Revised Self-Monitoring Scale Research Articles

Diagnostic Performance of Socio-Emotional Informant-Based Questionnaires for the Clinical Detection of the Behavioral Variant of Frontotemporal Dementia.

Although social cognitive dysfunction is a major feature of the behavioral variant of frontotemporal dementia (bvFTD), quantitative measurement of social behavior changes is poorly available in clinical settings. The aim of the study is to evaluate diagnostic accuracy of social-emotional questionnaires in distinguishing bvFTD from healthy control (HC) subjects and Alzheimer's disease (AD) patients. We enrolled 29 bvFTD, 24 AD, and 18 HC subjects matched for age, sex, and education. Two informant-based measures of socio-emotional sensitivity and empathy (i.e., revised Self-Monitoring Scale (rSMS) and Interpersonal Reactivity Index (IRI)) were administered. One-way ANOVA was performed to compare groups, whereas Receiver Operating Characteristics (ROC) curve analysis tested questionnaire ability in distinguishing groups. A short version of IRI (sIRI) was obtained by excluding the non-contributing subscale (i.e., personal distress). Compared to HC and AD, bvFTD showed significantly lower scores in rSMS and IRI scores, except for IRI personal distress subscale. The sIRI showed an excellent performance in early diagnosis (bvFTD versus HC = AUC 0.95). Both sIRI and rSMS showed good performance in distinguishing bvFTD from AD (AUC 0.83). ROC analyses support the usefulness of informant social questionnaires in memory clinics and their potential value in screening procedures for research eligibility in forthcoming trials. In the timely diagnosis of bvFTD patients, IRI and rSMS may supply crucial information for the early detection of signs and symptoms affecting social-emotional skills, which might otherwise be underrecognized.

The Assessment of the Socioemotional Disorder in Neurodegenerative Diseases with the Revised Self-Monitoring Scale (RSMS).

Social cognition helps people to understand their own and others' behavior and to modulate the way of thinking and acting in different social situations. Rapid and accurate diagnoses of neurodegenerative diseases are essential, as social cognition is affected by these diseases. The Revised Self-Monitoring Scale (RSMS) is a scale that detects social-emotional cognition deficits. The aim of the current study is to examine how socioemotional parameters are affected by neurodegenerative diseases and whether the RSMS can discern these disorders based on the socioemotional parameters in the Greek population. A total of 331 dementia subjects were included. Mini Mental State Examination (MMSE) and Addenbrooke's Cognitive Examination (Revised, ACE-R) measurements were used in order to assess the cognitive deficits. The Neuropsychiatric Inventory (NPI) was used for the evaluation of the neuropsychiatric symptoms. The RSMS and its two subscales was used in order to detect the socioemotional deficits. The RSMS and its two subscales (RSMS_EX and RSMS_SP) can effectively detect neurodegenerative diseases. The RSMS can detect bvFTD in Alzheimer's Disease (AD), AD in a healthy cohort, behavioral variant Frontotemporal Dementia (bvFTD) in a healthy cohort, bvFTD in Parkinson's Disease (PD) and Frontotemporal Semantic Dementia (FTD/SD) in a healthy cohort. It is a useful tool in order to detect frontotemporal dementias. RSMS correlated negatively with the NPI questionnaire total and the subcategories of apathy, disinhibition and eating disorders. The RSMS results are associated with the ACE-R score (specifically verbal fluency). The RSMS is a helpful tool in order to identify socioemotional deficits in neurodegenerative dementias. It is also a useful scale that can discern bvFTD and svPPA in AD patients. A worse RSMS score correlates with a worse ACE-R and NPI. It seems to be a useful scale that can reliably measure social behavior in non-reversible neurodegenerative disorders, such as AD, FTD (bvFTD, svPPA), PDD and PD. The results also apply to the Greek population.

Sodium selenate as a therapeutic for tauopathies: A hypothesis paper.

