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Body Dysmorphic Disorder Questionnaire: Arabic Adaptation and Validation in Dermatology Population 身体畸形障碍问卷:阿拉伯语适应和皮肤病学人群的验证。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-11-06 DOI: 10.1002/mpr.70045
Pascale Salameh, Jinane El Khoury, Marwa Hallal, Elissa Bader, Raneem Abed El Sater, Micheline Maamari, Maya Habre, Rami Abadi, Grace Obeid, Jihane Abou Rahal, Rudy Abi-Habib

Background

Body Dysmorphic Disorder (BDD) is a psychiatric condition characterized by excessive preoccupation with perceived flaws in physical appearance, often encountered in dermatologic settings.

Objective

This study aims to validate the Arabic Body Dysmorphic Disorder Questionnaire (BDDQ), used in the dermatologic setting.

Methods

Using previous versions of BDDQ, we developed a scale that considers the dermatologic setting and conditions and translated it into Arabic. The new tool was assessed for its construct, structural, and criterion validity and reliability.

Results

The newly developed tool had an appropriate construct validity; it was unidimensional (57% variance explanation), with excellent internal consistency (Cronbach alpha = 0.889). The structural (significant inter-item and item-scale Spearman correlation coefficients) and criterion validity measures (AUC = 0.869) were also appropriate. Compared to a physician diagnosis of BDD, two cut-off values were defined for the scale: 11.5 for screening purposes (Se = 100%; Sp = 31%), and 18.5 for diagnostic purposes (Se = 83% and Sp = 83.5%).

Conclusion

This study developed and validated a quantitative scale in a dermatology setting, the Arabic BDDQ scale. Further studies are recommended to confirm the scale's efficiency for screening and diagnostic purposes.

背景:身体畸形障碍(BDD)是一种精神疾病,其特征是过度关注身体外观的缺陷,通常在皮肤病学设置中遇到。目的:本研究旨在验证阿拉伯身体畸形障碍问卷(BDDQ),用于皮肤科设置。方法:利用先前版本的BDDQ,我们开发了一个考虑皮肤环境和条件的量表,并将其翻译成阿拉伯语。评估了新工具的构造、结构和标准的效度和信度。结果:本工具具有良好的构念效度;单向度(57%方差解释),具有良好的内部一致性(Cronbach α = 0.889)。结构(项目间和项目量表Spearman相关系数显著)和标准效度测量(AUC = 0.869)也很合适。与医生对BDD的诊断相比,量表定义了两个临界值:筛查目的11.5 (Se = 100%; Sp = 31%),诊断目的18.5 (Se = 83%, Sp = 83.5%)。结论:本研究开发并验证了一种皮肤病学设置的定量量表,阿拉伯BDDQ量表。建议进一步研究以证实该量表在筛查和诊断方面的有效性。
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引用次数: 0
Exploration of the Value of Optical Coherence Tomography (OCT) and OCT Angiography in Differentiating Between Major Depressive Disorder and Borderline Personality Disorder 光学相干断层扫描(OCT)和OCT血管造影在鉴别重度抑郁症和边缘型人格障碍中的价值探讨。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-11-04 DOI: 10.1002/mpr.70043
Qian Xiao, Liying Shen, Fangling Li, Furong Jiang, Bei Xu

Background

Major depressive disorder (MDD) and borderline personality disorder (BPD) are psychiatric conditions with overlapping clinical features but distinct pathologies. This study aims to explore the microvascular changes in superficial retinal capillary plexus (SRCP) in patients between MDD and BPD using Optical Coherence Tomography (OCT) and Optical coherence tomography angiography (OCTA), as well as determine their clinical diagnostic value.

Methods

The study involved 35 MDD patients, 36 BPD patients, and 36 healthy controls (HCs). OCTA and OCT were used to assess macular vessel density (MVD) and peripapillary vessel density (PVD), retinal nerve fiber layer (RNFL), and central retinal thickness (CRT). The study also evaluated the correlation of these ocular parameters with clinical symptoms.

