Psychometric Properties of a DSM-5-Based Screening Tool for Women's Perceptions of Premenstrual Symptoms

2021 ◽  
pp. 003329412097969
Author(s):  
Meghan A. Richards ◽  
Kirsten A. Oinonen
Keyword(s):  
Psychometric Properties ◽  
Screening Tool ◽  
Physical Symptoms ◽  
Premenstrual Symptom ◽  
Future Research ◽  
Premenstrual Symptoms ◽  
Screening Measure ◽  
Dsm 5 ◽  
Symptom Screening ◽  
Women’S Perceptions

A premenstrual screening tool is needed when time constraints and attrition limit the feasibility of daily ratings. The present study examines the utility of a novel, 33-item, retrospective, dimensional, DSM-5-based, screening measure developed to explore women’s perceptions of premenstrual symptomatology. This is the first measure that examines perception of impairment for each DSM-5 symptom and assesses the frequency criterion. Participants (N = 331) reported symptoms ranging from none to a level consistent with a provisional DSM-5 diagnosis of Premenstrual Dysphoric Disorder (PMDD). Initial psychometric properties indicated a five-factor structure: (1) affective symptoms; (2) fatigue, sleep, and anhedonia; (3) symptom frequency; (4) impairment and severity of appetite change and physical symptoms; and (5) difficulty concentrating. The total symptom scale and the frequency, severity, and impairment subscales demonstrated high internal consistency. Strong correlations between this dimensional measure and other retrospective and prospective premenstrual symptom measures suggest strong convergent, concurrent, and predictive validity. Premenstrual symptom groups created using this screening measure (minimal, mild/moderate, severe) differed on other retrospective and prospective measures of premenstrual symptoms. There was evidence of divergent validity and lack of an acquiescence bias. We also report data describing women’s perceptions of the frequency, level of impairment, and level of severity for each DSM-5 PMDD symptom over a 12-month period and discuss implications for future research on premenstrual phenomenology. Initial evidence for the reliability and construct validity of this symptom screening measure suggests potential value for assessing premenstrual symptomatology in research and practice.

scholarly journals The Psychometric Properties of the Bangla Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): A Large-scale Validation Study

2021 ◽  
Author(s):  
Md. Saiful Islam ◽  
Most. Zannatul Ferdous ◽  
Md. Safaet Hossain Sujan ◽  
Rafia Tasnim ◽  
Jakir Hossain Bhuiyan Masud ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Psychometric Properties ◽  
Posttraumatic Stress ◽  
Hybrid Model ◽  
Large Scale ◽  
Screening Tool ◽  
Stress Disorder ◽  
Depression Scale ◽  
Dsm 5 ◽  
Confirmatory Factor

Abstract Background: The Posttraumatic Stress Disorder Checklist (PCL-5) is the most widely used screening tool in assessing posttraumatic stress disorder symptoms, based on the Diagnostic and Statistical Manual of Mental disorders (DSM-5) criteria. This study aimed to evaluate the psychometric properties of the newly translated Bangla PCL-5. Methods: A cross-sectional survey was carried out among 10,605 individuals (61.0% male; mean age: 23.6±5.5 [13-71 years]) during May and June 2020, several months after the onset of the COVID-19 outbreak in Bangladesh. The survey included Bangla PCL-5 and PHQ-9 depression scale. We used confirmatory factor analysis to test the four-factor DSM-5 model, the six-factor Anhedonia model, and the seven-factor Hybrid model. Results: Bangla PCL-5 displayed adequate internal consistency (Cronbach’s alpha = 0.90). The Bangla PCL-5 score was significantly correlated with scores of the PHQ-9 depression scale. Confirmatory factor analyses indicated the models had a good fit to the data, including the four-factor DSM-5 model, the six-factor Anhedonia model, and the seven-factor Hybrid model.Conclusions: The Bangla PCL-5 appears to be a valid and reliable psychometric screening tool that may be employed in the prospective evaluation of posttraumatic stress disorder in Bangladesh.

