Skip to main content
Top
Gepubliceerd in: Quality of Life Research 4/2014

01-05-2014

Measurement properties of the Adolescent Quality of Life Mental Health Scale (AQOL-MHS)

Auteurs: Ligia M. Chavez, Rafael Ramirez, Pedro Garcia, Glorisa Canino, Karen Mir, Nyrma Ortiz, Leo S. Morales

Gepubliceerd in: Quality of Life Research | Uitgave 4/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

This article presents data on the psychometric properties of a new measure, the Adolescent Quality of Life Mental Health Scale (AQOL-MHS), designed to measure quality of life in clinical samples of Latino adolescents aged 12–18 years. Participants were recruited in Puerto Rico to have one of five prevalent mental health disorders. The initial instrument development was achieved through a grounded theory approach with the use of focus groups and in-depth interviews.

Methods

We conducted two stages of exploratory factor analyses (EFA) on 60 candidate items. The first stage was to establish the number of factors to extract, and the second was to improve the model by selecting the best items. A final EFA model retained 31 items and 3 factors labeled Emotional Regulation (11 items), Self-Concept (10 items) and Social Context (10 items).

Results

The instrument showed good internal consistency, test–retest reliability, and construct validity. The hypotheses-driven validity tests were all supportive of the AQOL-MHS. There was evidence for convergent validity and discriminant validity, and results for known-groups’ validity were overwhelmingly supportive of the ability of the instrument to identify differences between groups.

