgery. There was also a highly significant improvement in information processing between the preoperative tests, for which no explanation could be found. Our results suggest that commonly applied psychometric tests are unable to demonstrate significant improvements following surgery for non-apnoeic snoring. However, we have demonstrated for the first time a significant reduction in depression following surgery, which is evidence that snoring is more than a social nuisance.

Cognition↗

Concentration-effect relationships of alcohol in a computerised psychometric test system.

The purpose of this study was to validate a computerised psychometric test system by demonstrating the change of the test variables of the Bochum Diagnostic System after administration of alcohol. Twenty-four healthy young male or female volunteers participated in a doubleblind, randomised, placebo-controlled study in a 3-way cross-over design. The volunteers took single doses of placebo, 0.4 and 0.7 g alcohol/kg body weight (females: 10% less) in a random sequence. Psychometric tests were performed before as well as 1 and 3 h after the administration of alcohol. The effects of alcohol on the psychometric performance were most pronounced 1 h after administration. At this time a significant dose-dependent impairment of performance in the concentration test, the simple and complex reaction tests, the vigilance test and the coordination test was observed. 3 h after administration, significant effects were only observed in the complex reaction test and the concentration test. Maximal alcohol serum concentrations of 0.47 +/- 0.05 % per thousand and of 0.90 +/- 0.15 % per thousand were reached after administration of 0.4 g/kg and 0.7 g/kg, respectively. The correlations between individual serum alcohol concentrations and differences of psychometric variables from baseline were significant. It is concluded that the tests of the Bochum Diagnostic System can quantitatively measure the effects of alcohol. The most sensitive tests are the complex reaction test and the concentration test.

Adolescent↗

A serial study of psychometric and magnetic resonance imaging changes in multiple sclerosis.

Over a 6-month period, five patients with early relapsing--remitting multiple sclerosis and five with long-standing, benign multiple sclerosis underwent serial psychometric testing and contrast enhanced magnetic resonance imaging of the brain at 2-weekly or monthly intervals, respectively. All patients were individually matched with healthy controls who completed the same psychometric battery at the same time intervals. As a group, multiple sclerosis patients either made more errors or performed slower on all psychometric tasks than controls. In the control subjects and those patients with a stable brain lesion score, no consistent deterioration occurred in any test and the overall pattern was one of improvement over time commensurate with practice effects. However, patients with a deteriorating lesion score either showed a fall-off in performance on some psychometric tasks (patients 2, 3) or else an impaired ability to improve with practice on certain tests of attention and information-processing speed (patient 10).

Adult↗

The Parent-Teen Sexual Risk Communication Scale (PTSRC-III): instrument development and psychometrics.

BACKGROUND: Adolescents are a group at high risk for sexually transmitted infections (STIs), including the human immunodeficiency virus (HIV). Several parenting processes, including parental monitoring, support, role modeling, and sexual communication, have been shown to be significant influences of adolescents' sexual attitudes, beliefs, and behaviors. Parent-child sexual risk communication, in particular, has been associated significantly with adolescents' attitudes, beliefs, and behaviors related to risk of and prevention of STIs and HIV. OBJECTIVE: The aim of this study was to report on the development of the Parent-Teen Sexual Risk Communication Scale (PTSRC-III), an eight-item self-report instrument for measuring the amount of communication about sexual risk and sexual risk reduction occurring between parents and their adolescent children, as reported by the adolescent. METHODS: Psychometrics of the PTSRC-III and the stability of the psychometric properties across two samples of late adolescents, college freshmen (N=95) and female licensed drivers aged 19 to 21 years (N=234), are reported. RESULTS: Internal reliability of the scale was excellent (alpha of >.93 and >.88 for sexual risk communication with mothers and fathers, respectively); test-retest reliability was acceptable (r=.88 and .79 over 2 months for PTSRC with mothers and fathers, respectively). Concurrent validity, predictive validity, and stability of psychometrics were also demonstrated. Factor analysis demonstrated a two-factor structure. DISCUSSION: The PTSRC-III provides a valid and reliable measure for assessing female adolescents' perceptions of parent-teen sexual risk communication, particularly with their mothers. Psychometrics were shown to be stable across the two samples. Implications for use and future development are discussed.

Adolescent↗

Use of psychometric measures and nonorganic signs testing in detecting nomogenic disorders in low back pain patients.