scholarly journals Prevalence of Premenstrual Symptoms and Symptom Severity among Female Medical Students - An Institutional Study

2021 ◽  
Vol 8 (01) ◽  
pp. 33-36
Author(s):  
Neelam Banga ◽  
Gagandeep Kaur ◽  
Gunjeet Singh Sandhu ◽  
Sukhwinder Singh ◽  
Avneesh Kumar
Keyword(s):  
Medical Students ◽  
Premenstrual Syndrome ◽  
Psychological Symptoms ◽  
Physical Symptoms ◽  
Premenstrual Symptom ◽  
Premenstrual Symptoms ◽  
Medical College ◽  
Daily Record ◽  
Menstrual Distress ◽  
Severe Degree

BACKGROUND Premenstrual symptoms are generally seen 7 - 10 days before the menstruation period and are collectively called as premenstrual syndrome. Dysmenorrhea is the most common premenstrual symptom that affects the lifestyle and activity of young women. This study was aimed at estimating the prevalence of premenstrual symptoms and its severity in female medical student population of Government Medical college, Patiala, Punjab. METHODS 500 female medical students aged between 18 - 28 years were included in the study. Female students were asked to fill preformed questionnaire to elicit gynaecological information as well as the 4-point grading scale menstrual distress questionnaires. Symptoms were divided into two groups: physical symptoms and behavioural / psychological symptoms. RESULTS Only 30.24 % of the students reported one or more symptoms; of these, 22.76 % were having mild, 5.6 % moderate and 1.87 % severe degree of symptoms. From physical and behavioural / psychological symptoms, it was noticed that behavioural / psychological symptoms predominate. Among physical symptoms, breast tenderness is experienced most followed by bloating, and weight gain during premenstrual phase. Among psychological / behavioural symptoms, irritability predominates followed by restlessness & mood swings. CONCLUSIONS Diagnosis is best achieved through daily rating symptoms over at least one menstrual cycle; clinicians can ask patients to choose their worst symptoms and chart the severity daily, or can select a validated scale such as the Daily Record of Severity of Problems. Disappearance of symptoms after menstruation is the key to diagnosis. KEYWORDS Premenstrual Syndrome, Depressive Disorder, Prevalence, Dysmenorrhea

scholarly journals A study of impact of stress: examinations on menstrual cycle among medical students

2019 ◽  
Vol 7 (12) ◽  
pp. 4703 ◽  
Author(s):  
Anant Kumar Rathi ◽  
Megha Agrawal ◽  
Girish Chandra Baniya
Keyword(s):  
Medical Students ◽  
Menstrual Cycle ◽  
Perceived Stress ◽  
Adolescent Girls ◽  
Premenstrual Syndrome ◽  
Premenstrual Symptom ◽  
Premenstrual Symptoms ◽  
Dsm 5 ◽  
Exam Stress ◽  
Moderate Stress

Background: Premenstrual Syndrome (PMS), a common problem among adolescent girls, is associated with various physical, mental and behavioral symptoms that lead to social and occupational impairment. Stress has also been hypothesized to be an important etiologic factor. Examination stress may also be responsible for affecting the premenstrual symptoms. The objectives of this study was to study the impact of exam stress on the menstrual cycle and the relationship of perceived stress with the severity of premenstrual symptoms. Methods: This was a cross-sectional observational study conducted among female medical students of final MBBS, who were candidate of upcoming exams. They were assessed on semi structured socio-demographic and menstrual history proforma, ACOG guidelines, DSM-5 criteria, Perceived Stress Scale (PSS) and Premenstrual Symptom Screening Tool (PSST).Results: As per ACOG guidelines, 66% participants had PMS and 6% participants had PMDD according to DSM-5 criteria. On PSST total 88% participants had premenstrual symptoms and out of them 58% had mild/no PMS while 30% had moderate to severe PMS. 5% participants also fulfilled criteria for PMDD on PSST. Stress was found to be mild in 26% and moderate in 74% participants on PSS. PMS was found in 93.75% participants who had painful menstruation (dysmenorrhea) and this association was statistically significant. Data wise 73.1% participants having mild stress had PMS, while 93.2% participants having moderate stress, had PMS and this association was found to be statistically significant.  Surprisingly not a single participant consulted to any health care provider for their menstruation related problems.Conclusions: Premenstrual Syndrome is common in adolescent girls and exam stress is an important etiological factor. PMS/PMDD was found significantly higher in participants who had dysmenorrhea and moderate stress. A positive and highly significant correlation was also found between the severity of stress and severity of premenstrual symptoms.

