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Issues associated with reliability and validity
Issues associated with reliability and validity
What types of inventory methods are there
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Recommended: Issues associated with reliability and validity
To gather Heather’s anxiety measurements, the Beck Anxiety Inventory (BAI) was administered (Beck, 1993). The assessment is a 21-item report that scores the levels of anxiety in adolescents and adults. The ranges for the assessment scores are minimal anxiety (0-7), mild anxiety (8-15), moderate anxiety (16-25), and severe anxiety (26-63). The test must be administered and score by a professional. Although, Beck and Steer (1990) disclose that the assessment can be interpreted by a professional who obtained a proper clinical mental health training (Beck & Steer, 1990, p. 1-3)
The assessment’s validity is the various aspects of anxiety such as dysthymic/atypical depression, panic attacks, social/simple phobia, generalized anxiety, and academic/adjustment disorders. The reliability of the assessment showed that out of 160 diagnostically mixed
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outpatients, 40 patients were diagnosed with anxiety disorders (Beck & Steer, 1990, p. 3-11). The sample norms are for patients who are experiencing panic disorders with or without agoraphobia, social phobia, obsessive-compulsive disorder (OCD), and generalized anxiety (Beck, 1993).
To obtain Heathers depression measurements, we used the Beck Depression Inventory-2 (BDI-II) (Beck, Steer, & Brown, 1993). This assessment is a 21 item self-report that measures the severity of depression in adults and adolescent ages 13 and older. The ranges of the scores are minimal (0-13), mild (14-19), moderate (20-28), and severe (29-63). This inventory was created to assist with properly diagnosing depressive disorders (Beck, Steer, & Brown, 1996, p. 2-8).
The BDI-II reports to have a higher reliability than the first Becks Depression Inventory (BDI) (Beck, Steer, Brown, 1993). Furthermore, the assessment validity is examining the attitudes/moods, sense of failure, self-dissatisfaction, guilt, self-accusations, suicidal thoughts, crying, irritability, social withdrawal, indecisiveness, body image change, work difficulty, insomnia, fatigability, loss of appetite, and somatic preoccupation (Beck, Steer, & Brown, 1996, p.
5-27). Testing has a clinical norm sample (Beck, Steer, and Brown 1993). The next assessment required, was the NEO Personality Inventory-3 (NEO-PI-III). This assessment measures the traits of an individual’s personality. This assessment contains five domains called Neuroticism (N), Extraversion (E), Openness (O), Agreeableness (A), and Conscientiousness (C). Additionally, the assessment can be administered individually or in groups. The administrator must be a professional who is familiar with the basic knowledge of psychological testing and apprehensive of the what the scales measure and the implications for the psychological functioning of the individual (Costa & McCrae, 2010). The validity of this assessment is to measure the five major domains of personality. On the other hand, the reliability is that it accurately examines the clients highest and lowest domains. The norm sample of this assessment is that it expands across ages, cultures, and methods of measurements (Costa & McCrae, 2010).
The Revised Children’s Manifest Anxiety Scale (RCMAS-2) is a revision of the Children’s Manifest Anxiety Scale (CMAS) created by Cecil Reynolds and Bert Richmond in 1985 (Reynolds & Richmond, 2008). The RCMAS-2 includes an updated standardization sample, improved psychometrics, and broadened content (Reynolds & Richmond, 2008). Although these revisions occurred, the brevity, elementary reading level, and content-based item clusters were retained, offering an updated and effective tool for understanding and treating anxiety in school-aged children (Reynolds & Richmond, 2008).
2. By looking through the case study, the most prominent problem Sara struggles with, is her persistent worry about different parts of her life including her job status, health and her relationship with her husband. For the past six months, she has been anxious and worried excessively, leading her to have difficulty sleeping. As she admitted, “ I cannot shut my brain off anymore, I am worrying all the time”, therefore her condition met the primary criteria of generalized anxiety disorder which is the excessive worry for at least 6 months more days than not, about diverse events and activities. Being restless, irritable, having sleep difficulty and being easily fatigued are four factors of GAD that are apparent in this case. “I have always had lots of energy but now at times I struggle to get out of bed and drag myself thorough the work day”; it indicates the fatigue she recently experienced. Fidgets with her jewellery when speaking and a nervous laugh she has, shows her persistent anxiety. Moreover, she was recently diagnosed with irritable bowel syndrome which has a high comorbidity with anxiety disorders. In conclusion, since she is persistently worried about different aspects of her life and she has the criteria for GAD, generalized anxiety disorder is the most likable disorder she has.
(198)First, we need to understand what fear and anxiety is. Fear is when the nervous system responds to a threat to ones well being. Anxiety is when there is a vague sense of danger. Both of these term help the body determine when action needs to be taken like “Fight” or “Flight”. When they both come clinically significant is when people can’t not live there normal lives without one or there other or both interfering. “Their discomfort is so server or to frequent, last too long, or is trigger to easily, (Comer, 2013, pp.114)”. Then they are termed with having an anxiety disorder or some other disorder. Most psychologist use the DSM-5 check list when diagnosing a patient with anxiety disorder. They look for these signs that the DSM-5 list:
The Beck Anxiety Inventory is a 21-item scale that measures the severity of self-reported anxiety in adults and adolescents. The inventory was created by Aaron T. Beck and his colleague, Robert A. Steer, at the Center for Cognitive Therapy, University of Pennsylvania School of Medicine, Department of Psychiatry. The most recent edition was published in 1993 by The Psychological Corporation, Harcourt Brace & Company in San Antonio, TX. The first edition was published in 1988. The 1993 edition recommends different scoring guidelines than previous editions. There is only one form and one manual as part of the Beck Anxiety Inventory (BAI). To purchase the BAI in 2010, the manual and 25 scoring sheets would cost $110.00. This information is from the Pearson Assessments website.
