Original Three-factor Model Research Articles

Assessing disordered eating behaviours and attitudes: Factor structure and measurement invariance of the Arabic version of the eating attitudes test (EAT-26) in Saudi Arabia

BackgroundThe factorial structure of the Eating Attitudes Test (EAT-26) has been found to be inconsistent across studies and samples. This study aimed to resolve inconsistencies in the factorial structure of the Arabic version of the EAT-26 by identifying the best-fitting model and test its measurement invariance across sexes and BMI categories in a large non-clinical Saudi sample.Methods1,734 Saudi adults (Mage 26.88 and SD 9.13), predominantly female, completed an online survey. Several existing models were tested (e.g., original 26-item three-factor model, second order 26-item three-factor model, 20-item four-factor model, and 16-item four-factor model) using confirmatory factor analysis (CFA). Fit indices including the CFI, SRMR, and RMSEA were used to identify the best-fitting model for Arabic version of the EAT-26. Multi-group confirmatory factor analysis (MGCFA) was used to test measurement invariance.ResultsThe original three-factor model and two other common models demonstrated poor fit (e.g., CFI = 0.727; SRMR = 0.0911; RMSEA = 0.085 [90% CI 0.082–0.087] for the original three-factor model). Instead, a 16-item, four-factor structure [(Self-Perceptions of Body Weight), (Dieting), (Awareness of Food Contents), and (Food Preoccupation)] showed acceptable fit ([CFI = 0.904; SRMR = 0.0554; RMSEA = 0.073 [90% CI 0.068- 0.077]). Internal consistency was good (α and ω = 0.88), and measurement invariance was supported across sex (male and female) and BMI categories (underweight, normal weight, overweight, and obese).ConclusionsThese findings underscore the need for culturally relevant validation of the EAT-26 among Arabic-speaking populations, as the revised factorial structure diverged from previously established models. Future research should further examine this revised 16-item, four-factor structure in clinical settings.

Validation of the German version of the 25-item hikikomori questionnaire 25.

The 25-item Hikikomori Questionnaire (HQ-25) is an instrument developed to measure a condition characterized by extreme social withdrawal that was first described in Japan. This study aimed to translate the HQ-25 into German and validate the German version (HQ-25-G). Translation was conducted according to established guidelines. Validation was based on data from a quota sample of individuals living in Germany, ranging from 18 to 74years old (representing the distribution of age, sex and federal state, n=5000). Data collection occurred during August and September 2023. We tested reliability, construct validity and concurrent validity. Moreover, HQ-25 scores for key sociodemographic group were reported. Internal reliability for the HQ-25-G was excellent (Cronbach's alpha=0.93). We confirmed the original three-factor model. Moreover, higher hikikomori levels were significantly associated with more depressive symptoms (r=0.50), more anxiety symptoms (r=0.45), higher loneliness levels (r=0.56), higher levels of objective social isolation (r=-0.47), higher levels of perceived social isolation (r=0.59) and a higher preference for solitude (r=0.45). In a large population-based sample (including younger adults, middle-aged adults and older adults), the HQ-25-G version proves to be a psychometrically robust instrument, which is useful for further exploring the phenomenon of hikikomori within the German-speaking population.

Evaluating the measurement invariance of the parenting practices scale in the Caribbean

The purpose of this study was to assess the factor structure and measurement invariance of the three-factor (nurturance, monitoring, discipline) 29-item Parenting Practices Scale across four Caribbean islands—Jamaica, St. Kitts and Nevis, The Bahamas, and St. Vincent and the Grenadines—with data from 1948 adolescent Caribbean grade 10 students. Exploratory factor analysis and confirmatory factor analysis were conducted, and the findings supported the original three-factor model, and factor loading invariance was found across the four Caribbean islands. These findings suggest that this parenting measure may be used to compare perceptions of parental behaviors among adolescents in the English-speaking Caribbean with some limitations that are discussed.

