Measuring scripted attachment-related knowledge in middle childhood: the Secure Base Script Test

Secure attachment is characterised by a secure base script regarding the attachment figure as a source for support. Having such a cognitive script should affect the stability of state attachment. Specifically, incongruent attachment-related information should get assimilated to this secure base script, leading to state attachment scores that hardly fluctuate. For children without a script, state attachment should vary depending on the quality of attachment-related interactions. Two diary studies were carried out in 9- to 13-year-old children. Results suggested that with assimilation: (1) securely attached children fluctuated less in their daily attachment-related appraisals; (2) fluctuations were related to conflicts with mother; (3) this relation was stronger for less securely attached children. Consequently, these studies further support the secure base script hypothesis and provide insight into the interplay of trait and state components of attachment-related appraisals.

To examine the relations between traditionally assessed early maladaptive schemas and the attachment-specific secure base script (a script-like representation of what individuals expect to happen when they face distress), to inform our understanding of beliefs about the self in relation to others. The present study took an ecologically driven approach, assessing knowledge of the secure base script from descriptions of current relationships. A cross-sectional design was used. One hundred forty-six undergraduate students, recruited as part of a larger study on adversity and self-concept, provided narrative descriptions of their current relationships. Narratives were coded for attachment-related 'secure base' content using a secure base script scale for relationship narratives. Early maladaptive schemas were assessed with the Young Schema Questionnaire, and attachment was additionally evaluated using the Experiences in Close Relationships questionnaire. Self-reported attachment avoidance and anxiety were related to secure base script content in theory-consistent ways. The extent to which participants described secure base script content was inversely associated with four out of five maladaptive schemas characterized most centrally by disconnection from others. Furthermore, these associations remained significant when controlling for self-reported attachment style. Self-reported attachment avoidance and anxiety also were related to maladaptive schemas in a predictable pattern. Results bridge cognitive and attachment theories, supporting the interrelatedness of secure base script knowledge assessed in current relationships, and schema-related content regarding connectedness with others. Better integration of theories regarding internal representations may serve to enrich psychotherapeutic formulation from a variety of clinical perspectives. Schema Therapy's (Young, Klosko, & Weishaar, 2003 , Schema therapy: A practitioner's guide. New York: Guilford Press) early maladaptive schemas, with themes of disconnection from others/in relationships, are related to the attachment construct of knowledge of a secure base script. Applying secure base script coding procedure to a relationship speech task provides a potentially valuable performance-based tool for evaluating important attachment related constructs in a brief, non-obtrusive format. Better understanding of how self-schema and attachment constructs are associated may be of benefit to case formulation for psychotherapeutic intervention.

A secure base script perspective on attachment: progress, promise, and prospects.

The secure-base phenomenon is central to the Bowlby/Ainsworth theory of attachment and is also central to the assessment of attachment across the lifespan. The present study tested whether mothers' knowledge about the secure-base phenomenon, as assessed using a recently designed wordlist prompt measure for eliciting attachment-relevant stories, would predict their children's securebase behavior, as assessed by observers in the home and summarized with the Attachment Q-set (AQS). In each of three sociocultural groups (from Colombia, Portugal, and the US), scores characterizing the quality of maternal secure-base narratives elicited using the word-list prompt procedure were internally consistent, as indicated by tests of cross-story reliability, and they were positively and significantly associated with the child's security score from the AQS for each subsample. The correlation in the combined sample was r(129) = .33, p < .001. Subsequent analyses with the combined sample evaluated the AQS item-correlates of the secure-base script score.These analyses showed that mothers whose stories indicate that they have access to and use a positive secure-base script in their story production have children who treat them as a “secure base” at home. These results suggest that a core feature of adult attachment models, in each of the three sociocultural groups studied, is access to a secure-base script. Additional results from the study indicate that cross-language translations of the maternal narratives can receive valid, reliable scores even when evaluated by non-native speakers.

Maternal secure base scripts predict child attachment security in an at-risk sample

among university faculty members in Türkiye. The present study seeks to construct and validate a robust measurement scale capturing the multidimensional nature of academic fatigue among academics or teachers. After constructing a preliminary item pool, the proposed scale was administered to 443 academics across Turkish higher education institutions to assess its factorial validity and reliability. First, a pilot study was conducted on the research data. The items were simplified, and exploratory and confirmatory factor analysis were performed. Construct, convergent, and discriminant validity and reliability tests were also performed on the data. The Academic Fatigue Scale consists of three subdimensions: Structural Problem Areas, Functional Problem Areas, and Managerial Problem Areas, with 28 statements. The study results demonstrate that the Academic Fatigue Scale is a measurement tool with high internal consistency, reliability, and construct validity, assessing academics’ or individuals’ perceptions of academic fatigue in the education profession.