scholarly journals Effect of consumption of soy isoflavones on behavioural, somatic and affective symptoms in women with premenstrual syndrome

2005 ◽  
Vol 93 (5) ◽  
pp. 731-739 ◽  
Author(s):  
M. Bryant ◽  
A. Cassidy ◽  
C. Hill ◽  
Jonathan Powell ◽  
Duncan Talbot ◽  
...  
Keyword(s):  
Premenstrual Syndrome ◽  
Milk Protein ◽  
Placebo Treatment ◽  
Physical Symptoms ◽  
Pharmacological Therapy ◽  
Soy Isoflavones ◽  
Premenstrual Symptom ◽  
Double Blind ◽  
Premenstrual Symptoms ◽  
Female Population

Up to 80 % of the Western female population experience premenstrual syndrome (PMS). Long-term pharmacological therapy is unacceptable to most women, and is not warranted for moderate symptoms. Nutritional therapies are popular, but lack a clear evidence base. Anecdotal evidence suggests beneficial effects of soy isoflavones because of their influence on endogenous oestrogen and actions on specific tissues. The effect of isolated soya protein (ISP) containing 68 mg/d (aglycone equivalents) soy isoflavones (IF) on premenstrual symptom severity was studied in a seven-menstrual cycle, double-blind, placebo-controlled, crossover intervention study in twenty-three women with prospectively confirmed PMS aged 18–35 years and BMI 19–30 kg/m2. ISP containing IF or milk protein placebo was consumed for two complete menstrual cycles. ISP containing IF (genistein, daidzein, equol) were measured in 24 h urine samples. After two cycles of ISP containing IF intervention, total symptoms (F(2,36)8·20,P=0·000) and physical symptoms (F(2,36)8·18,P=0·000) were significantly reduced compared with baseline after both active and placebo treatments, although differences between active and placebo treatment were non-significant. Specific premenstrual symptoms, headache (F(2,32)4·10,P=0·026) and breast tenderness (F(2,32)4·59,P=0·018), were reduced from baseline after soy IF, but not milk protein placebo. Cramps (F(2,32)4·15,P=0·025) and swelling (F(2,32)4·64,P=0·017) were significantly lower after active treatment compared with placebo. Concentrations of genistein and daidzein were increased following soy IF consumption, but equol production did not enhance symptom reduction. The present study showed that ISP containing IF may have potential to reduce specific premenstrual symptoms via non-classical actions.

Brief Form of the Social Phobia and Anxiety Inventory (SPAI-B) for Adolescents

2008 ◽  
Vol 24 (3) ◽  
pp. 150-156 ◽  
Author(s):  
Luis Joaquin Garcia-Lopez ◽  
Maria D. Hidalgo ◽  
Deborah C. Beidel ◽  
Jose Olivares ◽  
Samuel Turner†
Keyword(s):  
Social Phobia ◽  
Psychometric Properties ◽  
Common Mental Disorders ◽  
Somatic Symptoms ◽  
Future Research ◽  
Assessment Instruments ◽  
Age Group ◽  
Screening Measure ◽  
The Social ◽  
Valid Assessment

Although social phobia is one of the most common mental disorders in adolescents, there are few reliable and valid assessment instruments for this age group. This study examined the factor structure and psychometric properties of a brief version of the Social Phobia and Anxiety Inventory (SPAI; Turner, Beidel, Dancu, & Stanley, 1989 ) in a sample of adolescents. Although the original 45-item SPAI has excellent psychometric properties, its utility is limited by its length. We developed and piloted a brief, 16-item version of the SPAI that has good psychometric properties, assesses cognitive, behavioral, and somatic symptoms, consistent with the original scale, which may be particularly useful as a screening measure. Limitations and suggestions for future research are discussed.