Results

Both MDD and BPD patients showed significant reductions in MVD, RNFL and CRT compared to HCs (all p < 0.05). BPD patients exhibited more pronounced decreases in the foveal area, RNFL and CRT than MDD patients (all p < 0.05). These ocular changes were associated with BPD symptom severity (all p < 0.05). The RNFL and CRT demonstrated potential as diagnostic markers for BPD (AUROCs of 0.625 and 0.695, p < 0.05).

Conclusions

OCT and OCTA might differentiate between MDD and BPD by identifying specific ocular changes, suggesting distinct neurobiological mechanisms for each disorder. These technologies hold promise for improving diagnostic accuracy.

背景:重度抑郁障碍(MDD)和边缘型人格障碍(BPD)是两种临床特征重叠但病理却截然不同的精神疾病。本研究旨在利用光学相干断层扫描(OCT)和光学相干断层扫描血管造影(OCTA)探讨MDD和BPD之间患者视网膜浅毛细血管丛(SRCP)的微血管变化,并确定其临床诊断价值。方法:研究纳入35例重度抑郁症患者、36例BPD患者和36例健康对照(hc)。OCTA、OCT评估黄斑血管密度(MVD)、乳头周围血管密度(PVD)、视网膜神经纤维层(RNFL)、视网膜中央厚度(CRT)。该研究还评估了这些眼部参数与临床症状的相关性。结果:与hc患者相比,MDD和BPD患者的MVD、RNFL和CRT均显著降低(均为p)。结论:OCT和OCTA可以通过识别特定的眼部变化来区分MDD和BPD,提示每种疾病的不同神经生物学机制。这些技术有望提高诊断的准确性。
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引用次数: 0
interRAI Quality of Life for Mental Health and Addictions: Psychometric Properties and Differences Across Age, Gender, and Service Settings in Brazil 精神健康和成瘾的interRAI生活质量:巴西年龄、性别和服务设置的心理测量特性和差异
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-11-01 DOI: 10.1002/mpr.70040
Alice Hirdes, Wagner de Lara Machado, Priscila Carvalho Fogaça, Fabiana Rosa de Oliveira Nink, Richard Steiner Salvato, Elton Luiz Ferlin, John P. Hirdes

Objective

Estimate the psychometric properties of the interRAI Quality of Life for Mental Health and Addictions (interRAI QOL) instrument with users of Psychosocial Care Centers and participants of therapeutic groups in Primary Health Care, exploring age, gender, and service settings differences in quality of life.

Method

This quantitative study was conducted with 617 users from Psychosocial Care Centers and Primary Care services in two Brazilian states, Rio Grande do Sul and Rondônia. Data collection was carried out using the interRAI QOL. Confirmatory factor analysis and reliability assessment were performed using McDonald's Omega index. Non-parametric tests, including Mann-Whitney and Kruskal-Wallis, were conducted to compare the Quality-of-Life dimensions among participants based on age, gender, and care unit.

Results

The confirmatory factor analysis indicated a good fit for the hypothesized model (CFI = 0.97, RMSEA = 0.08). Reliability was adequate for all subscales according to McDonald's Omega, ranging from 0.71 to 0.88. Gender differences were observed in the well-being and health dimensions, while all dimensions except support showed significant differences based on age group. The care unit location also revealed significant differences across all dimensions. Participants from Psychosocial Care Center Alcohol and Drugs and from Primary Health Care show better QOL profiles than in other settings and regions.

Conclusion

The interRAI QOL demonstrated adequate psychometric properties and proved to be a valuable new instrument for assessing quality of life among individuals receiving care in the psychosocial care network.

