Psychometric properties of the World Health Organization WHOQOL-AGE Scale in Singapore.

WHOQOL-AGE is a promising quality of life (QOL) tool that has not been fully validated in Asia. The present study aimed to verify its factor structure and psychometric properties among community-dwelling older adults in Singapore. This study was cross-sectional and used data (N = 593) from the Community Health and Intergenerational study that interviewed older adults between 2018 and 2021. Confirmatory factor analysis (CFA) was used to examine the factor structure of the WHOQOL-AGE, and Cronbach's alpha coefficients were employed to examine internal consistency. Spearman's rho correlations coefficients between WHOQOL-AGE and other related scales (Satisfaction with Life and the Friendship) examined convergent validity. A Pearson's correlation coefficient between WHOQOL-AGE and compassion scale examined discriminant validity. An independent t test was used to demonstrate known-groups validity, examining differences in QOL scores between individuals with and without chronic medical conditions. Findings supported a bifactor model with more satisfactory goodness-of-fit indices than the original two-factor model and the two-correlated factor model. WHOQOL-AGE showed adequate internal consistency (Cronbach's alpha coefficients > .70). Good convergent validity was demonstrated by moderate-to-large correlations between WHOQOL-AGE and satisfaction with life (rs = .54) as well as social connectedness (rs = .33). Discriminant validity was shown by low correlations between WHOQOL-AGE and compassion (r = .19). Findings also indicated good known-groups validity (p < 0.01). The WHOQOL-AGE showed promising psychometric properties using an Asian convenience sample and can be useful in large-scale studies or busy clinical settings.

Psychosocial risk factors of youth suicide in the Western Pacific: a scoping review.

INTRODUCTION:  The Western Pacific region accounts for 25% of global suicide rates globally. In the last decade, however, there is a rising concern over the rate of youth suicides in the region. In line with the regional vision of reducing the rate of non-communicable diseases by 2025, the study contributes to the literature by utilizing a scoping review approach to identify psychosocial risk factors associated with youth suicide in the region. METHOD: Publications on youth suicide in the Western Pacific region between 2010 and 2021 were reviewed. A total of 43 publications met the inclusion criteria and were read in full. RESULTS: Psychosocial risk factors associated with suicide in each publication were identified and thematically classified into five themes: interpersonal factors, history of abuse, academic factors, work factors, and minority status. DISCUSSION: Findings showed discrepancies in youth suicide research across member nations in the Western Pacific. Implications for regional policies on suicide prevention and future research were discussed.

Screening Children in India: Translation and Psychometric Evaluation of the Parents' Evaluation of Developmental Status and the Strength and Difficulties Questionnaire.

Timely screening and surveillance of children for developmental delay and social-emotional learning difficulties are essential in Low- and Middle-Income Countries like India. Screening measures like the Parents' Evaluation of Developmental Status (PEDS) and Strength and Difficulties Questionnaire (SDQ) are considered suitable for India due to their low cost, easy accessibility, and no training requirement for administration. However, India lacks validated screening measures, and the PEDS and SDQ have yet to be validated for children in India. The study aimed to translate the PEDS and SDQ from English to Hindi and psychometrically evaluate the same measures on children aged 4-8 years in India. The original PEDS and SDQ forms and their translations were pilot tested on 55 participants and evaluated using data from 407 children with typical development (TD) and 59 children with developmental disability (DD). Parents and teachers reported no meaningful discrepancy between the original and translated (Hindi) questionnaires. Internal consistency for the PEDS was acceptable, but unacceptable for most subscales on the SDQ, for both TD and DD samples. Test-retest reliability was poor for the PEDS but adequate for the SDQ. Results from known-group validity testing showed that the PEDS scores could be used to distinguish between the TD and DD samples. The results from this study provide further support for the use of the PEDS and SDQ in developing countries like India.

Parents' Evaluation of Developmental Status and Strength and Difficulties Questionnaire as Screening Measures for Children in India: A Scoping Review.

Due to the limited availability of suitable measures, screening children for developmental delays and social-emotional learning has long been a challenge in India. This scoping review examined the use of the Parents' Evaluation of Developmental Status (PEDS), PEDS: Developmental Milestones (PEDS:DM), and the Strength and Difficulties Questionnaire (SDQ) with children (<13 years old) in India. The scoping review was conducted following the Joanna Briggs Institute Protocol to identify primary research studies that examined the use of the PEDS, PEDS:DM, and SDQ in India between 1990 and 2020. A total of seven studies for the PEDS and eight studies for the SDQ were identified for inclusion in the review. There were no studies using the PEDS:DM. Two empirical studies used the PEDS, while seven empirical studies used the SDQ. This review represents the first step in understanding the use of screening tools with children in India.

