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Psychometric properties of the Marital Adjustment Scale during cognitive therapy for depression: New research opportunities.

ABSTRACT: Poor dyadic adjustment in marital or similar relationships is common among patients seeking individual cognitive therapy (CT) for major depressive disorder (MDD). Here we examined the psychometric properties of the marital adjustment subscale (MAS) of the Social Adjustment Scale-Self-report (SAS-SR; Weissman & Bothwell, 1976). Among married or cohabiting patients receiving individual CT for recurrent MDD (N = 306) in the context of two randomized controlled trials, the MAS demonstrated moderate internal consistency and test-retest reliability, strong convergence with the Dyadic Adjustment Scale (Spanier, 1976), and moderate relations with interpersonal problems and depressive symptoms. Controlling baseline depressive symptom severity, greater pre-CT relationship discord on the MAS predicted less reduction in depressive symptom severity and lower odds of depression remission during CT. These results support the reliability, validity, and potential utility of the MAS. Using the MAS may help investigators "mine" existing data sets including the SAS-SR to further understanding of dyadic functioning and its potential impact on depression treatment and other health outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

SUBMITTER: Vittengl JR

PROVIDER: S-EPMC8352069 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Psychometric properties of the Marital Adjustment Scale during cognitive therapy for depression: New research opportunities.

Vittengl Jeffrey R JR Clark Lee Anna LA Thase Michael E ME Jarrett Robin B RB

Psychological assessment 20200827 11

Poor dyadic adjustment in marital or similar relationships is common among patients seeking individual cognitive therapy (CT) for major depressive disorder (MDD). Here we examined the psychometric properties of the marital adjustment subscale (MAS) of the Social Adjustment Scale-Self-report (SAS-SR; Weissman & Bothwell, 1976). Among married or cohabiting patients receiving individual CT for recurrent MDD (<i>N</i> = 306) in the context of two randomized controlled trials, the MAS demonstrated mo ...[more]

PMID: 32853004

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Project description:IntroductionDepression and anxiety are the most common mental health problems among adolescents. The Depression Anxiety Stress Scales for Youth (DASS-Y) is a newly developed instrument designed to assess these problems in adolescents.AimThe present study aims to evaluate the psychometric properties of the DASS-Y among Chinese adolescents.MethodsA total of 326 secondary school students aged 14-18 years participated in the study. A convenience sampling method was adopted to conduct a test-retest of the DASS-Y among Chinese secondary school students. McDonald's omega, Cronbach's alpha, and intraclass correlation coefficient (ICC) along with their 95% CI were used to assess the internal consistency and test-retest reliability of the DASS-Y. Confirmatory Factor Analysis (CFA) evaluated the structural validity and convergent validity of the DASS-Y through the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), Root Mean Square Error of Approximation (RMSEA), as well as Average Variance Extracted (AVE) and Composite Reliability (CR). Pearson correlation coefficients with the General Health Questionnaire-12 (GHQ-12), and the Pittsburgh Sleep Quality Index (PSQI) assessed criterion validity.ResultsThe CFA confirmed the validity the DASS-Y three-factor model consisting of depression, anxiety, and stress. The internal consistency reliability of the DASS-Y was found to be robust, with McDonald's omega and Cronbach's alpha values exceeding 0.8 for all dimensions across two measurements. The test-retest reliability was stable. The structural validity was reasonable and effective. Additionally, convergent validity is satisfactory, while criterion validity is also satisfactory. The three-factor model consisting of depression, anxiety and stress was confirmed through CFA.ConclusionThe DASS-Y exhibits satisfactory psychometric properties among Chinese secondary school adolescents, reliably and appropriately screening for mental health issues such as depression and anxiety within this population. Consequently, it can be employed as a standard tool for routine mental health surveillance in secondary schools.

Dataset Information

Psychometric properties of the Marital Adjustment Scale during cognitive therapy for depression: New research opportunities.

Publications

Psychometric properties of the Marital Adjustment Scale during cognitive therapy for depression: New research opportunities.

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