Адаптация методики восприятия организационной политики (POPS) М. Качмар и Д. Карлсон: анализ внутренней структуры

<p style="text-align: justify;"><strong>Objective. </strong>The first stage in adapting the Organizational Policy Perception Scale (POPS) by M. Kacmar and D. Carlson in a Russian-speaking sample: analysis of the internal structure and reliability of the questionnaire. <br><strong>Background.</strong> The political nature of the organization is obvious. There are practically no tools that allow you to assess how “politicized” organization is. We need to measure to what extent people are targets of intrigues and informal influence or of unfair distribution of resources in the organization. Can they express their opinion without negative consequences or get a transparent and fair career path? All these questions is of great importance for both the individual and the organization. The best-known tool for studying the subjective assessment of organizational politics is the Organizational Policy Perception Scale (POPS) by M. Kacmar and D. Carlson. This scale was not adapted to the Russian-speaking sample. <br><strong>Study design.</strong> The study was carried out in the form of a survey of two samples of people using the “Perceptions of Organizational Politics” (POPS) scale by M. Kacmar and D. Carlson, which was translated into Russian. <br><strong>Participants.</strong> The study was conducted on two samples: 407 (52% women) and 575 (100% women) subjects. <br><strong>Measurements.</strong> To process and analyze the data, exploratory and confirmatory factor analyzes, Cronbach's alpha coefficient and correlation analysis, and a criterion for comparing mean values were used in the Rstudio statistic environment. <br><strong>Results.</strong> In the first sample, it was shown that the scale has good indicators of reliability and model data fit. And, as a result of the exploratory analysis, it was suggested that the exclusion of reverse questions from the scale would improve the internal structure of the questionnaire, the model data fit. It was shown in the analysis of second independent sample data. Scale reliability scores were found to be high, 0,91-0,93 (Cronbach's alpha). <br><strong>Conclusions.</strong> As a result of confirmatory factor analysis, we were able to confirm the original three-factor model of the questionnaire. Adaptation of the POPS methodology on a Russian-speaking sample will allow us to study the organizational culture and perception of the organization by the employee in Russian companies.</p>

Development and validation of the Japanese version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale.

The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS) is a validated self-assessment tool for health and mental health professionals who provide healthcare for sexual and gender minority patients. This study aimed to develop and validate a Japanese version of LGBT-DOCSS (LGBT-DOCSS-JP) and examine its psychometric properties. LGBT-DOCSS was translated into Japanese and cross-culturally validated using cognitive debriefing. We then evaluated the structural validity, convergent and discriminant validity, internal consistency, and test-retest reliability of LGBT-DOCSS-JP using an online survey. Data were analyzed for 381 health and mental health professionals aged 20 years or older from three suburban medical institutions. The confirmatory factor analysis indicated that the original three-factor model did not fit well with LGBT-DOCSS-JP. Exploratory factor analysis revealed four new factors: Attitudinal Awareness, Basic Knowledge, Clinical Preparedness, and Clinical Training. Convergent and discriminant validity were supported using four established scales that measured attitudes toward lesbians and gay men, genderism and transphobia, authoritarianism and conventionalism, and social desirability. The internal consistency of LGBT-DOCSS-JP was supported by the Cronbach's alpha values for the overall scale (0.84), and for each of its subscales (Attitudinal Awareness and Basic Knowledge both 0.87, Clinical Preparedness 0.78, and Clinical Training 0.97). The test-retest reliability for the overall LGBT-DOCSS-JP was supported by an intraclass correlation coefficient score of 0.86. LGBT-DOCSS-JP has the potential to serve as a valuable tool in the development and assessment of effective curricula for LGBT healthcare education, as well as a means to promote self-reflection among trainees and professionals.

Translation and Validation of the German Version of the Ikigai-9

Background: The Japanese concept of “ikigai” embodies the feeling of having a meaningful purpose in life. It is associated with several positive outcomes. This study aimed to translate and validate the German version of the Ikigai-9 scale (Ikigai-9-G)—and ikigai scores for certain groups of interest were presented. Methods: Data were taken from a quota sample of the German adult population aged 18 to 74 years (n = 5000; representative in terms of age, sex, and state). Data were collected in August/September 2023. The translation process was conducted in accordance with the existing guidelines. Reliability (Cronbach’s alpha; McDonald’s omega) was assessed. Moreover, we evaluated the structure’s soundness using confirmatory factor analysis for construct validity and examined concurrent validity by exploring pairwise correlations between the Ikigai-9-G with life satisfaction, happiness, health-related quality of life, depressive symptoms, and anxiety symptoms. Additionally, we presented ikigai scores for specific sociodemographic groups of interest. Results: Cronbach’s alpha for the Ikigai-9-G equaled 0.88. The results of confirmatory factor analysis supported the original three-factor model as initially proposed. A higher sense of ikigai was associated with less depressive symptoms (r = −0.43, p < 0.001), less anxiety symptoms (r = −0.39, p < 0.001), higher health-related quality of life (r = 0.42, p < 0.001), higher happiness levels (r = 0.62, p < 0.001), and higher satisfaction with life levels (r = 0.57, p < 0.001). Conclusion: The Ikigai-9 scale is a psychometrically sound tool offering the possibility for assessing ikigai among German speakers. Additional translation and validation studies are required to facilitate comparisons across different countries.

