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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2020

01-12-2020 | Affective Disorder | Research

Development of two psychological experience questionnaires for screening violence-related mental health disorders of non-psychiatric inpatients

Authors: Yanjun Meng, Yuling Li, Hongbao Cao, Yong Xu, Binquan Wang

Published in: Health and Quality of Life Outcomes | Issue 1/2020

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Abstract

Background

Increased violent events happen in the general hospitals in China and yet non-psychiatric departments do not have tools for violence-tendency screening.

Methods

The current study developed and evaluated two Inpatient Psychological Experience Questionnaires (IPEQs) for the screening of violence-related six mental health disorders: (Inpatient Psychological Experience Questionnaire-1 (IPEQ-1): anxiety, depression and suicidality; Inpatient Psychological Experience Questionnaire-2 (IPEQ-2): paranoid personality disorder, emotionally unstable personality disorder and histrionic personality disorder). Two initial IPEQs (IPEQ-1: 37 items and IPEQ-2: 30 items) were developed and assessed by domain experts. Then 1210 inpatients were recruited and divided into three groups (160, 450 and 600 samples, respectively) for IPEQs item selection and evaluation. During the two-stage item selection, three statistical methods including Pearson’s correlation coefficient, exploratory factor analysis and item response theory were applied. For the item evaluation, Cronbach’s alpha coefficient, test-retest reliability, criterion-related validity and construct validity of the final questionnaires were measured.

Results

Twelve items were selected for each IPEQs. Cronbach’s alpha coefficients were 0.91 and 0.78 for IPEQ-1 and IPEQ-2, respectively. Test-retest replication ratios were 0.95 and 0.87 for IPEQ-1 and IPEQ-2, respectively. Correlation coefficients between different disorders and their related-tools scores were [0.51, 0.44] and [0.40, 0.44] for IPEQ-1 and IPEQ-2, respectively and were significant (P < 0.01). Confirmatory factor analysis supported the validity of the final IPEQs (P < 0.05), and the model fit index met the criterion generally.