In a large proportion of individuals with fronto-temporal lobar degeneration (FTLD), the underlying pathology is associated with the misfolding and aggregation of the microtubule associated protein tau (FTLD-tau). With disease progression, widespread protein accumulation throughout cortical and subcortical brain regions may be responsible for neurodegeneration. One of the syndromes of FTLD is the behavioral variant of frontotemporal dementia (bvFTD), in which the underlying pathology is heterogenous, with half of the cases being related to FTLD-tau. Currently, there are no approved disease-modifying treatments for FTLD-tau, therefore representing a major unmet therapeutic need. These descriptive, preliminary findings of the phase 1 open-label trial provide data to support the potential of sodium selenate to halt the cognitive and behavioral decline, as well as to reduce tau levels in a small group of participants with bvFTD (N = 11). All participants were treated with sodium selenate over a period of 52 weeks. Cognition was assessed with the Neuropsychiatry Unit Cognitive Assessment Tool (NUCOG, total scores), social cognition with the Revised Self-Monitoring Scale (RSMS, total scores), behavior with the Cambridge Behavioral Inventory (CBI), and carer burden with the Caregiver Buden Scale (CBS). Fluid biomarker measures include cerebrospinal fluid of total tau (t-tau), phosphorylated tau (p-tau181), NfL, p-tau181/t-tau, t-tau/Aβ1–42, and p-tau181/Aβ1–42 levels. After treatment at follow-up, cognition and behavior showed further negative change (based on a reliable change criterion cut-off of annual NUCOG decline) in the “progressors,” but not in the “non-progressors.” “Non-progressors” also showed elevated baseline CSF tau levels and no increase after treatment, indicating underlying tau pathology and a positive response to sodium selenate treatment. Significant changes in MRI were not observed. The findings provide useful information for future clinical trials to systematically assess the disease-modifying treatment effects of sodium selenate in randomized controlled designs for bvFTD and FTLD-tau pathologies.

PSYCHOMETRIC EVALUATION OF THE TURKISH VERSION OF THE SELF-PRESENTATION TACTICS SCALE

The current study aimed to adapt the Self-Presentation Tactics Scale (SPTS; Lee et al., 1999) into Turkish and to evaluate its psychometric properties. Accordingly, two studies were conducted. In the first one, the factor structure of SPTS was tested in a sample of 346 adults with exploratory factor analysis (EFA), which revealed a distinct structure explaining 58.14% of the variance from the 12-factor original scale. The findings showed that a nine-factor model including 50 items presented the best fit with the following factors: ingratiation, apology, exemplification, disclaimer, intimidation, excuse/justification, enhancement, self-handicapping, blasting/entitlement. In the second study, a sample of 653 college students completed SPTS and Revised Self-Monitoring Scale (RSMS). The second-order nine-factor solution was uncovered by confirmatory factor analysis (CFA). In addition, internal consistency and test-retest reliability analyses showed significant correlation coefficients. The criterion-related validity was also proved with significant correlations between SPTS and RSMS. These results verify that the SPTS is a valid and reliable measure to assess self-presentation tactics for the adult population in Turkey.

Multimodal emotion perception in young and elderly patients with multiple sclerosis

BackgroundStudies suggest that emotion recognition and empathy are impaired in patients with MS (pwMS). Nonetheless, most studies are restricted to young samples, to facial emotion recognition and to self-report assessments of empathy. The aims of this study are to determine the impact of MS and age on multimodal emotion recognition (facial emotions and vocal emotional bursts) and on socioemotional sensitivity (as reported by the participants and their informants). We also aim to investigate the associations between emotion recognition, socioemotional sensitivity, and cognitive measures. MethodsWe recruited 13 young healthy controls (HC), 14 young pwMS, 14 elderly HC and 15 elderly pwMS. They underwent a short neuropsychological battery, an experimental emotion recognition task including facial emotions and vocal emotional bursts. Both participants and their study informants completed the Revised-Self Monitoring Scale (RSMS) to assess the participant's socioemotional sensitivity. ResultsThere was a significant effect of age and group on recognition of both facial emotions and emotional vocal bursts, HC performing significantly better than pwMS, and young participants performing better than elderly participants (no interaction effect). The same effects were observed on self-reported socioemotional sensitivity. However, lower socioemotional sensitivity in pwMS was not reported by the informants. Finally, multimodal emotion recognition did not correlate with socioemotional sensitivity, but it correlated with global cognitive severity. ConclusionPwMS present with multimodal emotion perception deficits. Our results extend previous findings of decreased emotion perception and empathy to a group of elderly pwMS, in which advancing age does not accentuate these deficits. However, the decreased socioemotional sensitivity reported by pwMS does not appear to be observed by their relatives, nor to correlate with their emotion perception impairments. Future studies should investigate the real-life impacts of emotion perception deficits in pwMS.