Factor structure, internal consistency, and construct validity of the Caregiver strain questionnaire in Latinx families.

Caregiver strain or stress directly related to caring for a youth with emotional and/or behavioral problems may be an important and understudied cultural factor associated with mental health disparities among Latinx families. Caregiver strain is a highly relevant construct for research questions focused on the identification of youth's mental health needs, family-level impacts of youth mental health problems, and utilization of youth mental health services. Unfortunately, there is a dearth of research on measures of caregiver strain and the psychometric properties of existing measures in Latinx samples. This study examined the structural and construct validity of the English version of the Caregiver Strain Questionnaire (CGSQ) with a sample of United States-based Latinx caregivers of youths ages 6-18 (N = 598). Confirmatory factor analysis showed that the original three-factor model of caregiver strain was evidenced in this sample. Internal consistency analyses and a poor factor loading led to the elimination of one item. The factor structure held after item removal. Significant associations between each dimension of caregiver strain with youth internalizing/externalizing symptom severity and utilization of youth mental health services provided evidence of construct validity (i.e., psychological counseling, telepsychology, parenting classes). Results provide important evidence of the psychometric properties of the English CGSQ in a Latinx sample and support its use in future research aimed at unpacking mental health disparities among Latinx youth and families. Researchers should translate and validate the CGSQ in Spanish to increase the utility of this measure for research with Latinx families.

Psychometric properties of the Chinese version of Sport Anxiety Scale-2.

The Sport Anxiety Scale-2 (SAS-2) is a validated measure of sports trait anxiety, with promising psychometric properties. However, its cross-cultural applicability in Chinese samples remains unexplored. Thus, the primary objectives of this study were twofold: to translate the SAS-2 into Chinese and assess the psychometric properties of the Chinese version. In Study 1, we initiated the translation of the SAS-2 into Chinese. This assessment involved bilingual Chinese students proficient in both English and Chinese. Additionally, we conducted a cross-linguistic measurement invariance analysis. In Study 2, we delved into the psychometric properties of the Chinese SAS-2 using a sample of Chinese student athletes. This examination encompassed an evaluation of its factor structure, convergent and discriminant validity, and measurement invariance across genders. Our findings in Study 1 indicated no significant differences in item scores between the Chinese SAS-2 and the English version, and measurement invariance across languages. In Study 2, we uncovered that the Chinese SAS-2 and its factors exhibited excellent reliability, with Cronbach's alpha values exceeding 0.80. Confirmatory factor analyses upheld the original three-factor model, demonstrating acceptable model fit indices (CFI = 0.96, TLI = 0.93, RMSEA = 0.08). Furthermore, all three factors of the Chinese SAS-2 displayed significant and positive correlations with athlete burnout and State-Trait anxiety. Additionally, this study elucidated the mediating role of Concentration Disruption (Somatic anxiety and Concentration Disruption) in the relationship between the Trait (State) anxiety, and athlete burnout. Moreover, we identified measurement invariance of the Chinese version of the SAS-2 across genders. Finally, female college athletes exhibited significantly higher scores in somatic anxiety and worry compared to their male counterparts. In sum, our findings affirm that the Chinese version of the SAS-2 demonstrates robust reliability and correlates effectively with related criteria, thus validating its suitability for use in a Chinese context.

Validation of the Korean Version of the Community Assessment of Psychic Experiences in General Population.

