A literature review of the application of the geriatric depression scale, depression anxiety stress scales and post-traumatic stress disorder checklist to community nursing cohorts

Aims and objectives. To explore through literature review the appropriateness of three common tools for use by community nurses to screen war veteran and war widow(er) clients for depression, anxiety and post-traumatic stress disorder.

Background. War veterans and, to a lesser extent, war widow(er)s, are prone to mental health challenges, especially depression, anxiety and post-traumatic stress disorder. Community nurses do not accurately identify such people with depression and related disorders although they are well positioned to do so. The use of valid and reliable self-report tools is one method of improving nurses' identification of people with actual or potential mental health difficulties for referral to a general practitioner or mental health practitioner for diagnostic assessment and treatment. The Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist are frequently recommended for mental health screening but the appropriateness of using the tools for screening war veteran and war widow(er) community nursing clients who are often aged and have functional impairment, is unknown.

Design. Systematic review.

Conclusions. Current literature informs that the Geriatric Depression Scale accurately predicts a diagnosis of depression in community nursing cohorts. The three Depression Anxiety Stress Scales subscales of depression, anxiety and stress are valid; however, no studies were identified that compared the performance of the Depression Anxiety Stress Scales in predicting diagnoses of depression or anxiety. The Post-traumatic Stress Disorder Checklist predicts post-traumatic stress disorder in community cohorts although no studies meeting the selection criteria included male participants.

Relevance to clinical practice. This review provides recommendations for the use of the Geriatric Depression Scale, Depression Anxiety Stress Scales and The Post-traumatic Stress Disorder Checklist based on examination of the published evidence for the application of these screening tools in samples approximated to community nursing cohorts. Findings and recommendations would guide community nurses, managers and health planners in the selection of mental health screening tools to promote holistic community nursing care.

What influences accounting students' attitude towards accounting as a profession?

Several issues have been linked with the choice of an accounting major, and more specifically choice of accounting as a career path, including perceptions of the professional attributes required of accountants. The present study addresses two main themes: undergraduate students’ perceptions of the accounting profession and influences on decision to major in accounting. The study is motivated by the prior research of Marriott and Marriott (2003) that indicated exposure to accounting studies has a negative effect on attitudes towards the profession.

The results show that students’ perceptions of the profession related to work activities and prestige of the profession. Further analysis examining the influences on choice of an accounting major revealed three major factors: intrinsic interest in the content of accounting courses, influences of parents and friends together with perceptions of job status of accounting related to career advancement and salary. When compared with the Marriott and Marriott (2003) study, the present study showed students had more positive attitudes to studying accounting. There were however significant differences between local and international students in attitudes to the accounting profession.

Quality of occupational health provision: two rating scales and their determinants

Background To develop quality scales for occupational health services (OHSs) and describe and explain variation in quality across the UK university sector.

Methods Analysis of data from a national survey, to which 93 of 117 (79%) UK universities responded, and from the Higher Education Statistics Agency. Two quality scales were generated, one from the 1985 International Labour Organization recommendations on OHSs and one from clinicians’ perceptions (good, adequate, poor) about their OHS. The determinants examined were number of university staff, type of OHS (in-house, contracted, none/other), number of full-time equivalent occupational health doctors and nurses and OHS leadership (doctor, nurse, other).

Results There was wide variation in quality and a correlation (r = 0.65) between scales. In-house service, increasing service size and leadership by a doctor or nurse were determinants of higher quality; size of the university was not statistically significant after taking account of these factors.

Conclusions Some university OHSs may not be structured or operated to promote the highest quality of service. Inspection of individual quality scale items may be informative. These scales may be applicable in other employment sectors.

A psychometric evaluation of the Gudjonsson Suggestibility Scales : problems associated with measuring suggestibility as a difference score composite

The current paper provides a detailed examination of the psychometric properties of the Gudjonsson Suggestibility Scales (Gudjonsson, 1997) which have been widely used to measure individual suggestibility. Several fundamental problems associated with the Shift and Total Suggestibility subscales are identified and discussed. Two arguably more conceptually coherent methods of scoring the Shift subscale (‘Shift-positive’ and ‘Shift-negative’) are introduced. A confirmatory factor analytic model based on two oblique factors and relative answering regression effects between corresponding items was tested and supported based on a sample of 220 children. Based on a latent variable estimation approach, the internal consistency reliabilities associated with the Shift subscale scores were found to be unacceptably low. Consequently, we propose that until the problems associated with Shift-standard and Total Suggestibility is addressed successfully, use of the GSS should be limited to the Yield subscale.