The Clinician-Administered PTSD Scale (CAPS) is a widely used diagnostic interview for posttraumatic stress disorder (PTSD). Following fundamental modifications in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the CAPS had to be revised. This study examined the psychometric properties (internal consistency, interrater reliability, convergent and discriminant validity, and structural validity) of the German version of the CAPS-5 in a trauma-exposed sample (n = 223 with PTSD; n =51 without PTSD). The results demonstrated high internal consistency (αs = .65-.93) and high interrater reliability (ICCs = .81-.89). With regard to convergent and discriminant validity, we found high correlations between the CAPS severity score and both the Posttraumatic Diagnostic Scale sum score (r = .87) and the Beck Depression Inventory total score (r = .72). Regarding the underlying factor structure, the hybrid model demonstrated the best fit, followed by the anhedonia model. However, we encountered some nonpositive estimates for the correlations of the latent variables (factors) for both models. The model with the best fit without methodological problems was the externalizing behaviors model, but the results also supported the DSM-5 model. Overall, the results demonstrate that the German version of the CAPS-5 is a psychometrically sound measure.

Background:The inter-rater reliability of the craniocervical flexion test (CCFT) has not been established.Objective:To investigate the intra-rater and inter-rater reliabilities of the CCFT in asymptomatic subjects.Methods:Sixty asymptomatic subjects were randomly selected for the study. The CCFT was measured on each subject by two testers for inter-rater reliability and by one of the testers after a gap of seven days for the intra-rater reliability. Before testing, the participants were trained for the movement and compensations were corrected.Results:The CCFT has high inter-rater reliability (intra-class correlation coefficient 0.907, standard error of mean 0.735) and high intra-rater reliability (intra-class correlation coefficient 0.986, standard error of mean 0.287). A Bland & Altman limits of agreement analysis has confirmed the high inter- and intra-rater reliabilities of the test.Conclusion:The CCFT has high inter-rater and intra-rater reliabilities in asymptomatic subjects.

The reliability of the Wolf Motor Function Test for assessing upper extremity function after stroke

BackgroundThe English version of the Chedoke Arm and Hand Activity Inventory is a validated, upper-limb measure with the purpose of assessing functional recovery of the arm and hand after a stroke. A German translation and cross-cultural adaptation was recently produced and demonstrated high validity, inter-rater reliability and internal consistency. As a follow-up, the present study evaluated the intra-rater reliability and responsiveness of the CAHAI-G for the long and all shortened versions.MethodsThe CAHAI-G and the Action Research Arm Test were assessed on three different measurement events: upon entry (ME1), two to 3 days after entry (ME2), and after three to 4 weeks (ME3). For the intra-rater reliability analysis, the ME1 CAHAI assessments were recorded on video and rated by three therapists to obtain the intraclass coefficients (ICC). The data of all three MEs were analysed in a group of stroke inpatients for the evaluation of responsiveness. To test for responsiveness, the CAHAI-G change data were compared to concurrent instruments: The Global Rating of Change-questionnaire and the Global Rating of Concept-questionnaire. Both served as external criteria. For all CAHAI-G versions (7, 8, 9 or 13 items), the same analysis procedures for the evaluation of the responsiveness parameter were performed.ResultsIn total, 27 patients (9 females, age 63 ± 13.7) were enrolled in the study. The ICCs for the intra-rater reliability were calculated to be between 0.988 and 0.998 for all CAHAI versions. Responsiveness parameters were as follows from CAHAI-G 7 to 13: Minimal Detectable Change (MDC90) 5.3, 6.0, 6.1, 8.2; Pearson’s correlation coefficients CAHAI-Gs with ARAT 0.365, 0.409*, 0.500**, 0.597**. The Area und Under the Curve and the Minimal Clinical Important Difference values for all CAHAI-G versions and the three external criteria ranged between 0.483 to 0.603 and 2.5 to 9.0, respectively.ConclusionIn addition to the high validity, inter-rater reliability and internal consistency, the CAHAI-G revealed high intra-rater reliability. The data also suggest an adequate responsiveness of the CAHAI-G versions 9 and 13.

Progress notes communicate providers' assessments of patients' diagnoses, progress, and treatment plans; however, providers perceive that note quality has degraded since the introduction of electronic health records. In this study, we aimed to (1) develop a tool to evaluate progress note assessments and plans with high interrater reliability and (2) assess whether a bundled intervention was associated with improved intern note quality without delaying note file time. An 8-member stakeholder team developed a 19-item progress note assessment and plan evaluation (PNAPE) tool and bundled intervention consisting of a new note template and intern training curriculum. Interrater reliability was evaluated by calculating the intraclass correlation coefficient. Blinded assessors then used PNAPE to evaluate assessment and plan quality in pre- and postintervention notes (fall 2017 and 2018). PNAPE revealed high internal interrater reliability between assessors (intraclass correlation coefficient = 0.86; 95% confidence interval: 0.66-0.95). Total median PNAPE score increased from 13 (interquartile range [IQR]: 12-15) to 15 (IQR: 14-17; P = .008), and median file time decreased from 4:30 pm (IQR: 2:33 pm-6:20 pm) to 1:13 pm (IQR: 12:05 pm-3:59 pm; P < .001) in pre- and postintervention notes. In the postintervention period, a higher proportion of assessments and plans indicated the primary problem requiring ongoing hospitalization and progress of this problem (P = .0016 and P < .001, respectively). The PNAPE tool revealed high reliability between assessors, and the bundled intervention may be associated with improved intern note assessment and plan quality without delaying file time. Future studies are needed to evaluate whether these improvements can be sustained throughout residency and reproduced in future intern cohorts and other inpatient settings.

