Abstract:
OBJECTIVE:Determine whether spurious SCL 90-R profiles resulting from endorsement of neurologic treatment items can be corrected and still retain ecological validity. DESIGN:The proportion of subjects' item endorsement was compared with the adult non-patient norm group. Items with discriminative power (chi 2 > 25, p < 0.001 and endorsement by at least 25% of subjects) underwent principal-components analysis with somatic treatment and psychiatric factors identified. Items in the somatic treatment factor were extracted as the corrective factor. The resultant corrected T scores were plotted against original SCL 90-R profiles. SETTING:University medical centre. PATIENTS:Thirty community dwelling adults with biopsy confirmed malignant brain tumours referred by their treating physician for evaluation prior to aggressive treatment. INTERVENTIONS:The SCL 90-R was part of a neuropsychological test battery. MAIN OUTCOME MEASURE:The SCL 90-R was selected prior to data collection because it is the second most frequently used psychosocial instrument in medical settings, yet has demonstrated attenuated validity with neurologic patients. RESULTS:Extraction of 10 somatic treatment items resulted in lower profiles on Somatization, OBSESSIVE: Compulsive, Depression, and Anxiety dimensions and the global indicators. However, clinical caseness for individuals remained greater than indicated by clinical interview. CONCLUSION:Correction for SCL 90-R neurologic treatment items resulted in reduced sensitivity and poorer ecological validity.
journal_name
Brain Injjournal_title
Brain injuryauthors
Kaplan CPdoi
10.1080/026990598122025subject
Has Abstractpub_date
1998-11-01 00:00:00pages
977-85issue
11eissn
0269-9052issn
1362-301Xjournal_volume
12pub_type
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