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This study examined whether reductions in the severity of personality disorders (PD) mainly reflect changes in personality traits or rather an alleviation of a demoralized state involving nonspecific unpleasant affect. We used 4 years of longitudinal data from the Collaborative Longitudinal Personality Disorders Study, in which patients (N = 419) completed the Neuroticism–Extraversion–Openness Personality Inventory–Revised (NEO-PI-R) three times over 4 years (at baseline and at 6-month and 4-year follow-up assessments). We compared the NEO Demoralization scale with NEO-PI-R domain scales adjusted for demoralization-related items to determine whether changes in demoralization are more pronounced than changes in adjusted personality traits. Results showed that adjusted Neuroticism and Demoralization changed at similar rates and both changed more than other traits. These changes were most pronounced in the first 6 months and tapered thereafter. Rank-order correlations were somewhat lower for Demoralization than adjusted traits. Our findings suggest that decreases in PD symptoms over time have to do with reductions in negative affect and that Demoralization as assessed via a subset of NEO-PI-R items is limited in its ability to distinguish negative affect from trait Neuroticism. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
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Parental warmth is a treatment target of emerging interventions for children with callous–unemotional traits. However, research to date has yet to examine the empirical structure of parental warmth toward young children due to the lack of clinically feasible, psychometrically sound, and comprehensive measures of warmth for this population. To address this knowledge gap, the present study developed and tested the psychometric properties of a self-report measure of parental warmth, the Parental Affection/Warmth Scale (PAWS). A sample of 899 parents of 2- to 8-year-old children (M = 4.77 years, SD = 1.95; 46.1% girls) was recruited online using Amazon’s Mechanical Turk and CloudResearch. Exploratory factor analysis identified a novel three-factor structure: Warmth, Toddler-oriented Interaction, and Play-based Interaction, which was validated by a confirmatory factor analysis. However, only the PAWS Warmth subscale functioned consistently with theoretical expectations. PAWS Warmth scores were internally consistent; convergent with existing positive parenting scales; discriminant from negative parenting scales; and concurrent with child empathy, callous–unemotional traits, and conduct problems. Findings have implications for refining treatment targets for interventions focused on enhancing parental warmth. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
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The present report describes the item development and initial validation of a comprehensive child mental health questionnaire through a series of four studies. To maximize clinical utility, the questionnaire was developed to directly reflect Diagnostic and Statistical Manual of Mental Disorders, fifth edition psychiatric criteria and diagnoses, cover all mental health conditions that present in youth, and capitalize on the benefits of digital administration, particularly tiered branching logic. Study 1 describes the item generation and development of a tiered item structure. Study 2 established internal consistency and discriminant validity in a representative community sample of 1,000 youth aged 7–17 and a parent. Study 3 examined the acceptability of the questionnaire’s content and structure to families and made indicated text revisions. Finally, Study 4 cross validated the internal consistency and tiered structure of a revised version of the questionnaire in a second representative normative sample of 1,000 parent and child dyads. The four studies resulted in a questionnaire consisting of one general mental health question (parent-report only), 16 items (for both parent and child) on a diagnostic category checklist, and 40 scales with screener and follow-up items reflecting DSM-5 criteria for specific disorders (371 parent items and 326 child items). The data support the potential of the questionnaire to efficiently assess the breadth of youth psychiatric symptoms efficiently. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
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Mood and anxiety disorders involve defining symptoms (e.g., dysphoria, anhedonia) that can impair psychosocial functioning (e.g., self-care, work, social relationships). The present study evaluated the validity of the Inventory of Depression and Anxiety Symptoms-II (IDAS-II; Watson et al., 2012) via convergence with a semistructured interview assessing mood and anxiety disorder symptoms and, moreover, prediction of psychosocial functioning. Community-dwelling adults (N = 601) completed the self-report IDAS-II, a semistructured diagnostic interview, and self-report and interview measures of psychosocial functioning. A retest subsample (ns = 497–501) completed the functioning measures again, on average 8 months later. Supporting our hypotheses, the IDAS-II converged robustly with interview-assessed symptoms and predicted psychosocial functioning significantly, both concurrently and prospectively. Moreover, the IDAS-II predicted functioning significantly better than did the diagnostic interview. These findings support use of the IDAS-II in research and clinical settings to assess mood and anxiety symptoms and their connections to psychosocial impairment. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
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Executive function (EF) has been extensively linked to various behavioral, clinical, and educational outcomes. There have been, however, few systematic investigations into how best to score EF tasks using speed and accuracy performance, particularly how to generate a summary and norm-referenced score. Using data from an updated norming study for the NIH Toolbox Version 3 (NIHTB V3) with the general U.S. population aged between 3 and 85 (N = 3,794; 52.3% female; Mage = 25.06, SDage = 22.92), we empirically evaluated and compared several scoring algorithms for two EF tests: The Dimensional Change Card Sort (a test of cognitive flexibility) and Flanker (a test of inhibitory control) Tests. Results showed that joint scoring algorithms integrating speed and accuracy into single scores (namely, rate-correct score, linear integrated speed–accuracy score, and speed–accuracy additive score) provided more robust psychometric evidence for the EF tests than single-index scores of accuracy and speed. These integrated speed–accuracy scores were consistent and stable within and across tasks and time; similar to that of another well-validated EF measure, but as predicted, not related to a crystallized intelligence measure score; and increased rapidly from early childhood through late adolescence/early adulthood and then declined toward late adulthood. The rate-correct score was particularly free from ceiling effects and sensitive to age-related changes and variability in EF performance. Among various scoring algorithms, we recommend rate-correct score, which served as the basis for generating new NIHTB V3 norm-referenced scores, with good test–retest reliability (Dimensional Change Card Sort = .77, Flanker = .81) and acceptable convergent and discriminant validity. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
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Thu, 17 Oct 2024 00:00:00 GMT