The Development of a Short Psychotic Symptoms Questionnaire Using Data of a Two-Wave Epidemiological Study

Johannes F. L. M. van Kemenade; Clemens M. H. Hosman

doi:10.4236/psych.2015.616209

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Psychology > Vol.6 No.16, December 2015

The Development of a Short Psychotic Symptoms Questionnaire Using Data of a Two-Wave Epidemiological Study ()

Johannes F. L. M. van Kemenade^1*, Clemens M. H. Hosman²

¹Geestelijke Gezondheidszorg [Mental Health Care] Westelijk Noord-Brabant and PCA, Psychological Computer Applications, The Netherlands.
²Radboud University Nijmegen and Maastricht University, Maastricht, The Netherlands.

DOI: 10.4236/psych.2015.616209 PDF HTML XML 2,682 Downloads 3,147 Views Citations

Abstract

For use in epidemiological surveys, short self-report questionnaires measuring psychotic symptoms were not available in 1995, when we started a multi-wave epidemiological study. This paper presents such an instrument, using the epidemiological data of the 1996 and 2000 waves of a longitudinal study. Relevant items from the Dutch Abbreviated MMPI and the Symptom Checklist were combined into one questionnaire, which was completed by a regional Dutch population sample of 1528 subjects in 1996 and 525 in 2000, with a common cohort of 496. Data from a client sample were used (n = 113) for validation purposes. Principal component analyses resulted in one general psychosis factor with sufficient reliability. Validity research indicated that the instrument measured the psychotic symptoms. Positive correlations were found with schizotypal personality and experienced disability. Correlations indicating both convergent and divergent validity were found in the Rorschach test, the Dutch Abbreviated MMPI and the MMPI-2. The instrument measures the prevalence of psychotic symptoms in the general population and can be used as a short self-report screener in epidemiological surveys. Combined with a disability screener, the proportion of the population suffering disabilitating effects of psychotic symptoms can be estimated. Further research is recommended to investigate the predictive value of the instrument concerning the prognosis of experiencing psychotic symptoms or showing onset of psychotic disorder. This offers perspectives for future use in primary health care to identify persons with psychotic liability or who need support in coping with psychotic symptoms.

Keywords

Epidemiology, Longitudinal Design, Psychotic Symptoms, Self-Report Questionnaire, Screener

Share and Cite:

Kemenade, J. and Hosman, C. (2015) The Development of a Short Psychotic Symptoms Questionnaire Using Data of a Two-Wave Epidemiological Study. Psychology, 6, 2125-2136. doi: 10.4236/psych.2015.616209.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Arrindell, W. A., & Ettema, J. H. M. (1986). Manual for a Multidimensional Psychopathology Indicator (Handleiding bij een multidimensionele psychopathologie-indicator). Lisse: Swets & Zeitlinger.
[2]	Bebbington, P. E., & Nayani, T. (1995). The Psychosis Screening Questionnaire. International Journal of Methods in Psychiatric Research, 5, 11-20.
[3]	Campbell, D. T., & Fiske, D. W. (1959). Convergent and Discriminant Validation by the Multitrait-Multimethod Matrix. Psychological Bulletin, 56, 81-105. http://dx.doi.org/10.1037/h0046016
[4]	Cheung, Y. B. (2002). A Confirmatory Factor Analysis of the 12-Item General Health Questionnaire among Older People. International Journal of Geriatric Psychiatry, 17, 739-44. http://dx.doi.org/10.1002/gps.693
[5]	Clark, A., & Friedman, M. J. (1983). Factor Structure and Discriminant Validity of the SCL-90 in the Veteran Psychiatric Population. Journal of Personality Assessment, 47, 396-404. http://dx.doi.org/10.1207/s15327752jpa4704_10
[6]	de Jong-Gierveld, J., & Kamphuis, F. (1985). The Development of a Rasch-Type Loneliness Scale. Applied Psychological Measurement, 9, 289-99. http://dx.doi.org/10.1177/014662168500900307
[7]	Derksen, J. J. L., Mey, H. R. A. de, Sloore, H., & Hellenbosch, G. (1995). MMPI-2: Manual for Application, Scoring and Interpretation (MMPI-2: Handleiding bij afname, scoring en interpretatie). Nijmegen: Pen Tests Publisher.
[8]	Derogatis, L. T., Lipman, R. S., & Covi, L. (1973). SCL-90: An Outpatient Rating Scale—Preliminary Report. Psychopharmacology Bulletin, 9, 13-28.
[9]	Dingemans, P. M. A. J. (1988). Classification and Scales in Schizophrenia Research (Classificatie en schalen in het onderzoek van schizofrenie). In R. J. van den Bosch, C. R. van Meer, P. M. A. J. Dingemans, & D. H. Linszen (Eds.), Schizophrenia: Recent Developments in Research and Treatment (Schizofrenie: Recente ontwikkelingen in onderzoek en behandeling). Deventer: van Loghum Slaterus, 49-71.
[10]	Eaton, W. W., Romanoski, A., Anthony, J. C. et al. (1999). Screening for Psychosis in the General Population with a Self-Report Interview. Journal of Nervous and Mental Disease, 179, 689-693. http://dx.doi.org/10.1097/00005053-199111000-00007
[11]	Exner Jr., J. E. (2003). Rorschach: A Comprehensive System (Vol. I, 4th ed.). Hoboken, NJ: Wiley.
[12]	Goldberg, D. P., & Williams, P. (1988). A Users Guide to the General Health Questionnaire. Windsor: Nfer Nelson.
[13]	Graham, J. R. (2000). MMPI-2: Assessing Personality and Psychopathology. New York: Oxford University Press.
[14]	Gross, G., Huber, G., Klosterkötter, J. et al. (1987). Bonn Scale for the Assessment of Basic Symptoms [Bonner Skala für die Beurteilung von Basissymptomen]. Berlin, Heidelberg, New York: Springer-Verlag.
[15]	Hanssen, M., Bak, M., Bijl, R., Vollebergh, W., & van Os, J. (2005). The Incidence and Outcome of Subclinical Psychotic Experiences in the General Population. British Journal of Clinical Psychology, 44, 181-191. http://dx.doi.org/10.1348/014466505X29611
[16]	Holi, M. (2003). Assessment of Psychiatric Symptoms Using the SCL-90. Helsinki: University Printing House.
[17]	Hyler, S. E., & Reider, R. C. (1984). PDQ-R: Personality Disorders Questionnaire—Revised. New York: New York State Psychiatric Institute.
[18]	Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANNS) for Schizophrenia. Schizophrenia Bulletin, 13, 261-276. http://dx.doi.org/10.1093/schbul/13.2.261
[19]	Luteijn, F., & Kok, A. R. (1985). DAMMPI: Dutch Abbreviated MMPI, Revised Edition [NVM: Nederlandse Verkorte MMPI, herziene uitgave]. Lisse: Swets & Zeitlinger.
[20]	Miller, T. J., McGlashan, T. H., Woods, S. W., Stein, K., Driesen, N., Corcoran, C. M., Hoffman, R., & Davidson, L. (1999). Symptom Assessment in Schizophrenic Prodromal States. Psychiatric Quarterly, 70, 273-287. http://dx.doi.org/10.1023/A:1022034115078
[21]	Ouwersloot, G., van den Brink, W., de Boer, O., & Hoogduin, C. A. L. (1989). The Dutch Language PDQ-R [De Nederland-stalige PDQ-R]. Unpublished Manuscript, Delft: Technical University.
[22]	Stefanis, N. C., Hanssen, M., Smirnis, N. H., Avramopoulos, I. K., Evdokimidis, I. K., Stefanis, C. N., Verdoux, H., & van Os. J. (2002). Evidence That Three Dimensions of Psychosis Have a Distribution in the General Population. Psychological Medicine, 32, 347-358. http://dx.doi.org/10.1017/S0033291701005141
[23]	Thornicroft, G., Johnson, S., Leese, M., & Slade, M. (2000). The Unmet Needs of People Suffering from Schizophrenia. In G. Andrews, & S. Henderson (Eds.), Unmet Need in Psychiatry: Problems, Resources, Responses (pp. 197-217). Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511543562.016
[24]	Tien, A. Y. (1991). Distributions of Hallucinations in the Population. Social Psychiatry and Psychiatric Epidemiology, 26, 287-292. http://dx.doi.org/10.1007/BF00789221
[25]	van Kemenade, J. F. L. M. (2002). Health Measurement II in Western North Brabant [Gezondheidsthermometer II in Westelijk Noord-Brabant]. Roosendaal: GGZ WNB.
[26]	van Os, J., Hanssen, M., Bijl, R. V., & Vollebergh, W. (2001). Prevalence of Psychotic Disorder and Community Level of Psychotic Symptoms: An Urban-Rural Comparison. Archives of General Psychiatry, 58, 663-668. http://dx.doi.org/10.1001/archpsyc.58.7.663
[27]	Verdoux, H., & van Os, J. (2002) Psychotic Symptoms in Non-Clinical Populations and the Continuum of Psychosis. Schizophrenia Research, 54, 59-65. http://dx.doi.org/10.1016/S0920-9964(01)00352-8
[28]	Vollema, M. G. (1999). Schizotypy: Towards the Psychological Heart of Schizophrenia. Dissertation, Groningen: Rijksuniversiteit Groningen.
[29]	Wiersma, D., Nienhuis, F. J., Giel, R., & Slooff, C. J. (1998). Stability in Needs of Patients with Schizophrenic Disorders: A 15 and 17-Year Follow-Up from First Onset of Psychosis, and a Comparison between “Objective” and “Subjective” Assessments of Needs of Care. Social Psychiatry and Psychiatric Epidemiology, 33, 49-56. http://dx.doi.org/10.1007/s001270050022
[30]	Yung, A. R., & McGorry, P. D. (2004). Precursors of Schizophrenia. Current Psychosis & Therapeutic Reports, 2, 67-72. http://dx.doi.org/10.1007/s11922-004-0033-6
[31]	Yung, A. R., Phillips, L. J., McGorry, P. D., McFarlane, C. A., Francey, S., Harrigan, S., Patton, G. C., & Jackson, H. J. (1998). Prediction of Psychosis. A Step towards Indicated Prevention of Schizophrenia. The British Journal of Psychiatry. Supplement, 172, 14-20.
[32]	Zung, W. W. K. (1965). Self-Rating Depression Scale. Archives of General Psychiatry, 12, 63-70. http://dx.doi.org/10.1001/archpsyc.1965.01720310065008