Conclusions

These preliminary findings support our conceptual model and the use of the AQOL-MHS domain and overall scores. We believe that this instrument will provide clinicians additional insight into the different aspects of quality of life that are important to adolescents with mental health problems. Therefore, we consider the AQOL-MHS a vital patient-centered outcome measure for assessment strategies in the prevention and treatment of this population.
Literatuur
1.
go back to reference Chen, H., Cohen, P., Kasen, S., Johnson, J. G., Berenson, K., & Gordon, K. (2006). Impact of adolescent mental disorders and physical illnesses on quality of life 17 years later. Archives of Pediatrics and Adolescent Medicine, 160(1), 93–99.PubMedCrossRef Chen, H., Cohen, P., Kasen, S., Johnson, J. G., Berenson, K., & Gordon, K. (2006). Impact of adolescent mental disorders and physical illnesses on quality of life 17 years later. Archives of Pediatrics and Adolescent Medicine, 160(1), 93–99.PubMedCrossRef
2.
go back to reference Jokela, M., Ferrie, J., & Kivimaki, M. (2009). Childhood problem behaviors and death by midlife: The British National Child Development Study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(1), 19–24.PubMedCrossRef Jokela, M., Ferrie, J., & Kivimaki, M. (2009). Childhood problem behaviors and death by midlife: The British National Child Development Study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(1), 19–24.PubMedCrossRef
3.
go back to reference Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118(8), 622–629.PubMedCrossRef Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118(8), 622–629.PubMedCrossRef
4.
go back to reference Chavez, L., Mir, K., & Canino, G. (2012). Starting from scratch: The development of the Adolescent Quality of Life-Mental Health Scale (AQOL-MHS). Culture, Medicine and Psychiatry, 36(3), 465–479. PubMed Central PMCID: PMC3416915. Chavez, L., Mir, K., & Canino, G. (2012). Starting from scratch: The development of the Adolescent Quality of Life-Mental Health Scale (AQOL-MHS). Culture, Medicine and Psychiatry, 36(3), 465–479. PubMed Central PMCID: PMC3416915.
5.
go back to reference American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Washington, DC: American Psychiatric Association.
6.
go back to reference Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
7.
go back to reference Bravo, M., Ribera, J., Rubio-Stipec, M., Canino, G., Shrout, P., Ramirez, R., et al. (2001). Test-retest reliability of the Spanish version of the Diagnostic Interview Schedule for Children (DISC-IV). Journal of Abnormal Child Psychology, 29(5), 433–444.PubMedCrossRef Bravo, M., Ribera, J., Rubio-Stipec, M., Canino, G., Shrout, P., Ramirez, R., et al. (2001). Test-retest reliability of the Spanish version of the Diagnostic Interview Schedule for Children (DISC-IV). Journal of Abnormal Child Psychology, 29(5), 433–444.PubMedCrossRef
8.
go back to reference Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39(1), 28–38.PubMedCrossRef Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39(1), 28–38.PubMedCrossRef
9.
go back to reference Jensen, P., Roper, M., Fisher, P., Piacentini, J., Canino, G., Richters, J., et al. (1995). Test-retest reliability of the Diagnostic Interview Schedule for Children (DISC 2.1). Parent, child, and combined algorithms. Archives of General Psychiatry, 52(1), 61–71.PubMedCrossRef Jensen, P., Roper, M., Fisher, P., Piacentini, J., Canino, G., Richters, J., et al. (1995). Test-retest reliability of the Diagnostic Interview Schedule for Children (DISC 2.1). Parent, child, and combined algorithms. Archives of General Psychiatry, 52(1), 61–71.PubMedCrossRef
10.
go back to reference Ribera, J. C., Canino, G., Rubio-Stipec, M., Bravo, M., Bauermeister, J. J., Alegria, M., et al. (1996). The Diagnostic Interview Schedule for Children (DISC-2.1) in Spanish: Reliability in a Hispanic population. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 37(2), 195–204. PubMed PMID: 8682899. Ribera, J. C., Canino, G., Rubio-Stipec, M., Bravo, M., Bauermeister, J. J., Alegria, M., et al. (1996). The Diagnostic Interview Schedule for Children (DISC-2.1) in Spanish: Reliability in a Hispanic population. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 37(2), 195–204. PubMed PMID: 8682899.
11.
go back to reference Shaffer, D., Schwab-Stone, M., Fisher, P., Cohen, P., Piacentini, J., Davies, M., et al. (1993). The Diagnostic Interview Schedule for Children-Revised Version (DISC-R): I. Preparation, field testing, interrater reliability, and acceptability. Journal of the American Academy of Child and Adolescent Psychiatry, 32(3), 643–650.PubMedCrossRef Shaffer, D., Schwab-Stone, M., Fisher, P., Cohen, P., Piacentini, J., Davies, M., et al. (1993). The Diagnostic Interview Schedule for Children-Revised Version (DISC-R): I. Preparation, field testing, interrater reliability, and acceptability. Journal of the American Academy of Child and Adolescent Psychiatry, 32(3), 643–650.PubMedCrossRef
12.
go back to reference Goodman, S. H., Schwab-Stone, M., Lahey, B. B., Shaffer, D., & Jensen, P. S. (2000). Major depression and dysthymia in children and adolescents: Discriminant validity and differential consequences in a community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39(6), 761–770.PubMedCrossRef Goodman, S. H., Schwab-Stone, M., Lahey, B. B., Shaffer, D., & Jensen, P. S. (2000). Major depression and dysthymia in children and adolescents: Discriminant validity and differential consequences in a community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39(6), 761–770.PubMedCrossRef
13.
