Measurement Invariance Research Articles

Measurement invariance of the Center for Epidemiological Studies-Depression scale and associations with genetic risk in older adults.

As populations are aging, it needs to be ensured that valid depression rating scales are available across old adulthood. Center for Epidemiological Studies-Depression scale (CES-D) is a common depression rating scale, however, few studies have assessed its validity in individuals with age over 90 and/or cognitive impairment. We examined the factor structures of 20-, 15-, and 8-item CES-D scales, their measurement invariance for age and cognition, and associations with genetic risk of depression. Participants were from a population-based older Finnish Twin Cohort study including 71-79-year-olds from the MEMTWIN II (n = 1034 for exploratory and n = 664 for confirmatory factor analyses) and 90+ year-olds from the NONAGINTA (n = 134, confirmatory factor analyses) sub-studies. Associations of polygenic risk score of major depressive disorder (MDD-PRS) with CES-D scales were examined in MEMTWIN II. Exploratory factor analyses (n = 1034) suggested four- (CES-D 20) and three-factor (CES-D 8) structures and these models fit well in confirmatory analyses (n = 664). Unidimensional models had good (CES-D 15 & 20) or fair fit (CES-D 8). Results supported scalar invariance of all CES-D versions for age and cognitive status. Higher MDD-PRS was associated with more depressive symptoms in different CES-D versions. Different CES-D versions are adequate for measuring depressive symptoms across age groups and cognitive spectrum in old age. Genetic risk of depression predicts depressive symptoms even in old age.

Revision and validation of the “Motivational Climate in Physical Education Scale” (MCPES) in Chinese educational context

This study evaluated the reliability and validity of the Chinese version of the “Motivational Climate in Physical Education Scale” (MCPES) among middle school students. Data were collected from 1,008 students, with 473 completing the MCPES, the Physical Needs Support in Physical Education Scale (PNS-PE), and the Youth Sports Friendship Quality Scale (YSFQS). Additionally, 437 students completed only the MCPES, and 200 valid retest questionnaires were gathered three weeks later. Exploratory factor analysis identified four factors: perceived mastery climate, perceived performance climate, perceived autonomy support, and perceived relatedness support with a total of 16 items. Confirmatory factor analysis supported the four-factor structure (χ2/df = 3.38, GFI = 0.92, NFI = 0.90, RMSEA = 0.07, CFI = 0.93, IFI = 0.93, SRMR = 0.05). The scale exhibited strict measurement invariance across genders and strong invariance across grade levels. It was positively correlated with teacher autonomy support (r = 0.34–0.53) and with each dimension and total score of sports friendship (r = 0.21–0.61). Cronbach’s α coefficients for the MCPES and its dimensions were 0.75, 0.82, 0.79, 0.80, and 0.88, respectively. Intraclass correlation coefficients (ICCs) for the three-week retest were 0.64, 0.63, 0.72, and 0.76. In conclusion, the Chinese version of the MCPES demonstrates robust reliability and validity for use with middle school students.

Measuring laypeople’s notions of intersex in the Netherlands and Flanders

Abstract Introduction In emancipation policy, the ‘I’ is often added to the LGBTI+-acronym. Yet it is still unknown to what extent this term is known and understood by the general population, and what attitudes toward intersex (people) are. In the current study, we describe the construction and development of the Intersex Knowledge and Attitudes Scale (IKAS), as well as the results from this baseline measurement in the Dutch and Flemish population. Methods The IKAS was developed after a carefully documented stepped process of literature scan, expert consultations, and pretesting. A representative sample of 2,003 respondents (1,000 Dutch and 1,003 Flemish) participated in the study. To determine the dimensionality of the scale, we performed EFA and CFA with measurement invariance constraints. We also performed a baseline measurement of knowledge and attitudes towards intersex people in the general population, and determined predictors of attitudes toward intersex people in regression analyses. Results Two-thirds of the sample had no (correct) knowledge of the term intersex. Even among the intersex respondents, only one person was aware of the term intersex. The average attitude was moderately positive to neutral. Having a female gender or birth sex, an advanced level of education, lower importance of religion, belonging to a minority group, more tolerant gender beliefs, and preexisting knowledge on the topic all resulted in more positive attitudes. Conclusions Both in Flanders and the Netherlands there still is room for improvement in terms of knowledge and attitudes towards intersex people. More knowledge may lead to more understanding, so that intersex people can be more open. Second, it is recommended to challenge beliefs of sex and gender as binary categories, because people who have less issues with people who do not entirely fall in these categories, also have more accepting attitudes toward intersex people. Key messages • It is vital to include intersex in monitoring studies of population attitudes, to be able to genuinely incorporate the ‘I’ in LGBTI+ in emancipation policies. • To increase acceptance of intersex people in society, knowledge about intersex in the general population should be expanded, and acceptance of people who do not fit into the binary should be promoted.

