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Objective: Orthorexia has been widely studied, but recently, a new conceptualisation was proposed to distinguish its healthy characteristics from its pathological ones. The objective of this study was to differentiate healthy orthorexia (HeOr) from orthorexia nervosa (OrNe) by exploring their sociodemographic, psychological, health and dietary characteristics using comparative and correlational statistical methods., Design: Cross-sectional analysis. Participants completed an online, self-administered questionnaire assessing their sociodemographic characteristics, orthorexia, exercise dependence, personality, health anxiety, food choice motives, emotional competences and eating disorders (ED)., Setting: Data were collected between May 2021 and September 2022., Participants: 1515 French females (mean age = 37·67). Responses from men were excluded., Results: While OrNe was mainly associated with weight control motives in food choices ( r = 0·42), HeOr was more strongly correlated with natural content ( r = 0·60) and health motives ( r = 0·49). In relation to exercising, OrNe showed its highest association with weight control ( r = 0·41). Health anxiety was more strongly associated with OrNe than with HeOr. Both OrNe and HeOr were related to diet adherence and regular exercise, but the association was stronger for the latter. Orthorexia scores, mainly OrNe, were higher in participants at the risk of ED. Participants who were afraid to gain weight showed higher OrNe scores., Conclusions: HeOr seems to be part of a healthy lifestyle in general. In contrast, OrNe falls into the category of an ED and is associated with more problematic psychological functioning. Particular attention should be given to individuals who are beginning to control and reduce their food intake to prevent them from developing OrNe.

Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

This commentary critically examines the article by Rodríguez-Cortés et al. on the links between circadian preferences, eating disorders, and obesity in pediatric populations, emphasizing the association between evening chronotypes and disordered eating behaviors. Key findings highlight the increased prevalence of food addiction (FA) and night eating syndrome (NES) among evening-oriented children and adolescents, though the article's reliance on studies with adult samples limits the generalizability of its conclusions. Additionally, the ambiguous classification of FA and NES within broader eating disorder frameworks necessitates further investigation to delineate these behaviors from traditional disorders such as anorexia and bulimia nervosa. This commentary advocates for future research focusing on pediatric populations to explore the intersection of circadian misalignment with emotional regulation and environmental factors, aiming to develop tailored preventative strategies that incorporate chronobiological and lifestyle modifications.

Competing Interests: Disclosure of interest: The authors completed the ICMJE Disclosure of Interest Form (available upon request from the corresponding author) and disclose no relevant interests.

Background: Compulsivity is the hallmark of addiction progression and, as a construct, has played an important role in unveiling the etiological pathways from learning mechanisms underlying addictive behavior to harms resulting from it. However, a sound use of the compulsivity construct in the field of behavioral addictions has been hindered to date by the lack of consensus regarding its definition and measurement. Here we capitalize on a previous systematic review and expert appraisal to develop a compulsivity scale for candidate behavioral addictions (the Granada Assessment for Cross-domain Compulsivity, GRACC)., Methods: The initial scale (GRACC90) consisted of 90 items comprising previously proposed operationalizations of compulsivity, and was validated in two panel samples of individuals regularly engaging in gambling and video gaming, using exploratory structural equation modeling (ESEM) and convergence analyses., Results: The GRACC90 scale is unidimensional and structurally invariant across samples, and predicted severity of symptoms, lower quality of life, and negative affect, to similar degrees in the two samples. Additionally, poorer quality of life and negative affect were comparably predicted by compulsivity and by severity of symptoms. A shorter version of the scale (GRACC18) is proposed, based on selecting the 18 items with highest factor loadings., Conclusions: Results support the proposal that core symptoms of behavioral addictions strongly overlap with compulsivity, and peripheral symptoms are not essential for their conceptualization. Further research should clarify the etiology of compulsive behavior, and whether pathways to compulsivity in behavioral addictions could be common or different across domains., (© 2023. The Author(s).)

Public toilets are a critical public health issue with a significant negative impact on people's lives. Unfortunately, the effect of negative experiences caused by public toilets on people's quality of life and life satisfaction is unknown. In this study, participants (n = 550) were asked to fill in a scale-based survey about their negative experiences with public toilets, quality of life, and life satisfaction. We found that people with toilet-dependent illnesses (36% of the sample) reported more negative experiences with public toilets than their counterparts. These negative experiences are also related to lower scores in some areas of participants' quality of life, such as their environmental, psychological, and physical health and life satisfaction, even after controlling for relevant socio-economic variables. Additionally, toilet-dependent individuals had particularly negative experiences in terms of life satisfaction and physical health than non-toilet-dependent people. We conclude that the impoverishment of quality of life linked to public toilets as an environmental inadequacy is traceable, estimable, and meaningful. This association is not only negative for ordinary people, but it is significantly negative for people with toilet-dependent illnesses. These results highlight that public toilets are essential to ensure collective well-being, particularly when considering those affected by their presence or lack thereof., (© 2023 Scandinavian Psychological Associations and John Wiley & Sons Ltd.)

