High Test-retest Reliability Research Articles

Comparison of Loudness Discomfort Level by the Testing Method in Adults With Normal Hearing and in Patients With Sensorineural Hearing Loss

Background and Objectives There are several variations in the technique for measuring loudness discomfort levels (LDL). The aim of this study was to evaluate LDL by measuring pure tone and narrow-band noise (NBN) in adults with normal hearing and in patients with sensorineural hearing loss, and to analyze the correlation of LDL at different frequencies.Subjects and Method Normal listeners (n=41) with the pure tone average of 12 dB HL and patients with hearing loss (n=42) with the pure tone average of 52 dB HL were studied from 2021 to 2022. Pure tone audiometry and LDL test by pure tone and NBN were performed twice in all participants at 250, 500, 1 k, 2 k, 3 k, 4 k, and 8 kHz.Results The LDL test showed some inter-subject variability with the mean being 107.0±9.4 dB, 106.0±11.6 dB by pure tone, and 100.1±6.8 dB, 100.4±6.7 dB by NBN (right and left ear, respectively) in the normal hearing group. There were no significant differences between LDL average by pure tone or NBN between two groups. Two serial tests showed high test-retest reliability. There was no difference in LDL between the two groups at each frequency, except for LDL by pure tone at 8 kHz in the left ear. High correlation of LDL was observed between different frequencies, except between 8 kHz and the other frequencies.Conclusion LDL by pure tone and NBN were consistent with or without hearing loss. High correlation of LDL between different frequencies were shown except at 8 kHz. It might be sufficient to measure LDL once by pure tone only, including 8 kHz.

Cross-Cultural Adaptation and Validation of the Language Experience and Proficiency Questionnaire Into Kannada.

As there are no questionnaires to assess the experience and proficiency of bilingual/multilingual Kannada speakers, this study aimed to adapt and validate the Language Experience and Proficiency Questionnaire (LEAP-Q) into the Kannada language cross-culturally. A nonrandomized, prospective cross-sectional design with purposive sampling was used in the study. The cross-cultural adaptation was performed using a standard guideline for developing the questionnaire. The Kannada version of the LEAP-Q (KLEAP-Q) was administered to three groups of participants. Group 1 included 200 bilingual participants (first language [L1]-Kannada, second language [L2]-English), Group 2 included 25 participants with good proficiency in Kannada, and Group 3 consisted of 25 participants with Telugu as L1, English as L2, and Kannada as third language. Responses from the participants were further tabulated and subjected to various statistical analyses to assess the psychometric properties of the questionnaire. Results showed a high test-retest reliability for the KLEAP-Q. The factor analysis results yielded eight factors with eigenvalues of more than 1.8 and had a Cronbach's alpha ranging from .61 to .95, signifying a good internal consistency of the KLEAP-Q. Mann-Whitney U test revealed significant differences between the speakers with good proficiency and speakers with low proficiency in Kannada, indicating a good known groups discriminant validity. As the KLEAP-Q has good reliability and validity, it can be used as a supplementary tool with other objective measures to document the experience and proficiency of Kannada-speaking bilingual individuals. https://doi.org/10.23641/asha.23631519.

TANGO: A reliable, open-source, browser-based task to assess individual differences in gaze understanding in 3 to 5-year-old children and adults.

Traditional measures of social cognition used in developmental research often lack satisfactory psychometric properties and are not designed to capture variation between individuals. Here, we present theTANGO (Task for Assessing iNdividual differences in Gaze understanding-Open); a brief (approx. 5-10min), reliable, open-source task to quantify individual differences in the understanding of gaze cues. Localizing the attentional focus of an agent is crucial in inferring their mental states, building common ground, and thus, supporting cooperation. Our interactive browser-based task works across devices and enables in-person and remote testing. The implemented spatial layout allows for discrete and continuous measures of participants' click imprecision and is easily adaptable to different study requirements. Our task measures inter-individual differences in a child (N = 387) and an adult (N = 236) sample. Our two study versions and data collection modes yield comparable results that show substantial developmental gains: the older children are, the more accurately they locate the target. High internal consistency and test-retest reliability estimates underline that the captured variation is systematic. Associations with social-environmental factors and language skills speak to the validity of the task. This work shows a promising way forward in studying individual differences in social cognition and will help us explore the structure and development of our core social-cognitive processes in greater detail.