目的评估interRAI心理健康和成瘾生活质量(interRAI QOL)工具的心理测量特性,包括社会心理护理中心的使用者和初级卫生保健治疗组的参与者,探讨年龄、性别和服务设置在生活质量方面的差异。方法本定量研究对巴西两个州(巴西南巴西大州和巴西Rondônia)心理社会护理中心和初级保健服务机构的617名使用者进行了调查。数据收集采用interRAI QOL。采用McDonald's Omega指数进行验证性因子分析和信度评估。采用非参数检验,包括Mann-Whitney检验和Kruskal-Wallis检验,比较不同年龄、性别和护理单位的参与者的生活质量。结果验证性因子分析与假设模型拟合良好(CFI = 0.97, RMSEA = 0.08)。根据麦当劳的Omega量表,所有分量表的信度都是足够的,范围在0.71到0.88之间。在福祉和健康方面观察到性别差异,而除了支持之外的所有方面都显示出基于年龄组的显著差异。护理单位的位置在所有维度上也显示出显著的差异。来自酒精和药物社会心理护理中心和初级卫生保健的参与者表现出比其他环境和地区更好的生活质量概况。结论interRAI生活质量量表具有良好的心理测量特性,是评估心理社会护理网络中接受护理的个体生活质量的一种有价值的新工具。
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引用次数: 0
Diagnostic and Predictive Utility of Plasma Phosphoethanolamine Levels in Depressive Disorder: A Naturalistic Observational Study 血浆磷酸乙醇胺水平对抑郁症的诊断和预测作用:一项自然观察研究。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-10-28 DOI: 10.1002/mpr.70041
Noriyuki Kawamura, Akinori Nakata, Tsuyoto Harada, Yoshiaki Ohashi, Hajime Sato, Kazunori Sasaki, Shoichiro Tsugane

Objectives

Plasma phosphoethanolamine (PEA) has been proposed as a potential biomarker for depressive disorder. To further assess its diagnostic utility and relevance across psychiatric conditions, we conducted a larger observational study in a psychiatric primary care setting.

Methods

Between 2013 and 2020, 576 patients underwent DSM-5-based psychiatric assessments. Plasma PEA levels were measured in 295 patients with depressive disorders, 264 with other psychiatric disorders, and 17 with physical illnesses.

Results

PEA demonstrated moderate or high diagnostic accuracy for depressive disorder (AUC = 0.81, 95% CI: 0.78–0.85). Lower PEA levels were significantly associated with depression (OR = 16.30, p < 0.001).

Conclusions

These findings suggest that plasma PEA concentration may serve as a useful biomarker for depressive disorder. Further studies are warranted to explore its potential relationship with white matter pathology in psychiatric conditions.

目的:血浆磷酸乙醇胺(PEA)被认为是抑郁症的潜在生物标志物。为了进一步评估其在精神疾病中的诊断效用和相关性,我们在精神科初级保健机构进行了一项更大规模的观察性研究。方法:2013年至2020年间,576名患者接受了基于dsm -5的精神病学评估。对295名抑郁症患者、264名其他精神疾病患者和17名身体疾病患者的血浆PEA水平进行了测量。结果:PEA对抑郁症的诊断具有中等或较高的准确性(AUC = 0.81, 95% CI: 0.78-0.85)。较低的PEA水平与抑郁症显著相关(OR = 16.30, p)。结论:这些发现表明血浆PEA浓度可能是抑郁症的一个有用的生物标志物。有必要进一步研究其与精神疾病白质病理的潜在关系。
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引用次数: 0
Validation of the Eight-Item Paranoid Thoughts Scale (GPTS-8) in Tunisian Arab Adults 八项偏执思想量表(GPTS-8)在突尼西亚阿拉伯成人中的验证
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-10-17 DOI: 10.1002/mpr.70039
Feten Fekih-Romdhane, Ons Ghorbel, Carlos Laranjeira, Majda Cheour, Frederic Harb, Souheil Hallit

Background

Growing research indicated that it is highly valuable and clinically beneficial to quantitatively measure and detect the potential presence of paranoid thinking. Among the various existing self-report instruments to measure paranoia, the Green et al. Paranoid Thoughts Scale (GPTS) was recommended as having the most well-defined, clearly articulated construct underlying its items, and the strongest psychometric qualities in general and clinical population samples. Yet, the psychometric performance of the GPTS remains unknown in the Arab language and culture. To address this gap, our study aimed to explore the psychometric properties of an Arabic translation of the shortest version of the scale (i.e., the GPTS-8).

