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People have the basic need to experiment control over the most important aspects of their environment. Even though the Sense of Control Scale is one of the most used instruments to measure sense of control, its psychometric properties have not been thoroughly assessed in a Spanish-speaking context. This preregistered study adapts the Sense of Control Scale into Spanish. To achieve this, 605 adults (Mage = 33.09, SD = 14.18) filled out an online questionnaire containing the relevant measurements. Evidence of the structure of two first-order dimensions and a second-order dimension was obtained (CFI = .960; TLI = .949; RMSEA = .044; RMSR = .039). The measure showed measurement invariance across gender at the configural, metric, and scalar levels. The perceived constraints and personal mastery dimensions, as well as the overall score of the Spanish Sense of Control Scale (SP-SCS) showed good reliability. Moreover, lower levels of sense of control, whether considering scores on its two dimensions (i.e., perceived constraints and personal mastery) or the overall score, were indicative of worse subjective well-being (i.e., life satisfaction and happiness), greater psychological distress (i.e., anxiety, depression, and stress), and higher perceived financial threat. The findings of this study reveal that the SP-SCS is a promising instrument to assess sense of control in the Spanish-speaking population.
The Climate Change Anxiety Scale (CCAS), developed by Clayton and Karazsia (2020), assesses the negative emotional impact of climate change on well-being. However, its psychometric properties have not yet been sufficiently explored for Spanish spoken in Spain and Spanish culture. This research introduces the Spanish version of the CCAS (CCAS–S), examines its psychometric properties, and provides validity evidence supporting its intended purpose. Two studies were conducted: first, the original version of the CCAS was translated into Spanish using a committee approach to translation design; second, 806 participants completed the CCAS–S along with additional assessment instruments to gather validity evidence. The 13-item Spanish version showed adequate reliability and internal structure validity evidence for the two-dimensional model, aligning with theoretical expectations. Nevertheless, a refined 10-item version distinguishing metacognitive impairment, emotional distress, and functional interference dimensions optimized the scale’s intended purpose. The study discusses the conditions for using the CCAS–S measures and its practical implications.
We investigated the validity of the International Classification of Diseases 10th revision (ICD-10) (H53.2) diagnostic code for diplopia in the National Ambulatory Care Reporting Systems (NACRS) using a single-centre retrospective chart review study. The “gold-standard” definition was a blinded review of the abstracted chart by a neurology resident physician. Of the included 783 patients, 79 (10.1%) had diplopia as per the gold standard, while 51 (6.5%) had diplopia listed in NACRS. The specificity of the ICD-10 code was 96.9% (95% confidence interval 95.6–98.2), and sensitivity was 36.7% (26.1–47.3). The ICD-10 code for diplopia can reliably identify patients with true diplopia seen in the emergency departments.
Food habits vary across ethnic groups and geographical regions. However, validated dietary assessment tools accounting for such diversity remain limited. A semi-quantitative food frequency questionnaire (FFQ) was developed and validated to assess the habitual food intake of adolescents and adults across Malaysia. The 147-item FFQ was constructed using commonly consumed foods from five main ethnicities (Malay, Chinese, Indian, and Sabah and Sarawak indigenous groups) identified from national surveys. A cross-sectional validation study was conducted among purposively sampled healthy individuals aged 10–59 years from 16 administrative regions. Trained community nutritionists administered the FFQ to assess monthly intake, alongside a three-day dietary record and recall (3DRR) covering two weekdays and one weekend. Spearman’s correlation, Bland–Altman plots, and quartile cross-classification evaluated the agreement between the FFQ and 3DRR for energy, macronutrients, and selected micronutrients (Vitamin C, thiamine, calcium, and iron). Respondents (n = 361; 50.3% adults, 49.7% adolescents) were 50.4% female and represented five main ethnicities (range: 15.8–25.2%), with 60.4% from Peninsular Malaysia. Energy intake estimated by the FFQ (median: 2285 kcal) was significantly higher than by the 3DRR (median: 1785 kcal; Wilcoxon p < 0.001). Spearman’s correlation coefficients observed for energy (crude r = 0.31), and selected nutrients (energy-adjusted r range: 0.19–0.38), along with <10% of extreme quartile misclassification indicated acceptable ranking ability and agreement for most nutrients. Bland–Altman plots indicated no proportional bias for energy and macronutrients. In conclusion, the FFQ is a valid tool for assessing dietary intake within the multi-ethnic Malaysian population nationwide.
