Assessment最新文献

Automated cognitive assessments tailored to specific clinical scenarios have the potential to revolutionize health care and clinical research. Stroke survivors experience significant burden from underdiagnosed cognitive deficits. To address this, we developed a digital cognitive battery (IC3 [the Imperial Comprehensive Cognitive Assessment in Cerebrovascular Disease]) highly optimized for stroke survivors, and specifically designed for unsupervised administration in patients with mild to moderate stroke, thus enabling detailed remote diagnosis and monitoring of a variety post-stroke cognitive impairments. In a study involving 90 stroke survivors and over 6,000 age-matched healthy adults, the battery demonstrated high concordance with the Montreal Cognitive Assessment (MoCA), a commonly used supervised clinical neuropsychological assessment (r = .58, p < .001) and close correlation with patients' quality of life (r = .51, p < .001). In patients deemed to be cognitively unimpaired based on the standard MoCA cut-off (≥26/30, education-corrected), IC3 detected prevalence of impairment as high as 54% in a subset of tasks (M = 30.2%, range = 4%-54%). Importantly, performance on the IC3 remained consistent in both supervised and unsupervised settings in the controls, with minimal learning effects over time. This work provides the first evidence of the robustness and clinical potential of this technology for remote application in stroke, and potentially other neurological settings.

Ideas of Reference (IR) are self-directed attributions about social interactions, where people interpret the behaviors of others as being aimed at them. Particularly, those IRs related to the body and appearance are crucial. This study approaches the need to create and develop an instrument that specifically allows analyzing the Ideas of Reference about Body and Appearance (IRBAS). Pilot studies were conducted, and the IRBAS was subjected to validation in two non-clinical Spanish samples (N = 2,049). Content validity was assessed by an expert panel (N = 6). Exploratory and confirmatory factor analyses were carried out, and the internal consistency and stability of the instrument were evaluated, as well as convergent and known-groups validity. The IRBAS showed a unidimensional structure with high internal consistency and temporal stability. The analyses confirmed its invariance as a function of sex and level of education, and its correlation with measures of body dissatisfaction, dysmorphic concerns, schizotypy, and shame. Moreover, differences were confirmed in the scores of the IRBAS between sexes and between different categories of body mass index. The IRBAS proved to be a reliable and valid tool for the evaluation of IRs about the body and appearance in a non-clinical population.

Emotion regulation (ER) in parenting is crucial for parental well-being and children's mental health. However, ER in parenting is often studied as a general construct, overlooking the unique challenges of caregiving, particularly for sexual and gender minority (SGM) parents. This study examines the psychometric properties of the Regulating Emotions in Parenting Scale (REPS) in parents across SGM status. Specifically, we leverage cross-sectional survey data from two national samples of ethno-racially diverse parents (n = 1,958, 32.3% sexual minority, 11.2% gender minority) to evaluate measurement invariance, reliability, and predictive validity of the REPS. Model fit indices suggest that the REPS has a consistent structure, item loadings, and intercepts across groups. In terms of validity, results indicate that adaptive strategies predicted lower child psychopathology, while suppression and rumination were more strongly associated with emotional and behavioral issues. Importantly, parent SGM status did not significantly moderate the associations between REPS and child psychopathology, suggesting that these associations are consistent across diverse family structures. By validating the REPS as a robust tool for assessing parenting-specific ER across diverse parent populations, this work addresses critical gaps in parenting research and promotes more inclusive and equitable approaches to understanding parenting and child development.

Schizotypy offers a useful and unifying construct for understanding schizophrenia-spectrum psychopathology. Current conceptualizations and findings support a three-factor model of schizotypy consisting of positive, negative, and disorganized dimensions. However, recent studies have suggested four- and five-factor structures. The present study compared and examined the extent to which each factor model predicted interview and questionnaire outcome measures. Confirmatory factor analysis (CFA) and exploratory structural equation models (ESEM) were employed to compare the three-factor model with five competing models using the items from the Multidimensional Schizotypy Scale (MSS) in 10,814 adults. We subsequently compared the supported models in terms of the prediction of interview (n = 339) and questionnaire assessed symptoms (n of 1,342 to 1,430) using hierarchical linear regressions. The three-, four-, and five-factor models provided the best fit. However, the four-and five-factor models generally did not improve the prediction of outcome measures, although exploratory analyses suggest some potential value for the negative schizotypy subfactor model. The present findings, along with previous validation studies, support positive, negative, and disorganized factors. Ultimately, we recommend that alternative factor and subfactor models of schizotypy should be developed from conceptual, not atheoretical-exploratory approaches.