The Revised Self-Monitoring Scale detects early impairment of social cognition in genetic frontotemporal dementia within the GENFI cohort

BackgroundAlthough social cognitive dysfunction is a major feature of frontotemporal dementia (FTD), it has been poorly studied in familial forms. A key goal of studies is to detect early cognitive impairment using validated measures in large patient cohorts.MethodsWe used the Revised Self-Monitoring Scale (RSMS) as a measure of socioemotional sensitivity in 730 participants from the genetic FTD initiative (GENFI) observational study: 269 mutation-negative healthy controls, 193 C9orf72 expansion carriers, 193 GRN mutation carriers and 75 MAPT mutation carriers. All participants underwent the standardised GENFI clinical assessment including the ‘CDR® plus NACC FTLD’ scale and RSMS. The RSMS total score and its two subscores, socioemotional expressiveness (EX score) and modification of self-presentation (SP score) were measured. Volumetric T1-weighted magnetic resonance imaging was available from 377 mutation carriers for voxel-based morphometry (VBM) analysis.ResultsThe RSMS was decreased in symptomatic mutation carriers in all genetic groups but at a prodromal stage only in the C9orf72 (for the total score and both subscores) and GRN (for the modification of self-presentation subscore) groups. RSMS score correlated with disease severity in all groups. The VBM analysis implicated an overlapping network of regions including the orbitofrontal cortex, insula, temporal pole, medial temporal lobe and striatum.ConclusionsThe RSMS indexes socioemotional impairment at an early stage of genetic FTD and may be a suitable outcome measure in forthcoming trials.

Distinct neural substrates of receptive and responsive aspects of empathy in patients with neurodegenerative disease

AbstractBackgroundThe way we interact with each other is influenced by how we perceive and evaluate socioemotional signals and adapt our interpersonal behavior to them (Lieberman, 2007). In this study, we investigated the neurostructural substrates of two key aspects of interpersonal behavior: socioemotional sensitivity and behavioral self‐management, using a neurodegenerative disease lesion model.MethodSocioemotional sensitivity and behavioral self‐management were measured by obtaining informant reports from two subscales of the Revised Self‐Monitoring Scale (RSMS)(Lennox & Wolfe, 1984). Scores were correlated with structural volume using voxel‐based morphometry. The study enrolled 360 participants, including 251 patients diagnosed with one of five neurodegenerative disease syndromes causing diverse structural brain changes (77 behavioral variant frontotemporal dementia, 30 semantic variant primary progressive aphasia, 33 non‐fluent variant primary progressive aphasia, 57 progressive supranuclear palsy, and 54 Alzheimer’s disease) and 109 neurologically healthy older controls.ResultSensitivity to others’ social cues was significantly predicted by volume in predominantly right‐hemispheric paralimbic ventro‐anterior‐ and mesio‐temporal regions, some of which are known to support auditory and visual social signal reading, while the remaining regions were part of the frontotemporal semantic appraisal network (Yeo, et al., 2011), involved in making social evaluations. In contrast, capacity to make behavioral adjustments in response to social cues was uniquely predicted by volume in predominantly right‐hemispheric neocortical frontal regions that comprise the cingulo‐opercular stable task control network (Dosenbach, et al., 2007), involved in maintaining attention during socioemotional tasks.ConclusionOur results clarify how receptive and responsive aspects of empathy rely on distinct, predominantly right‐hemispheric anterior fronto‐temporal brain regions, largely comprising two intrinsically connected networks including the semantic appraisal and cingulo‐opercular task control networks, along with right temporal structures mediating person perception. The fidelity with which this questionnaire method revealed these specific brain networks shows that standardized informant reports are valuable tools in assessing the complex socioemotional constructs involved in empathy. Lastly, the specificity of these brain‐behavior correlations provides further evidence that observable, measurable patterns of decreased empathy in patients with brain disorders can be a direct result of differently localized brain lesions.