The relationship among malingering, psychopathy, and the MMPI-2 validity scales in maximum security forensic psychiatric inpatients

The records of 392 men hospitalized in a maximum security forensic psychiatric hospital were reviewed. Demographic information was collected as well as data from the men's performance on the Psychopathy Checklist-Revised (PCL-R) and Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Prevalence rates for malingering were low across the sample. However, results of chi-square analysis revealed that those who scored high on the PCL-R received a diagnosis of malingering significantly more frequently than those who scored low on the PCL-R. Clinical applications and theoretical implications of the results are discussed.

Scales of policy intervention : problematising high poverty contexts in South Australia.

Education policy intervention for schools in high poverty neighbourhoods has focused on the capacity of local schools to make a difference and on the kinds of co-ordinated human services provision that might support individual families with “high needs”. In this paper I suggest that a more detailed analysis of “the problem” represented in such schools might yield a richer and more integrated policy approach. I use the notion of “scale”, arbitrary and imperfect approximations of spheres of activity, and apply it to a specific context in Adelaide, South Australia, to demonstrate the connections between the local school and factors which impinge on its capacities to make a positive difference. I suggest that the implication of the analysis is a more holistic approach to policy.

Development and validation of the depressive vulnerability and resilience scales

Demonstrates that a personality type typified by self-perceptions tinged with a positive bias and high levels of optimism, provides protection, or resilience, from the experience of depression. Suggests that vulnerability to depression can be attributed to an inability to develop positively biased self-perceptions.

The usefulness of suggestibility scales in predicting children's false reports of events

This thesis examined the nature and strength of the relationship between children's performance on suggestibility scales and their recall of independent events. It demonstrated that whilst standardised scales of suggestibility may be useful in predicting children's reporting of false information, there are clear boundaries to their usefulness. The clinical portfolio examines and discusses the impact that exposure to family violence has on children's functioning across development.

Attitude change in employment of people who have a disability

This thesis is set in Ecological Systems Theory and found that direct experience with people who have a disability, rather than constructed scenarios, is the key to positive attitude change. Future research should utilize the powerful role stereotyped groups themselves have in attitude change through their own development and interaction with the environment.

The convergent validity of two sensory processing scales used with school - age children : comparing the sensory profile and the sensory processing measure

Abstract: Aim: To investigate the convergent validity between the Sensory Profile, the Sensory Profile School Companion, and the Home and Main Classroom Forms of the Sensory Processing Measure.

Method: Thirty mothers completed the Sensory Profile and the Sensory Processing Measure - Home Form on one child each. Nineteen teachers of the same children completed the Sensory Profile School Companion and the Sensory Processing Measure - Main Classroom Form.

Results: The Sensory Profile and the Sensory Processing Measure - Home Form were significantly correlated (rho=0.86, p less-than .01). The Sensory Profile School Companion and Sensory Processing Measure - Main Classroom Form were also significantly correlated (rho=.74, p less-than .01).

Conclusion: The two sets of sensory processing scales had moderate levels of convergent validity.

Demographic demand systems with application to equivalence scales estimation and inequality analysis : the Australian evidence

This paper proposes and applies an alternative demographic procedure for extending a demand system to allow for the effect of household size and composition changes, along with price changes, on expenditure allocation. The demographic procedure is applied to two recent demand functional forms to obtain their estimable demographic extensions. The estimation on pooled time series of Australian Household Expenditure Surveys yields sensible and robust estimates of the equivalence scale, and of its variation with relative prices. Further evidence on the usefulness of this procedure is provided by using it to evaluate the nature and magnitude of the inequality bias of relative price changes in Australia over a period from the late 1980s to the early part of the new millennium.