The Community Assessment of Psychic Experiences has been widely translated and commonly used as a measure for psychotic experiences and psychosis proneness in clinical and research environments worldwide. This study aimed to establish the psychometric properties (reliability and validity) and factor structure of a Korean version of the Community Assessment of Psychic Experiences (K-CAPE) in the general population. A total of 1,467 healthy participants completed K-CAPE and other psychiatric symptom-related scales (Paranoia scale, Patient Health Questionnaire-9, Dissociative Experiences Scale-II, and Oxford-Liverpool Inventory of Feelings and Experiences) via online survey. K-CAPE's internal reliability was analyzed using Cronbach's alpha coefficient. Confirmatory factor analysis (CFA) was performed to investigate whether the original three-factor model (positive, negative, and depressive) and other hypothesized multidimensional models (including positive and negative subfactors) were suitable for our data. Exploratory factor analysis (EFA) was conducted to explore better alternative factor solutions with a follow-up CFA. To assess convergent and discriminant validity, we examined correlations between K-CAPE subscales with other established measures of psychiatric symptoms. K-CAPE showed good internal consistency in all original three subscales (all greater than α=0.827). The CFA demonstrated that the multidimensional models exhibited relatively better quality than the original three-dimensional model. Although the model fit indices did not reach their respective optimal thresholds, they were within an acceptable range. Results from the EFA indicated 3-5 factor solutions. In 3-factor solution, "negative-avolition" items were founded to be loaded more consistently with depressive items than with the negative dimension. In 4-factor solution, positive items were divided into two subfactors: "positive-bizarre experiences" and "positive-delusional thoughts," while negative symptoms were separated into two distinct subfactors in 5-factor solution: "negative-avolition (expressive)," and "negative-social (experiential)." The correlation coefficients between K-CAPE subscales and corresponding measurements were significant (p<0.001), confirming the convergent and discriminant validity. Our study provides evidence to support the reliability and validity of the K-CAPE and its use as a measure of psychotic symptoms in the Korean population. Although alternative factor structures did not improve the model fit, our EFA findings implicate the use of subfactors to investigate more specific domains of positive and negative symptoms. Given the heterogeneous nature of psychotic symptoms, this may be useful in capturing their different underlying mechanisms.

Factor Validity and Generic Reliability of the Developmental Coordination Disorder Questionnaire in the Czech Population.

The Developmental Coordination Disorder Questionnaire (DCDQ) is widely used as a brief parent questionnaire designed to screen for motor coordination in children, aged 5 to 15 years. There is no validated version of the DCDQ for the Central Europe, which could help for first catch of children with motor difficulties, whose amount has been seriously raised. In addition, the World Health Organization recommends the cross-cultural validation of existing instruments, for Loir costs and time consuming, and the availability of instruments in several languages enables therapists to use validated tools with non-English speaking clients. The aim of this study was to validate the DCDQ in the Czech culture in a population of Czech parents whose children were aged six to ten. Using data from 651 Czech parents of children (six to ten years; 7.8 ± 0.8 years), confirmatory factor analyses (CFA) were used. The goodness-of-fit indices CFI = 0.94, TLI = 0.93, and RMSEA = 0.08 supported the original three-factor model of the DCDQ. In addition, the factor loadings of each question discovered in Czech DCDQ were non-significantly different from the original DCDQ. Furthermore, we also found strong between factor correlation; general coordination and control movement r = 0.87 probably measure the same underlying construct. Even though this is in conformity with original DCDQ structure, we suggest that responses in these two DCDQ factors might have violated the local independency and, therefore, could bias the final score. The generic reliability of the individual factors was acceptable and ranged from McDonald ω 0.83-0.88. Results from this study suggest that cross-validated version of the original DCDQ can be considered as sufficiently valid and reliable clinical screening tool for children who have coordination challenges for Czech children aged six to ten.

The mothers’ breastfeeding behaviour within six weeks postpartum: new scale development and psychometric validation study

