The Development of a Brief Version of the Insomnia Severity Index (ISI-3) in Older Adult Veterans with Posttraumatic Stress Disorder.

Objective/Background: The Insomnia Severity Index (ISI) is an insomnia self-report measure used to identify individuals at risk for insomnia disorder. Although the full ISI is only seven questions, a briefer version would allow more efficient and pragmatic administration in routine practice settings. Reliable and valid brief measures can support measurement-based care. The present study was a proof-of-concept study that developed a brief version of the ISI, the ISI-3, in a sample of older adult veterans with posttraumatic stress disorder (PTSD), a group which is at increased risk for insomnia.Patients/Methods: Participants included 86 older veterans with combat- or military-related PTSD. Veterans completed a clinician-administered PTSD diagnostic interview, self-report measures of insomnia and other psychosocial questionnaires, and two neuropsychological assessments. The factor structure of the ISI was examined to reduce the measure into a brief version. The reliability and validity of the ISI-3 were examined.Results: Principal axis factoring yielded a one-factor solution, which reproduced 59% of the item variance. Item reduction procedures resulted in three items, which best represented this factor ("Insomnia Impact;" ISI-3). For the ISI-3, internal consistency was good (α =.89). Convergent validity was demonstrated via moderate to high positive correlations between the ISI-3 and other measures of sleep disturbance. Divergent validity was demonstrated via non-significant correlations between the ISI-3 and unrelated measures and moderate correlations with self-reported depression.Conclusions: The ISI-3 is a psychometrically valid brief version of the ISI. Clinicians can administer the ISI-3 to screen for insomnia and monitor changes in insomnia during treatment.

The effect of electroconvulsive therapy on executive functioning in a treatment-resistant man with depression: a case report.

This case examines the executive functioning in a 42-year-old married white man before receiving and after an index course of electroconvulsive therapy for 4 weeks using right unilateral lead placement. Results indicate clear cognitive improvements on objective measures of executive functioning, attention, and memory after electroconvulsive therapy. However, the patient expressed continued elevated impairments on the subjective questionnaire examining behaviors thought to be controlled by executive functioning.

Preliminary Cross-Sectional Validation of the CROPS 14-Item for Juvenile Offenders.

The Child Report of Posttraumatic Symptoms (CROPS) is an effective 26-item trauma assessment tool. Research has indicated a 14-item version of the CROPS for juvenile offenders with improved predictive accuracy for detecting trauma exposure among male offenders and commensurate accuracy for female offenders. However, the 14-item scale has yet to be validated for juvenile offenders with an established trauma measure. Cross-sectional retrospective data of 74 adjudicated youth (59.5% male) from the original CROPS 14-item psychometric study sample were used to examine the factor structure, internal consistency, and convergent and divergent validity of the 14-item scale. Findings indicated strong internal consistency and significant correlations with all scales of an established and more extensive trauma measure for children and adolescents. Findings also revealed a CROPS 12-item model explaining 36.9% of variance. Results supported both convergent and divergent validity, suggesting both the CROPS 14-item and 12-item may be used as valid trauma symptom screeners for juvenile offenders.

Predictive accuracy and factor structure of the Child Report of Posttraumatic Symptoms (CROPS) among adjudicated youth.

OBJECTIVE: Trauma exposure and trauma symptom manifest have been associated with issues unique to the adjudicated youth population (Perkins, Calhoun, Glaser, & Kunemund, 2016), which necessitates accurate screening tools to facilitate appropriate allocation of resources (Briggs et al., 2013; Kerig, Moeddel, & Becker, 2011). The Child Report of Posttraumatic Symptoms (CROPS; Greenwald & Rubin, 1999) is a short and effective trauma assessment tool; however, predictive accuracy of the CROPS in classifying previous trauma exposure(s) as well as the factor structure of the CROPS has not been examined with this population. METHOD: Retrospective data of 215 adjudicated youth (50.2% boys) were used to investigate the predictive accuracy of the CROPS in detecting previous trauma exposures. Further, researchers examined the factor structure of the CROPS to identify principle components that most strongly contributed to accurate classification. RESULTS: Logistic regression analyses indicated moderate predictive accuracy (64.2%) in identifying reported trauma histories for the total sample and among both adjudicated males (61.1%) and females (66.4%). Principle components analyses revealed a stable 3-factor solution (accounting for 47% of total variance) and yielded a 14-item CROPS factor accounting for 32.3% of total variance. The 14-item factor demonstrated improved predictive accuracy over the full 26-item CROPS for the total sample (65.1%) and among adjudicated males (66.7%). CONCLUSION: Overall findings provide moderate support for the utility of the CROPS in accurately identifying previous trauma exposure(s) among adjudicated youth and provide preliminary support for a 14-item version of the CROPS for screening for trauma symptoms in adjudicated youth. (PsycINFO Database Record