The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale.

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Title: The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale.
Authors: Nordberg, Samuel S. (AUTHOR), McAleavey, Andrew A. (AUTHOR), Duszak, Elizabeth (AUTHOR), Locke, Benjamin D. (AUTHOR), Hayes, Jeffrey A. (AUTHOR), Castonguay, Louis G. (AUTHOR)
Source: Counselling Psychology Quarterly. Mar2018, Vol. 31 Issue 1, p25-41. 17p.
Subjects: Counseling, Factor analysis, Multidimensional scaling, Health outcome assessment, Research evaluation, Psychological stress, Universities & colleges, Statistical reliability, Treatment effectiveness, Severity of illness index, Research methodology evaluation
Abstract: Objective: The authors attempted to develop and validate a general distress index for a multidimensional psychological symptom/outcome measure used in over 300 college counseling centers with more than 100,000 cases annually: the Counseling Center Assessment of Psychological Symptoms (CCAPS).Method:Four models were compared for fit indices (n = 19,247): the existing first-order factor model (without a general factor), a second-order factor model, a bifactor model, and a single factor or “total score” model. In separate clinical and non-clinical samples, concurrent and divergent validity were examined using several well-established measures of psychological symptoms, as well as two-week test–retest and treatment utilization data.Results: Second-order and bifactor models which captured a single “distress” factor both exhibited good fit to the data relative to the baseline and “total score” model. Validity data indicated that factors adequately measured meaningful clinical onstructs.Conclusion: Both the bifactor and second-order models indicated the presence of a “distress index” comprised items across many of the CCAPS subscales. This distress scale has strong applicability for benchmarking the overall severity and complexity of patients at different centers, and can be used to help identify colleges and universities with areas of clinical strength, which can be studied to improve the field. Clinically, the distress index offers a parsimonious and efficient method for clinicians to monitor patients’ progress through treatment. [ABSTRACT FROM PUBLISHER]
Copyright of Counselling Psychology Quarterly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The Counseling Center Assessment of Psychological Symptoms Distress Index: A pragmatic exploration of general factors to enhance a multidimensional scale.
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  Data: <searchLink fieldCode="AR" term="%22Nordberg%2C+Samuel+S%2E%22">Nordberg, Samuel S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McAleavey%2C+Andrew+A%2E%22">McAleavey, Andrew A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Duszak%2C+Elizabeth%22">Duszak, Elizabeth</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Locke%2C+Benjamin+D%2E%22">Locke, Benjamin D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hayes%2C+Jeffrey+A%2E%22">Hayes, Jeffrey A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Castonguay%2C+Louis+G%2E%22">Castonguay, Louis G.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Multidimensional+scaling%22">Multidimensional scaling</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Universities+%26+colleges%22">Universities & colleges</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+reliability%22">Statistical reliability</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink>
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  Data: Objective: The authors attempted to develop and validate a general distress index for a multidimensional psychological symptom/outcome measure used in over 300 college counseling centers with more than 100,000 cases annually: the Counseling Center Assessment of Psychological Symptoms (CCAPS).Method:Four models were compared for fit indices (n = 19,247): the existing first-order factor model (without a general factor), a second-order factor model, a bifactor model, and a single factor or “total score” model. In separate clinical and non-clinical samples, concurrent and divergent validity were examined using several well-established measures of psychological symptoms, as well as two-week test–retest and treatment utilization data.Results: Second-order and bifactor models which captured a single “distress” factor both exhibited good fit to the data relative to the baseline and “total score” model. Validity data indicated that factors adequately measured meaningful clinical onstructs.Conclusion: Both the bifactor and second-order models indicated the presence of a “distress index” comprised items across many of the CCAPS subscales. This distress scale has strong applicability for benchmarking the overall severity and complexity of patients at different centers, and can be used to help identify colleges and universities with areas of clinical strength, which can be studied to improve the field. Clinically, the distress index offers a parsimonious and efficient method for clinicians to monitor patients’ progress through treatment. [ABSTRACT FROM PUBLISHER]
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  Data: <i>Copyright of Counselling Psychology Quarterly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/09515070.2016.1202809
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      – SubjectFull: Counseling
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      – SubjectFull: Multidimensional scaling
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Severity of illness index
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              Text: Mar2018
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