Spotlight on the June 2 issue

#### Notable in Neurology this week This issue features an article that examines the clinical phenotype of children with contactin-associated protein 2 (CASPR2) antibodies in order to delineate autoimmune disease in association with CASPR2 antibodies in childhood; another investigates the Revised Self-Monitoring Scale as a potential clinical endpoint for treatment trials for patients with behavioral variant frontotemporal dementia. A featured Special Article provides neurologic outcome quality measures for broad application across major neurologic diseases. ### Clinical significance of anti-NMDAR concurrent with glial or neuronal surface antibodies Some patients with anti-NMDAR encephalitis (NMDARE) have concurrent glial or neuronal surface antibodies. In 2 …

Revised Self-Monitoring Scale: A potential endpoint for frontotemporal dementia clinical trials.

To investigate whether the Revised Self-Monitoring Scale (RSMS), an informant measure of socioemotional sensitivity, is a potential clinical endpoint for treatment trials for patients with behavioral variant frontotemporal dementia (bvFTD). We investigated whether RSMS informant ratings reflected disease severity in 475 participants (71 bvFTD mutation+, 154 bvFTD mutation-, 12 behavioral mild cognitive impairment [MCI] mutation+, 98 asymptomatic mutation+, 140 asymptomatic mutation-). In a subset of 62 patients (20 bvFTD mutation+, 35 bvFTD mutation-, 7 MCI mutation+) who had at least 2 time points of T1-weighted images available on the same 3T scanner, we examined longitudinal changes in RSMS score over time and its correspondence to progressive gray matter atrophy. RSMS score showed a similar pattern in mutation carriers and noncarriers, with significant drops at each stage of progression from asymptomatic to very mild, mild, moderate, and severe disease (F 4,48 = 140.10, p < 0.001) and a significant slope of decline over time in patients with bvFTD (p = 0.004, 95% confidence interval [CI] -1.90 to -0.23). More rapid declines on the RSMS corresponded to faster gray matter atrophy predominantly in the salience network (SN), and RSMS score progression best predicted thalamic volume in very mild and mild disease stages of bvFTD. Higher RSMS score predicted more caregiver burden (p < 0.001, 95% CI -0.30 to -0.11). The RSMS is sensitive to progression of both socioemotional symptoms and SN atrophy in patients with bvFTD and corresponds directly to caregiver burden. The RSMS may be useful in both neurologic practice and clinical trials aiming to treat behavioral symptoms of patients with bvFTD.

Association Between Social Cognition Changes and Resting State Functional Connectivity in Frontotemporal Dementia, Alzheimer's Disease, Parkinson's Disease, and Healthy Controls.

ObjectiveTo determine the relationship between alterations in resting state functional connectivity and social cognition dysfunction among patients with frontotemporal dementia (FTD), Alzheimer’s disease (AD), Parkinson’s disease (PD), and healthy controls (HC).MethodsFifty-seven participants (FTD = 10, AD = 18, PD = 19, and HC = 10) underwent structural and functional imaging and completed the Awareness of Social Inference Test-Emotion Evaluation Test (TASIT-EET), Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scale, Revised Self-Monitoring Scale (RSMS), Interpersonal Reactivity Index (IRI), and Social Norms Questionnaire (SNQ). A multi-variate pattern analysis (MVPA) was carried out to determine activation differences between the groups. The clusters from the MVPA were used as seeds for the ROI-to-voxel analysis. Relationship between social cognition deficits and uncinate integrity was also investigated.ResultsBOLD signal activation differed among the four groups of AD, PD, FTD, and HC in the left inferior temporal gyrus-anterior division [L-ITG (ant)], right central opercular cortex (R-COp), right supramarginal gyrus, posterior division (R-SMG, post), right angular gyrus (R-AG), and R-ITG. The BOLD co-activation of the L-ITG (ant) with bilateral frontal pole (FP) and paracingulate gyrus was positively associated with IRI-perspective taking (PT) (r = 0.38, p = 0.007), SNQ total (r = 0.37, p = 0.009), and TASIT-EET (r = 0.47, p < 0.001).ConclusionPatients with neurodegenerative diseases showed alterations in connectivity in brain regions important for social cognition compared with HCs. Functional connectivity correlated with performance on social cognition tasks and alterations could be responsible for some of the social cognition deficits observed in all neurodegenerative diseases.