Psychometric properties of the translated Spanish version of the Pain Self-Efficacy Questionnaire.

Some patients with rotator cuff injuries do not report significant changes in pain-related outcomes. Pain self-efficacy, which is commonly assessed using the Pain Self-Efficacy Questionnaire, may contribute toward this outcome. However, a Spanish adaptation of this questionnaire is currently lacking. Therefore, this study's purpose was developing the Spanish version of this questionnaire, and assess its psychometric properties. The Spanish version of the Pain Self-Efficacy Questionnaire was translated and culturally adapted, and a sample of 107 patients with rotator cuff injuries completed the questionnaire to examine its convergent validity (analyzing its correlation with the Tampa Scale of Kinesiophobia), its test-retest reliability, for which a subset of 40 participants completed again the questionnaire, and its internal consistency. Translation was conducted without any problems, and 107 participants completed the study. Mean scores for the Pain Self-Efficacy Questionnaire were 45.2 points (standard deviation, 11.4). The Pain Self-Efficacy Questionnaire showed a moderate negative correlation with the Tampa Scale of Kinesiophobia (Pearson's correlation index r = -0.48) supporting its convergent validity. High test-retest reliability (Intraclass Correlation Coefficient of 0.90) and excellent internal consistency (Cronbach's α value of 0.92) were also found. The Spanish version of the Pain Self-Efficacy Questionnaire presents high validity, test-retest reliability, and internal consistency to assess pain self-efficacy in patients suffering rotator cuff injuries in Spanish-speaking settings.

The Reflux Symptom Score-12: Cross-cultural Adaptation and Validation for European Portuguese Speakers With Laryngopharyngeal Reflux

ObjectivesTo translate and cross-culturally adapt the 12-item reflux symptom score (RSS-12) to European Portuguese (EP) and determine its clinimetric properties for symptomatic individuals with laryngopharyngeal reflux (LPR). Study designMultinational cross-sectional cohort study. MethodsThe English RSS-12 was cross-culturally adapted according to the recommendations of the international guidelines. The validation study included the completion of the RSS-12, reflux symptom index, and voice handicap index by symptomatic and asymptomatic subjects with LPR. The RSS-12 was completed a second time by symptomatic subjects. Nine clinimetric properties were analyzed according to the international guidelines for validation of patient-reported outcome measures. ResultsThe EP RSS-12 is equivalent to the English version (content, depth, and scoring). A total of 155 adults (84 with LPR symptoms) aged 21–78 years participated in the validation study. Statistical analyses revealed high internal consistency (Cronbach alpha >0.90), high test-retest reliability (intraclass correlation coefficient > 0.70, P < 0.001), low measurement error (Standard measure error of 5.21 for RSS and 1.59 for quality of life), good content validity (omission data <1% and item-total correlations > 0.652), good construct validity (61.9% of the total item variance with moderate item loadings), strong concurrent validity with reflux symptom index (rp = 0.772, P < 0.001) and moderate validity with voice handicap index (rp = 0.531, P < 0.001), and significantly known-groups validity (P < 0.001). The EP RSS-12 showed cross-cultural validity with French and Persian versions and high predictive validity with a cut-off value >8 for a sensitivity of 91.7% and a specificity of 91.5%. ConclusionsThe EP RSS-12 retained the features of the English version and is a reliable and valid patient-reported outcome measure for EP individuals with LPR in the study.

Cross-cultural adaptation, reliability, and validity of the Russian version of the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0).

