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[Is it already '5 past 12'?--Development of a scale for "ecological hopelessness"].

The article reports results from a second follow-up survey (N = 541) on existential anxieties with a sample from the Federal Republic of Germany in 1992 who had first been questionned in 1985 when their ages were between 8 and 20 years. The report focuses on data gathered with a new scale on 'ecological hopelessness'. The new scale is comprised of 10 items and shows high reliability. The results reveal that every third youth in the sample articulates ecological hopelessness. Analyses of variance show that there is a strong gender difference: Girls/women express more hopelessness than boys/men, correlations and regression analyses show a negative relation between hopelessness and mental health and a positive relation between hopelessness and attempted coping. It is probable that hopelessness will expand if environmental destruction becomes more intensive. Thus, psychology as a part of humanities is obliged to not only point to the dangerous consequences of hopeless per se, but also to engage in the prevention of ecological hopelessness.

Adolescent↗
PubMed1996

[Effects on fetal and infant's development of intrauterine cytomegalovirus infection].

OBJECTIVE: To study the early effects of fetal development and remote sequalae of mental development of infants after intrauterine human cytomegalovirus (HCMV) infection. METHODS: Enzyme-linked immunoabsorbant assay (ELISA) were used for screening HCMV antibodies in the serum of 1419 pregnant women. HCMV DNA were examined by PCR in maternal blood, amniotic fluid and/ or umbilical blood for those with serum HCMV-IgM positive and some with HCMV negative. According to the results, group A (n = 53) included women with positive serum HCMV-IgM and HCMV DNA, and also positive HCMV DNA in amniotic fluid and/or umbilical blood: group B (n = 87) were women with positive serum HCMV-IgM and HCMV DNA but negative HCMV DNA in amniotic fluid and/or umbilical blood: group C (n = 34) served as control with all negative. The above 174 cases were carefully monitored for fetal development. Baley scales of infant development (BSID) were used to test both mental development index (MDI) and psychomotor development index (PDI) at 2-30 months after birth for babies in group A and C. RESULTS: The occurrences of fetal intrauterine death, congenital malformation, fetal growth retardation and neonatal asphyxia were significantly higher in group A than that in group B and C (P < 0.05) and the average birth weight and height were also significantly lower in group A (P < 0.05). The mental development of infants in group A were remarkably slower than that of group C (P < 0.01). CONCLUSION: Active HCMV intrauterine infection may cause congential infection, birth defects and mental retardation in childhood.

Adult↗
PubMed1997

Development of a scale to assess concern about falling and applications to treatment programs.

This study used Rasch methodology to pursue three goals. First, we sought to demonstrate the psychometric limitations of the Falls Efficacy Scale (Tinetti, Richman, & Powell, 1990). Second, we addressed these limitations using a simultaneous calibration of the Falls Efficacy Scale and Mobility Efficacy Scale items. Third, we review previous explorations of the self-efficacy construct in relationship to health behaviors and discuss a possible treatment program based on the simultaneous calibrated items and Social Cognitive Theory. Results indicate that responses from the Falls Efficacy Scale fail to assess the higher ends of the self-efficacy continuum. Simultaneous calibration of items improved this lack of scale definition. This initial work in assessing self-efficacy perceptions provides a theoretical framework for planning treatment programs that may be more cost effective than collecting performance measures.

Accidental Falls↗
PubMed2004

Development and validation of an Arabic rheumatoid hand disability scale.

PURPOSE: To develop a rheumatoid hand disability scale in the Arabic language adapted for local sociocultural specificities and to test its psychometric properties. METHODS: The choice of hand activities was based on several published indices. The selected items were translated by the forward and backward translation procedures, several modifications were made, and after some questions were added, a provisional scale was obtained. In- and outpatients with rheumatoid arthritis (RA) according to the ACR criteria were chosen to answer the provisional scale and to assess the final scale. Impairment outcome measures (pain as measured on a visual analogue scale, morning stiffness, hand swelling, tenderness), and assessment of disability (on Lee's and Revel's functional indices) were also recorded. The intraclass correlation coefficient and the Bland and Altman methods were used to assess reliability. Construct (convergent and divergent) validity was investigated with use of Spearman's rank correlation, and a factor analysis was performed. RESULTS: The provisional scale had 21 questions. The adaptation process left 10 questions about hand activity, with four levels of answers. Eighty patients with RA were recruited for the validation of the final scale. The intra- and interrater reliabilities of the scale were 0.96 and 0.94, respectively. Analysis by the Bland and Altman method showed no systematic trend. The scale had good construct validity, with expected convergence with Lee's functional index (r(s)=0.79) and Revel's functional index (r(s)=0.81) and divergence with age (r(s)=0.05), morning stiffness (r(s)=0.40), pain (r(s)=0.32), and tenderness (r(s)= -0.48). The factorial structure of the scale was satisfying, with two factors explaining 73% of the variance. CONCLUSION: We developed an Arabic index that assesses hand disability due to RA and suits Tunisian people. Further studies are needed to confirm the validity of the scale in other Arabic countries.

