Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill.
Division of Health Research, Faculty of Health and Medicine, Lancaster University.
J Clin Child Adolesc Psychol. 2021 Sep-Oct;50(5):579-595. doi: 10.1080/15374416.2020.1756301. Epub 2020 May 13.
: To evaluate short forms of free self-report mania and depression scales, evaluating their reliability, content coverage, criterion validity, and diagnostic accuracy.: Youths age 11 to 18 years seeking outpatient mental health services at either an Academic medical clinic ( = 427) or urban Community mental health center ( = 313), completed the General Behavior Inventory (GBI) and other rating scales. Youths and caregivers completed semi-structured interviews to establish diagnoses and mood symptom severity, with GBI scores masked during diagnosis. Ten- and seven-item short forms, psychometric projections, and observed performance were tested first in the Academic sample and then externally cross-validated in the Community sample.: All short forms maintained high reliability (all alphas >.80 across both samples), high correlations with the full-length scales (.85 to.96), excellent convergent and discriminant validity with mood, behavior, and demographic criteria, and diagnostic accuracy undiminished compared to using the full-length scales. Ten-item scales showed advantages in terms of coverage; the 7 Up showed slightly weaker performance.: Present analyses evaluated and externally cross-validated short forms that maintain high reliability and content coverage, and show strong criterion validity and diagnostic accuracy - even when used in an independent sample with very different demographics and referral patterns. The short forms appear useful in clinical applications including initial evaluation, as well as in research settings where they offer an inexpensive quantitative score. Short forms are available in more than two dozen languages. Future work should further evaluate sensitivity to treatment effects and cultural invariance.
: 为了评估自由报告躁狂和抑郁量表的简短形式,评估其可靠性、内容涵盖范围、标准效度和诊断准确性。:11 至 18 岁的青少年在学术医疗诊所(=427)或城市社区心理健康中心(=313)寻求门诊心理健康服务,完成了一般行为量表(GBI)和其他评定量表。青少年和照顾者完成了半结构化访谈,以确定诊断和情绪症状严重程度,在诊断过程中屏蔽了 GBI 分数。首先在学术样本中测试了 10 项和 7 项简短形式、心理测量预测和观察表现,然后在社区样本中进行了外部交叉验证。:所有简短形式的可靠性都很高(两个样本的所有阿尔法值均大于.80),与全长量表的相关性很高(.85 至.96),与情绪、行为和人口统计学标准具有极好的收敛和区分效度,与使用全长量表相比,诊断准确性没有降低。10 项量表在覆盖范围方面具有优势;7 Up 略差。:目前的分析评估并在外部交叉验证了简短形式,这些形式保持了较高的可靠性和内容涵盖范围,并表现出较强的标准效度和诊断准确性——即使在具有非常不同人口统计学和转诊模式的独立样本中使用也是如此。简短形式在临床应用中很有用,包括初步评估,以及在研究环境中,它们提供了一种廉价的定量评分。简短形式有二十多种语言。未来的工作应进一步评估对治疗效果和文化不变性的敏感性。