Examining the Measurement Equivalence of Alzheimer Disease Research Centers' Neuropsychological Test Battery (Version 3) Between Singapore and US Samples.

Standardization of neuropsychological tests is crucial for consistency in cognitive assessment, as well as for validity and comparability of results across different populations. We examined the applicability and measurement equivalence of the Alzheimer Disease Research Centers' Neuropsychological Test Battery (version 3) (ADRC-NTB3) in Singapore. The ADRC-NTB3 was administered to 978 older persons with normal cognition in Singapore. To provide comparison between Singapore and US samples, a US sample with similar profile was retrieved from the National Alzheimer Coordinating Center (NACC) database. Scores were compared with 1853 participants with similar profile from the United States. Score-difference between the populations was computed using multiple linear regression (adjusted for covariates), with equivalent score considered present when 90% CI of the score-difference fell within the predefined margin of equivalence. Tasks assessing for memory, processing speed, and executive functioning showed equivalence in scores between US and Singapore samples (adjusted-score difference=-0.94 to 0.09). Singapore sample performed marginally better on the visuospatial task (adjusted-score difference=0.50), but poorer on the language task (adjusted-score difference=-3.22). Nonequivalence of visuospatial and language tasks, which may increase potential misinterpretation of cognitive profiles and misdiagnosis, are related to educational and cultural differences. This highlights the need for different normative data for more accurate diagnostic accuracy as well as research priorities.

Cross-cultural and psychometric validation of the Fraboni scale of ageism in Peruvian nursing students

Background & Aim: The elderly population has increased in the last decades and they are often discriminated against in society due to their age. This study aimed to perform the cross-cultural and psychometric validation of the Fraboni Scale of Ageism in Peruvian nursing students. Methods & Materials: This is a cross-sectional methodological study, carried out in four universities in Peru in which 959 nursing students participated. For the adaptation process, the forward-backward method of the original English version into Spanish was used. For the content analysis, the study was carried out with the participation of specialist judges, while confirmatory factor analysis was used for the internal structure of the construct as invariance of measurement. Reliability was estimated by internal consistency for categorical items. Results: The total content validity estimated with CVI was 0.97. The internal structure of the construct was found to be appropriate for the respecified 20-item model (CFI and TLI=0.94, RMSEA=0.07, and SRMR=0.05). The 20-item bi-factor model presented excellent fit indices (CFI=0.96 and TLI=0.95, RMSEA=0.06 and SRMR=0.04), being the best model for construct validity. Measurement invariance by sex was confirmed for all four models (configural, metric, strong, and strict). The three-dimensional model (ω=0.93) as well as the bi-factor model (ωH=0.88) showed high reliability for the scale scores. Conclusion: This study demonstrates that the 20-item Peruvian version of the Fraboni Scale of Ageism shows validity and reliability for its scores. In addition, the scale score is invariant by sex.

Validation of the Warwick-Edinburgh Mental Well-Being Scale for the Mental Health Surveillance (MHS) of German adults

BackgroundMental health encompasses more than just the absence of mental disorders. Thus, a Mental Health Surveillance (MHS) and reporting system for Germany should monitor mental well-being in addition to psychopathology to capture a more complete picture of population mental health. The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) is an internationally established inventory for the integrated assessment of different aspects of mental well-being (i.e., hedonic and eudaimonic) in population samples that has not yet been validated for Germany.MethodsUsing data from a cross-sectional online survey of a convenience sample of N = 1.048 adults aged 18–79 years (51% female) living in Germany, the factorial structure, measurement invariance (age, sex) and psychometric properties of the WEMWBS in its long (14 items) and short (7 items) versions were analyzed. Additionally, correlations to relevant factors (e.g., health-related quality of life, psychological distress) were investigated as indicators of criterion validity.ResultsMeans of model fit indices did not confirm a unidimensional factor structure for either version. The three-factor-correlative models showed moderate to good fit while the bifactor model with one general mental well-being factor and three grouping factors fitted the data best. The full range of possible responses was used for all items, and the distribution of both scales was approximately normal. Moreover, the results revealed measurement invariance across sex and age groups. Initial evidence of criterion validity was obtained. Internal consistencies were α = 0.95 and α = 0.89, respectively. Average mental well-being was comparable to that of other European countries at 3.74 for the long version and 3.84 for the short version. While there were no differences by sex, comparisons between age groups revealed higher mental well-being among the older age groups.ConclusionsBoth versions of the WEMWBS showed sound psychometric characteristics in the present German sample. The findings indicate that the instrument is suitable for measuring mental well-being at the population level due to its distributional properties. These results are promising, suggesting that the scale is suitable for use in a national MHS that aims to capture positive mental health in the population as a foundation for prevention and promotion efforts within public mental health.