Black African women face disproportionately high rates of obesity, with prevalence reaching 37 % in the UK. These elevated rates significantly contribute to chronic non-communicable disease burdens, yet comprehensive dietary data for this group in the UK remain limited. Accurate dietary assessment is essential for identifying nutritional risks and guiding interventions, especially in ethnically diverse populations. Standard tools, including the European Prospective Investigation into Cancer and Nutrition (EPIC) FFQ, often lack cultural specificity and have not been adapted or validated for Black African populations in the UK. This study aimed to modify and validate a culturally tailored EPIC FFQ for dietary assessment among Black African adults in the UK. A cross-sectional study with 112 Black African women (BMI > 25 kg/m2) was conducted. The EPIC FFQ was adapted by including culturally relevant African foods, identified via literature review and three non-consecutive 24-h recalls using Intake24. Participants completed the modified FFQ, and nutrient intakes from both methods were compared using correlation analyses, adjusted for within-person variation. Bland–Altman plots and energy-adjusted correlations assessed agreement. The modified FFQ expanded to 141 food items and showed significant correlations with 24-h recalls for various nutrients. Crude correlation coefficients ranged from 0·21 (fibre) to 0·87 (protein); energy-adjusted values ranged from 0·19 to 0·86. De-attenuated correlations improved further. Bland–Altman plots showed systematic overestimation of intake, particularly protein and fibre, but good overall agreement. The adapted EPIC FFQ is a valid tool for dietary assessment in Black African adults, though overestimation occurred. Further validation using dietary biomarkers is recommended.
Chimeric antigen receptor (CAR) T-cell therapy represents a revolution in cancer immunotherapy. Currently, seven FDA-approved CAR T-cell therapies target hematological malignancies such as B-cell lymphoblastic leukemia (B-ALL), B-cell lymphoma, and multiple myeloma. More than 250 ongoing clinical trials are exploring its application in various cancers. This rapid progress highlights the urgent need for dynamic and reliable monitoring of CAR T cells. Multiparameter flow cytometry (MFC) plays a critical role in quality control during manufacturing and also enables the detection of live CAR T cells after infusion in tracking and quantifying CAR T cells in vivo. By incorporating disease markers, MFC also provides a fast and accurate tool in addressing clinical concerns of disease relapse versus CAR T-cell proliferations. This chapter provides an overview of CART construction, recent developments, and clinical applications, followed by the introduction and illustration of CAR T by MFC tests as Laboratory Development Tests (LDT). Of the latter, we focus on CAR-CD19, CAR-BCMA, and allogeneic CART assays and discuss reagent choice, assay set-up, validations, and applications.
While rapid four-compartment (4C) models have demonstrated cross-sectional validity in diverse populations, including athletes, their longitudinal validity remains unverified. This study aims to evaluate the longitudinal validity of utilising dual-energy X-ray absorptiometry (DXA)-derived estimates of body volume (BV) and bioelectrical impedance spectroscopy (BIS)-derived total body water (TBW) in rapid 4C models in athletes. Criterion 4C used DXA for bone mineral content, air displacement plethysmography for BV and 2H dilution for TBW. Analyses of longitudinal changes in fat mass (FM), in both kilograms and percentage, were performed in participants who experienced changes greater than 1 % (n 60) and in a subgroup exceeding the least significant change (1·97 kg, n 25). All alternative estimates underestimated changes relative to criterion 4C, with 4C TBWBIS providing the smaller mean difference (MD) (0·41 kg) and DXA the larger (0·94 kg). The MD for 4C BVSilvaTBWBIS and 4C BVHeymsfieldTBWBIS were 0·48 kg and 0·50 kg, respectively. Bland–Altman analyses showed wide limits of agreement (LOA) for all methods. Even the alternative with the smaller 95 % LOA had a wide LOA (4C TBWBIS: −2·9 %, 4·0 %, n 60). This investigation demonstrates that these rapid 4C models exhibit precision superior to or equivalent to DXA alone while offering reduced assessment times and broader accessibility than the criterion 4C. Regarding accuracy for evaluating changes over time, despite acceptable results at the group level, interpretation should be careful at the individual level.