Premenstrual dysphoric disorder

2021 ◽  
pp. 175573802199041
Author(s):  
Akhtar Khan ◽  
Michael Hardway ◽  
Kinza Younas
Keyword(s):  
Quality Of Life ◽  
Premenstrual Dysphoric Disorder ◽  
Educational Status ◽  
Physical Symptoms ◽  
Premenstrual Symptoms ◽  
Menstrual Cycles ◽  
Dsm 5 ◽  
Mood Changes ◽  
Criteria For Diagnosis

An estimated 8-out-of-10 women experience physiological premenstrual symptoms, 3–30% of these women suffer with symptoms of premenstrual syndrome (PMS) that interfere with daily life, with 1–10% of women suffering from severe PMS symptoms meeting the DSM-5 criteria for diagnosis of premenstrual dysphoric disorder (PMDD). PMDD can be considered a subdivision of PMS and is a combination of psychological, behavioural and physical symptoms that can vary in intensity and presents cyclically during the luteal phase of ovulatory menstrual cycles. The diagnosis of PMDD and PMS depends on the timing of symptoms, the severity of symptoms and their impact on quality of life. Physiological symptoms (feeling bloated, headache, acne, mood changes and constipation) that do not impact on daily activities and quality of life are considered to be physiological premenstrual symptoms rather than PMS. There is no association with age, educational status or employment for PMS or PMDD.

scholarly journals Development of a Clinic Screening Tool to Identify Burdensome Health-Related Issues Affecting People Living With HIV in Spain

2021 ◽  
Vol 12 ◽  
Author(s):  
Maria José Fuster-RuizdeApodaca ◽  
Kelly Safreed-Harmon ◽  
Marta Pastor de la Cal ◽  
Ana Laguia ◽  
Denise Naniche ◽  
...  
Keyword(s):  
Pilot Study ◽  
Literature Review ◽  
Psychometric Properties ◽  
Emotional Distress ◽  
Screening Tool ◽  
Clinical Care ◽  
Physical Symptoms ◽  
People Living With Hiv ◽  
Health Related ◽  
Living With Hiv

BackgroundNumerous health-related issues continue to undermine the health and health-related quality of life (HRQoL) of people living with HIV (PLHIV). We developed a clinic screening tool (CST-HIV) for the purpose of identifying these issues in routine specialist clinical care in Spain.MethodsWe used the following established instrument development procedures: (1) a literature review; (2) four focus group discussions (FGDs), two that convened 16 expert HIV care providers, and two that convened 15 PLHIV; (3) prioritisation, selection and definition of constructs (health-related issues) to include in the CST-HIV and drafting of initial item pool; and (4) a pilot study to analyse psychometric properties and validity of items and to determine which to retain in the final CST-HIV. The FGD interview scripts incorporated an exercise to prioritise the health-related issues perceived to have the greatest negative effect on HRQoL. The online questionnaire used for the pilot study included the pool of CST-HIV items and validated measures of each construct.ResultsWe identified 68 articles that reported on factors associated with the HRQoL of PLHIV. The most burdensome health-related issues identified in the FGDs related to stigma, socioeconomic vulnerability, sleep/fatigue, pain, body changes, emotional distress, and sexuality. Based on the literature review and FGD findings, we selected and defined the following constructs to include in the initial CST-HIV: anticipated stigma, emotional distress, sexuality, social support, material deprivation, sleep/fatigue, cognitive problems, and physical symptoms. Two researchers wrote six to eight items for each construct. Next, 18 experts rated 47 items based on their clarity, relevance, and representativeness. Pilot testing was carried out with 226 PLHIV in Spain. We retained 24 items based on empirical criteria that showed adequate psychometric properties. Confirmatory factor analysis confirmed the eight-factor structure with a good fit to the data (RMSEA = 0.035, AGFI = 0.97, CFI = 0.99). We found strong positive correlations between the instrument’s eight dimensions and validated measures of the same constructs. Likewise, we found negative associations between the dimensions of the CST-HIV and HRQoL.ConclusionThe CST-HIV is a promising tool for use in routine clinical care to efficiently identify and address health-related issues undermining the HRQoL of PLHIV.