BackgroundThe evaluation of mothers’ breastfeeding behaviour within 6 weeks postpartum could help health workers comprehensively identify maternal breastfeeding shortcomings, clarify nursing problems, and provide targeted interventions. However, no prior study was found, therefore this study aimed to develop and validate the reliability and validity of the mothers’ breastfeeding behaviour scale within 6 weeks postpartum.MethodsA main two-step approach was used: (1) a qualitative pilot study using the purposive sampling method was adopted to test the fitness, simplicity, and clarity of items with 30 mothers; (2) a cross-sectional survey using the convenient sampling method was conducted for item analysis and psychometric validation with 600 mothers.ResultsThe final version of the scale consisted of 36 items with seven dimensions, explaining 68.852% of the total variance. The Cronbach’s α, split-half, and retest coefficients were 0.958, 0.843, and 0.753, respectively. The validity of the scale: (1) Content validity: content validity index (CVI) range of items was between 0.882 and 1.000. The scale-level-CVI was 0.990. (2) Structure validity: The fitting indices were as follows: χ2/ⅆf =2.239, RMR = 0.049, RMSEA = 0.069, TLI = 0.893, CFI = 0.903, IFI = 0.904, PGFI = 0.674, and PNFI = 0.763. (3) Convergent validity: The composite reliability and average variance extracted (AVE) of the seven dimensions were between 0.876 and 0.920 and between 0.594 and 0.696. (4) Distinguish validity: The correlation coefficients were less than the square root of the AVE, except for self-decision behaviour, self-coping behaviour, and self-control behaviour. However, the fit index of the original three-factor model was better than that of the other new models, with significant differences (P < 0.001). (5) Calibration validity: The area under the curve was 0.860 or 0.898 when the scale was used to predict exclusive or any breastfeeding at 42 days. The correlation coefficients of the maternal breasting feeding evaluation scale, breastfeeding self-efficacy short-form scale, and the scale were 0.569 and 0.674, respectively.ConclusionThe newly developed mothers’ breastfeeding behaviour scale within 6 weeks postpartum consists of 36 items belonging to seven dimensions with good reliability and validity and is a reliable and valid instrument to be used in future maternal breastfeeding behaviour assessments and interventions.

The 26-Item Eating Attitudes Test (EAT-26): Psychometric Properties and Factor Structure in Vegetarians and Vegans.

The eating disorder screener, Eating Attitudes Test (EAT), has been used widely; however, its usability in specific dietary groups such as vegetarians and vegans remain unknown. Considering the rising popularity of vegetarianism and veganism, the current study aimed to assess the psychometric properties and theoretical assumptions of the 26-item EAT in separate groups of vegetarians (n = 278), vegans (n = 580), and omnivores (n = 413). Confirmatory factor analysis of four models from previous literature revealed inadequate fit of the data, with the exception of a 16-item four-factor model in vegetarians and vegans. Further assessment of the original three-factor model and 16-item four-factor model demonstrated poor psychometric properties. The primarily inadequate test-retest reliability discovered in this study, independent of whether a shortened version was used, raises concerns around the utility and stability of the EAT-26 in vegetarians and vegans. Future research should potentially investigate novel ways of measuring eating disorder pathology in these groups.

The Volunteer Satisfaction Survey (VSS): Adaptation and Psychometric Properties among Portuguese Volunteers.

(1) Background: Volunteering satisfaction is one significant construct that nourishes the sustaining of volunteer work, and it is present in reference models such as the three-stage volunteer process model (VPM). The volunteer satisfaction survey (VSS), created by Vecina, Chacón and Sueiro, evaluates three different domains of volunteer satisfaction: specific motivations, organization management and volunteering tasks. The aim of this study was to adapt the instrument and explore the psychometric properties of the 17 items of the VSS in a sample of Portuguese volunteers. (2) Methods: The sample was composed of 335 Portuguese volunteers (aged between 14 and 81 years), mainly women (76.4%). Measures included volunteer satisfaction, work engagement and organizational commitment. (3) Results: The original three-factor model was tested with a confirmatory factor analysis (CFA) and the model fitted the data. Satisfactory levels of internal consistency, discriminant and convergent validity were found. (4) Conclusions: The VSS reveals good psychometric properties and can be considered a useful tool for professionals and future research for volunteers' satisfaction assessment.

Adaptation and psychometric evaluation of the Chinese version of the functional assessment of chronic illness therapy spiritual well-being scale among Chinese childhood cancer patients in China.

