Chris D H Evans - Academia.edu (original) (raw)

Papers by Chris D H Evans

The Journal of Nervous and Mental Disease, 1996

Journal of Epidemiology & Community Health, 1984

This contribution presents the main results of Empower which is a research-intervention project i... more This contribution presents the main results of Empower which is a research-intervention project in the real world that focuses on the problem of gender-based violence, particularly domestic violence and the mother-daughter relationship. The contribution develops the idea of Morenian sociatry where psychodrama can be considered an elective intervention to help those who are prisoners of victim-perpetrator relationships, since psychodrama proves valuable for troubleshooting identity. The University of Padua leads in every aspect of this project, and heads a partnership, composed of groups belonging to the FEPTO,that collaborate with anti-violence centers in Easter Europe (Albania, Bulgaria, and Romania) and Western Europe (Austria, Italy and Portugal).

BMC Psychiatry, Mar 22, 2013

Background: The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is a 34-item in... more Background: The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) is a 34-item instrument developed to monitor clinically significant change in outpatients. The CORE-OM covers four domains: well-being, problems/symptoms, functioning and risk, and sums up in two total scores: the mean of All items, and the mean of All non-risk items. The aim of this study was to examine the psychometric properties of the Norwegian translation of the CORE-OM. Methods: A clinical sample of 527 outpatients from North Norwegian specialist psychiatric services, and a non-clinical sample of 464 persons were obtained. The non-clinical sample was a convenience sample consisting of friends and family of health personnel, and of students of medicine and clinical psychology. Students also reported psychological stress. Exploratory factor analysis (EFA) was employed in half the clinical sample. Confirmatory (CFA) factor analyses modelling the theoretical sub-domains were performed in the remaining half of the clinical sample. Internal consistency, means, and gender and age differences were studied by comparing the clinical and non-clinical samples. Stability, effect of language (Norwegian versus English), and of psychological stress was studied in the sub-sample of students. Finally, cutoff scores were calculated, and distributions of scores were compared between clinical and non-clinical samples, and between students reporting stress or no stress. Results: The results indicate that the CORE-OM both measures general (g) psychological distress and sub-domains, of which risk of harm separates most clearly from the g factor. Internal consistency, stability and cutoff scores compared well with the original English version. No, or only negligible, language effects were found. Gender differences were only found for the well-being domain in the non-clinical sample and for the risk domain in the clinical sample. Current patient status explained differences between clinical and non-clinical samples, also when gender and age were controlled for. Students reporting psychological distress during last week scored significantly higher than students reporting no stress. These results further validate the recommended cutoff point of 1 between clinical and non-clinical populations. Conclusions: The CORE-OM in Norwegian has psychometric properties at the same level as the English original, and could be recommended for general clinical use. A cutoff point of 1 is recommended for both genders.

Revista de Psicoterapia

Se presenta la versión en español del Clinical Outcomes in Routine Evaluation- Outcome Measure (C... more Se presenta la versión en español del Clinical Outcomes in Routine Evaluation- Outcome Measure (CORE-OM), un instrumento creado por el Core System Group para la evaluación del cambio terapéutico. El CORE-OM es un cuestionario que evalúa el malestar psicológico a partir de cuatro dimensiones: Bienestar subjetivo, Problemas/Síntomas, Funcionamiento general y Riesgo. Se describe el cuestionario y se exponen los estudios psicométricos realizados, los cuales indican que el instrumento posee un nivel de validez y fiabilidad adecuadas, así como una excelente aceptación y sensibilidad al cambio terapéutico. Con la supervisión y guía de miembros del equipo creador del CORE-OM, se realizó el proceso de traducción de la versión original en inglés. Colaboraron 12 personas competentes en ambas lenguas de diferentes lugares de España; posteriormente 64 castellano-parlantes de distintas condiciones y orígenes lingüísticos participaron en la revisión del instrumento. Así se obtuvo una versión defin...

Psychology, Community & Health, 2013

Aim: To investigate the psychometric properties of the Finnish version of the Resilience Scale (R... more Aim: To investigate the psychometric properties of the Finnish version of the Resilience Scale (RS) and its short version (RS-14), as well as the relationship of resilience with demographic variables and self-perceived health. Method: A standard procedure was used for translation of the scale, and 243 participants (75% women, mean age = 41.0; SD = 17.8) were evaluated with the RS, the RS-14, and the EuroQol 5D. Results: The mean level of resilience was found to be moderate. Both the RS and the RS-14 showed good internal consistency reliability, .90 and .87, respectively. No clear factor structure was found. Both assessments correlated with age but there was no statistically significant association with education or gender. However, a relatively weak but statistically significant correlation between the RS and the RS-14 with self-reported health was found in women. Conclusion: The Finnish versions of the RS and RS-14 can be recommended to be used in clinical and scientific settings. Gender is suggested to be taken into account in further research of resilience.

The Corsini Encyclopedia of Psychology, 2010

Come and join one of the most friendly and welcoming professional conferences, celebrating the 23... more Come and join one of the most friendly and welcoming professional conferences, celebrating the 23rd meeting of the Society for Psychotherapy Research in the UK. The programme reflects the interdisciplinary nature of SPR, with a wide representation of professions, organizations and therapy orientations: be there, join in and help us make SPR more able to help you and other therapists.