We revised 2/14 items on the Multiple Errands Test-Home (MET-Home). We compared the original and the revision and accounted for clinical/demographic covariates of interest. Archival data (N = 144) from neurologically healthy participants (n = 44 revised version, n = 34 original) and survivors of stroke (29 revised version, n = 37 original) were analyzed. We calculated internal consistency and assessed external validity via correlations with the Montreal Cognitive Assessment (MoCA), Barthel Index, and Nottingham Extended Activities of Daily Living scale (NEADL). We provided preliminary reference data (n = 78). MET-Home versions were not statistically different on key outcome scores (p > .05). MET-Home was internally consistent (α = .63 original, α = .80 revised, p = .07). Correlations between MET-Home and external measures were moderate (MoCA: r = .56, p < .001; Barthel: r = .46, p < .001; NEADL: r = .35, p < .001). The revised MET-Home is not statistically different to the original and is just as internally consistent, and we have further evidence of the test's validity. We caution the lack of comprehensive (age and education corrected) normative data.

Sexual violence includes a wide variety of behaviors, ranging from harassment to coercion, to rape, to sexual homicide. Although the criminal justice system distinguishes these forms of sexual violence, several studies have suggested that they represent different degrees of severity of an underlying continuum, named the Agonistic Continuum. Such model proposes that sub-categories of sexual violence share a core, unifying construct. The aim of the present study was to develop and test the psychometric properties of a new Agonistic scale. Classical test theory, exploratory factor analyses, taxometric analyses, and two-parameter item response theory analyses were conducted on a combined sample of MTurk workers and university students. Analyses revealed that the new 30-item Agonistic scale is psychometrically sound. These results have several implications, ranging from moving away from the arbitrary categorization of sexual violence to encompassing the last decade of research on harassment and coercion following the #MeToo movement.

Lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) people experience marginalization, negatively impacting their social, physical, and other mental health outcomes. Studies on LGBTQ+ people utilize scales developed largely for cisgender and heterosexual (cis-hetero) people. This study explored the factor structure, construct validity, reliability, and measurement invariance of the Multidimensional Scale of Perceived Social Support (MSPSS) using a sample of 1,436 adults in the United States. Roughly one-fifth of the sample identified as gender-diverse (19.08%; n = 274), as lesbian, gay, bisexual, queer or a sexual orientation other than straight (20.61%; n = 296), and from a race or ethnicity other than White (20.06%; n = 288). Confirmatory factor analyses (CFA) supported a three-factor measurement model of the MSPSS with gender-diverse people and people who have a marginalized sexual orientation. Invariance tests revealed thresholds were similar across the cis-hetero, marginalized sexual orientations, and gender-diverse groups, supporting measurement invariance. Further, the MSPSS had good internal reliability and convergent construct validity, suggesting sufficient psychometric evidence for use of the MSPSS with people marginalized based on gender and sexual orientation.

Abundant critiques of the categorical approach to personality disorders (PD) resulted in the launch of the 11th International Classification of Diseases dimensional (ICD-11) model. This model provides stylistic descriptions of PD expression by trait levels of Negative Affectivity, Detachment, Dissociality, Disinhibition, and Anankastia. Earlier studies on the structure of ICD-11 maladaptive traits with the Personality Inventory for ICD-11 (PiCD), provided support for a four-factor solution, yet age-invariance was not examined. Assessment can be hindered by age-biased PD features. Therefore, the current study demonstrated scalar measurement invariance of the four-factor solution in a sample of 685 younger and 223 older community dwelling adults. Older adults scored significantly lower than younger adults on Negative Affectivity and Dissociality, yet the relations between PiCD trait domains and measures of personality pathology were largely comparable across age groups. These results are promising for accurate measurement of maladaptive traits across the whole adult lifespan.

Past research shows strong links between object attachment and hoarding but has relied on poorly validated measures of object attachment. The Object Attachment Security Measure (OASM; David & Norberg, 2022b) was developed to address this limitation. This study evaluates the construct validity and measurement invariance of the OASM across age groups, genders, and hoarding severity. Participants were 777 individuals recruited via Prolific. Confirmatory factor analysis confirmed the correlated two-factor structure with two subscales: secure object attachment (SOA) and insecure object attachment (IOA). Measurement invariance testing showed strict invariance across age, gender, and hoarding severity. SOA and IOA had moderate to strong correlations with hoarding, and weaker associations with other psychopathology. IOA showed stronger correlations with hoarding than SOA, and the relationship between SOA and hoarding was no longer significant after accounting for IOA. These findings support the construct validity of OASM and reaffirm the central role of insecure object attachment in hoarding.

Given the high prevalence of institutional violence within the Mexican prison system, the need for validated risk assessment measures is urgent. However, research on the predictive validity of such tools has been limited mainly to White, Educated, Industrialized, Rich, and Democratic samples. This prospective study used quantitative methods to examine the effectiveness of the Psychopathy Checklist-Revised (PCL-R) in predicting institutional violence in a sample of incarcerated individuals in Mexico over 3 months. Data were collected through semi-structured interviews and prison record reviews from 114 adult males in a medium-security prison in Mexico City. Results showed that the PCL-R total score, Factor 2, and Facets 1, 3 and 4 were significant predictors of institutional violence. These findings have practical implications for risk assessment and management within Mexican correctional populations. Recommendations are offered to enhance the methodological rigor of future research endeavors in this area.