The exploration proposed here is pursued through a complex, regional case study. Regional case studies enable delineating a portion of the world, with a consistent set of institutions and policies as well as geographical and material conditions that set the frame for people’s lives, and to identify the complex dynamics by which sociogenetic, microgenetic and ontogenetic transformation co-occur. This chapter presents how we approached, conceived and analysed this case study. To start with, I define my approach to ageing as a form of personal engagement, which progressively developed into a collaborative project. After showing the relevance of a regional case study for sociocultural psychology of the lifecourse, I present the fieldwork, the data collection, an overview of the participants and the main line of the analysis.
This study evaluated the psychometric properties of the Turkish version of the Comprehensive Emotional Eating Scale (CEES) and examined its associations with emotion regulation, cognitive control, cognitive flexibility and perceived stress in adults. A cross-sectional design was conducted with 1521 adults aged 18–74 years (68 % female). The CEES was adapted following standard cross-cultural guidelines, including translation, back-translation and approval by the original scale developer. Participants also completed the Emotional Appetite Questionnaire (EMAQ), Difficulties in Emotion Regulation Scale, Cognitive Control and Flexibility Questionnaire and Perceived Stress Scale. Confirmatory factor analysis (CFA) assessed construct validity, while internal consistency, convergent validity and multiple linear regression analyses explored predictors of emotional eating. CFA supported a four-factor structure representing Undereating – Positive Emotions, Undereating – Negative Emotions, Overeating – Positive Emotions and Overeating – Negative Emotions, with item loadings of 0·48–0·77; one item was removed due to low loading. Internal consistency was high (α = 0·88–0·91), and convergent validity was confirmed via EMAQ correlations. Multiple regression analyses indicated that greater difficulties in emotion regulation, higher perceived stress, lower cognitive control and flexibility, smoking, higher BMI and chronic disease significantly increased emotional eating. Women showed higher Undereating – Negative Emotion and total emotional eating scores, while smoking, higher BMI and chronic disease elevated scores on specific subscales. The Turkish CEES demonstrates robust psychometric properties and reliably captures multidimensional emotional eating in adults. Psychological and demographic factors increase emotional eating subscales and total scores, supporting the scale’s use in research and clinical settings in Türkiye.
This study provides evidence supporting the validity of the Psychologically Rich Life Questionnaire (PRLQ) in a large Spanish sample, comparing its 17-item and 12-item versions and various measures of well-being and distress. Both versions show high internal consistency and adequate fit, although some elements could be interpreted as favoring the 12-item version. Analyses revealed significant associations between PRLQ scores and sociodemographic factors, with higher scores observed among older individuals, those with higher levels of education, and those with higher incomes, although effect sizes were small. We found a consistent pattern of positive correlations with well-being variables (e.g., resilience and meaning in life) and negative correlations with distress measures (e.g., depression, anxiety, and loneliness). This study, for the first time in Spanish, presents information on a questionnaire that addresses a novel concept complementary to traditional views of hedonic and eudaimonic well-being. Limitations, including digital literacy disparities and potential cultural or age-related biases, are discussed. Future research should explore the cross-cultural equivalence of the PRLQ and its utility in longitudinal and predictive contexts.
Spiritual care is a core element of palliative care, addressing religious, spiritual and existential concerns and enhancing quality of life. In Finland, systematic assessment of patients’ spiritual needs is limited due to the lack of a validated instrument. This study aimed to develop and psychometrically validate the Spiritual Needs in Palliative Care (SNPC) questionnaire for Finnish palliative care patients.
Methods
A prospective, multi-phase validation study, included item generation, expert review, pilot testing, and psychometric evaluation. Content and construct validity, as internal consistency and Cronbach’s alpha values were assessed using explorative factor analysis (EFA). For convergent and divergent, validity Pearson’s correlations were calculated for Edmonton Symptom Scale (ESAS), WHO Performance Status Scale, and the Spiritual Well-being Questionnaire (EORTC QLQ-SWB32).
Results
The SNPC included 28 items covering existential, emotional, religious, and spiritual distress domains, with sections for importance and fulfillment of each need. A total of 116 patients (mean age 71 years; 61.2% female; 88.8% with cancer)), were recruited from 10 oncology and palliative care units across Finland. EFA supported an 8-factor structure – Communication and Preparation for Death; Meaning and Continuity; Emotional and Inner Peace; Artistic and Quiet Comfort; Religious Needs; Ritual Participation; Freedom from Guilt and Shame; Fear and Survival – explaining 71% of variance, with good reliability (Cronbach’s α = 0.63–0.93). The most important needs were safety in care, peace of mind, and participation in care decisions, while religious rituals and visits by clergy were less important. Significant gaps emerged between perceived importance and fulfilment of needs, regarding being heard, hope, peace, and the presence of loved ones. Fulfilled spiritual needs correlated well with SWB32 but not with ESAS.