Psychometric properties of the situational procrastination scale of medical undergraduates: factor structure, reliability, and validity.

Procrastination is very common among college students, but there is a lack of consistency in the relationship between procrastination and academic achievement, which might be partly caused by the limitations of previous procrastination scales. The current study constructed the Situational Procrastination Scale (SPS) with two subscales, the Academic Situational Procrastination Scale (ASPS) and the Daily Life Situational Procrastination Scale (DSPS), by adapting previous procrastination scales. The valid sample for data analysis included 2,094 medical undergraduates. After testing item discrimination, we conducted exploratory factor analysis, confirmatory factor analysis, and measurement invariance to examine the factor structures. Reliability (i.e., internal and test-retest reliability) and validity (i.e., concurrent, convergent, and discriminant validity) of the SPS were verified subsequently. The ASPS included near lateness, lateness, procrastination on academic tasks before deadlines, and procrastination on academic tasks beyond deadlines, and measurement invariance across gender, household registration, and family financial status was found. The DSPS included procrastination on going out, consumption, routines, and communication, and had measurement invariance across grade, household registration, and family financial status. The results demonstrated adequate internal consistency, test-retest reliability, concurrent validity, convergent validity, and discriminant validity. Situational procrastination positively correlated with trait procrastination at a moderate or low level and negatively correlated with self-efficacy. Only procrastination on academic tasks before and beyond deadlines negatively predicted academic achievement. The SPS could measure procrastination accurately and clarify the nexus between procrastination and academic achievement, which has implications for improving the academic warning system.

Investigating measurement invariance of the IDS-2 intelligence scales between migrant and non-migrant groups

Intelligence plays a crucial role in various aspects of human life, impacting health, academic achievement, and socio-economic success. However, cultural and linguistic disparities in intelligence testing pose challenges, particularly for individuals from migrant backgrounds. This study replicates and extends the landmark study by Wicherts and Dolan (2010) exploring measurement invariance of the German language intelligence test, the Intelligence and Development Scales – 2 (IDS-2), between children and adolescents from migrant (N = 132) and non-migrant (N = 1898) groups. The results revealed partial strict measurement invariance in the IDS-2 intelligence scale subtests across the examined groups. The breach of full strict measurement invariance is primarily due to intercept differences on the verbally loaded subtests—Naming Categories, Naming Opposites, and Story Recall—highlighting the confounding impact of language complexity on test outcomes. These discrepancies resulted in a cumulative intercept difference disadvantaging migrant participants of approximately 4 IQ points on the Full-Scale IQ Score. The findings indicate that while the IDS-2 scales generally assess intelligence consistently across diverse groups, the influence of language complexity on the verbal subtests may result in a disadvantage for children and adolescents with migration backgrounds. To address these biases, we propose the development of non-verbal and culturally fair intelligence tests.

The Sense of Security and Comfort in Education—Development, Validation, and Interpretation of a New Questionnaire

The purpose of this study was to measure the sense of security and comfort (SSC) as a latent construct in compulsory education. Taking theoretical considerations into account, a questionnaire for primary and secondary schools was developed in several pre-studies and then empirically tested. The sample consisted of 1462 students from 17 schools and 87 classes (n = 1376) in Austria. For the validation, the structural equation modeling (SEM) approach was used to test the dimensional plausibility, the nomological plausibility, and the measurement invariance of the SSC, as well as to identify the central predictors of the SSC. The results indicate that the four-factor solution found is empirically valid and plausible against the background of the theoretical assumptions. Therefore, this study opens up the possibility of appropriately addressing this complex social emotion in the educational context in the future.