Methods

A cross-sectional study was conducted. Data were collected during the period September 1st 2024 to January 31th 2025. A total of 552 Arabic-speaking general population adults from Tunisia aged 25.81 ± 4.86 years participated.

Results

Analyses provided support for a bidimensional model, with a first dimension referring to ideas of persecution and a second one corresponding to ideas of reference. The internal consistency reliability coefficients were high, with both Cronbach's alpha and McDonald's ω reported to be 0.83 for ideas of persecution and 0.83 for ideas of reference. Measurement invariance was established for both subscales, implying that the Arabic GPTS-8 measures the same underlying construct of paranoia in the same way across male and female respondents. Finally, paranoia scores correlated positively with psychotic experiences scores, indicating convergent validity, as well as with depression, anxiety and insomnia scores, supporting the concurrent validity of the scale.

Conclusion

By translating and validating GPTS-8 for the first time in Arabic, this study contributes to rendering the tool available to a broader array of clinicians and researchers who work with Arabic-speaking people. We believe the new Arabic version of the GPTS-8 will provide further encouragement to research and development in this yet-unexplored field among Arabic-speakers.

越来越多的研究表明,定量测量和检测偏执思维的潜在存在具有很高的价值和临床益处。在现有的各种测量偏执的自我报告工具中,格林等人。偏执狂思维量表(GPTS)被推荐为具有最明确的定义,清晰的结构,以及在一般和临床人群样本中最强的心理测量质量。然而,GPTS的心理测量性能在阿拉伯语言和文化中仍然未知。为了解决这一差距,我们的研究旨在探索最短版本量表(即GPTS-8)的阿拉伯语翻译的心理测量特性。方法采用横断面研究。数据收集时间为2024年9月1日至2025年1月31日。来自突尼斯的552名讲阿拉伯语的成年人(年龄25.81±4.86岁)参与了研究。结果分析支持了一个二维模型,第一个维度代表迫害观念,第二个维度对应参照观念。内部一致性信度系数很高,迫害观念的Cronbach's alpha和McDonald's ω均为0.83,参考观念的Cronbach's alpha和McDonald's ω均为0.83。两个子量表的测量不变性都被建立,这意味着阿拉伯语GPTS-8以相同的方式在男性和女性受访者中测量相同的偏执的潜在结构。最后,偏执得分与精神病经历得分呈正相关,表明收敛效度,与抑郁、焦虑和失眠得分呈正相关,支持量表的并发效度。通过首次翻译和验证阿拉伯语版本的GPTS-8,本研究有助于将该工具提供给更广泛的与阿拉伯语人群一起工作的临床医生和研究人员。我们认为,新的阿拉伯语版本的GPTS-8将进一步鼓励阿拉伯语国家在这一尚未开发的领域进行研究和开发。
{"title":"Validation of the Eight-Item Paranoid Thoughts Scale (GPTS-8) in Tunisian Arab Adults","authors":"Feten Fekih-Romdhane,&nbsp;Ons Ghorbel,&nbsp;Carlos Laranjeira,&nbsp;Majda Cheour,&nbsp;Frederic Harb,&nbsp;Souheil Hallit","doi":"10.1002/mpr.70039","DOIUrl":"https://doi.org/10.1002/mpr.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Growing research indicated that it is highly valuable and clinically beneficial to quantitatively measure and detect the potential presence of paranoid thinking. Among the various existing self-report instruments to measure paranoia, the Green et al. Paranoid Thoughts Scale (GPTS) was recommended as having the most well-defined, clearly articulated construct underlying its items, and the strongest psychometric qualities in general and clinical population samples. Yet, the psychometric performance of the GPTS remains unknown in the Arab language and culture. To address this gap, our study aimed to explore the psychometric properties of an Arabic translation of the shortest version of the scale (i.e., the GPTS-8).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted. Data were collected during the period September 1st 2024 to January 31th 2025. A total of 552 Arabic-speaking general population adults from Tunisia aged 25.81 ± 4.86 years participated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analyses provided support for a bidimensional model, with a first dimension referring to ideas of persecution and a second one corresponding to ideas of reference. The internal consistency reliability coefficients were high, with both Cronbach's alpha and McDonald's <i>ω</i> reported to be 0.83 for ideas of persecution and 0.83 for ideas of reference. Measurement invariance was established for both subscales, implying that the Arabic GPTS-8 measures the same underlying construct of paranoia in the same way across male and female respondents. Finally, paranoia scores correlated positively with psychotic experiences scores, indicating convergent validity, as well as with depression, anxiety and insomnia scores, supporting the concurrent validity of the scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>By translating and validating GPTS-8 for the first time in Arabic, this study contributes to rendering the tool available to a broader array of clinicians and researchers who work with Arabic-speaking people. We believe the new Arabic version of the GPTS-8 will provide further encouragement to research and development in this yet-unexplored field among Arabic-speakers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"34 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mpr.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145297393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric Evaluation of the Borderline Personality Disorder Checklist 边缘型人格障碍量表的心理测量评估。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-09-25 DOI: 10.1002/mpr.70029
Philippa Lynn Mayer, Anna Lisa Westermair, Nele Assmann, Joos Bloo, Natalia Calvo, Chiara De Panfilis, Eva Fassbinder, Marc Ferrer, Gitta Jacob, Juliette Richetin, Anja Schaich, Emanuele Preti, Jan Philipp Klein, Arnoud Arntz