Adolescent↗
PubMed1989

[The development of a questionnaire scale for determining individual hypnotizability].

Based on the MMPI test the authors developed a scale-questionnaire for predicting the degree of individual hypnotizability before realization of hypnotherapy. Forty-two assertions were singled out, affirmative answers to which make it possible to determine the probable hypnotizability of the subject according to a special scale comparable with the Katkov scale for assessment of the "depth" of the hypnotic state.

Adolescent↗
PubMed1997

A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown Obsessive Compulsive Scale.

The authors developed the Yale Brown Obsessive Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS), a 12-item semistructured clinician-rated instrument designed to rate severity of body dysmorphic disorder (BDD). The scale was administered to 125 subjects with BDD, and interviews with 15 subjects were rated by 3 other raters. Test-retest reliability was assessed in 30 subjects. Other scales were administered to assess convergent and discriminant validity, and sensitivity to change was evaluated in a study of fluvoxamine. Each item was frequently endorsed across a range of severity. Good interrater reliability, test-retest reliability, and internal consistency were obtained. BDD-YBOCS scores correlated with global severity scores but not with a measure of general psychopathology; they were modestly positively correlated with depression severity scores. Three factors accounted for 59.6 percent of the variance. The scale was sensitive to change in BDD severity. The BDD-YBOCS appears to be a reliable and valid measure of BDD severity and is a suitable outcome measure in treatment studies of BDD.

Adult↗
PubMed1987

The Present State Examination Change Rating Scale.

The development and use of a new psychiatric symptom change scale based on the Present State Examination (PSE)--the PSE Change Rating Scale--is described. The advantages of the PSE are retained (the extensive glossary, the diagnostic facility and the standardised interview technique) while improving its sensitivity to change and decreasing its administration time. The scale has been designed to prevent feedback of results and 'halo' effects: it has proved highly reliable in use across raters with different backgrounds and experience. The scale has been used to monitor drug effects on clinical state across a variety of diagnoses and examples of its use are given.

Adult↗
PubMed1997

Reliability and validity of Palestinian Student Alienation Scale.

To develop an a Arabic version of the Student Alienation Scale (SAS), two Arab bilinguals achieved consensus in their translation of the twenty-four items. Five hundred seventy-four students from 14 to 21 years of age completed the SAS, and Beck Depression Inventory (BDI), Satisfaction With Life Scale (SWLS), the Symptom Checklist-90-R, and Spheres of Control (SOCQ). Internal consistency was found to be high (alpha = .75); split-half reliability was moderately high (.71), and test-retest was (r = .52, n = 29, p < .01). Estimates of concurrent validity indicated a significant correlation between the SAS and BDI, SWLS, SCL-90-R and SOCQ. The findings indicated that the Arabic version of SAS is suitable for use in research and clinical work.

Adolescent↗
PubMed2002

Developing and testing of the Foot Care Confidence Scale.

This study developed and tested the Foot Care Confidence Scale (FCCS), an instrument designed to measure the confidence (self-efficacy) diabetics have in performing foot self care. Content validity was assessed using Lynn's (1986) Content Validity Index (CVI) with a total of 100% content validity (Sloan, 1993). The FCCS was administered to four persons with diabetes (Sloan, 1994) and pilot tested with 41 healthy older adults (Wills & Sloan, 1995). Based on the feedback from the pilot testing and CVI panel of judges, as well as additional literature review, the instrument was revised. A study involving 122 community-dwelling older adults with a diagnosis of diabetes for five or more years was conducted. The FCCS had a Cronbach's alpha of 0.92. Factor analysis revealed that all 12 items loaded on one factor and all 12 items are needed to measure confidence to care for one's feet. The FCCS is a practical instrument for use in many settings, especially where time constraints exist. It may assist the nurse in evaluating and improving outcomes of self care of the feet of persons with diabetes mellitus.

Adult↗
PubMed2004

Assessment of self-reported physical activity in patients with chronic pain: development of an abbreviated Roland-Morris disability scale.

UNLABELLED: The Roland-Morris Disability Scale has been shown to be a reliable and valid measure of disability in persons with chronic pain. A short form with psychometric properties similar to the full scale would have numerous benefits, including decreased patient assessment burden and scoring time. On the basis of data obtained from 993 individuals with chronic pain screened for admission to a multidisciplinary pain management program, an 11-item short form of the Roland scale was developed using procedures and models from item response theory. This short form was found to be a good predictor of the 24-item parent scale and a previously published 18-item short form. The 11-item scale also demonstrated concurrent validity with measures of pain intensity and depression. Item content reflected limitations in specific functional behaviors. PERSPECTIVE: Brief measures of important pain-related variables can be created using item response theory (IRT). In this study, a reliable and valid 11-item version of the Roland-Morris Disability Scale was created using IRT. Clinicians and researchers might consider using this scale when patient or subject assessment burden is an issue.

Adult↗