The effect of financial compensation on responses to psychometric testing was studied in 231 chronic back pain patients. Item by item comparison of responses to two tests, readministered within 4 hours, yielded inconsistency scores. These inconsistency scores, along with scores on other psychometric measures and on Waddell's nonorganic signs test, of a group of 97 patients anticipating or receiving financial compensation (AFC), and a group of 134 patients not receiving or anticipating financial compensation (non-AFC) were compared. The AFC group had significantly higher mean scores than did the non-AFC group on the inconsistency measures, on almost all psychometric tests and on nonorganic signs. Almost all non-AFC subjects scored "0" on nonorganics, whereas 83% of AFC subjects scored "2" or higher. Prediction analysis revealed that the nonorganics score alone can predict AFC/non-AFC status; 90% of subjects were correctly classified. The inconsistency scores correctly classified 78%. Together, they correctly classified 93%. It was concluded that nonorganic scores and inconsistency scores (as defined by the investigators) distinguish between, and can predict membership in AFC and non-AFC groups. The significantly higher inconsistency scores obtained by the AFC group suggest that these psychometric test results are unreliable and hence invalid for this group.

Adult↗

Psychometric properties of the Danish MCMI-I translation.

A translation of the MCMI-I has been in use in Denmark for some years. An untested assumption in the interpretation of the pattern of test results is that the psychometric characteristics of the Danish and American versions are similar. The purpose of this study was to evaluate the psychometric properties of the questionnaire by using traditional psychometric analysis techniques on the results of a sample consisting of 423 patients and 179 normal controls. Coefficient alpha was calculated for the 20 clinical subscales of the test and the Danish results were strikingly similar to the original coefficients reported by Millon. Furthermore, factor analysis of the subscales showed a factor structure very similar to American findings, and it is concluded that the psychometric properties of the Danish MCMI are not significantly different from the original.

Adolescent↗

A psychometric assessment of a Swedish translation of Shafer's personality scale.

The psychometric properties of a Swedish translation of Shafer's (1999a) Big Five Marker (BFM) scale were assessed. The assessment was based on self-ratings on the BFM scale obtained from 694 subjects (82% women and 18% men) residing in Sweden. The following main results were obtained: (a) The factor structure was clear and simple. (b) The factor reliabilities were satisfactory. (c) The heterotrait-heteromethod coefficients indicated construct validity for the scale. (d) The BFM scale showed similar psychometric properties for the older, employed, Swedish sample of the present study to those obtained for the younger, psychology undergraduate, USA sample in Shafer's study (1999a). The conclusion is that the BFM scale has satisfactory and stable psychometric properties and that due to its brevity and documented psychometric evaluation will facilitate research within the Big-Five factor domain, not least in Sweden.

Adult↗

Hybrid adaptive procedure for estimation of psychometric functions.

Adaptive psychophysical procedures that have been described in the literature generally fall into one of two categories. (1) Simple procedures, such as UDTR and PEST, can be implemented without an on-line computer. The decision to change testing level is based on the outcome of the few most recent trials, and the final estimate of threshold is given by the final testing level or the average of a few testing levels. (2) "Maximum likelihood" methods require an on-line computer. A parametric form of the psychometric function is assumed, and after each trial a maximum-likelihood estimate of the parameters of the psychometric function is made on the basis of all preceding trials. This estimate is used to set the next testing level and to estimate threshold. We describe here a hybrid procedure, in which testing levels are determined by PEST and the final estimate of threshold is made by fitting an assumed psychometric function to all preceding trials. The PEST rules were tuned to yield results that were accurate and insensitive to errors in initial estimates of the psychometric function. These parameters differ from those that yield optimum results with classical PEST. Results of computer simulations and of experiments with human subjects are presented.

Humans↗

Signal-frequency uncertainty in spectral-shape discrimination: psychometric functions.

Psychometric functions were measured for spectral-shape discrimination (profile analysis) with the signal frequency either fixed, what we call the signal-known condition, or randomly varied, what we call the signal-unknown condition. The functions were obtained using an adaptive, up-down procedure. In the signal-unknown condition, independent tracks for each signal frequency were interleaved within the same block of trials. The mean slope of the psychometric function [k in log d' = k log delta L+C, where delta L = 20 log(1 + delta p/p)] was 1.13 for the signal-known conditions and 1.19 for the signal-unknown condition. The mean signal-to-standard ratio at threshold (Pc = 79.4%) obtained in the signal-unknown condition was 3 to 4 dB higher than that obtained in the signal-known conditions. The psychometric functions of the ideal observer were derived for both the signal-known and signal-unknown conditions. A comparison of the measured and derived psychometric functions suggests that the internal noise component that is statistically independent across frequency channels contributes minimally to the total (internal and external) noise sources that are involved in the decision process.