Background

Borderline Personality Disorder (BPD) is a severe and disabling condition. The Borderline Personality Disorder Checklist (BPDCL) was designed to specifically assess the subjective burden of a patient due to BPD symptoms. Various translations have been developed, but an assessment of the psychometric properties of these translations is needed. The aim was to examine the psychometric qualities of the BPDCL across different languages (i.e., Italian, Dutch, German, Spanish, English, and Greek).

Methods

Secondary data was used by reaching out to various researchers, who administered the BPDCL in previous studies. Five studies (N = 3199) conducted in Spain, Germany, Italy, the Netherlands, Australia, England, and Greece, were included in the current data set. The BPDCL was administered to BPD patients (N = 1131), Axis I disorder patients (N = 57), patients with other personality disorders (N = 225), and healthy controls (N = 1786). Item analyses and analyses assessing the known-groups and convergent validity were performed to investigate the psychometric properties of the checklist.

Results

Each version of the BPDCL, differing in language, demonstrated high-reliability coefficients (Cronbach's Alpha ranged from 0.93 to 0.96 and was 0.96 for the entire sample). The correlations between the BPDCL and other instruments, used in the studies, were weak to strong. Correlations greater than 0.55 were observed between the BPDCL and the scales BPDSI, SCL-90 and the BSI. In addition, the BPDCL seems to differentiate well between diagnostic groups. BPD patients scored the highest, followed by patients with other personality disorders, who in turn scored higher than Axis I disorder patients and healthy controls.

Conclusions

In general, the BPDCL possesses good psychometric properties and seems to be an adequate self-report instrument to measure the subjective burden of BPD patients.