Psychometric Properties of the Hungarian Passion Scale-8 (PS-8-HU) in Physically Active and Inactive Adults.

The 8-item Passion Scale (PS-8) is a unidimensional instrument used in dual versus single passion research. The PS-8 was validated in Icelandic, Persian, and Turkish student samples. In this study, we translated the PS-8 and validated it with physically active and inactive adults from Hungary. We also evaluated measurement invariance (across gender, physical activity, exercise frequency, and age groups) of the Hungarian version of the Passion scale (PS-8-HU). Data were collected online between fall 2023 and winter 2024, including a test and retest phase. The sample comprised 729 Hungarian physically active and inactive adults (68% females, 32% males; ages 18-78 years), of whom 196 participated in the retest. We used confirmatory factor analysis (CFA), item analysis, correlations, t-test and ANOVA in checking the scale's validity and reliability, and we used a multigroup CFA to test the measurement invariance.The results supperted a univariate structure of the PS-8-HU. The instrument was invariant for gender (at the strict level), exercise frequency (metric), physical activity (metric), and age (scalar). The internal reliability of the PS-8-HU was .93 and test-retest reliability was .77. The PS-8-HU also exhibited good concurrent and construct validities, high homogeneity, and adequate discriminant validity.

Factor Structure, Psychometric Properties, and Measurement Invariance of the Pandemic Experiences and Perceptions Scale Among Italian Hospital Workers.

The COVID-19 pandemic represented substantial risks to hospital workers' physical and mental health. The availability of validated measures on the impact of the pandemic on workplaces is crucial for developing data-driven interventions. The primary purpose of our study was to translate it into Italian and assess factor structure, psychometric properties, and measurement invariance of the Pandemic Experiences and Perceptions Scale (PEPS). The survey was completed by 766 workers from an Italian hospital. We examined the internal structure of the PEPS using confirmatory factor analyses (CFA) and exploratory structural equation modeling (ESEM) techniques and testing the invariance for clinical vs. nonclinical workers. The six-factor ESEM solution showed an excellent fit to the data (CFI=0.956, TLI=0.932, RMSEA=0.050), supporting the superiority of the ESEM solution. The factorial invariance of the PEPS across occupational roles (clinical vs. nonclinical hospital workers) was supported, and the ESEM-based McDonald's omega was good for all factors. The results from this study provided evidence for the factorial validity, reliability, and measurement invariance across occupational roles of the Italian version of the PEPS. Thus, the Italian version of the PEPS is a reliable and valid tool for assessing pandemic experiences and perceptions among Italian workers.

Screening for posttraumatic stress disorder (PTSD) in Mozambique: Validation of the Primary Care Posttraumatic Stress Disorder Screen for Diagnostic and Statistical Manual fifth edition (PC-PTSD-5).

The confluence of conflict-, climate-, and public health-related emergencies in Mozambique increases the risk of posttraumatic stress disorder (PTSD). Few brief screening tools for PTSD have been validated in low- and middle-income countries. We aimed to validate the five-item Primary Care PTSD Screen for the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5), the PC-PTSD-5 in Mozambique. This study recruited 957 participants who completed the Mini-International Neuropsychiatric Interview-Plus (MINI-Plus) and PC-PTSD-5, a convenience sample from primary and tertiary care settings in Maputo, Mozambique. Participants were administered a diagnostic interview for psychiatric disorders and the PC-PTSD-5 screening tool. We evaluated the criterion validity of the PC-PTSD-5 concerning the MINI-Plus diagnosis of PTSD, the internal construct validity and reliability using confirmatory factor analysis and Kuder-Richardson 20 (KR-20), discriminant validity of the PC-PTSD-5 in comparison to other common mental disorder and suicide risk screening tools, and measurement invariance of selected cutoffs by age, sex, and comorbidity. Internal consistency of the PC-PTSD-5 was high (KR-20 = 0.837), and confirmatory factor analysis suggested that a single PTSD factor fits the data well. PC-PTSD-5 items were moderately correlated with other psychiatric symptoms. Criterion validity analyses revealed that a cutoff score of 3 provided high specificity (0.833) and moderate sensitivity (0.673). This cutoff score performed optimally across age and gender; however, a cutoff score of 2 was preferred if the participant had no psychiatric comorbidities. Screening with the PC-PTSD-5 may facilitate case detection and linkages to appropriate treatment for individuals affected by potentially traumatic events in Mozambique. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Arabic translation and validation of the clinician administered Staden schizophrenia anxiety rating scale (S-SARS)