Significance of results
The SNPC is a valid and reliable instrument for assessing the spiritual needs of Finnish palliative care patients. It could support systematic identification of unmet spiritual needs of palliative care patients.
Second language (L2) pronunciation research has measured speech comprehensibility by asking listeners to assess L2 learners’ speaking performance with rating scales. While some studies have provided validity evidence for these rating scales, few studies have examined the extent to which those scales effectively distinguish among L2 speakers. To fill this gap, the present study examines the 9-point scale used in Saito et al. (2020: Annual Review of Applied Linguistics, 40, 9–25.) and the 100-point scale in Huensch and Nagle (2023: Studies in Second Language Acquisition, 45(2), 571–585.) from a Rasch measurement perspective and showcases post hoc score category collapsing as a potential countermeasure against suboptimal rating scale functioning. Findings suggested that different score categories represented the same ability level and were therefore interchangeable. Collapsing these score categories yielded shorter but more functional scales without compromising the psychometric qualities of the original scales. These findings suggest that researchers need to empirically refine their scale lengths rather than uncritically following their conventional measurement practices.
Cancer patients may suffer negative consequences; however, they also report positive aspects of psychological adjustment, such as posttraumatic growth. One of the most widely used instruments for measuring this is the Posttraumatic Growth Inventory (PTGI).
Objectives
Cross-cultural adaptation and Mexican validation of the PTGI-X in the palliative oncology population.
Methods
A prospective cross-sectional study was conducted in 2 phases: the first involved translation and cross-cultural adaptation (expert judgment/piloting), and the second involved validation of the scale. In the latter, the sample comprised 236 advanced-stage oncology patients, and the following analyses were performed: 1) items under the classical test theory, 2) discrimination and internal consistency indices, 3) confirmatory factor analysis, and 4) convergent and divergent validity.
Results
Discrimination coefficients (pBis) ranging from 0.32 to 0.72 were obtained from the translated and adapted version. Cronbach’s alpha was 0.94. The 5-factor theoretical model was assumed; the confirmatory factor analysis yielded a scaled χ2 of 749.01 (df = 265; χ2/df = 2.83), CFI = 0.93, TLI = 0.93, RMSEA = 0.088, and SRMR = 0.065. Bivariate correlations were employed, showing moderate positive associations between the scale factors (r = 0.60 and 0.79) and low-magnitude positive correlations between the factors of posttraumatic growth and perception of quality of life (r = 0.14 and 0.18).
Significance of results
The PTGI-X-Mx showed satisfactory psychometric properties in patients with advanced oncological disease receiving palliative care.
Al-Hoorie, Hiver, and In’nami (2024) challenged the validity and corresponding validation processes of L2 Motivational Self System (L2MSS) research. A component of this challenge included claims of weak discriminant validity due to high correlations among L2MSS constructs. Papi and Teimouri (2024) countered by using semi-partial correlations to control for other L2MSS constructs, finding weak-to-moderate associations, which they claimed mollified potential discriminant validity concerns. In this methods-oriented response paper, we present a historical case that semi-partial correlations should be viewed within the context of multiple regression analysis, not as a standalone bivariate metric. Challenging Papi and Teimouri’s approach, we suggest that their method does not adequately address discriminant validity issues. Furthermore, when their semi-partial correlations are treated as multiple regression models, Al-Hoorie et al.’s concerns remain valid. Finally, we demonstrate that L2MSS literature does not support the assignment of outcome and predictor variables in Papi and Teimouri’s semi-partial correlations when correctly considered as multiple regression models.
Citizens’ opinions about politicians are shaped by their perceptions of politicians’ personalities, characters, and traits. While prior research has investigated the traits voters value in politicians, less attention has been given to the traits politicians project in their public communication. This may stem from challenges in defining politicians’ public personality traits and measuring them at scale using computational text analysis. To address this challenge, we propose a computational approach that builds on public statements (personality cues) to infer politicians’ personalities from textual data. To do so, we operationalize two key political traits—agency and communion—using a theory-driven, domain-specific framework. We then compare various computational text analysis methods for extracting these traits from a large corpus of politicians’ parliamentary speeches, social media posts, and interviews. We validate our approach using a comprehensive set of human-labeled data, functional tests, and analyses of how prominently personality traits appear in the statements of German politicians and in the 2024 U.S. presidential debate between Donald Trump and Kamala Harris. Our findings indicate that prompting based techniques, particularly those leveraging advanced models such as DeepSeek-V3, outperform supervised and semisupervised methods. These results point to promising directions for advancing political psychology.