The Beck Depression Inventory-II (BDI-II) is the latest version of one of the most extensively used assessments of depression that utilizes a self-report method to measure depression severity in individuals aged thirteen and older (Beck, Steer & Brown, 1996). The BDI-II proves to be an effective measure of depression as evidenced by its prevalent use in both clinical and counseling settings, as well as its use in studies of psychotherapy and antidepressant treatment (Beck, Steer & Brown, 1996). Even though the BDI-II is meant to be administered individually, the test administration time is only 5 to 10 minutes and Beck, Steer & Brown (1996) remark that the interpretive guidelines presented in the test manual are straightforward, making the 21 item Likert-type measure an enticing option to measure depression in appropriate educational settings. However it is important to remember that even though the BDI-II may be easy to administer and interpret, doing so should be left to highly trained individuals who plan to use the results in correlation with other assessments and client specific data when diagnosing a client with depression. An additional consideration is the response bias that can occur in any self-report instrument; Beck, Steer & Brown (1996, pg. 1) posit that clinicians are often “faced with clients who alter their presentation to forward a personal agenda that may not be shared.” This serves as an additional reminder that self-report assessments should not be the only assessment used in the diagnoses process.
Zung, W. W. K., (1965). A self-rating depression scale. Arch. Gen. Psychiatry. 12:63-70.[Duke Univ. Med. Ctr., Dept. Psychiatry, Durham, NC]
The Beck Depression Inventory measures depression criteria as evidenced in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (Flanagan & Henington, 2005). The Beck Anxiety Inventory assesses childhood fears related to health and school (Flanagan & Henington, 2005). The Beck Anger Inventory appraises the individual’s opinion of mistreatment, negative thoughts, and physiological arousal (Flanagan & Henington, 2005). The Beck Disruptive Behavior Inventory measures behaviors and attitudes related to oppositional and defiant behavior (Flanagan & Henington, 2005). This is consistently seen in youth diagnosed with Oppositional Defiant Disorder and Conduct Disorder. Lastly, the Beck Self-Concept Inventory assesses feelings of self-worth and competence (Flanagan & Henington, 2005).
Steensel, F. J., Bögels, S. M., & Perrin, S. (2011, July 07). Anxiety Disorders in Children and
Depression is a psychological disease. It is one of the most common mental illnesses (Blais, et al., 2013). Depression was known since antiquity. Hippocrates diagnosed it in fourth century BC (McNamara and Horan, 1986). After World War II, depression was described as “aggression turned inward” (McNamara & Horan, 1986). Now there is Hamilton Depression Rating Scale, which is designed to evaluate how severe is depression (Gibbons et al., 2012).
Along with being the most widespread mental health disorder, women are more likely to be affected by most anxiety disorders than men. Anxiety disorders are often characterized by feelings of worry, uncertainty, anxiety, or fear, which can be so intense, it can interfere with a person’s daily activities. Therefore, it is likely for a person struggling with an anxiety disorder will find themselves unemployed, financially dependent on others and even have poor quality social relationships as well. As an anxiety disorder may affect other functional impairments, it is also important to be aware of its development considering an anxiety response affects various populations and individuals differently.
The Beck Anxiety Inventory was designed by Aaron T. Beck and is self report scale that consists of 21 items. The items are short and straightforward, making it easy to read and comprehend. All items are related to anxiety and describe a symptom of anxiety that is rate on a four point likert scale according to severity. The answers range from 0-3 and the responses range from “not at all” to “severely; I could barely stand it” and all items are added for a total score. The instructions on the test ask for the respondent to “indicate how much you have been bothered by each symptom during the past week, including today, by placing an X in the corresponding space in the column next to each symptom” (Dowd, 2008). The assessment is intended for adolescents and adults and can be administered individually or in a group setting. An additional copy of the inventory test is also available in Spanish. It was originally created from a sample of 810 outpatients of that were predominately affected by mood and anxiety disorders and research on the original development is described as informative and thorough.
National Institute of Mental Health. (2009). Studying anxiety disorders. NIH Medline plus, 5, 13-15. Retrieved from http://www.nimh.nih.gov/health/publications/anxiety-disorders/complete-index.shtml
Anxiety has a main definition; a feeling of worry, nervousness, or unease. Although, it has its single definition, each person diagnosed with anxiety has different symptoms. With that, some have more severe cases of the actual diagnosis. It has been noted that anxiety has had an increase in teens recently. In the last 30 years, the statistics for anxiety in fifteen to sixteen year olds have doubled for both girls and boys (“Increased Levels of Anxiety…” 1). It is said, “in societal moments like the one we are in…it often feels as if ours is the Age of Anxiety”(Henig 1). Anxiety affects teenagers profusely because the emotions of a teenager are more vulnerable than those of an adult. The brain of a teenager is not fully developed and the stress put on teenagers to start putting their life together takes a toll on their emotions. The daily life and activities are interfered with by anxiety when the amount of stress put on a teenager becomes unbearable. Unfortunately, the effects of anxiety become so intense that the mental health is eventually toyed with. So many different components of life contribute to anxiety and cannot be prevented.
Empfield, M., Bakalar, N. (2001). Understanding Teenage Depression: A Guide to Diagnosis, Treatment and Management, Holt Paperbacks, New York.