BackgroundResearch on anxiety in patients with schizophrenia of Arab origin is surprisingly scarce, particularly given that expressions of both psychotic disorders and anxiety disorders can be largely shaped by cultural factors. This study proposes to complement previous research by exploring the psychometric characteristics of an Arabic translation of the Staden Schizophrenia Anxiety Rating Scale (S-SARS) in chronic, remitted patients diagnosed with schizophrenia. As the Arabic version of the Generalized Anxiety Disorder 7-Item Scale (GAD-7) has not been previously validated in Arabic in patients with schizophrenia, this study had as a secondary aim to investigate the psychometric properties of this scale before its use. MethodThis cross-sectional study was performed over a period of three months (August–October 2023). A total of 177 chronic inpatients diagnosed with schizophrenia (63.3 % males) who were remitted and clinically stable participated in the study. ResultsConfirmatory factor analyses showed that all 10 items loaded onto a single factor and had high factor loading values between .53 and .81. The reliability of the S-SARS in its Arabic version was excellent as attested by a McDonald's omega and a Cronbach's alpha coefficients of .90 and .89, respectively. The score of Arabic S-SARS correlated positively with the GAD-7 scores (r = .55; p < .001), thus supporting good convergent validity. As for discriminant validity, findings showed positive correlations between S-SARS and depression scores as assessed using the Calgary Depressive Symptoms Scale. In addition, the Arabic S-SARS correlated negatively with general functioning, further supporting the good validity and clinical relevance of the scale. Finally, measurement invariance was established in the sex subsamples (males vs. females) at the scalar, metric and configural levels, with females showing more anxiety than males. ConclusionFindings suggest that the Arabic S-SARS holds good psychometric properties, and is suitable for use among Arabic-speaking people diagnosed with schizophrenia in both research and clinical practice. The Arabic version of S-SARS will hopefully be widely applied to provide useful and timely clinical information for monitoring and adequately treating patients with schizophrenia, in order to improve the course and prognosis of the disease.

Application of DASS-21 in Chinese students: invariance testing and network analysis

BackgroundThe Depression Anxiety Stress Scale-21 Items (DASS-21) is commonly used to assess the mental health of students, but there is a need for further clarification regarding its equivalence, structure, and core items.MethodsWe conducted a confirmatory factor analysis (CFA) on a sample of 7943 Chinese students to examine the performance of the DASS-21 and assess measurement invariance. Additionally, we utilized network analysis to investigate the structure and centrality of students’ mental health.ResultsOur findings revealed a stable three-factor structure for the DASS-21, characterized by high correlations among depression, anxiety, and stress. The DASS-21 demonstrated strict invariance across genders and weak invariance across levels of education. Network analysis indicated that symptoms of depression, anxiety, and stress form clusters, with some symptoms exhibiting strong correlations with each other.ConclusionOur study highlights a substantial interrelation among depression, anxiety, and stress, revealing a structurally clustered pattern. Network analysis underscores the interconnectedness and centrality of these symptoms, recommending a shorter version of the DASS, and emphasizing the imperative for targeted interventions aimed at improving the psychological well-being of students.

Psychometric Evaluation of the Multidimensional Assessment of Parenting Scale in LGBTQIA+ Parents.

In LGBTQIA+ adults, 36% are parents, but there are a limited number of parenting scales that have undergone psychometric evaluation in LGBTQIA+ parents. This study assessed the Multidimensional Assessment of Parenting Scale (MAPS) in LGBTQIA+ parents, addressing a gap in parenting scales considering both positive and negative aspects for this group. Our study includes two racially and ethnically diverse national samples of parents (n = 2,299, mean age = 37.05 years, 32.84% LGBTQIA+). We explored measurement invariance between LGBTQIA+ and non-LGBTQIA+ parents. The analysis revealed a modest fit for configural and metric invariance, indicating the MAPS structure and item loadings were consistent across groups, although scalar invariance was only partially supported. Subscales showed good internal consistency for both parent groups. Importantly, following false discovery rate corrections, interactions between LGBTQIA+ status and specific MAPS subscales (supportiveness, physical control) were significantly, but differentially, related to various child psychopathology dimensions, suggesting parenting impacts may differ for LGBTQIA+ families. These findings underscore the importance of including LGBTQIA+ perspectives in parenting research to develop tailored interventions that address their unique strengths and challenges. Acknowledging and supporting the diverse experiences of LGBTQIA+ parents can enhance targeted resources and interventions, contributing to better outcomes for all families.