The most validated health-related quality-of-life (HRQOL) questionnaire specific to the metastatic spine cancer population is the Spine Oncology Study Group Outcomes Questionnaire version 2 (SOSGOQ2.0). The purpose of this study was to translate and validate a Russian version of the SOSGOQ2.0. The SOSGOQ2.0 was translated into Russian and cross-culturally adapted. In this study, 64 eligible patients completed the SOSGOQ2.0_RUS along with the EQ-5D 5 Level, SF-36 quality-of-life questionnaires, and visual analog scale for pain assessment scale (VAS). Internal consistency was measured using Cronbach's alpha, in which a score of 0.65 or higher is acceptable. Test-retest reliability was evaluated by examining the intraclass correlation coefficient (ICC). Included in this study were 64 Russian-speaking patients (median age 59 years) with metastatic spine disease. The most common primary tumors were breast, kidney, and prostate cancers. The overall Cronbach's alpha was 0.87, indicating high internal consistency. The overall ICC for the SOSGOQ2.0_RUS was 0.88 (95% CI 0.81-0.93), indicating high reliability and consistency of the measure. The physical function, pain, and mental health domains of the SF-36 moderately correlated with the same domains of the SOSGOQ2.0_RUS, with correlation coefficients ranging from 0.65 to 0.71. The SOSGOQ2.0_RUS is a reliable and valid questionnaire for assessing the HRQOL in patients with metastatic spinal tumors. The questionnaire showed high internal consistency, test-retest reliability, and good construct validity when compared with other established questionnaires.

Measuring Intolerance of Uncertainty After Acquired Brain Injury: Factor Structure, Reliability, and Validity of the Intolerance of Uncertainty Scale-12.

Intolerance of uncertainty (IU) is a risk factor for poor mental health. Acquired brain injury (ABI; for example, stroke, traumatic brain injury) often brings considerable uncertainty and increased mood disorder vulnerability. The Intolerance of Uncertainty Scale-Short Form (IUS-12) is a brief, well-validated IU measure in non-ABI samples, comprising two subscales, namely, Prospective Anxiety and Inhibitory Anxiety. Here, for the first time, we investigated its reliability and validity (N = 118), and factor structure (N = 176), in ABI. Both subscales had high test-retest reliability (intraclass correlation coefficients [ICCs] of .75 and .86) and were significantly associated with mood disorder symptoms. The two-factor model was superior to a one-factor IU model fit. Some fit statistics were less than optimal (standardized root mean square residual [SRMR] = 0.06, root mean square error of approximation [RMSEA] = 0.09); hence, exploration of other factor structures in other ABI samples may be warranted. Nonetheless, the IUS-12 appears suitable in ABI.

The menstrual distress questionnaire (MEDI-Q): reliability and validity of the English version

Background Menstrual cycle has a significant impact on women’s health from different perspectives, both physically and psychologically. The assessment of menstrual-related distress is of pivotal clinical interest, especially in women with chronic exposure to abnormal bleeding or pain. The Menstrual Distress Questionnaire (MEDI-Q) is a new tool originally developed in Italian that comprehensively evaluates menstrual-related distress. Objective To validate the English version of the MEDI-Q in an English-speaking population. Methods The study consisted of two phases: an initial translation phase of the original Italian version of the MEDI-Q, and a data collection phase to validate the new English version among 288 native English-speaking women. Results The English version of MEDI-Q showed excellent psychometric properties, with high internal consistency (Cronbach’s alpha = 0.84) and test-retest reliability (intraclass correlation coefficient = 0.95). Construct validity was supported by significant correlations between MEDI-Q scores and scores on measures of psychological distress and premenstrual symptoms. Conclusions The English version of the MEDI-Q is a valid and reliable instrument for the assessment of menstrual distress and its impact on psychological well-being. This tool can be utilized in research and clinical settings to comprehensively investigate the impact of menstruation on various populations, identify and monitor menstruation-related disorders promptly and effectively, and to evaluate the effectiveness of targeted treatments for menstrual distress.

Reliability, validity, and sensitivity of short-form 36 health survey (SF-36) in patients with sick sinus syndrome.

