This article performs a systemic review of psychometric properties of Internet Addiction Test (IAT)-the most widely used tool for assessing Internet addiction in clinic and research field. Studies measuring psychometric properties of IAT (original version) were searched through MEDLINE, The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and Embase. A total of 25 studies including 18,421 subjects were reviewed in our study. Based on meta-analysis for internal consistency, the pooled Cronbach's alpha coefficient from college/university students with a single department subgroup was 0.90 (95percent confidence interval [CI], 0.89-0.91), and that from middle-/high-school students (older than 15 years) subgroup was 0.93 (95 percent CI, 0.92-0.93). According to test-retest analysis, the pooled Spearman's correlation coefficient from college/university students with a single department subgroup was high at 0.83 (95 percent CI, 0.81-0.85), along with low publication bias. Convergent validity showed correlation coefficients of 0.62-0.84, as compared with major tools. For construct validity, the number of factors is believed to be 1-2, only considering studies that followed the guidelines. IAT appears to have acceptable internal consistency, test-retest reliability, and convergent validity in specific groups. To verify these values, well-designed evidence-based studies assessing psychometric properties of IAT across diverse populations are warranted.
Aim
To assess the accuracy of the Childhood Autism Rating Scale (CARS) through systematic review and meta‐analysis.
Method
Studies that provided quantitative values for the reliability and validity for all versions of CARS were searched through MEDLINE, CINAHL, PsycINFO, Embase, and OpenDissertations.
Results
A total of 24 studies with 4433 participants were included in our analysis. Meta‐analysis showed that the summary Cronbach's alpha regarding a team of physicians and psychologists or others subgroup, derived from six studies (952 participants), was considered to be acceptable at 0.90 (95% confidence interval, 0.87–0.92) with moderate heterogeneity. Analysis of two ‘low risk of bias’ studies on the criterion validity for CARS with a cut‐off of 30 and DSM‐IV resulted in sensitivity of 0.86 and 0.71 and specificity of 0.79 and 0.75.
Interpretation
Through the results of the current systematic review and meta‐analysis, the internal consistency can be considered to be acceptable for a team of physicians and psychologists or others subgroup. In terms of the criterion validity, the sensitivity was thought to be acceptable although the specificity was not, suggesting that CARS should be used along with other confirmatory tools.
What this paper adds
The Childhood Autism Rating Scale can be considered as a supplementary diagnostic tool for autism spectrum disorder.
Background: Cortical thickness (CT) and gyrification are complementary indices that assess different aspects of gray matter structural integrity. Both neurodevelopment insults and acute tissue response to antipsychotic medication could underlie the known heterogeneity of treatment response and are well-suited for interrogation into the relationship between gray matter morphometry and clinical outcomes in schizophrenia (SZ). Methods: Using a prospective design, we enrolled 34 unmedicated patients with SZ and 23 healthy controls. Patients were scanned at baseline and after a 6-week trial with risperidone. CT and local gyrification index (LGI) values were quantified from structural MRI scans using FreeSurfer 5.3. Results: We found reduced CT and LGI in patients compared to controls. Vertex-wise analyses demonstrated that hypogyrification was most prominent in the inferior frontal cortex, temporal cortex, insula, pre/postcentral gyri, temporoparietal junction, and the supramarginal gyrus. Baseline CT was predictive of subsequent response to antipsychotic treatment, and increase in CT after 6 weeks was correlated with greater symptom reductions. Conclusions: In summary, we report evidence of reduced CT and LGI in unmedicated patients compared to controls, suggesting involvement of different aspects of gray matter morphometry in the pathophysiology of SZ. Importantly, we found that lower CT at baseline and greater increase of CT following 6 weeks of treatment with risperidone were associated with better clinical response. Our results suggest that cortical thinning may normalize as a result of a good response to antipsychotic medication, possibly by alleviating potential neurotoxic processes underlying gray matter deterioration.
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