go back to reference Jensen, P. S., Salzberg, A. D., Richters, J. E., & Watanabe, H. K. (1993). Scales, diagnoses, and child psychopathology: I. CBCL and DISC relationships. Journal of the American Academy of Child and Adolescent Psychiatry, 32(2), 397–406.PubMedCrossRef Jensen, P. S., Salzberg, A. D., Richters, J. E., & Watanabe, H. K. (1993). Scales, diagnoses, and child psychopathology: I. CBCL and DISC relationships. Journal of the American Academy of Child and Adolescent Psychiatry, 32(2), 397–406.PubMedCrossRef
14.
go back to reference Jensen, P. S., Watanabe, H. K., Richters, J. E., Cortes, R., Roper, M., & Liu, S. (1995). Prevalence of mental disorder in military children and adolescents: Findings from a two-stage community survey. Journal of the American Academy of Child and Adolescent Psychiatry, 34(11), 1514–1524.PubMedCrossRef Jensen, P. S., Watanabe, H. K., Richters, J. E., Cortes, R., Roper, M., & Liu, S. (1995). Prevalence of mental disorder in military children and adolescents: Findings from a two-stage community survey. Journal of the American Academy of Child and Adolescent Psychiatry, 34(11), 1514–1524.PubMedCrossRef
15.
go back to reference Schwab-Stone, M. E., Shaffer, D., Dulcan, M. K., Jensen, P. S., Fisher, P., Bird, H. R., et al. Criterion validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35(7), 878–888. PubMed PMID: 8768347. Schwab-Stone, M. E., Shaffer, D., Dulcan, M. K., Jensen, P. S., Fisher, P., Bird, H. R., et al. Criterion validity of the NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35(7), 878–888. PubMed PMID: 8768347.
16.
go back to reference Bird, H. R., Andrews, H., Schwab-Stone, M., Goodman, S., Dulcan, M., Richters, J., et al. (1996). Global measures of impairment for epidemiologic and clinical use with children and adolescents. International Journal of Methods in Psychiatric Research, 6, 295–307.CrossRef Bird, H. R., Andrews, H., Schwab-Stone, M., Goodman, S., Dulcan, M., Richters, J., et al. (1996). Global measures of impairment for epidemiologic and clinical use with children and adolescents. International Journal of Methods in Psychiatric Research, 6, 295–307.CrossRef
17.
go back to reference Bird, H. R., Davies, M., Duarte, C. S., Shen, S., Loeber, R., & Canino, G. J. (2006). A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity, and correlates in two sites. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1042–1053.PubMedCrossRef Bird, H. R., Davies, M., Duarte, C. S., Shen, S., Loeber, R., & Canino, G. J. (2006). A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity, and correlates in two sites. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1042–1053.PubMedCrossRef
18.
go back to reference Good, M. D., Smilkstein, G., Good, B. J., Shaffer, T., & Arons, T. (1979). The family APGAR Indices: A study of construct validity. Journal of Family Practice, 8, 577–582. Good, M. D., Smilkstein, G., Good, B. J., Shaffer, T., & Arons, T. (1979). The family APGAR Indices: A study of construct validity. Journal of Family Practice, 8, 577–582.
19.
go back to reference Goodman, S. H., Hoven, C. W., Narrow, W. E., Cohen, P., Fielding, B., Alegria, M., et al. (1998). Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: The National Institute of Mental Health Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Social Psychiatry and Psychiatric Epidemiology, 33(4), 162–173.PubMedCrossRef Goodman, S. H., Hoven, C. W., Narrow, W. E., Cohen, P., Fielding, B., Alegria, M., et al. (1998). Measurement of risk for mental disorders and competence in a psychiatric epidemiologic community survey: The National Institute of Mental Health Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Social Psychiatry and Psychiatric Epidemiology, 33(4), 162–173.PubMedCrossRef
20.
go back to reference Edwards, T. C., Huebner, C. E., Connell, F. A., & Patrick, D. L. (2002). Adolescent quality of life, part I: Conceptual and measurement model. Journal of Adolescence, 25(3), 275–286.PubMedCrossRef Edwards, T. C., Huebner, C. E., Connell, F. A., & Patrick, D. L. (2002). Adolescent quality of life, part I: Conceptual and measurement model. Journal of Adolescence, 25(3), 275–286.PubMedCrossRef
21.
go back to reference Patrick, D. L., Edwards, T. C., & Topolski, T. D. (2002). Adolescent quality of life, part II: Initial validation of a new instrument. Journal of Adolescence, 25(3), 287–300.PubMedCrossRef Patrick, D. L., Edwards, T. C., & Topolski, T. D. (2002). Adolescent quality of life, part II: Initial validation of a new instrument. Journal of Adolescence, 25(3), 287–300.PubMedCrossRef
22.
go back to reference Chavez, L. M., Matías-Carrelo, L., Barrio, C., & Canino, G. (2007). The cultural adaptation of the youth quality of life instrument-research version for Latino children and adolescents. Journal of Child and Family Studies, 16, 75–89.CrossRef Chavez, L. M., Matías-Carrelo, L., Barrio, C., & Canino, G. (2007). The cultural adaptation of the youth quality of life instrument-research version for Latino children and adolescents. Journal of Child and Family Studies, 16, 75–89.CrossRef
23.
go back to reference Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press. Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
24.
go back to reference Nunnally, J., & Bernstein, L. (1994). Psychometric theory. New York: McGraw-Hill Higher Inc. Nunnally, J., & Bernstein, L. (1994). Psychometric theory. New York: McGraw-Hill Higher Inc.
25.
go back to reference Matza, L. S., Rentz, A. M., Secnik, K., Swensen, A. R., Revicki, D. A., Michelson, D., et al. (2004). The link between health-related quality of life and clinical symptoms among children with attention-deficit hyperactivity disorder. Journal of Developmental and Behavioral Pediatrics, JDBP, 25(3), 166–174.CrossRef Matza, L. S., Rentz, A. M., Secnik, K., Swensen, A. R., Revicki, D. A., Michelson, D., et al. (2004). The link between health-related quality of life and clinical symptoms among children with attention-deficit hyperactivity disorder. Journal of Developmental and Behavioral Pediatrics, JDBP, 25(3), 166–174.CrossRef