Patients with sick sinus syndrome (SSS) experience a decrease in health-related quality of life (HRQoL), but there is currently no scale available to measure their unpleasant symptoms. The Short Form 36 Health Survey (SF-36) is a commonly used scale to assess HRQoL. In this study, we aimed to evaluate the reliability, validity, and sensitivity of SF-36 in patients with SSS. The sample included 199 eligible participants. We estimated the reliability through test-retest reliability, internal consistency, and split-half reliability. To examine the validity of the questionnaire, confirmatory factor analysis, convergent validity, and discriminant validity were conducted. Sensitivity was determined by the differences in age (cutoff 65 years) and New York Heart Association class. The intraclass correlational coefficients scores showed high test-retest reliability (intraclass correlational coefficients > 0.7). The overall Cronbach α was 0.87 (8 scales range: 0.85-0.87), showing good internal consistency reliability. The split-half reliability coefficient of the SF-36 is 0.814, indicating good reliability. Factor analysis showed that SF-36 subscales could be drawn into 6 components that explain 61% of the total variance. Results of model fit indicate comparative fit index = 0.9, incremental fit index = 0.92, Turker-Lewis index = 0.90, approximate root mean square error = 0.07, and normalized root mean square residual = 0.06. Convergent validity and discriminative validity showed adequate results. Comparison of different ages and New York Heart Association class groups showed statistical significance on most SF-36 subscales. We confirmed the SF-36 as a valid instrument for evaluating HRQoL patients with SSS. The reliability, validity, and sensitivity of SF-36 are acceptable for patients with SSS.

#6031 ASSOCIATION BETWEEN THE MINI-BESTEST AND POSTUROGRAPHY IN PATIENTS ON HEMODIALYSIS

Abstract Background and Aims Patients on hemodialysis present complications due chronic kidney disease and hemodialysis treatment that compromise postural balance. Posturography is the gold standard device for measuring postural balance; however, its cost limits the use of this method for routine patient evaluation. Alternatively, the Mini Balance Evaluation Systems Test (Mini-BESTest) have been used to evaluate postural balance, as it is inexpensive and has high test-retest reliability. Therefore, the aim of this study was to evaluate the association between the Mini-BESTest and posturography in patients on hemodialysis. Method A cross-sectional study was conducted with patients aged ≥18 years who were undergoing hemodialysis treatment for at least three months. Patients were excluded if presented physical or cognitive incapable to perform the proposed tests, assisted gait, uncorrected visual impairments, severe and unstable comorbidities, and hospitalization in the past three months. Postural balance was evaluated by the Mini-BESTest and posturography [a force plate recorded the center of pressure (COP) path length in a static position with eyes opened (EO) and eyes closed (EC) on a firm surface]. The normality of the data was analyzed using the Shapiro‒Wilk test. The associations between Mini-BESTest score and COP path length in the EO and EC were tested using Spearman´s correlation coefficients. Then, two multiple linear regression models were constructed with COP path length in the EO and EC as the dependent variable and Mini-BESTest score and potential confounders (age, gender, diabetes mellitus, body index mass, hemodialysis efficiency index, and hemoglobin) as independent variables. A p value &amp;lt;0.05 was considered as statistically significant. Results This study included 109 patients (58.4 ± 12.9 years, 57.8% male). The Mini-BESTest was correlated with COP path length in the EO (ρ = -0.365, p &amp;lt; 0.001) and EC (ρ = -0.279, p = 0.003). The multiple linear regression models showed an association of the Mini-BESTest with COP path length in the EO (R2 = 0.28; adjusted R2 = 0.23; p &amp;lt; 0.001) and EC (R2 = 0.26; adjusted R2 = 0.20; p &amp;lt; 0.001). Conclusion The Mini-BESTest was associated with posturography in patients on hemodialysis. Therefore, the Mini-BESTest is a feasible test to evaluate postural balance in clinical routine practice during the physical function evaluation of these patients.

Development of a Rasch-Built Amyotrophic Lateral Sclerosis Impairment Multidomain Scale to Measure Disease Progression in ALS.

