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Research paper thumbnail of Screening childhood cancer survivors with the brief symptom inventory-18: classification agreement with the symptom checklist-90-revised

Psycho-oncology, 2007

The Brief Symptom Inventory-18 (BSI-18) is an 18-item symptom checklist used as a brief distress ... more The Brief Symptom Inventory-18 (BSI-18) is an 18-item symptom checklist used as a brief distress screening in cancer and other medical patients. This study evaluated the validity of the BSI-18 in a sample of 221 adult survivors of childhood cancers ages 18–55 (median = 26). Validity of the BSI-18 was compared to the Symptom Checklist-90-Revised (SCL-90-R). Results indicated the BSI-18 scales had acceptable internal consistency (alpha >0.80) and were highly correlated with the corresponding SCL-90-R subscales (correlations from 0.88 to 0.94). When subjects were classified as case positive (significantly distressed) using the BSI-18 manual case-rule, classification agreement with the SCL-90-R was poor as evidenced by low sensitivity (41.78%). An alternative BSI-18 case-rule previously developed for cancer patients using the General Severity Index (GSI; GSI t-score ⩾57) demonstrated better sensitivity (83.54%). ROC analysis indicated the BSI-18 had strong diagnostic utility relative to the SCL-90-R (AUC = 0.98) and several possible GSI cut-off scores were evaluated. The optimal cut-of score was a t-score ⩾50 which had a sensitivity of 97.47% and a specificity of 85.21%. Results support use of the BSI-18 with adult survivors of childhood cancer but indicate an alternative case-rule must be used. Copyright © 2006 John Wiley & Sons, Ltd.

Research paper thumbnail of Adaptation of the Preventive Intervention Program for Depression for Use with Predominantly Low-Income Latino Families

Family Process, 2009

This paper describes the process for and safety/feasibility of adapting the Beardslee Preventive ... more This paper describes the process for and safety/feasibility of adapting the Beardslee Preventive Intervention Program for Depression for use with predominantly low income, Latino families. Utilizing a Stage I model for protocol development, the adaptation involved literature review, focus groups, pilot testing of the adapted manual, and open trial of the adapted intervention with 9 families experiencing maternal depression. Adaptations included conducting the intervention in either Spanish or English, expanding the intervention to include the contextual experience of Latino families in the United States with special attention to cultural metaphors, and using a strength-based, family-centered approach. The families completed preintervention measures for maternal depression, child behavioral difficulties, global functioning, life stresses, and an interview that included questions about acculturative stressors, resiliency, and family awareness of parental depression. The postintervention interview focused on satisfaction, distress, benefits of the adapted intervention, and therapeutic alliance. The results revealed that the adaptation was nonstressful, perceived as helpful by family members, had effects that seem to be similar to the original intervention, and the preventionists could maintain fidelity to the revised manual. The therapeutic alliance with the preventionists was experienced as quite positive by the mothers. A case example illustrates how the intervention was adapted.

Research paper thumbnail of A) ELASTICIDAD CAPÍTULO XIII

Si sobre una barra de un sólido hacemos un esfuerzo moderado de tracción o de compresión, se alar... more Si sobre una barra de un sólido hacemos un esfuerzo moderado de tracción o de compresión, se alargará o comprimirá hasta una situación en que las fuerzas internas entre sus partículas (átomos o moléculas) anulen la acción exterior. Estas fuerzas interiores son atractivas si compensan una tracción o respulsivas si se somete el sólido a una compresión, y tenderán a hacer que aquél vuelva a su situación original al cesar la fuerza exterior.

Research paper thumbnail of Screening childhood cancer survivors with the brief symptom inventory-18: classification agreement with the symptom checklist-90-revised

Psycho-oncology, 2007

The Brief Symptom Inventory-18 (BSI-18) is an 18-item symptom checklist used as a brief distress ... more The Brief Symptom Inventory-18 (BSI-18) is an 18-item symptom checklist used as a brief distress screening in cancer and other medical patients. This study evaluated the validity of the BSI-18 in a sample of 221 adult survivors of childhood cancers ages 18–55 (median = 26). Validity of the BSI-18 was compared to the Symptom Checklist-90-Revised (SCL-90-R). Results indicated the BSI-18 scales had acceptable internal consistency (alpha >0.80) and were highly correlated with the corresponding SCL-90-R subscales (correlations from 0.88 to 0.94). When subjects were classified as case positive (significantly distressed) using the BSI-18 manual case-rule, classification agreement with the SCL-90-R was poor as evidenced by low sensitivity (41.78%). An alternative BSI-18 case-rule previously developed for cancer patients using the General Severity Index (GSI; GSI t-score ⩾57) demonstrated better sensitivity (83.54%). ROC analysis indicated the BSI-18 had strong diagnostic utility relative to the SCL-90-R (AUC = 0.98) and several possible GSI cut-off scores were evaluated. The optimal cut-of score was a t-score ⩾50 which had a sensitivity of 97.47% and a specificity of 85.21%. Results support use of the BSI-18 with adult survivors of childhood cancer but indicate an alternative case-rule must be used. Copyright © 2006 John Wiley & Sons, Ltd.

Research paper thumbnail of Adaptation of the Preventive Intervention Program for Depression for Use with Predominantly Low-Income Latino Families

Family Process, 2009

This paper describes the process for and safety/feasibility of adapting the Beardslee Preventive ... more This paper describes the process for and safety/feasibility of adapting the Beardslee Preventive Intervention Program for Depression for use with predominantly low income, Latino families. Utilizing a Stage I model for protocol development, the adaptation involved literature review, focus groups, pilot testing of the adapted manual, and open trial of the adapted intervention with 9 families experiencing maternal depression. Adaptations included conducting the intervention in either Spanish or English, expanding the intervention to include the contextual experience of Latino families in the United States with special attention to cultural metaphors, and using a strength-based, family-centered approach. The families completed preintervention measures for maternal depression, child behavioral difficulties, global functioning, life stresses, and an interview that included questions about acculturative stressors, resiliency, and family awareness of parental depression. The postintervention interview focused on satisfaction, distress, benefits of the adapted intervention, and therapeutic alliance. The results revealed that the adaptation was nonstressful, perceived as helpful by family members, had effects that seem to be similar to the original intervention, and the preventionists could maintain fidelity to the revised manual. The therapeutic alliance with the preventionists was experienced as quite positive by the mothers. A case example illustrates how the intervention was adapted.

Research paper thumbnail of A) ELASTICIDAD CAPÍTULO XIII

Si sobre una barra de un sólido hacemos un esfuerzo moderado de tracción o de compresión, se alar... more Si sobre una barra de un sólido hacemos un esfuerzo moderado de tracción o de compresión, se alargará o comprimirá hasta una situación en que las fuerzas internas entre sus partículas (átomos o moléculas) anulen la acción exterior. Estas fuerzas interiores son atractivas si compensan una tracción o respulsivas si se somete el sólido a una compresión, y tenderán a hacer que aquél vuelva a su situación original al cesar la fuerza exterior.