Psychometric evaluation and validation of the Hungarian version of the Physical Activity Affect Scale (PAAS-H)

Background: Feelings and emotions during sports and exercise determine commitment, adherence, and enjoyment of the activity. The Physical Activity Affect Scale (PAAS) combined two earlier instruments, the Exercise-Induced Feelings Inventory and the Subjective Exercise Experiences Scale, to investigate affective states generally characterizing post-exercise feelings based on the circumplex model of affect. Therefore, the PAAS measures positive affect, negative affect, fatigue, and tranquility on a five-point Likert scale having only 12 items. Aim: Its ease of administration and interpretation renders the PAAS a valuable tool in both research and practice, but it is unavailable to Hungarian scholars and sports and exercise professionals due to the lack of adaptation. Hence, this work aimed to develop and validate the Hungarian version of the PAAS. Methods: Three hundred sixty-two recreational exercisers (64.1% women), aged from 18 to 62 (mean of age: 27.0 [SD = 10.0]) years completed the questionnaires before and during their exercise (briefly interrupting activity). Measures: PAAS was used to measure positive affect, negative affect, fatigue and tranquility aspects of internal affective experience. Positive and Negative Affect Schedule (PANAS) was utilized to assess the actual mood state, consisting of positive affect and negative affect subscales. Arousal was measured with Felt Arousal Scale (FAS), while the pleasure–displeasure affective valence was assessed with the Feeling Scale (FS). Results: A confirmatory factor analysis indicated good fit of the four-factor model. The results also revealed configural, metric, and scalar measurement invariance between sexes. The internal reliabilities of the scales varied between (Cronbach’s α) .73 and .85 before and during exercise. PAAS scales largely showed the expected associations with other measures of positive and negative affect and activation. The lowest association was between Tranquility (PAAS) and Felt arousal (r = .14), followed by Tranquility and Feeling (r = .27). Feeling and Felt arousal correlated negatively with Fatigue (PAAS, r = –.42 and r = –.44), as well as with the Negative affect (PAAS, r = –.61 and r = –.40). Positive affect from PAAS (PAAS PA) had a positive correlation with Feeling and Felt arousal (r = .64, r = .54). PAAS PA and Positive affect from PANAS (PANAS PA) correlated strongly (r = .77), similar to the Negative affect from both inventories (r = .78; p &lt; .01 for all cases). Conclusion: Therefore, the Hungarian PAAS could assess exercise-induced affect in a reliable and valid way in recreational exercisers. However, its validity in competitive sports remains to be tested.

Exercise Addiction Inventory-3 (EAI-3): Psychometric properties of the Hungarian version

Background and aims: The Exercise Addiction Inventory (EAI), based on the components model addictions, is a 6-item instrument used to assess the risk of exercise addiction (REA). Its revised version (EAI-R) was published in 2019 but only differed from the original scale in the response rating range (using a 6-point rather than 5-point Likert scale). In 2023, the EAI-3 was released with two new items (guilt when missing training and exercising despite injury). We aimed to test the validity and reliability of the Hungarian EAI-3 (EAI-3-HU). Methods: We tested 507 regular exercisers (Mage = 38.7 years, SD age = 10.63 years, range age: 18–78 years; 62.7% females) who completed the EAI-3-HU, the obsessive passion subscale of the Passion Scale, and exercise habits questions on the online Qualtrics research platform during autumn/winter 2023–2024. Results: Confirmatory factor analysis resulted in a good model fit for the two factor EAI-3-HU (CFI = .96; TLI = .94; RMSEA = .07; SRMR = .04). However, the covariance between the latent factors was .97, indicating that they measure an identical concept. Thus, a single-factor solution was appropriate (CFI = .96; TLI = .94; RMSEA = .07; SRMR = .04). Testing measurement invariance revealed the partial scalar invariance across genders. The internal reliability of the scale was good (Cronbach’s α = .81). The scale had good convergent validity with obsessive passion (r = .72), and discriminant validity based on exercise frequency as well as exercise intensity (p &lt; .001). Conclusion: The 8-item single factor EAI-3-HU adequately assesses the Hungarian samples’ REA. Nevertheless, it should be kept in perspective that the revised tool, like its predecessors, only assesses a level of ‘risk’, which does not imply morbidity, thus it has no clinical diagnostic value.