Current scales used in amyotrophic lateral sclerosis (ALS) attempt to summarize different functional domains or "dimensions" into 1 overall score, which may not accurately characterize the individual patient's disease severity or prognosis. The use of composite score risks declaring treatments ineffective if not all dimensions of ALS disease progression are affected equally. We aimed to develop the ALS Impairment Multidomain Scale (AIMS) to comprehensively characterize disease progression and increase the likelihood of identifying effective treatments. The Revised ALS Functional Rating Scale (ALSFRS-R) and a preliminary questionnaire, based on literature review and patient input, were completed online by patients from the Netherlands ALS registry at bimonthly intervals over a period of 12 months. A 2-week test-retest, factor analysis, Rasch analysis, and a signal-to-noise optimization strategy were performed to create a multidomain scale. Reliability, longitudinal decline, and associations with survival were evaluated. The sample size required to detect a 35% reduction in progression rate over 6 or 12 months was assessed for a clinical trial that defines the ALSFRS-R or AIMS subscales as a primary endpoint family. The preliminary questionnaire, consisting of 110 questions, was completed by 367 patients. Three unidimensional subscales were identified, and a multidomain scale was constructed with 7 bulbar, 11 motor, and 5 respiratory questions. Subscales fulfilled Rasch model requirements, with excellent test-retest reliability of 0.91-0.94 and a strong relationship with survival (p < 0.001). Compared with the ALSFRS-R, signal-to-noise ratios were higher as patients declined more uniformly per subscale. Consequently, the estimated sample size reductions achieved with the AIMS compared with those achieved with the ALSFRS-R were 16.3% and 25.9% for 6-month and 12-month clinical trials, respectively. We developed the AIMS, consisting of unidimensional bulbar, motor, and respiratory subscales, which may characterize disease severity better than a total score. AIMS subscales have high test-retest reliability, are optimized to measure disease progression, and are strongly related to survival time. The AIMS can be easily administered and may increase the likelihood of identifying effective treatments in ALS clinical trials.

Distinct cortical and subcortical predictors of Purdue Pegboard decline in Parkinson’s disease and atypical parkinsonism

Objective measures of disease progression are critically needed in research on Parkinson’s disease (PD) and atypical Parkinsonism but may be hindered by both practicality and cost. The Purdue Pegboard Test (PPT) is objective, has high test-retest reliability, and has a low cost. The goals of this study were to determine: (1) longitudinal changes in PPT in a multisite cohort of patients with PD, atypical Parkinsonism, and healthy controls; (2) whether PPT performance reflects brain pathology revealed by neuroimaging; (3) quantify kinematic deficits shown by PD patients during PPT. Parkinsonian patients showed a decline in PPT performance that correlated with motor symptom progression, which was not seen in controls. Neuroimaging measures from basal ganglia were significant predictors of PPT performance in PD, whereas cortical, basal ganglia, and cerebellar regions were predictors for atypical Parkinsonism. Accelerometry in a subset of PD patients showed a diminished range of acceleration and irregular patterns of acceleration, which correlated with PPT scores.

P.023 The Pain in Dystonia Scale (PIDS): development and validation

Background: Pain in a common symptom in adult-onset idiopathic dystonia (AOID). An appropriate tool to understand this symptom is needed to improve AOID patients’ care. We developed a rating instrument for pain in AOID and validated it in cervical dystonia (CD). Methods: Development and validation of the Pain in Dystonia Scale (PIDS) in three phases: 1. International experts and participants generated and evaluated the preliminary items for content validity; 2. The PIDS was drafted and revised, followed by cognitive interviews to ensure suitability for self-administration; and 3. the clinimetric properties of the final PIDS were assessed in 85 participants. Results: PIDS evaluates pain severity (by body part), functional impact and external modulating factors. It showed high test-retest reliability the total score (0.9, p&lt;0.001), intraclass correlation coefficients higher than 0.7 for all items and high internal consistency (Cronbach’s alpha 0.9). Convergent validity analysis revealed a strong correlation between the PIDS severity score and the TWSTRS pain subscale (0.8, p&lt;0.001), the brief pain inventory short form (0.7, p&lt;0.001) and impact of pain on daily functioning (0.7, p&lt;0.001). Conclusions: The PIDS is the first specific questionnaire developed to evaluate pain in patients with AOID with high-level clinimetric properties in people with CD.

