The Brief Psychiatric Rating Scale (BPRS) is one of the most widely used measures in psychiatric outcome and clinical psychopharmacology research. To date, however; research on the psychometric properties of the expanded version of the BPRS (BPRS-E) has been limited. An exploratory factor analysis (n = 360) using maximum likelihood extraction with oblimin rotation found a four-factor solution (Thought Disturbance, Animation, Mood Disturbance, Apathy) to underlie the BPRS-E. Furthermore, these factors were logical in nature and estimates of internal consistency were acceptable. A confirmatory factor analysis conducted on a second, independent sample (n = 280)found that for the five models currently available in the literature, the model developed herein provided the best fit to the data. Again, estimates of internal consistency were found acceptable. Finally, the four factors demonstrated appropriate differential validity with regards to both demographic variables and various psychiatric diagnoses.

This exploratory study examines a subset of mobile phone use, the compulsive use of short message service (SMS) text messaging. A measure of SMS use, the SMS Problem Use Diagnostic Questionnaire (SMS-PUDQ), was developed and found to possess acceptable reliability and validity when compared to other measures such as self-reports of time spent using SMS and scores on a survey of problem mobile phone use. Implications for the field of addiction research, technological and behavioral addictions in particular, are discussed, and directions for future research are suggested.

The multiple linear regression method was used to derive a short form for the Wechsler Intelligence Scale for Children-Revised in a sample of 300 children receiving treatment and/or evaluation at a university-affiliated community mental health center. The predictive validity of this approach was examined via a crossvalidation that included 300 additional subjects taken from the same population, as well as two short-form regression equations taken from the work of Kennedy and Elder (1982), and a short form derived from the Wechsler normative sample (Kaufman, 1976). Correlations and standard errors of the estimates are reported for both the original and cross-validational samples, and it is pointed out that crossvalidations of this kind result in empirical assessments of shrinkage, as opposed to the theoretical estimates provided by various shrinkage formulae. It is also suggested that there are two distinct types of shrinkage that need to be accounted for in the conduct of short-form research and that, in concentrating on the issue of part-whole shrinkage, prior studies in the area have virtually ignored the issue of cross-validational shrinkage.

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Since its foundation in 1948 the NHS has remained true to its core principles:1. It meets the needs of everyone; 2. It is free at the point of delivery; and 3. It is based on clinical need and not the ability to pay.Although almost 70 years have passed since then, our values haven't changed. However, the clinical and social challenges we are presented with have. Our population is living longer, often with multiple chronic comorbidities, so that now approximately 70% of our healthcare spend is now allocated to the management of chronic disease. Does the system we designed in the 1940s serve us as well now as it did then? In 2017 if we were to design a new NHS would we start from here? How can we utilise the latest, greatest innovations to deliver the healthcare service we need? HEALTHCARE NEEDS ARE CHANGING GLOBALLYThe challenges presented by an ageing population with multiple chronic conditions are not unique to the UK or the NHS. Many countries across our planet are grappling with how best to deal with these issues and deliver the often quoted triple aims of better health, better care, delivered with higher quality and at a lower cost. Nations have faced grand challenges in the past and the words of Abraham Lincoln in his speech to Congress in December 1862 ring true now for the challenges we face in health care:'The dogmas of the quiet past, are inadequate to the stormy present. The occasion is piled high with difficulty, and we must rise with the occasion. As our case is new, so we must think anew, and act anew. We must disenthrall ourselves, and then we shall save our country.'