Spiritual well-being is a strength for childhood cancer patients to cope with cancer. The availability of a valid and reliable instrument for assessing spiritual well-being is crucial. This study translated and adapted the Functional Assessment of Chronic Illness Therapy Spiritual Well-being scale (FACIT-Sp) for Chinese childhood cancer patients and examined the psychometric properties and factor structure in this population. This was a methodological study. The FACIT-Sp was translated into Chinese. Adaptation was based on our qualitative study. For psychometric evaluation, a convenience sample of 412 were recruited based on the suggested sample size for the exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Childhood cancer patients were included if they aged 8-17 years, with parental consent to participate, able to communicate that they were being treated for cancer, and able to communicate and read Chinese. Participants answered the Chinese version of the adapted FACIT-Sp, the Center for Epidemiology Studies Depression Scale for Children (CES-DC), and the Pediatric Quality of Life Inventory 3.0 Cancer Module (PedsQL). Content validity, convergent validity, internal consistency and test-retest reliability were examined. Both EFA and CFA assessed the structural validity of the adapted FACIT-Sp. The content validity index values for items ranged 0.8-1.0 and that for the scale was 0.84, indicating appropriate content validity. The scale had good internal consistency, with a Cronbach's alpha of 0.815. The FACIT-Sp scores positively correlated with the CES-DC scores, and negatively correlated with PedsQL scores, suggesting that the Chinese version of the adapted FACIT-Sp had reasonable convergent validity. EFA yielded a four-factor (meaning, peace, faith, and connection with others) model. The CFA results revealed that the four-factor model achieved a better fit than the original three-factor model (Chi-Square Mean/Degree of Freedom = 2.240 vs. 3.557, Comparative Fit Index = 0.953 vs. 0.916, Goodness of Fit Index = 0.909 vs. 0.884, Root Mean Square Error of Approximation = 0.078 vs. 0.112). The Chinese version of the adapted FACIT-Sp is a reliable and valid instrument for assessing spiritual well-being among Chinese childhood cancer patients. This instrument can be applied in clinical settings for routine assessment.

Factor structure and psychometric properties of the affective lability scale-short form in Chinese adolescents.

Previous studies on the reliability and validity of the Affective Lability Scale short-form (ALS-SF) have only been evaluated in adults, which may not be able to generalize to the adolescent population. We aimed to examine the factor structure, the reliability and validity of ALS-SF among Chinese adolescents and construct an adolescent form of ALS (ALS-AF). A total of 1,439 middle school students were investigated with a broad survey including ALS-SF, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), Connor-Davidson Resilience Scale 10-item (CD-RISC-10) and non-suicidal self-injury (NSSI) behavior self-report. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to investigate the structural validity of ALS-SF and construct ALS-AF. Cronbach's α was used to assess the internal consistency and reliability of the scale. Factor loading, Average Variance Extracted (AVE) and Composite Reliability (CR) were applied to measure the convergent validity and divergent validity. Besides, Correlation and regression analyses were used to explore the relationship between affective lability and depression, anxiety, NSSI and resilience. Factor analysis failed to support the original three-factor model of 18-item ALS-SF and confirmed the three-factor model of 15-item ALS-AF. The ALS-AF showed good internal consistency as well as strong convergent and discriminative validity. Besides, ALS-AF was positively correlated with PHQ-9, GAD-7 and self-harm, and was negatively associated with resilience. Our study shows that the ALS-AF has good reliability and validity for testing affective lability in Chinese adolescents.

Dimensionality and reliability of the Depression Anxiety Stress Scales 21 among adolescents in North Macedonia.

This study examined the structural validity and reliability of the DASS-21 in a large sample (N = 4,202) of secondary school students from North Macedonia (Mage = 16.43 ± 1.04, 65% girls). Based on theoretical and empirical considerations, five structural models were compared using confirmatory factor analysis. The original three-factor model provided good fit to the data; however, high interfactor correlations indicated that the depression, anxiety, and stress factors were indistinguishable. The bifactor solution yielded superior fit relative to other tested models. Factor loading patterns revealed a strong general factor and some specificity of the depression and anxiety factors, whereas the stress items were primarily markers of general distress. Model-based reliability and ancillary bifactor indices revealed that the DASS-21 is essentially unidimensional. Thus, only the total score could be used as a reliable measure of general emotional distress, while subscale scores should be avoided. Overall, the findings provide further support for the cross-cultural validity of the DASS-21 and confirm that it is suitable for use among older adolescents in North Macedonia.

Psychometric properties of the Copenhagen Burnout Inventory (CBI) in Italian Physicians.