Journal of Deaf Studies and Deaf Education, 2013

British Journal of Psychiatry, 2012

SummaryA series of editorials in this Journal have argued that psychiatry is in the midst of a cr... more SummaryA series of editorials in this Journal have argued that psychiatry is in the midst of a crisis. The various solutions proposed would all involve a strengthening of psychiatry's identity as essentially ‘applied neuroscience’. Although not discounting the importance of the brain sciences and psychopharmacology, we argue that psychiatry needs to move beyond the dominance of the current, technological paradigm. This would be more in keeping with the evidence about how positive outcomes are achieved and could also serve to foster more meaningful collaboration with the growing service user movement.

American Journal on Intellectual and Developmental Disabilities, 2010

The Supports Intensity Scale (SIS) is used to determine the profile and intensity of the supports... more The Supports Intensity Scale (SIS) is used to determine the profile and intensity of the supports needed by a person to participate successfully in major life activities. With its publication into 13 languages, a need has arisen to document its reliability and validity across language and cultural groups. Here we explain the adaptation and the validation process of the SIS on a Spanish sample of 885 people with intellectual disability. Results of the study are discussed in terms of the reliability and validity of the SIS on the Spanish sample and its efficacy for multiple uses in Spain.

Counselling and Psychotherapy Research, 2013

ABSTRACT Background: There is a need for a generic, short, and easy-to-use assessment measure for... more ABSTRACT Background: There is a need for a generic, short, and easy-to-use assessment measure for common presentations of psychological distress in UK primary care mental health settings. This paper sets out the development of the CORE-10 in response to this need. Method: Items were drawn from the CORE-OM and 10 items were selected according to a combination of usefulness, coverage of item clusters, and statistical procedures. Three CORE-OM datasets were employed in the development phase: (1) a primary care sample, (2) a sample from an MRC platform trial of enhanced collaborative care of depression in primary care, and (3) a general population sample derived from the Office of National Statistics Psychiatric Morbidity Follow-up survey. A fourth dataset comprising a sample from an occupational health setting was used to evaluate the CORE-10 in its standalone format. Results: The internal reliability (alpha) of the CORE-10 was .90 and the score for the CORE-10 correlated with the CORE-OM at .94 in a clinical sample and .92 in a non-clinical sample. The clinical cut-off score for general psychological distress was 11.0 with a reliable change index (90% CI) of 6. For depression, the cut-off score for the CORE-10 was 13 and yielded sensitivity and specificity values of .92 (CI=.83–1.0) and 0.72 (CI=.60–.83) respectively. Conclusion: The CORE-10 is an acceptable and feasible instrument that has good psychometric properties and is practical to use with people presenting with common mental health problems in primary care settings.

Group Analysis, 2005

In this paper we argue that work with groups in forensic settings highlights key elements of the ... more In this paper we argue that work with groups in forensic settings highlights key elements of the relational processes at the ‘outerface’ of the group, as well as within the group. Drawing on Bion's idea of containment we explore the triadic aspects that are fundamental to group and systems work and examine the specific quality of attention that this requires of the group therapist/analyst.

Therapeutic Communities, 2005

his paper presents further data from the ATC/NLCB Therapeutic Communities Research Project, bas... more his paper presents further data from the
ATC/NLCB Therapeutic Communities Research Project,
based on findings from the 306 social histories collected as
part of this project. The project focused on people with
personality disorders in therapeutic communities, and this
paper explores some of the traumatic experiences of this
sample of client members prior to their admission to a
therapeutic community. We look particularly at early separ-
ations from main carers and family of origin; at losses and
disability; and at experiences of physical and sexual abuse
in childhood and adulthood, and see what, if any, relation-
ship these have with personality disorders for this study
sample. We also explore whether the different clients in the
different types of therapeutic communities have different
traumatic experiences, as evidenced by these social
histories. The paper discusses the implications of these
findings.

Neuropsychiatric disease and treatment, 2016

The objective of this paper is to assess the reliability and validity of the Spanish translation ... more The objective of this paper is to assess the reliability and validity of the Spanish translation of the Clinical Outcomes in Routine Evaluation - Outcome Measure, a 34-item self-report questionnaire that measures the client's status in the domains of Subjective well-being, Problems/Symptoms, Life functioning, and Risk. Six hundred and forty-four adult participants were included in two samples: the clinical sample (n=192) from different mental health and primary care centers; and the nonclinical sample (n=452), which included a student and a community sample. The questionnaire showed good acceptability and internal consistency, appropriate test-retest reliability, and acceptable convergent validity. Strong differentiation between clinical and nonclinical samples was found. As expected, the Risk domain had different characteristics than other domains, but all findings were comparable with the UK referential data. Cutoff scores were calculated for clinical significant change assess...

PSICOTERAPIA E SCIENZE UMANE, 2000

British Journal of Medical Psychology, 1995

Psychiatric Bulletin, 2002

The British journal of psychiatry : the journal of mental science, 2014