Validation of the mental health continuum-short form: The bifactor model of emotional, social, and psychological well-being.

The Mental Health Continuum-Short Form (MHC-SF) is aimed at measuring the three dimensions of mental health; emotional, social, and psychological well-being. The purpose of the current study was to evaluate the psychometric properties of the MHC-SF within the context of Singapore and Australia. A total of 299 Singaporeans or permanent residents (59.2% female; mean age = 24.26, SD = 6.13) and 258 Australians or permanent residents (69% female; mean age = 23.95, SD = 8.66) completed the study. Confirmatory factor analyses were used to assess the structural validity of the MHC-SF. Internal consistency reliability was assessed via the Cronbach's α and MacDonald's ω reliability coefficients. Concurrent validity was examined against the World Health Organisation-Five Well-Being Index, discriminant validity using the Hospital Anxiety and Depression Scale, and criterion validity using a self-rated question of "Please rate your averaged level of mental health over the past month", all via Pearson's correlations. A bifactor model of the MHC-SF, where each item loaded on a general factor and simultaneously on their respective uncorrelated group factors, yielded the best fit to the data across both samples. Further investigations demonstrated that the general well-being factor accounted for majority of variances of the MHC-SF. Internal consistency reliability, concurrent validity, discriminant validity, and criterion validity were all demonstrated. In conclusion, the current study provided support for the bifactor model of MHC-SF and demonstrated evidence of good psychometrics across both samples. The results highlighted the unidimensionality of the measure, suggesting that it is more informative to interpret the aggregated score than scores of independent factors standalone.

Psychometric properties of the World Health Organization WHOQOL-BREF Quality of Life assessment in Singapore.

PURPOSE: This study validated the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire with 3400 respondents living in Singapore. METHODS: The ethnic composition was 76.1% Chinese, 12.3% Malay, 9.6% Indian, and 2% Others. The sample included adults with disabilities (28.9%), adults recovering from mental health issues (14%), and adults from the general population (57.1%). Questionnaires about health-related conditions, the effects of disability on everyday functioning (WHODAS 2.0), the WHOQOL-BREF, and add-on modules of QOL of people with disabilities (WHOQOL-DIS) and QOL of elders (WHOQOL-OLD) were administrated. RESULTS: Confirmatory factor analysis supported a construct of QOL made of four domains, revealing good construct validity. The four domains predicted overall QOL and health satisfaction. Good internal consistency was evidenced by high alpha coefficients for the physical (.79), psychological (.82), social relationships (.81), and environment (.83) domains. Convergent validity was shown by moderate correlations between the different questionnaires measuring QOL (WHOQOL-BREF, WHOQOL-DIS, and WHOQOL-OLD), and discriminant validity by a lower correlation between the WHOQOL-BREF and disability. Convergent and divergent validity were also indicated by higher correlations between similar constructs across the different measures, and lower correlations between dissimilar constructs across measures, respectively. Concurrent validity was supported by showing that individuals with chronic medical conditions had lower QOL than individuals without chronic medical conditions. CONCLUSIONS: The results showed that the WHOQOL-BREF has sound psychometric properties and can be used to measure QOL in Singapore.

Validation of the interpersonal needs questionnaire of young male adults in Singapore.

Interpersonal needs are associated with suicide. However, no interpersonal needs questionnaire has been validated in Asia. The psychometric properties of the Interpersonal Needs Questionnaire were examined in a sample of 340 young male adults in Singapore. This questionnaire measures proximal causes of desire for suicide using the extent to which individuals believe that they are a burden to others (perceived burdensomeness) and the extent to which they believe their needs are not met (thwarted belongingness). Confirmatory factor analysis found that a two-factor model of perceived burdensomeness and thwarted belongingness provided an adequate fit for the data. Internal consistency was excellent. Concurrent, convergent, predictive, and discriminant validity was demonstrated. The findings showed that the Interpersonal Needs Questionnaire provides a valid measure of interpersonal needs in young Asian males. Thus, the instrument can be utilized to test the interpersonal psychological theory of suicidal behavior.