Auditory Perception↗

Infant psychometric functions for detection: mechanisms of immature sensitivity.

Psychometric functions are described for individual 6- to 9-month-old infants and for individual adults for auditory detection of repeated, long- and short-duration tone bursts in quiet and for single, long-duration tone bursts in quiet and in noise. In general, infant psychometric functions have reduced upper asymptotes, shallower slopes, and poorer thresholds than adult psychometric functions. Infant-adult differences in slope and threshold are greater for short-duration tones than for other stimuli. Infant upper asymptotes are around 0.85 correct for all stimuli. One explantation for these findings is that infants are inattentive a certain proportion of time during the detection task. This model cannot account for the very shallow short-duration stimulus slope, nor can it account for infant-adult threshold differences for any stimulus. Other models of immature attention, or listening strategies, may be able to account for the slope and upper asymptote as well as the threshold of infant psychometric functions. Some combination of inattentiveness and primary neural immaturity may also account for the data. Although immaturities exist, some aspects of the detection process appear to be quantitatively similar in infants and adults.

Adolescent↗

Psychometric functions for gap detection in a yes-no procedure.

To examine models of temporal resolution and to investigate the decision processes underlying the detection of a brief pause in a bandpass noise, psychometric functions for gap detection were measured at octave frequencies from 0.25 to 8 kHz. Three normal listeners were tested using a constant-stimulus procedure with a cued Yes-No paradigm. The Minimum Detectable Gap (MDG) estimated from the midpoint of the psychometric functions decreased systematically with increasing frequency. The slopes of the psychometric functions generally increased as the test frequency increased up to 2 kHz, but remained constant at the higher frequencies. Two models were investigated: an energy-detector model and a loudness-detector model. Both consisted of auditory filtering, a nonlinearity, and short-term integration. In the energy-detector model, the nonlinearity was a square law. In the loudness-detector model, it was a compressive power law. Using the usual Gaussian approximations, the energy-detector model fails at low frequencies because the probability distributions of short-term energy differ from Gaussian distributions. The probability distributions of short-term loudness closely follow Gaussian distributions. The loudness-detector model predicts the frequency dependence of the MDG quite accurately, except at 0.25 kHz. It also predicts psychometric functions that resemble the data at low frequencies, but the predicted slopes increase much less with frequency than the measured slopes. This result may indicate that the onset response to the trailing marker of the gap provides an important cue for detection of gaps with durations exceeding the MDG.

Adult↗

Effects of frequency and duration on psychometric functions for detection of increments and decrements in sinusoids in noise.

Psychometric functions for detecting increments or decrements in level of sinusoidal pedestals were measured for increment and decrement durations of 5, 10, 20, 50, 100, and 200 ms and for frequencies of 250, 1000, and 4000 Hz. The sinusoids were presented in background noise intended to mask spectral splatter. A three-interval, three-alternative procedure was used. The results indicated that, for increments, the detectability index d' was approximately proportional to delta I/I. For decrements, d' was approximately proportional to delta L. The slopes of the psychometric functions increased (indicating better performance) with increasing frequency for both increments and decrements. For increments, the slopes increased with increasing increment duration up to 200 ms at 250 and 1000 Hz, but at 4000 Hz they increased only up to 50 ms. For decrements, the slopes increased for durations up to 50 ms, and then remained roughly constant, for all frequencies. For a center frequency of 250 Hz, the slopes of the psychometric functions for increment detection increased with duration more rapidly than predicted by a "multiple-looks" hypothesis, i.e., more rapidly than the square root of duration, for durations up to 50 ms. For center frequencies of 1000 and 4000 Hz, the slopes increased less rapidly than predicted by a multiple-looks hypothesis, for durations greater than about 20 ms. The slopes of the psychometric functions for decrement detection increased with decrement duration at a rate slightly greater than the square root of duration, for durations up to 50 ms, at all three frequencies. For greater durations, the increase in slope was less than proportional to the square root of duration. The results were analyzed using a model incorporating a simulated auditory filter, a compressive nonlinearity, a sliding temporal integrator, and a decision device based on a template mechanism. The model took into account the effects of both the external noise and an assumed internal noise. The model was able to account for the major features of the data for both increment and decrement detection.