A comprehensive assay of social motivation reveals sex-specific roles of autism-associated genes and oxytocin

Social motivation is critical to the development of typical social functioning. Social motivation, specifically one or more of its components (e.g., social reward seeking or social orienting), could be relevant for understanding phenotypes related to autism. We developed a social operant conditioning task to quantify effort to access a social partner and concurrent social orienting in mice. We established that mice will work for access to a social partner, identified sex differences, and observed high test-retest reliability. We then benchmarked the method with two test-case manipulations. Shank3B mutants exhibited reduced social orienting and failed to show social reward seeking. Oxytocin receptor antagonism decreased social motivation, consistent with its role in social reward circuitry. Overall, we believe that this method provides a valuable addition to the assessment of social phenotypes in rodent models of autism and the mapping of potentially sex-specific social motivation neural circuits.

Development and psychometric properties of the social adjustment scale for youth cancer survivors in South Korea

ObjectiveWe developed a new scale—the Social Adjustment Scale for Youth Cancer Survivors—and examined its psychometric properties. MethodsIn the scale's development stage, preliminary items were constructed based on the results of a concept analysis of the hybrid model, literature review, and interviews. These items were then reviewed through content validity and cognitive interviews. In the validation stage, 136 survivors were recruited from two children's cancer centers in Seoul, South Korea. An exploratory factor analysis was performed to identify a set of constructs, and validity and reliability were tested. ResultsStarting with 70 items constructed through literature review and interviews with youth survivors, the final scale comprised 32 items. The exploratory factor analysis identified four domains—namely, role achievement in one's present position, harmony in relationships, disclosure and acceptance of cancer history, and preparation and expectation for future roles. Correlations with quality of life indicated good convergent validity (r ​= ​0.82, P ​< ​0.001). The Cronbach's α of the overall scale was 0.95, indicating excellent internal consistency; and the intraclass correlation coefficient was 0.94 (P ​< ​0.001), suggesting high test-retest reliability. ConclusionsThe Social Adjustment Scale for Youth Cancer Survivors exhibited acceptable psychometric properties in measuring the social adjustment of youth cancer survivors. It can be used to identify youths facing difficulty in adjusting to society after treatment and to investigate the effect of interventions implemented to promote social adjustment among youth cancer survivors. Future research is needed to examine the applicability of the scale in patients across diverse cultural backgrounds and healthcare systems.

Translation, cultural adaptation and validation of the Arabic version of the king’s Parkinson’s disease pain scale

Purpose Pain in Parkinson’s disease (PD) is a highly prevalent non-motor symptom occurring in this population. The King’s PD Pain Scale (KPPS) was developed to assess pain in people with PD. This study aimed to provide a cross-cultural adaptation and translation of the KPPS into the Arabic language (A-KPPS), and to investigate the construct and convergent validity, internal consistency, and reliability of the translated scale. Materials and Methods The English KPPS was translated into Arabic and back-translated into English by an independent translation team. The Arabic version was tested in 103 native Arabic speaking PD patients. We assessed construct validity, convergent validity, and test-retest reliability of the A-KPPS using factor analysis method, comparison with other valid and reliable measures, and using intra-class correlations, respectively. Results The A-KPPS had three main factors “somatic pain”, “visceral and burning pain” and “orofacial pain”, rather than the original four factors scale. The A-KPPS correlated with measures of disease motor severity, depression, anxiety, quality of life and pain (p < 0.05). Furthermore, the A-KPPS total score had high test-retest reliability (ICC = 0.9). Conclusions The A-KPPS demonstrated moderate to good validity and reliability. The A-KPPS can facilitate the assessment and treatment of pain in Arabic-speaking people with PD worldwide.