The Neural Correlates of Impaired Self-Monitoring Among Individuals With Neurodegenerative Dementias.

Self-monitoring is a crucial component of human empathy and necessary for the formation and repair of social relations. Several studies have brought to light possible neuronal substrates associated with self-monitoring, but the information that they have provided is inconclusive. The authors, therefore, studied a large group of patients with dementia to assess what brain structures are necessary for the self-monitoring function.Methods: Seventy-seven patients with dementia of various types were screened using voxel-based morphometry to assess possible volume reduction in the brain structures of patients with self-monitoring problems, and the decrease of socioemotional expressiveness and modification of self-presentation was estimated using the Revised Self-Monitoring Scale. Regression analysis was employed to investigate the correlation between gray matter loss and deficient self-monitoring.Results: The socioemotional expressiveness scores were associated with decreased gray matter volume in the right olfactory cortex, inferior frontal gyrus, superior temporal pole, parahippocampal gyrus, insula, and medial temporal gyrus bilaterally. Self-presentation scores were associated with bilateral gray matter volume reduction in the olfactory cortex, insula, rectus gyrus and inferior frontal gyrus, right superior temporal pole, and parahippocampal gyrus, as well as the left medial temporal gyrus and anterior superior frontal gyrus.Conclusions: These results suggest that patients with dementia present decreased ability of self-monitoring, probably due to impaired insula and orbitofrontal cortex and their disconnection from structures of the salience network.

A new structural mode of emotional empathy: relationship of emotional comparison, ‎perspective taking, Feminine trait, emotion regulation and self-monitoring with emotional ‎empathy of students

Background: Emotional empathy is defined as one of the basic concepts in social perception. The present ‎study aimed at presenting a new model of emotional empathy, determining structural relation of ‎perspective taking, emotional comparison, Feminine traits, self-monitoring, and emotion ‎regulation with emotional empathy of the students. ‎ Methods: In this study, 503 students of Tabriz University were evaluated using Balance Emotional ‎Empathy Scale (BEES), Interpersonal Reaction Inventory (IRI), Cognitive Emotion Regulation ‎Questionnaire (CERQ), Mindfulness Attention Awareness Scale (MAAS), Bem Sex Role ‎Inventory (BSRI), revised Self-Monitoring scale (RSMS), Emotional Comparing Scale (ECS). ‎Fitness indexes of the structural model of emotional empathy were determined using ‎LISREL.8.54 software. ‎ Results: Mean age of the subjects was 21.53±2.41. There was a direct structural relationship between ‎emotional empathy and feminine traits, emotional comparison, perspective taking, adjusted ‎emotion regulation, and unadjusted cognitive emotion regulation, respectively. There is an ‎indirect relationship between emotional empathy and sensitivity to the expressive behavior of ‎others (CFI=0.89, IFI=0.90, RMSEA=0.053). ‎ Conclusion: According to this preliminary study, constructs of emotional comparison, sensitivity to the ‎expressive behavior of others, and emotion regulation play a significant role in emotional ‎empathy or emotional perception. The significance of social comparison was discussed in the ‎model of emotional empathy.‎

Individual differences in socioemotional sensitivity are an index of salience network function

Connectivity in intrinsically connected networks (ICNs) may predict individual differences in cognition and behavior. The drastic alterations in socioemotional awareness of patients with behavioral variant frontotemporal dementia (bvFTD) are presumed to arise from changes in one such ICN, the salience network (SN). We examined how individual differences in SN connectivity are reflected in overt social behavior in healthy individuals and patients, both to provide neuroscientific insight into this key brain–behavior relationship, and to provide a practical tool to diagnose patients with early bvFTD. We measured SN functional connectivity and socioemotional sensitivity in 65 healthy older adults and 103 patients in the earliest stage [Clinical Dementia Rating (CDR) Scale score ≤1] of five neurodegenerative diseases [14 bvFTD, 29 Alzheimer's disease (AD), 20 progressive supranuclear palsy (PSP), 21 semantic variant primary progressive aphasia (svPPA), and 19 non-fluent variant primary progressive aphasia (nfvPPA)]. All participants underwent resting-state functional imaging and an informant described their responsiveness to subtle emotional expressions using the Revised Self-Monitoring Scale (RSMS). Higher functional connectivity in the SN, predominantly between the right anterior insula (AI) and both “hub” cortical and “interoceptive” subcortical nodes, predicted socioemotional sensitivity among healthy individuals, showing that socioemotional sensitivity is a behavioral marker of SN function, and particularly of right AI functional connectivity. The continuity of this relationship in both healthy and neurologically affected individuals highlights the role of socioemotional sensitivity as an early diagnostic marker of SN connectivity. Clinically, this is particularly important for identification of patients in the earliest stage of bvFTD, where the SN is selectively vulnerable.