背景:边缘型人格障碍(BPD)是一种严重的致残疾病。设计边缘性人格障碍检查表(BPDCL)是为了专门评估患者因BPD症状而产生的主观负担。已经开发了各种翻译,但需要对这些翻译的心理测量特性进行评估。目的是检验不同语言(即意大利语、荷兰语、德语、西班牙语、英语和希腊语)的BPDCL的心理测量质量。方法:通过接触在以前的研究中使用BPDCL的各种研究人员来使用次要数据。在西班牙、德国、意大利、荷兰、澳大利亚、英国和希腊进行的5项研究(N = 3199)被纳入当前的数据集。BPDCL适用于BPD患者(N = 1131)、I轴障碍患者(N = 57)、其他人格障碍患者(N = 225)和健康对照组(N = 1786)。通过项目分析、已知组分析和趋同效度分析来考察量表的心理测量特性。结果:每个版本的BPDCL,不同的语言,表现出高信度系数(Cronbach's Alpha范围为0.93至0.96,整个样本为0.96)。研究中使用的BPDCL和其他仪器之间的相关性从弱到强。BPDCL与BPDSI、SCL-90和BSI量表的相关系数均大于0.55。此外,BPDCL在不同诊断组之间似乎有很好的区别。BPD患者得分最高,其次是其他人格障碍患者,他们的得分又高于轴一障碍患者和健康对照组。结论:总体而言,BPDCL具有良好的心理测量特性,是衡量BPD患者主观负担的一种适当的自我报告工具。
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引用次数: 0
The Psychosocial and Healthcare Utilisation Experiences of Women With Gestational Diabetes Mellitus From Diagnosis to 12 Months Postnatal: A Protocol for a Qualitative, Longitudinal Interview Study 从诊断到产后12个月妊娠期糖尿病妇女的心理社会和医疗保健利用经验:一项定性的纵向访谈研究方案
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-09-11 DOI: 10.1002/mpr.70038
Madeleine Benton, Elana Payne, Nabiha Waheed, Katrina Turner, Helen R. Murphy, Helen Skouteris, Khalida Ismail, Sergio A. Silverio

Objectives

Gestational diabetes mellitus (GDM) affects a significant and growing proportion of women each year. We know little about how their needs and experiences change over the perinatal period. This study aims to explore the psychosocial and healthcare experiences of women with a GDM diagnosis from pregnancy to 12-month postnatal.

Methods

This is a qualitative, longitudinal study comprising of individual interviews with women diagnosed with GDM who live in the UK at three time points: 35-weeks’ gestation; 3-months postnatal; 12-months postnatal. Data will be analysed using template analysis. Comparisons will be made both between participants and timepoints to allow for biographical and temporal interpretations.

Results

This study will provide in-depth insights into women's lived-experiences, psychosocial needs, and interactions with healthcare services. Particular attention will be given to the transition between antenatal and postnatal periods.

Conclusion

Study findings will support the co-development of a tailored mother-infant dyad intervention grounded in women's needs and preferences across the perinatal period, aimed at improving long-term health outcomes for women and their children with a focus on diabetes prevention.

目的:妊娠期糖尿病(GDM)每年影响妇女的比例显著增加。我们对她们的需求和经历在围产期的变化知之甚少。本研究旨在探讨诊断为GDM的妇女从怀孕到产后12个月的心理社会和保健经历。方法:这是一项定性的纵向研究,包括在三个时间点对居住在英国的诊断为GDM的妇女进行个人访谈:妊娠35周;不到产后;12个月产后。数据将使用模板分析进行分析。将在参与者和时间点之间进行比较,以允许传记和时间解释。结果:本研究将对女性的生活经历、心理社会需求以及与医疗服务的互动提供深入的见解。将特别注意产前和产后之间的过渡。结论:研究结果将支持基于妇女围产儿需求和偏好的量身定制的母婴干预措施的共同开发,旨在改善妇女及其子女的长期健康结果,重点是糖尿病预防。
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引用次数: 0
The Validity and Reliability Study of the Turkish Version of Cognitive Complaints in Bipolar Disorder Rating Assessment 双相情感障碍评定中土耳其语版认知主诉的效度和信度研究
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-09-03 DOI: 10.1002/mpr.70037
Ezgi Ince Guliyev, Gulcan Karaca Ozkutuk, Sema Cagal, Ece Ozlem Ozturk, Tugay Elik, Nupelda Akdas, Cem Horasan, Sibel Cakır, Nese Direk, Omer Aydemir

Objectives

The Cognitive Complaints Rating Scale in Bipolar Disorder (COBRA) is a brief self-report measure designed to capture Subjective Cognitive Complaints (SCC) experienced by patients with Bipolar Disorder (BD). This study aimed to translate the 16-item COBRA into Turkish (COBRA-TR) and comprehensively assess its psychometric properties.