Portuguese Version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Comparison of Latent Models and Other Psychometric Properties in a Sample of Fire Fighters

2019 ◽  
Author(s):  
Teresa Carvalho ◽  
Carolina da Motta ◽  
José Pinto Gouveia
Keyword(s):  
Psychometric Properties ◽  
Externalizing Behavior ◽  
Convergent Validity ◽  
Factor Model ◽  
Latent Structure ◽  
Ptsd Symptoms ◽  
Portuguese Version ◽  
Dsm 5 ◽  
Competing Models ◽  
Arousal Model

<p>The PCL (Weathers et al., 1993) is a useful and widely used measure to assess PTSD symptoms in clinical and research contexts, exhibiting adequate psychometric properties across its several versions and translations (e. g. Carvalho et al., 2015; Wilkins et al., 2011). The current study analyzed the psychometric properties (latent structure, internal consistency, temporal reliability, and convergent validity) of the Portuguese version of the PCL for the DSM-5 (PCL-5, Weathers et al., 2013) in a sample of firefighters. This study also aimed to contribute with empirical data to clarify the best latent structure of DSM-5 PTSD symptoms. Specifically, the DSM-5 four-factor model and other competing models for PTSD symptoms (four-factor Dysphoria model, five-factor Dysphoric Arousal model, six-factor Anhedonia model, six-factor Externalizing Behavior model, and seven-factor Hybrid model) applied to PCL-5 were analyzed and compared in this paper.<br></p>

The Colorado Cognitive Assessment (CoCA): Development of an Advanced Neuropsychological Screening Tool

2019 ◽  
Author(s):  
Ashita S. Gurnani ◽  
Shayne S.-H. Lin ◽  
Brandon E Gavett
Keyword(s):  
Construct Validity ◽  
Psychometric Properties ◽  
Cognitive Assessment ◽  
Screening Tool ◽  
Depression Scale ◽  
Internal Consistency Reliability ◽  
Screening Tests ◽  
Cognitive Screening ◽  
Analysis Model ◽  
Factor Analysis Model

Objective: The Colorado Cognitive Assessment (CoCA) was designed to improve upon existing screening tests in a number of ways, including enhanced psychometric properties and minimization of bias across diverse groups. This paper describes the initial validation study of the CoCA, which seeks to describe the test; demonstrate its construct validity; measurement invariance to age, education, sex, and mood symptoms; and compare it to the Montreal Cognitive Assessment (MoCA). Method: Participants included 151 older adults (MAge = 71.21, SD = 8.05) who were administered the CoCA, MoCA, Judgment test from the Neuropsychological Assessment Battery (NAB), 15-item version of the Geriatric Depression Scale (GDS-15), and 10-item version of the Geriatric Anxiety Scale (GAS-10). Results: A single factor confirmatory factor analysis model of the CoCA fit the data well, CFI = 0.955; RMSEA = 0.033. The CoCA’s internal consistency reliability was .84, compared to .74 for the MoCA. The CoCA had stronger disattenuated correlations with the MoCA (r = .79) and NAB Judgment (r = .47) and weaker correlations with the GDS-15 (r = -.36) and GAS-10 (r = -.15), supporting its construct validity. Finally, when analyzed using multiple indicators, multiple causes (MIMIC) modeling, the CoCA showed no evidence of measurement non-invariance, unlike the MoCA. Conclusions: These results provide initial evidence to suggest that the CoCA is a valid cognitive screening tool that offers numerous advantages over the MoCA, including superior psychometric properties and measurement non-invariance. Additional validation and normative studies are warranted.

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