Reduced emotional sensitivity and responsiveness measured by the Revised Self-Monitoring Scale is a behavioral marker of early salience network dysfunction in neurodegenerative disease (S35.005)

Reduced emotional sensitivity and responsiveness measured by the Revised Self-Monitoring Scale is a behavioral marker of early salience network dysfunction in neurodegenerative disease (S35.005)

Deconstructing empathy: Neuroanatomical dissociations between affect sharing and prosocial motivation using a patient lesion model

Affect sharing and prosocial motivation are integral parts of empathy that are conceptually and mechanistically distinct. We used a neurodegenerative disease (NDG) lesion model to examine the neural correlates of these two aspects of real-world empathic responding. The study enrolled 275 participants, including 44 healthy older controls and 231 patients diagnosed with one of five neurodegenerative diseases (75 Alzheimer's disease, 58 behavioral variant frontotemporal dementia (bvFTD), 42 semantic variant primary progressive aphasia (svPPA), 28 progressive supranuclear palsy, and 28 non-fluent variant primary progressive aphasia (nfvPPA). Informants completed the Revised Self-Monitoring Scale's Sensitivity to the Expressive Behavior of Others (RSMS-EX) subscale and the Interpersonal Reactivity Index's Empathic Concern (IRI-EC) subscale describing the typical empathic behavior of the participants in daily life. Using regression modeling of the voxel based morphometry of T1 brain scans prepared using SPM8 DARTEL-based preprocessing, we isolated the variance independently contributed by the affect sharing and the prosocial motivation elements of empathy as differentially measured by the two scales. We found that the affect sharing component uniquely correlated with volume in right>left medial and lateral temporal lobe structures, including the amygdala and insula, that support emotion recognition, emotion generation, and emotional awareness. Prosocial motivation, in contrast, involved structures such as the nucleus accumbens (NaCC), caudate head, and inferior frontal gyrus (IFG), which suggests that an individual must maintain the capacity to experience reward, to resolve ambiguity, and to inhibit their own emotional experience in order to effectively engage in spontaneous altruism as a component of their empathic response to others.

Validity and Reliability of the Spanish Version of the Revised Self-Monitoring Scale.

Self-Monitoring (SM) is a concept that refers to individual differences in this orientation toward regulation of social behavior. The goal of the present research was to provide a Spanish adaptation of Snyder and Gangestad's (1986) Revised SM Scale. After conducting an initial pilot study, results showed that the Spanish version of the scale had good internal reliability and adequate factor structure. In Study 1, analyses support a unidimensional structure of the scale (χ2/df = 2.64; GFI = .97; IFI = .97; TLI = .96; RMSEA = .06). In Study 2, the scale showed discriminant validity from other individual differences measures, such as Need for Cognition (r = 0.12 p = 0.14), Social Desirability (r = 0.06, p > .45) and Extraversion (r = 0.28 p = .001). In Study 3, the scale showed adequate test-retest reliability (r = 0.71, p < .001). Finally, using a paradigm of attitude-behavior consistenty, Study 4 showed that the validated scale also had good predictive validity (B = -0.819, p = .035).

Appraising the duality of self-monitoring: Psychometric qualities of the Revised Self-Monitoring Scale and the Concern for Appropriateness Scale in French.