Methods

We recruited 160 participants, consisting of 80 BD patients in remission and 80 controls. The psychometric evaluation included confirmatory factor analysis (CFA), calculation of internal consistency, and examination of divergent and convergent validity through Pearson's correlations with related scales. Statistical analyses were performed using the SPSSv29 and the Jamovi software of R Statistical Package.

Results

The COBRA-TR showed excellent internal consistency (Cronbach α = 0.898) and robust convergent validity, strongly correlating with the Cognitive Failures Questionnaire (r = 0.784; p < 0.001). It demonstrated moderate-to-high correlations with cognitive (r = 0.574; p < 0.001) and global functioning (r = 0.624; p < 0.001), as assessed by the Functioning Assessment Short Test. CFA provided strong support for a unidimensional factor structure. Furthermore, the COBRA-TR successfully differentiated patients from controls. Clinical variables minimally influenced the scale, though it showed weak correlations with subclinical depressive symptoms (r = 0.325; p = 0.003) and working memory performance (r = −0.250; p = 0.002).

Conclusion

Our findings highlight that the COBRA-TR is a highly reliable and valid tool, effectively capturing SCC among BD patients. Its brevity, ease of administration, and strong psychometric properties suggest its potential utility as a valuable instrument in both clinical practice and research settings.

目的双相情感障碍认知投诉评定量表(COBRA)是一种简短的自我报告量表,旨在记录双相情感障碍(BD)患者的主观认知投诉(SCC)。本研究旨在将16项COBRA翻译成土耳其语(COBRA- tr),并全面评估其心理测量特性。方法我们招募了160名参与者,包括80名缓解期BD患者和80名对照组。心理测量评估包括验证性因子分析(CFA),内部一致性计算,并通过Pearson与相关量表的相关检验发散效度和收敛效度。采用SPSSv29和R统计软件包中的Jamovi软件进行统计分析。结果COBRA-TR量表具有良好的内部一致性(Cronbach α = 0.898)和鲁棒的收敛效度,与认知失败问卷具有很强的相关性(r = 0.784; p < 0.001)。功能评估短测试显示,它与认知功能(r = 0.574; p < 0.001)和整体功能(r = 0.624; p < 0.001)具有中等到高度的相关性。CFA为一维因子结构提供了强有力的支持。此外,COBRA-TR成功地将患者与对照组区分开来。临床变量对量表的影响最小,但它与亚临床抑郁症状(r = 0.325; p = 0.003)和工作记忆表现(r = - 0.250; p = 0.002)呈弱相关性。结论我们的研究结果表明,COBRA-TR是一种高度可靠和有效的工具,可以有效地捕获BD患者的SCC。它的简洁,易于管理和强大的心理测量特性表明它在临床实践和研究环境中作为一种有价值的工具的潜在效用。
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引用次数: 0
Cross-Cultural Adaptation and Psychometric Validation of the Body Perception Questionnaire-Short Form (BPQ-SF) Among Chinese Patients With Coronary Heart Disease 中国冠心病患者身体知觉问卷(BPQ-SF)的跨文化适应与心理测量学验证
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-08-26 DOI: 10.1002/mpr.70035
Jie Chen, Xiaojuan Chen, Tingting Wu, Xiyu Qi, Zhongmin Liu, Jing Chen, Lijie Zheng, Yu Chen

Objective

To revise the Brief Body Perception Questionnaire (BPQ-SF) for applicability in patients with coronary heart disease (CHD), and to examine its reliability and psychometric characteristics.

Methods

In Sample 1 (n = 371), items from the two subscales of the BPQ-SF were revised using expert consultation and item analysis, followed by exploratory factor analysis (EFA). Sample 2 (n = 350) was used for confirmatory factor analysis (CFA) and for evaluating structural validity, internal consistency, test–retest reliability, and criterion-related validity.

Results

The revised BPQ-SF consists of 30 items across two subscales: Body Awareness (15 items) and Autonomic Reactivity (15 items). The scale demonstrated good structural validity, internal consistency, and test–retest reliability. The total score was significantly and positively correlated with anxiety as measured by the Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) (r = 0.368, p < 0.01).