Environmental citizenship is very important in sustainability research. The criticality of the observed environmental crisis requires capable and competent environmental citizens who can act as agents of change to achieve sustainability. This research presents the validation of the Environmental Citizenship Questionnaire (ECQ) for assessing the environmental citizenship of secondary school students. To this end, Principal Component Analysis has been performed through the use of a Confirmatory Factor Analysis. In addition, there has been a verification of sphericity and a measure of sampling adequacy using the Bartlett’s and Kaiser–Meyer–Olkin (KMO) tests, respectively. Cronbach’s Alpha, eigenvalues and percentage of variance as well as Pearson’s correlation were also estimated. Using the data of 520 students in 10th grade, the ECQ showed very good results in all measurements performed, demonstrating high internal consistency, reliability and discriminant validity. From the factor analysis were derived nine factors with 76 items in total. Cronbach’s Alpha was greater than 0.702, indicating high reliability in all factors. The possible contribution of the ECQ in different contexts and educational frames and in sustainability education is discussed.

BACKGROUND: The introduction of a mandatory health insurance system contributing towards the funding of national healthcare in Saudi Arabia necessitates the implementation of clinical coding and a unified health classification system, which has previously not been a feature of Saudi healthcare. As the Ministry of Health (MOH) moves to introduce ICD-10-AM, the Australian modification of the WHO ICD-10, in the Kingdom&amp;rsquo;s public hospitals, it is important to understand the factors that will influence its successful implementation. OBJECTIVE: The purpose of this article is to develop and evaluate the internal consistency reliability and validity of a questionnaire establishing the factors influencing the the implementation ICD-10-AM and clinical coding in Saudi public hospitals. METHOD: The content validity method was initiated by sending the whole draft questionnaire to a panel of experts to indicate values for each item based on a scale of content validity created by the researchers and, subsequently, using the internal consistency reliability and factorial validity methods to estimate the internal reliability of clusters of items, which were assumed to measure the same factors, grouped in this study into three factorial categories, health information (clinical documentation, classification, and coding requirements), organization (the implementation preparation in individual organizations), and national (institutional support through the national hierarchical structure). RESULTS: The content validity identified all items of the proposed questionnaire to be valid. Based on the content validity test, several items were removed as they did not meet the proposed model and the final questionnaire was created in accord with the pilot study result. The pilot study utilized Cronbach&amp;#39;s &amp;alpha; and factor analysis to examine the reliability and validity of Part 2 of the questionnaire and the findings indicated high internal consistency reliability and factorial validity.

This study examined whether the Revised Knox Preschool Play Scale (PPS-R) was reliable and valid for use in assessing play behavior of preschoolers with autism spectrum disorder (ASD). Inter-rater reliability of the PPS-R was investigated. Comparing scores on the Vineland Adaptive Behavior Scales (VABS) on 61 children determined concurrent validity of the PPS-R. Intraclass Correlation and Spearman's Rank Order Correlation coefficients revealed the PPS-R had high inter-rater reliability (r = .94) and correlated significantly (r = .52, p< .01) with the total score of the VABS, respectively. Results support the PPS-R is a reliable and valid measurement of play behavior for preschoolers with ASD.

Attachment theory suggests that early experiences with caregivers are carried forward across development in the form of mental representations of attachment experiences. Researchers have investigated at least two representation-based constructs when studying attachment and successful adaptation in adulthood: (a) coherence of autobiographical discourse/memories and (b) knowledge of the secure base script. Here, we present data examining the unique contributions of coherent discourse regarding childhood caregiving experience and secure base script knowledge in a prospective high-risk longitudinal study, the Minnesota Longitudinal Study of Risk and Adaptation. The current study included three indicators of the quality of romantic relationships: (a) observed quality of interaction with romantic partners, (b) self-reported relationship satisfaction, and (c) interview-rated effectiveness of romantic engagement. Parent-child relationship quality was also assessed across three key outcomes: (a) infant attachment security, (b) observations of supportive parenting, and (c) interview-rated supportive parenting. When examining both attachment representations simultaneously, each representation-based construct was uniquely associated with different relationship quality indices. Specifically, secure base script knowledge was uniquely associated with infant attachment security in the next generation, and coherence of discourse was uniquely associated with observations of romantic relationships quality and interview-rated supportive parenting. (PsycINFO Database Record (c) 2018 APA, all rights reserved).