The Virtual Reality Functional Capacity Assessment Tool (VRFCAT) is a performance-based measure developed to assess functional capacity through simulations of daily activities. This study examined its psychometric properties in a Spanish sample, including individuals with first-episode psychosis (FEP), schizophrenia, and healthy controls.
Methods
A total of 370 participants (99 FEP, 116 schizophrenia, and 155 controls) completed the VRFCAT in a multicenter study. Internal consistency (McDonald’s omega), discriminative validity (group comparisons and ROC curves), and convergent validity via correlations with cognitive performance and clinical symptoms were examined. Reference percentiles were calculated from the healthy control sample using quantile regression, stratified by age and education.
Results
Item-level VRFCAT completion times showed acceptable to good internal consistency overall and in controls and schizophrenia samples, but poor in FEP. Differences in VRFCAT performance emerged (χ2 = 108.88, p < .001), with controls performing best, schizophrenia worst, and FEP in between. ROC analyses indicated good discriminative accuracy in distinguishing patients from controls (area under the curve [AUC] = 0.779, sensitivity = 80.0%, specificity = 64.2%); but limited discrimination between schizophrenia and FEP. Age and education, but not sex, significantly affected performance. VRFCAT showed small-to-moderate correlations with cognitive performance, and no significant associations with symptom severity.
Conclusions
The VRFCAT is a reliable and valid tool for assessing functional capacity in Spanish-speaking individuals with psychotic disorders. Its ecological validity, objectivity, psychometric properties, brief administration time, and ease of use support its potential use in clinical and research settings for evaluating functional recovery and treatment outcomes.
Choose the type of multivariable model based on the type of outcome variable you have. Perform univariate statistics to understand the distribution of your independent and outcome variables. Perform bivariate analysis of your independent variables. Run a correlation matrix to understand how your independent variables are related to another. Assess your missing data. Perform your analysis and assess how well your model fits the data. Assess the strength of your individual covariates in estimating outcome. Use regression diagnostics to assess the underlying assumptions of your model. Perform sensitivity analyses to assess the robustness of your findings and consider whether it would be possible to validate your model. Publish your work and soak up the glory.
A valid model is one whether the inferences drawn from it are true. Many factors can threaten the validity of a model including imprecise or inaccurate measurements, bias in study design or in sampling, and misspecification of the model itself.
A key way to validate a model is to replicate the findings with new data. The best method of replication is collecting new data. However, when that is not possible, it is possible to perform a replicate by dividing the sample using a split-group, jackknife, or bootstrap method. Of these 3 methods, split-group is the strongest but requires a dataset large enough to split your sample. A bootstrap is the weakest method of replication, but produces more valid confidence intervals than a simple model.
This study aimed to translate, culturally adapt, and validate the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Colorectal Cancer for Serbian patients.
Methods
The prospective cohort study was conducted at the Clinic for Digestive Surgery, University Clinical Center of Serbia, and included 150 Serbian-speaking colorectal adenocarcinoma patients undergoing colorectal surgery. The translation process involved rigorous forward and backward translations, pilot testing with patients, and statistical analysis for psychometric validation, including internal consistency, reliability, convergent and discriminant validity, concurrent validity, and known-groups validity.
Results
Results showed good internal consistency across most scales (Cronbach’s alpha values ranging from 0.769 to 0.855), with excellent split-half reliability (0.872). Convergent and discriminant validity analyses confirmed the questionnaire’s capacity to measure constructs it was theoretically related. The significant correlations were observed between corresponding scales and items of EORTC QLQ-C30 and EORTC QLQ-CR29 questionnaires. Known-groups analysis demonstrated the tool’s ability to distinguish between patient groups based on tumor location, stoma presence, and neoadjuvant therapy.
Significance of results
The Serbian version of the EORTC QLQ-CR29 is a reliable and valid instrument for assessing the quality of life in Serbian colorectal cancer patients, reflecting its potential for widespread clinical application.