Conclusion

The IPEQs developed in this study could be effective and easy-to-use tools for screening inpatients with violence-intendancy in non-psychosomatic departments.
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Literature
1.
Lancet. Violence against doctors: Why China? Why now? What next. Lancet. 2014;383(9922):1013.
2.
Shi L, Zhang DY, Zhou CY, Yang LB, Sun T, Hao TJ, Peng XW, Gao L, Liu WH, Mu Y, Han YZ, Fan LH. A cross-sectional study on the prevalence and associated risk factors for workplace violence against Chinese nurses. BMJ Open. 2017;7(6):e013105.PubMedPubMedCentralCrossRef
3.
Lu L, Dong M, Wang SB, Zhang L, Ng CH, Ungvari GS, Li J, Xiang YT. Prevalence of workplace violence against health-care professionals in China: a comprehensive meta-analysis of observational surveys. Trauma Violence Abuse. 2018;1524838018774429.
4.
Esbec E, Echeburúa E. Violence and personality disorders: clinical and forensic implications. Actas Esp Psiquiatr. 2010;38(5):249–61.PubMed
5.
Li-sa D, Chen-guang H, Yu-ming L, Jun-min F, Lei X. Psychological problems of non- psychopathic patients in general hospital and preventions. Hosp Admin J Chin PLA. 2013;20(12):1113–4,1117.
6.
Soeteman DI, Verheul R, Busschbach JJV. The burden of disease in personality disorders: diagnosis-specific quality of life. J Personal Disord. 2008;22(3):259–68.CrossRef
7.
Samuels J. Personality disorders: epidemiology and public health issues. Int Rev Psychiatry. 2011;23(3):223–33.PubMedCrossRef
8.
Kara N, Yao AC, Newton J, Deary V, O'hara J, Wilson JA. General illness and psychological factors in patients with chronic nasal symptoms. Clin Otolaryngol. 2018;43(2):609–16.PubMedCrossRef
9.
Coker LA, Samuel DB, Widiger TA. Maladaptive personality functioning within the big five and the five-factor model. J Personal Disord. 2002;16(5):385–401.CrossRef
10.
Gordon-King K, Schweitzer RD, Dimaggio G. Metacognitive interpersonal therapy for personality disorders featuring emotional inhibition: a multiple baseline case series. J Nerv Ment Dis. 2018;206(4):263–9.PubMed
11.
Paris J. The classification of personality disorders should be rooted in biology. J Personal Disord. 2000;14(2):127–36.CrossRef
12.
Soliman AE, Reza H. Risk factors and correlates of violence among acutely ill adult psychiatric inpatients. Psychiatr Serv. 2001;52(1):75–80.PubMedCrossRef
13.
Coid JW, Ullrich S, Bebbington P, Fazel S, Keers R. Paranoid ideation and violence: meta-analysis of individual subject data of 7 population surveys. Schizophr Bull. 2016;42(4):907–15.PubMedPubMedCentralCrossRef
14.
Howard R. Personality disorders and violence: what is the link. Bord Personal Disord Emot Dysregul. 2015;2:12.CrossRef
15.
Yan-ling H, Hong M, Lan Z, Zhe-ning L, Fu-jun J, Ming-yuan Z. A cross-sectional survey of the prevalence of depressive-anxiety disorders among general hospital outpatients in five cities in China. Chin J Intern Med. 2009;48(9):748–51.
16.
Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, Zaslavsky AM. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60(2):184–9.PubMedCrossRef
17.
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.PubMedCrossRef
18.
Dimaggio G, Macbeth A, Popolo R, Salvatore G, Perrini F, Raouna A, Osam CS, Buonocore L, Bandiera A, Montano A. The problem of overcontrol: perfectionism, emotional inhibition, and personality disorders. Compr Psychiatry. 2018;83:71–8.PubMedCrossRef
19.
Wang J, Guo WJ, Zhang L, Deng W, Wang HY, Yu JY, Luo SX, Huang MJ, Dong ZQ, Li DJ, Song JP, Jiang Y, Cheng NS, Liu XH, Li T. The development and validation of Huaxi emotional-distress index (HEI): a Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry. 2017;76:87–97.PubMedCrossRef
20.
Biao H, Yi-Zhuang Z, Jing K, Jie-Feng C, Man-Ying L, Ai-Li M, Lei H, Hong-Zhen F, Fu-De Y. Development and evaluation of questionnaire of mental health knowledge for non-psychiatric clinicians. Chin Ment Health J. 2010;24(2):89–92.
21.
Kroenke K, Wu J, Yu Z, Bair MJ, Kean J, Stump T, Monahan PO. Patient health questionnaire anxiety and depression scale: initial validation in three clinical trials. Psychosom Med. 2016;78(6):716–27.PubMedPubMedCentralCrossRef
22.
Chang SM, Hahm BJ, Lee JY, Shin MS, Jeon HJ, Hong JP, Lee HB, Lee DW, Cho ML. Cross-national difference in the prevalence of depression caused by the diagnostic threshold. J Affect Disord. 2008;106(1–2):159–67.PubMedCrossRef
23.
Zhou DY. Step-by-step examples of data analysis and statistical graphs in clinical researches. Ltd. Beijing: Beijing Science and Technology Publishing Co.; 2017. p. 331.
24.