Adult↗

The development of the Indian vision function questionnaire: field testing and psychometric evaluation.

OBJECTIVE: To develop and evaluate the acceptability, reliability, validity, and responsiveness of the Indian vision function questionnaire (IND-VFQ). METHODS: Problem statements from previous qualitative studies were reduced to a 45 item interviewer administered questionnaire representing three a priori domains (general functioning, psychosocial impact, and visual symptoms) which was evaluated in patients with cataract (n = 420), glaucoma (n = 120), diabetic retinopathy, or age related macular degeneration (n = 120) and normal controls (n = 120). Standard methods were used for item reduction and to evaluate psychometric properties. RESULTS: Psychometric item reduction produced a 33 item questionnaire. Psychometric evaluation showed that two of the three scales (psychosocial impact and visual symptoms) had good acceptability, and that all three scales showed high internal consistency (alpha >0.80; item-total correlations 0.54-0.86) and test-retest reliability (>0.89). All three scales showed moderate evidence of convergent and discriminant validity. Responsiveness, assessed in cataract patients (n = 120) before and after surgery, was good for all three scales (effect sizes >1). CONCLUSIONS: The IND-VFQ33 is a psychometrically sound measure of vision function addressing a gap in patient defined measures of vision function developed in populations living in low income countries.

Activities of Daily Living↗

Psychometric evaluation of the multiple sclerosis impact scale (MSIS-29) for proxy use.

BACKGROUND: There may be difficulties in the use of self report measurements in patients with cognitive impairment or serious mood disturbances which interfere with reliable self assessment, as may be the case in multiple sclerosis (MS). In such cases proxies may provide valuable information. However, before using any questionnaires in a proxy sample, the questionnaire should be evaluated for proxy use. OBJECTIVE: To evaluate the psychometric properties of the 29 item Multiple Sclerosis Impact Scale (MSIS-29) when used by proxies of MS patients. METHODS: A sample of 62 partners of MS patients completed the MSIS-29. The data were evaluated for the psychometric criteria of the MSIS-29, including data quality, scaling assumptions, acceptability, reliability, validity, and responsiveness. RESULTS: Psychometric evaluation was satisfactory; data quality was high, and scaling assumptions and acceptability were good. Reliability was high (alpha>0.80). Findings were consistent with results of a psychometric evaluation in a patient sample. CONCLUSIONS: The MSIS-29 can be used reliably in proxies of patients with MS. As a next step the relation between data obtained from patients and proxies needs to be studied, focusing on factors that may affect agreement and discrepancies.

Adult↗

Psychometric performance of the NEI VFQ-25 in visually normal Latinos: the Los Angeles Latino Eye Study.

PURPOSE: To characterize the psychometric performance of the National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) in visually normal Latinos (Mexican Americans). METHODS: The Los Angeles Latino Eye Study (LALES) is a population-based study to assess the prevalence of eye disease and self-reported visual functioning in Latinos aged 40 or more years. Self-reported visual functioning was assessed by using English and Spanish versions of the NEI VFQ-25. Psychometric properties of the NEI VFQ-25, including internal consistency of the subscales and the individual items, were assessed through the Multi-trait Analysis Program-Revised (MAP-R) analysis. Adjusted mean and median subscale scores were compared between English and Spanish speakers to identify any systematic differences. RESULTS: Of the 1917 participants from two census tracts, 1171 participants with no visual impairment were included in this analysis. The mean age of the participants was 52.3 years, 57% of the participants were female, and 67.5% of the participants were Spanish speaking. Median scores for Spanish-speaking participants were significantly lower than those of the English-speaking participants on four subscales: Ocular Pain, General Vision, Vision-Specific Mental Health, and General Health (P < 0.05). Internal consistency for three of eight measurable subscales for the study group was poor (Cronbach alpha < 0.6). CONCLUSIONS: This study reveals psychometric inconsistencies in the NEI VFQ-25 when administered to visually normal Latinos. The difference in mean subscale scores between Spanish and English speakers must be integrated into the development of population norms of visual function. Further detailed psychometric evaluation is needed to determine the validity of this instrument in Latino populations.

Activities of Daily Living↗