Nine hundred and fifteen Italian physicians were web-administered the CBI, Patient Health Questionnaire-8 (PHQ-8), Generalized Anxiety Disorder-7 (GAD-7) and General Self-Efficacy Scale (GSE). The present CBI included 18 items (range=19-90) assessing Personal, Work-related and Client-related Burnout. Client-related adaptation was performed. Construct validity, factorial structure (Confirmatory Factor Analysis) and internal consistency were tested. Diagnostic accuracy was assessed simultaneously against the PHQ-8, GAD-7 and GSE. All CBI measures yielded optimal internal consistency (Cronbach's α=0.90-0.96). The CBI met its original three-factor model (CFI=0.94; TLI=0.93; RMSEA=0.09; SRMR=0.04), was positively related to the PHQ-8 (r=0.76) and GAD-7 (r=0.73), whereas negatively with the GSE (r=0.39) and yielded optimal diagnostics (AUC=0.93; sensitivity=0.91 and specificity=0.85 at the optimal cutoff of 69/90). The CBI is thus a valid, reliable, and normed tool to assess burnout levels in physicians.

Analysis of Games Industry during COVID-19 Based on Fama-French Five-factor Model

Since the 1960s, asset pricing model has become the core research field of modern finance. It has been widely used in financial market, consumption and investment decision-making, monetary policy and even macroeconomic estimation and prediction. Scholars have done a lot of research on the theory and application of CAPM model, and achieved dramatic results. With the improvement of the stock market, CAPM model has gradually lost its convincing explanatory power when describing the relationship between stock return rate and risk. In 1992, Fama and French proposed a three-factor model to enhance the explanatory power of CAPM, and proposed that factors such as the total market value of a company and the book-to-market ratio could better explain the difference of stock returns on the cross section. In 2013, Fama and French improved the original three-factor model by adding profitability factor and investment mode factor to the three-factor model, and proposed a five-factor model, so as to better explain the difference in cross-sectional returns of stocks. COVID-19 caused a big black swan event and the impact is very dramatic that the economy has a huge impact. Therefore, this paper takes the game and entertainment industry as an example. Based on the Fama-french five-factor model and multiple linear regression, the changes of factor coefficients before and after the epidemic are analyzed, and some investment suggestions are given for reference. It is found that because of the emergence and outbreak of COVID-19 the game industry is more sensitive to the fluctuations of the market economy, and small businesses with a high book-to-market ratio are worth investing in.

Development and Validation of a Safety Climate Scale for the German Armed Forces

Abstract. The Directorate Aviation Safety of the German Armed Forces conducts flight safety audits in flying units. However, up to now, it has not been possible to draw on a psychometrically based instrument for the assessment of safety climate. The goal of this study was to implement an appropriate safety climate questionnaire. To gain flight safety relevant information about the safety climate of the units of the German Armed Forces, the Aviation Safety Climate Scale ( Evans et al. 2007 ) was adapted ( N = 989). Data from half of the sample ( n = 497) were used in an exploratory factor analysis that produced the same three-factor model as in the original scale. A confirmatory factor analysis on the second half of the sample ( n = 492) confirmed the original three-factor model (compared to a two-factor solution and a four-factor solution) as an acceptable fit to the data. Thus, the first evidence supporting reliability and some aspects of the validity was found.

Psychometry: Cutting-Off Points and Standardization of the Jefferson Empathy Scale Adapted for Students of Kinesiology

Currently, the most common measurement of empathy is obtained using scales that offer a continuum between a minimum and a maximum value. The objectives of this study were to establish a norm and estimate cut-off points that would make it possible to assess the Jefferson Scale of Empathy (JSE) version for Health Professions students (HPS-version), and to determine its psychometric properties in Chilean physical therapy students. A secondary analysis was done on a data set from three schools of physical therapy ([ n = 850], 412 women [48.5%], and 438 men [51.5%]), applying confirmatory factor analysis (CFA) and hierarchical cluster analysis. A CFA replicated the original three-factor model of empathy with sufficiently fit the data. A hierarchical cluster analysis yielded four categories for the level of empathy: high, medium-high, medium-low, and low. Multi-group analyses supported the assumption of a gender-invariant factor structure. Results confirmed the reliability of the global scale (α = .835), and the Perspective Taking (α = .732), Compassionate Care (α = .842), and Walking in Patient’s Shoes (α = .686) dimensions. The instrument made it possible to establish four ordinal categories in the level of students’ empathy. We conclude that the HPS-version of the JSE has adequate psychometric properties; namely validity, reliability, and cut-off points that justify administering it to Chilean physical therapy students.