Osborne JW, Costello AB. Sample size and subject to item ratio in principal components analysis. Practical Assessment, Research, and Evaluation. 2004;9:Article 11.
25.
26.
Derogatis LR, Lipman RS, Covi L. SCL-90: an outpatient psychiatric rating scale-preliminary report. Psychopharmacol Bull. 1973;9(1):13–28.PubMed
27.
William WK, Zung MD. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371–9.CrossRef
28.
Fydrich T, Dowdall D, Chambless DL. Reliability and validity of the Beck anxiety inventory. J Anxiety Disord. 1992;6(1):55–61.CrossRef
29.
Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.PubMedCrossRef
30.
Zung WW, Richards CB, Short MJ. Self-rating depression scale in an outpatient clinic. Further validation of the SDS. Arch Gen Psychiatry. 1965;13(6):508–15.PubMedCrossRef
31.
Beck AT, Steer RA, Ball R, Ranieri WF. Comparison of Beck depression inventories -IA and -II in psychiatric outpatients. J Pers Assess. 1996;67(3):588–97.PubMedCrossRef
32.
33.
Xian-Yun L, Phillips MR, Yong-Sheng T, Ke-Jin L, Ya-Li Z, Yan-Ping Z, Dong X, Ya-Juan N. Reliability and validity of the Chinese version of Beck suicide ideation scale (BSI-CV) in adult community residents. Chin Ment Health J. 2010;24(4):250–5.
34.
Fossati A, Maffei C, Bagnato M, Donati D, Donimi M, Fiorilli M, Novella L, Ansoldi M. Brief communication: criterion validity of the personality diagnostic questionnaire-4+ (PDQ-4+) in a mixed psychiatric sample. J Personal Disord. 1998;12(2):172–8.CrossRef
35.
Carey RG, Seibert JH. A patient survey system to measure quality improvement: questionnaire reliability and validity. Med Care. 1993;31(9):834–45.PubMedCrossRef
36.
Boyer L, Simeoni MC, Loundou A, D'amato T, Reine G, Lancon C, Auquier P. The development of the S-QoL 18: a shortened quality of life questionnaire for patients with schizophrenia. Schizophr Res. 2010;121(1–3):241–50.PubMedCrossRef
37.
Ye ZJ, Zhang Z, Tang Y, Liang J, Sun Z, Zhang XY, Liang MZ, Yu YL. Development and psychometric analysis of the 10-item resilience scale specific to cancer: a multidimensional item response theory analysis. Eur J Oncol Nurs. 2019;41:64–71.PubMedCrossRef
38.
Zhang Y, Yang Y, Lv J, Zhang Y. LC-PROM: validation of a patient reported outcomes measure for liver cirrhosis patients. Health Qual Life Outcomes. 2016;14:75.PubMedPubMedCentralCrossRef
39.
40.
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–334.CrossRef
41.
Eun-Hyun L, Whee LY, Kwan-Woo L, Moonsuk N, Hun KS. A new comprehensive diabetes health literacy scale: development and psychometric evaluation. Int J Nurs Stud. 2018;88:1–8.CrossRef
42.
Li C, Xin L. Research on evaluation method of reliability and validity of the questionnaire. Chinese Journal of Health Statistics. 2008;25(5):541–4.
43.
Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6(1):1–55.CrossRef
44.
Lu SJ, Ren SS, Xu Y, Lai JB, Hu JB, Lu J, Huang ML, Ma XC, Chen J, Hu SH. China legislates against violence to medical workers. Lancet Psychiatry. 2020;7(3):e9.PubMedCrossRef
45.
Yang SZ, Wu D, Wang N, Hesketh T, Sun KS, Li L, Zhou X. Workplace violence and its aftermath in China's health sector: implications from a cross-sectional survey across three tiers of the health system. BMJ Open. 2019;9(9):e031513.PubMedPubMedCentralCrossRef
46.
Wang Y, Cong YL. Chinese physician-patient relationship blue book. Peking University medical press. Beijing. 2015-2016;2017:170–91.
47.
Smarr KL, Keefer AL. Measures of depression and depressive symptoms: Beck depression inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), geriatric depression scale (GDS), hospital anxiety and depression scale (HADS), and patient health Questionnaire-9 (PHQ-9). Arthritis Care Res (Hoboken). 2011;63(Suppl 11):S454–66.CrossRef
48.
Leucht S, Engel RR, Davis JM, Kissling W, Capellen KMZ, Schmauß M, Messer T. Equipercentile linking of the brief psychiatric rating scale and the clinical global impression scale in a catchment area [J]. Eur Neuropsychopharmacol. 2012;22(7):501–5.PubMedCrossRef
49.
Xiandong M, Meng G, Tao L, Wanjun G. Reliability and validity of the Huaxi emotional-distress index in nurses. Chinese Nursing Management. 2017;17(3):310–2.
50.
51.
Ye ZJ, Liang MZ, Li PF, Sun Z, Chen P, Hu GY, Yu YL, Wang SN, Qiu HZ. New resilience instrument for patients with cancer. Qual Life Res. 2018;27(2):355–65.PubMedCrossRef
Metadata
Title
Development of two psychological experience questionnaires for screening violence-related mental health disorders of non-psychiatric inpatients
Authors
Yanjun Meng
Yuling Li
Hongbao Cao
Yong Xu
Binquan Wang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01399-9

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