Above, on, or shang ()? Language and spatial representations among English-Mandarin bilinguals.

This study investigated if exposure to spatial language could affect spatial cognition in English-Mandarin bilinguals by focusing on contact/noncontact distinctions, an area that has been a source of contention in the language-and-thought literature. Sixty-three participants were first primed with sentences containing spatial terms (e.g., above, on) before performing a spatial decision task. Approximately half of the participants (n = 33) were primed in English; for the remaining participants (n = 30), primes comprising Mandarin spatial terms-which mark spatial distinctions differently than in English (e.g., shang in Mandarin signifies both above and on in English)-were employed instead. Our findings revealed that participants' performance was influenced by spatial primes in the English experiment, thereby proffering evidence for thinking-for-speaking effects. However, these findings were not mirrored for the Mandarin experiment, confirming that the contact/noncontact specificity of spatial terms may have been instrumental in engendering the thinking-for-speaking effects observed in English.

Conceptual Representation Changes in Indonesian-English Bilinguals.

This study investigated conceptual representations changes in bilinguals. Participants were Indonesian-English bilinguals (dominant in Indonesian, with different levels of English proficiency) and a control group composed of English-dominant bilinguals. All completed a gender decision task, in which participants decided whether English words referred to a male or female person or animal. In order to explore conceptual representations, we divided the words into gender-specific and gender-ambiguous words. Gender-specific words were words in which conceptual representations contained gender as a defining feature, in both English and Indonesian (e.g., uncle). In contrast, gender-ambiguous words were words in which gender was a defining feature in English but not a necessary feature in Indonesian (e.g., nephew and niece are both subsumed under the same word, keponakan, in Indonesian). The experiment was conducted exclusively in English. Indonesian-English bilinguals responded faster to gender-specific words than gender-ambiguous words, but the difference was smaller for the most proficient bilinguals. As expected, English-dominant speakers' response latencies were similar across these two types of words. The results suggest that English concepts are dynamic and that proficiency leads to native-like conceptual representations.

Recognition memory for foreign language lexical stress.

This study investigated whether English speakers retained the lexical stress patterns of newly learned Spanish words. Participants studied spoken Spanish words (e.g., DUcha [shower], ciuDAD [city]; stressed syllables in capital letters) and subsequently performed a recognition task, in which studied words were presented with the same lexical stress pattern (DUcha) or the opposite lexical stress pattern (CIUdad). Participants were able to discriminate same- from opposite-stress words, indicating that lexical stress was encoded and used in the recognition process. Word-form similarity to English also influenced outcomes, with Spanish cognate words and words with trochaic stress (MANgo) being recognized more often and more quickly than Spanish cognate words with iambic stress (soLAR) and noncognates. The results suggest that while segmental and suprasegmental features of the native language influence foreign word recognition, foreign lexical stress patterns are encoded and not discarded in memory.

Observing neighborhood effects without neighbors.

With a new metric called phonological Levenshtein distance (PLD20), the present study explores the effects of phonological similarity and word frequency on spoken word recognition, using polysyllabic words that have neither phonological nor orthographic neighbors, as defined by neighborhood density (the N-metric). Inhibitory effects of PLD20 were observed for these lexical hermits: Close-PLD20 words were recognized more slowly than distant PLD20 words, indicating lexical competition. Importantly, these inhibitory effects were found only for low- (not high-) frequency words, in line with previous findings that phonetically related primes inhibit recognition of low-frequency words. These results indicate that the properties of PLD20--a continuous measure of word-form similarity--make it a promising new metric for quantifying phonological distinctiveness in spoken word recognition research.

Distributional analyses in auditory lexical decision: neighborhood density and word-frequency effects.

In the present article, the effects of phonological neighborhood density and word frequency in spoken word recognition were examined using distributional analyses of response latencies in auditory lexical decision. A density x frequency interaction was observed in mean latencies; frequency effects were larger for low-density words than for high-density words. Distributional analyses further revealed that for low-density words, frequency effects were reflected in both distributional shifting and skewing, whereas for high-density words, frequency effects were purely mediated by distributional skewing. The results suggest that word frequency plays a role in early auditory word recognition only when there is relatively little competition between similar-sounding words, and that frequency effects in high-density words reflect postlexical checking.