Conclusion

The revised BPQ-SF shows sound reliability and validity in hospitalized patients with CHD and serves as a reliable tool for assessing interoceptive sensitivity and emotional states. It offers a valuable measurement basis for the early detection and intervention of anxiety in patients with coronary heart disease.

目的修订简易身体知觉问卷(BPQ-SF),使其适用于冠心病患者,并检验其信度和心理测量学特征。方法在样本1 (n = 371)中,采用专家咨询和项目分析的方法对BPQ-SF两个分量表的项目进行修改,并进行探索性因子分析(EFA)。样本2 (n = 350)用于验证性因子分析(CFA),并用于评估结构效度、内部一致性、重测信度和标准相关效度。结果修订后的BPQ-SF包括两个子量表:身体意识(15项)和自主反应(15项),共30项。量表具有良好的结构效度、内部一致性和重测信度。医院焦虑抑郁量表-焦虑子量表(HADS-A)总分与焦虑呈显著正相关(r = 0.368, p < 0.01)。结论修订后的BPQ-SF在住院冠心病患者中具有良好的信度和效度,可作为评估内感受性敏感性和情绪状态的可靠工具。为冠心病患者焦虑的早期发现和干预提供了有价值的测量依据。
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引用次数: 0
Normative Data for the Swedish Versions of the Beck Anxiety Index and Beck Depression Inventory—Version 2 瑞典版贝克焦虑指数和贝克抑郁量表的规范性数据-第2版
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-08-22 DOI: 10.1002/mpr.70024
Ann-Sophie Lindqvist Bagge, Roger Olofsson Bagge, Anders Carlander

Background

Two of the most extensively utilized questionnaires for assessing symptoms of anxiety and depression are Beck Anxiety Inventory (BAI) and Beck Depression Inventory-second version (BDI-II).

Aim

Given the absence of normative data based on a representative Scandinavian cohort, the primary objective is to provide normative data from a representative Swedish general population sample and explore potential associations with sociodemographic variables.

Methods

Data was collected 2019 from a pre-stratified Swedish adult population sample (n = 2622).

Results

The average mean value showed: a mild level of anxiety (8.7 ± 9.5) and a minimal level of depression (3.4 ± 5.6). Higher BAI and BDI-II scores were observed in women and younger individuals. There was an association between educational attainment and BDI-II scores, where those with a bachelor's degree or higher reported a lower depression score. Results show that BAI and BDI-II deviate from normality but demonstrate excellent internal consistency (McDonald's omega 0.92 and 0.91, respectively). BAI had a poor model fit (RMSEA) 0.11), while BDI-II had a fair model fit (RMSEA 0.08).

Discussion

The present study presents normative data for BAI and BDI-II based on a representative sample from the Swedish general population. The model fit was not ideal, indicating caution, particularly for BAI.

背景:贝克焦虑量表(BAI)和贝克抑郁量表第二版(BDI-II)是评估焦虑和抑郁症状最广泛使用的两种问卷。鉴于缺乏基于具有代表性的斯堪的纳维亚队列的规范性数据,本研究的主要目标是提供具有代表性的瑞典一般人口样本的规范性数据,并探索与社会人口变量的潜在关联。方法2019年从预分层的瑞典成年人样本(n = 2622)中收集数据。结果平均得分为:轻度焦虑(8.7±9.5)分,轻度抑郁(3.4±5.6)分。在女性和年轻人中观察到较高的BAI和BDI-II评分。受教育程度与BDI-II得分之间存在关联,拥有学士学位或更高学位的人抑郁得分较低。结果表明,BAI和BDI-II偏离正态,但具有良好的内部一致性(麦当劳ω分别为0.92和0.91)。BAI的模型拟合较差(RMSEA为0.11),而BDI-II的模型拟合较好(RMSEA为0.08)。本研究提出了基于瑞典普通人群代表性样本的BAI和BDI-II的规范数据。模型拟合并不理想,需要谨慎,特别是对于BAI。
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引用次数: 0
期刊
International Journal of Methods in Psychiatric Research
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