26.
go back to reference Bronson, M. B. (2000). Self-regulation in early childhood: Nature and nurture. New York: Guilford. Bronson, M. B. (2000). Self-regulation in early childhood: Nature and nurture. New York: Guilford.
27.
go back to reference Blair, C., & Diamond, A. (2008). Biological processes in prevention and intervention: The promotion of self-regulation as a means of preventing school failure. Development and Psychopathology, 20(3), 899–911. PubMed Central PMCID: PMC2593474. Blair, C., & Diamond, A. (2008). Biological processes in prevention and intervention: The promotion of self-regulation as a means of preventing school failure. Development and Psychopathology, 20(3), 899–911. PubMed Central PMCID: PMC2593474.
28.
go back to reference Wyman, P. A., Cross, W., Hendricks Brown, C., Yu, Q, Tu, X., & Eberly, S. (2010). Intervention to strengthen emotional self-regulation in children with emerging mental health problems: Proximal impact on school behavior. Journal of Abnormal Child Psychology, 38(5), 707–720. PubMed Central PMCID: PMC2880630. Wyman, P. A., Cross, W., Hendricks Brown, C., Yu, Q, Tu, X., & Eberly, S. (2010). Intervention to strengthen emotional self-regulation in children with emerging mental health problems: Proximal impact on school behavior. Journal of Abnormal Child Psychology, 38(5), 707–720. PubMed Central PMCID: PMC2880630.
29.
go back to reference Harter, S. (1990). Causes, correlates and the functional role of global self-worth: A life-span perspective. In R. Sternberg & J. Kolligian, Jr., (Eds.), Competence considered (pp. 67–98). New Haven, CT: Yale University Press. Harter, S. (1990).  Causes, correlates and the functional role of global self-worth: A life-span perspective. In R. Sternberg & J. Kolligian, Jr., (Eds.), Competence considered (pp. 67–98).  New Haven, CT: Yale University Press.
30.
go back to reference Sebastian, C., Burnett, S., & Blakemore, S. J. (2008). Development of the self-concept during adolescence. Trends in Cognitive Sciences, 12(11), 441–446.PubMedCrossRef Sebastian, C., Burnett, S., & Blakemore, S. J. (2008). Development of the self-concept during adolescence. Trends in Cognitive Sciences, 12(11), 441–446.PubMedCrossRef
31.
go back to reference Trzesniewski, K. H., Donnellan, M. B., Moffitt, T. E., Robins, R. W., Poulton, R., & Caspi, A. (2006). Low self-esteem during adolescence predicts poor health, criminal behavior, and limited economic prospects during adulthood. Developmental Psychology, 42(2), 381–390.PubMedCrossRef Trzesniewski, K. H., Donnellan, M. B., Moffitt, T. E., Robins, R. W., Poulton, R., & Caspi, A. (2006). Low self-esteem during adolescence predicts poor health, criminal behavior, and limited economic prospects during adulthood. Developmental Psychology, 42(2), 381–390.PubMedCrossRef
32.
go back to reference Costa, F. M., Jessor, R., Turbin, M. S., Dong, Q., Zhang, H., & Wang, C. (2005). The role of social contexts in adolescence: Context protection and context risk in the United States and China. Applied Developmental Science, 9(2), 67–85.CrossRef Costa, F. M., Jessor, R., Turbin, M. S., Dong, Q., Zhang, H., & Wang, C. (2005). The role of social contexts in adolescence: Context protection and context risk in the United States and China. Applied Developmental Science, 9(2), 67–85.CrossRef
33.
go back to reference Alicea, S., Pardo, G., Conover, K., & Gopalan, G. M. M. (2012). Step-up: Promoting youth mental health and development in inner-city high schools. Clinical Social Work Journal, 40, 175–186.PubMedCentralPubMedCrossRef Alicea, S., Pardo, G., Conover, K., & Gopalan, G. M. M. (2012). Step-up: Promoting youth mental health and development in inner-city high schools. Clinical Social Work Journal, 40, 175–186.PubMedCentralPubMedCrossRef
35.
go back to reference Center for Disease Control and Prevention. (2007). National Youth Risk Behavior Survey: Health risk behavior by race/ethnicity. MMWR-NS-R. Center for Disease Control and Prevention. (2007). National Youth Risk Behavior Survey: Health risk behavior by race/ethnicity. MMWR-NS-R.
36.
go back to reference Tyler, J. H., & Lofstrom, M. (2009). Finishing high school: Alternative pathways and dropout recovery. The Future of children/Center for the Future of Children, the David and Lucile Packard Foundation, 19(1), 77–103.PubMedCrossRef Tyler, J. H., & Lofstrom, M. (2009). Finishing high school: Alternative pathways and dropout recovery. The Future of children/Center for the Future of Children, the David and Lucile Packard Foundation, 19(1), 77–103.PubMedCrossRef
37.
go back to reference Ruglis, J., & Freudenberg, N. (2010). Toward a healthy high schools movement: Strategies for mobilizing public health for educational reform. American Journal of Public Health, 100(9), 1565–1571. PubMed Central PMCID: PMC2920949. Ruglis, J., & Freudenberg, N. (2010). Toward a healthy high schools movement: Strategies for mobilizing public health for educational reform. American Journal of Public Health, 100(9), 1565–1571. PubMed Central PMCID: PMC2920949.
Metagegevens
Titel
Measurement properties of the Adolescent Quality of Life Mental Health Scale (AQOL-MHS)
Auteurs
Ligia M. Chavez
Rafael Ramirez
Pedro Garcia
Glorisa Canino
Karen Mir
Nyrma Ortiz
Leo S. Morales
Publicatiedatum
01-05-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0579-2

Andere artikelen Uitgave 4/2014

Quality of Life Research 4/2014 Naar de uitgave