The structured assessment of violence risk in youth demonstrates measurement invariance between Black and White justice-referred youths.

Identification and implementation of effective methods for reducing racial/ethnic bias and disparities in legal settings are paramount in the United States and other countries. One procedure originally thought to reduce bias in legal decisions is the use of risk assessment instruments, which is now being heavily scrutinized. Measurement invariance, a latent trait technique, is a robust method for assessing one form of bias. Measurement invariance involves determining whether risk items in an instrument appear to be functioning the same between racial or other groups. Thus, the present study examined measurement invariance of the Structured Assessment of Violence Risk in Youth (SAVRY) between non-Latino Black and White youths to examine racial bias. We expected the SAVRY to be invariant (lacking measurement bias) between Black and White youths. The sample included 687 Black and 361 White youths, and the study used a large, multistate data set of SAVRYs conducted by probation officers. We conducted measurement invariance testing in a series of hierarchical steps including testing configural and scalar invariance. The SAVRY demonstrated scalar invariance (equal thresholds for ratings from "low" to "moderate" and "moderate" to "high") for all items except one-community disorganization. The findings lend further credibility to the SAVRY, and the structured professional judgment approach, as a method to assess violence risk and case planning needs among youths involved in the legal system. These findings provide more confidence that significant differences in SAVRY risk level or items between Black and White youths are not based in measurement bias, with the exception of the community disorganization item. Potential fixes discussed include eliminating or deemphasizing this item in final risk level ratings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Factor Structure and Measurement Invariance of the Cultural Attitudes Toward Healthcare and Mental Illness Questionnaire Among Latino Sexual Minority Men

Mental health disparities among Latino sexual minority men (LSMM) are exacerbated by un(der)treated mental health needs. This study sought to establish the factor structure of the Cultural Attitudes Toward Healthcare and Mental Illness Questionnaire (CAHMIQ) and examine measurement invariance across nativity (born in vs. outside the continental U.S.). Participants included 290 LSMM in South Florida. Confirmatory factor analysis examined the factor structure of CAHMIQ and measurement invariance examined equivalence across LSMM born outside (51.4%) and inside (48.3%) the continental U.S. The second-order factor model showed an acceptable fit (CFI/RMSEA = .91/.03) and consisted of first-ordered factors representing manifest indicators of causes and supports for mental health. Measurement invariance results suggest that the CAHMIQ performs equivalently across nativity groups (∆χ2(18) = 16.941, p = .5272). The CAHMIQ may be used among both nativity groups to understand attitudes toward healthcare and mental illness and inform LSMMs’ engagement in mental health treatment.

Postpartum anger among low-income women with high rates of trauma exposure.

Few studies have examined anger concerns among postpartum women despite their risk of mood dysregulation. This study examined the performance of the Dimensions of Anger Reactions-5 (DAR-5) scale, a brief screen for problematic anger, in a sample of 1,383 postpartum women in Wisconsin who received perinatal home visiting services. We aimed to analyze the discriminant validity and measurement invariance of the DAR-5, the occurrence of problematic anger symptoms and their co-occurrence with mental health concerns, and the association between elevated anger levels and exposure to potentially traumatic events in childhood and adulthood. Descriptive statistics for anger symptoms and their associations with depression, anxiety, and PTSD were calculated. Psychometric properties of the DAR-5 were assessed via confirmatory factor analyses, and associations between trauma exposure and anger were evaluated as bivariate and partial correlations. Approximately 21% of the sample exhibited problematic anger based on an established DAR-5 cutoff score (≥ 12). Anger symptoms co-occurred with posttraumatic stress disorder (PTSD), depressive, and anxiety symptoms, though the DAR-5 sufficiently distinguished anger from these correlated symptom profiles. The DAR-5 also demonstrated acceptable measurement invariance across levels of trauma exposure. Higher levels of trauma exposure in childhood and adulthood significantly increased the risk of problematic anger even after controlling for PTSD, anxiety, and depressive symptoms, partial pb range:.07-.16. The findings suggest the DAR-5 is a valid brief screen for anger in postpartum women. Increased attention should be paid to elevated anger and the co-occurrence of other mental health concerns following childbirth.