Revising Snyder’s (1974) original Self-Monitoring Scale, Lennox and Wolfe’s (1984) double-sided approach distinguishes two aspects of self-monitoring: (a) the active, high self-esteem, and extrovert side, measured by the Revised Self-Monitoring Scale (RSMS); and (b) the protective, low self-esteem and anxious side, measured by the Concern for Appropriateness Scale (CAS). This study aims at moving forward the assessment of self-monitoring by providing a valid French translation of these two scales. Six hundred and 34 participants were asked to complete the RSMS and the CAS, as well as other measures to assess construct validity. Distribution, scale score reliability, temporal stability, and factor structure were examined. Using a split-sample procedure, construct validity was also investigated, using several criteria (self-esteem, social desirability, extraversion, openness, trait anxiety, self-consciousness, gregariousness, straightforwardness), including new criteria that provide a more accurate definition of the two underlying constructs. The French RSMS and the French CAS replicate the psychometric properties of the other versions (Bachner-Melman, Bacon-Shnoor, Zohar, Elizur, & Ebstein, 2009; O’Cass, 2000) and appear to be psychometrically robust. Strengths, weaknesses, and potential uses of both scales are discussed.

Hypnotizability Is Associated With a Protective but Not Acquisitive Self-Presentation Style

Self-presentation refers to the behavioral strategies a person adopts to convey desired social images of oneself to other people. The Concern for Appropriateness Scale (CAS) measures a defensive and fearful social approach aimed at avoiding social threats whereas the Revised Self-Monitoring Scale (RSMS) measures an active and flexible social approach aimed at gaining power and status. In this study, a significant correlation was found between hypnotizability, as measured by the Stanford Hypnotic Susceptibility Scale, Form C (SHSS:C) scores and CAS (r = .43, p = .002) but not between hypnotizability and RSMS (r = .070, p = .631). These results suggest that a protective self-presentation style may incline certain individuals to cooperate with hypnotic suggestions.

The Psychometric Properties of the Revised Self-Monitoring Scale (RSMS) and the Concern for Appropriateness Scale (CAS) in Hebrew

We examined the factor structure, reliability, and construct validity of a Hebrew translation of Lennox and Wolfe’s Revised Self-Monitoring Scale (RSMS) and Concern for Appropriateness Scale (CAS) in a large Israeli population sample. A total of 1,294 individuals (1,010 females and 284 males), divided into two samples, completed the RSMS, the CAS, the Tridimensional Personality Questionnaire Harm Avoidance Scale, and the Rosenberg Self-Esteem Scale. With the exception of RSMS Item 12, the total and subscale structure of the English versions of the scales was replicated in both samples. Internal consistencies compared very favorably with those of the original scales. The CAS and the RSMS were moderately correlated yet appeared to be distinct, correlating as expected in opposite directions with harm avoidance and self-esteem. Confirmatory factor analysis justified the use of the RSMS and the CAS as separate scales with two subscales in each. Whereas the fit of our data to the RSMS was very good, the fit to the CAS was far less satisfactory, apparently because items tended to load onto both subscales. The Hebrew translation of the RSMS, and, to a lesser extent, that of the CAS, appear to be psychometrically sound instruments.

Self-Monitoring and Conformity: A Comparison of Self-Report and Behavioral Measures

This study investigated the role of self-monitoring in relation to self-reported and behavioral conformity. Ninety-three female undergraduate students enrolled in an introductory to psychology course were administered a questionnaire packet consisting of the Lennox and Wolfe Revised Self-Monitoring Scale (RSMS), a self-reported measure of conformity, and a series of vignettes, both designed by the authors. A tertiary split was performed to yield groups of high and low selfmonitors, resulting in 31 participants for a behavioral measure of conformity. For the behavioral measure, which took place approximately six weeks after the initial questionnaire, each participant and three confederates were given six decision-making vignettes, three of which were included in the initial questionnaire. The confederates answered uniformly on the previously seen vignettes, opposite of what the participant had originally answered. Confederates split their answers on the “new” vignettes in order to disguise the purpose of the study. The behavioral conformity score was determined by the number of times the participant answered uniformly with the confederates despite their original answers. Findings suggest that there is a significant relationship between self-monitoring and behavioral conformity. No significant relationship exists between selfmonitoring and self-reported conformity. Additional studies should be conducted using larger, gender balanced, and more ethnically diverse samples.