Çok Boyutlu Mevcut Kontrol Ölçeği geliştirme ve geçerlilik çalışması

The most commonly used perceived control scales focus on persistent general control beliefs or the control over personal reactions. These scales are not applicable to various adult groups and fail to represent main life domains. In addition, previous research shows that current control feelings explain health outcomes better than general control beliefs. This study aimed to develop a general current control scale based on the degree of perceived control at five main life domains, targeting various adult groups. Five main life domains (i.e., health, interpersonal relations, personal growth, economy, and societal issues) and their subsections were determined based on the perceived control literature. Five academics assessed the scale’s content validity, and its feasibility was tested via a pilot study. 376 participants (281 females, mean age 30.5) completed Demographic Information Form, the Multidimensional Current Control Scale (MCCS), the Domain General Perceived Control Scale, General Self-Efficacy Scale, and Psychological Wellbeing Scale online. Results show that the scale has a good degree of factor, convergent, and criterion validity. In addition, the scale has high internal reliability (a = .89) and test-retest reliability scores (r = .69) with a two-week interval. These findings helped us develop a multidimensional current control scale targeting various adult groups with good psychometric characteristics.

Slovenian Version of the Drug-Induced Extrapyramidal Symptoms Scale: Evaluation of Interrater and Test-Retest Reliability.

The Drug-Induced Extrapyramidal Symptom Scale (DIEPSS) is a multidimensional rating scale for the assessment of drug-induced extrapyramidal symptoms (EPS), developed in 1994. It is suitable for evaluating EPS considering the degree of influence EPS has on daily activities and the subjective distress that it causes. This study to evaluate the interrater and test-retest reliability of the DIEPSS Slovenian version conducted at the University Medical Center Maribor in Slovenia in November 2018. Six raters performed the interrater assessment of 135 DIEPSS video clips with recordings of patients with EPS. A second assessment was then performed by 2 raters to evaluate the test-retest reliability, which was high (interclass correlation coefficients from 0.743 to 0.936). The results for the Slovenian language version of the DIEPSS show high interrater and test-retest reliability, with high concordance rates for all evaluated items (interclass correlation coefficient > 0.8).

Validity And Reliability of The Thai Version of The Family Dermatology Life Quality Index

Objective: This study aimed to investigate the validity and reliability of the Thai version of FDLQI. Materials and Methods: Patients and their accompanying family members attending the Dermatology Outpatient Clinic at Siriraj Hospital were asked to complete the Dermatology Life Quality Index (DLQI), FDLQI, and the global question of their QoL (GQoL). The severity of the disease was assessed by physicians, the patients and the family members of the patients. Results: One hundred family members accompanying 92 patients with dermatological diseases (63% with inflammatory skin diseases and 37% with non-inflammatory skin diseases) were included. The mean age of the family members was 43.5±12.1 years and 70% were women. They had been mostly employed (74%) and graduated from universities (65%). Validity was demonstrated by a positive correlation between FDLQI and GQoL scores (rs=0.695, P&lt;0.001), and between FDLQI and severity of the patient's disease (rs=0.578, P&lt;0.001) as evaluated by family members. The FDLQI showed high internal consistency (Cronbach’s alpha=0.84) and test-retest reliability (ICC= 0.85). Conclusion: The construct validity, internal consistency, and test-retest reliability of the Thai FDLQI demonstrated acceptable validity and reliability. The Thai version of FDLQI can be used to assess the QoL of family members of patients with any dermatological diseases.

Attachment-based retrospective classifications of parental caregiving in childhood related to psychological well-being and mental health in young adults

Adverse interpersonal experiences in childhood have been shown to be associated with low psychological well-being and poor mental health in adulthood. In this study, the Parental Caregiving Style Questionnaire (PCS-Q) was used for the retrospective classification of parental caregiving, a measure distinguishing between warm/responsive, ambivalent/inconsistent and cold/rejecting parenting, analogous to the three-category model of attachment. Furthermore, self-esteem, satisfaction with the romantic relationship and life, depression and anxiety were measured with self-report scales. 197 students took part in this study, of whom 74 answered the PCS-Q a second time two months later. Most participants classified the parental caregiving style as warm/responsive, especially with regard to the mother. The PCS-Q showed a high test-retest reliability. Warm/responsive parenting was associated with higher self-esteem and life satisfaction and with lower depression and anxiety than the other two parenting styles. Satisfaction with the romantic relationship, however, did not differ substantially between the three groups. The findings largely support the assumption that early attachment experiences have an impact on later well-being and mental health. The German version of the PCS-Q presented here can be used in research and clinical practice as an economic measure with direct reference to the model of attachment styles.