Purpose: Orthorexia nervosa (OrNe) is a potentially pathological condition characterized by a fixation on healthy diet. An increasing number of studies have been conducted on this mental preoccupation, but the validity and reliability of some of the psychometric instruments employed in its assessment are still under debate. Among these measures, the Teruel Orthorexia Scale (TOS) seems to be promising, given that it allows to differentiate between OrNe and other non-problematic forms of interest with healthy eating, named as healthy orthorexia (HeOr). The aim of this study was to examine the psychometric properties of an Italian version of the TOS, by testing its factorial structure, internal consistency, test-retest reliability, and validity., Method: Through an online survey, we recruited 782 participants from different regions of Italy, asking them to complete the following self-report instruments: TOS, EHQ, EDI-3, OCI-R, and BSI-18. From the initial sample, 144 participants agreed to complete a second TOS administration 2 weeks later., Results: Data confirmed the validity of the 2-correlated factors structure of the TOS. The questionnaire also showed good reliability, both in terms of internal consistency and temporal stability. With regard to the TOS validity, results showed that OrNe was significantly and positively associated with measures of psychopathology and psychological distress, while HeOr showed no correlations or negative associations with the above-mentioned measures., Conclusion: Based on these results, the TOS can be considered a promising measure for the assessment of both pathological and non-problematic forms of orthorexic eating behavior also in Italian population., Level of Evidence: Level V, descriptive cross-sectional study., (© 2023. The Author(s).)

Consensual non-monogamy (CNM) is a non-normative relationship that can generally be defined as relationships in which the involved individuals have openly agreed that they can have other sexual and/or affective partners. Despite growing interest in CNM, little research has been conducted regarding characteristics of the involved individuals, as well as comparing CNM individuals and monogamous individuals' characteristics. Expanding this research is important, as CNM constitutes a sizeable minority group, and CNM individuals and relationships are subject to stigma and dehumanization. The present study compared CNM and monogamous individuals in terms of personality (including "dark" personality) and mating orientations (sociosexuality and long-term mating) in young Spanish university students. Main results indicated that CNM individuals did not differ much in personality nor were they prone to higher "dark" personality traits when compared to monogamous individuals. Regarding mating orientations, CNM individuals were prone to higher sociosexuality levels and lower levels of long-term mating. Interestingly, results showed positive correlations between sociosexuality and "dark" personality in monogamous individuals, but not in CNM individuals. In conclusion, young Spanish university CNM individuals seem to be more pro-sex than monogamous people and less committed to the romantic love narrative of long-term mating, but these individuals were not more untrustworthy, self-centered, ruthless, or malevolent. Results were also discussed regarding their implications in the stigma and dehumanization of CNM people., (© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

As no French validated measurement tool distinguishing healthy orthorexia (HeOr) from orthorexia nervosa (OrNe) currently exists, this study aimed at examining psychometric properties of the French version of the Teruel Orthorexia Scale (TOS). A sample of 799 participants (Mean [SD] age: 28.5 [12.1] years-old) completed the French versions of the TOS, the Düsseldorfer Orthorexia Skala, the Eating Disorder Examination-Questionnaire, and the Obsessive-Compulsive Inventory-Revised. Confirmatory factor analysis and exploratory structural equation modeling (ESEM) were used. Although the bidimensional model, with OrNe and HeOr, of the original 17-item version showed an adequate fit, we suggest excluding items 9 and 15. The bidimensional model for the shortened version provided a satisfactory fit (ESEM model: CFI = .963, TLI = .949, RMSEA = .068). The mean loading was .65 for HeOr and .70 for OrNe. The internal consistency of both dimensions was adequate (α HeOr  = .83 and α OrNe  = .81). Partial correlations showed that eating disorders and obsessive-compulsive symptomatology measures were positively related to OrNe and unrelated or negatively related to HeOr. The scores from the 15-item French version of the TOS in the current sample appears to present an adequate internal consistency, pattern of associations in line with what was theoretically expected, and promising for differentiating both types of orthorexia in a French population. We discuss why both dimensions of orthorexia should be considered in this area of research., (© 2023. The Author(s).)

Introduction: The use of public bathrooms is a challenge for everyone, but especially for those who are affected by a bathroom-dependent condition. Being dependent on bathrooms is linked with different negative emotions. One of them is a clinically relevant emotion: shame associated with the chronic condition., Materials and Methods: In a cross-sectional survey study (n = 193) of people who suffer a bathroom-dependent condition we asked about health conditions, well-being, and shame related to chronic condition outcomes., Results: We show a link between negative public bathroom experiences, and diminished well-being and feelings of shame related to chronic illness. We found that this relationship between negative experiences with public bathrooms and shame is not specific to the different conditions., Conclusion: We conclude that the negative experiences which people with different gastrointestinal illnesses face is an environmental stressor associated with more embarrassment as a result of the condition suffered., (© 2022 Wiley Periodicals LLC.)

Background: Psychometric properties of the Teruel Orthorexia Scale (TOS) have been examined in several languages (Arabic, English, Portuguese, Spanish, and Turkish), but not in French., Purpose: The objective was to examine the psychometric properties of the TOS among a French-Canadian adult sample., Methods: Participants were 296 French-speaking Canadian adults (M = 34.2 years, SD = 11.9, 85.1% women). They completed the TOS alongside with several other measures (e.g., alcoholic consumption, cigarette smoking, disturbed eating attitudes and behaviors, frequency of physical activities, intuitive eating, vegetarian diet, and negative affect)., Results: The results supported the a priori two-factor representation (orthorexia nervosa and healthy orthorexia) of the French version of the TOS and provided further support for the superiority of an exploratory structural equation modeling approach, relative to a confirmatory factor analytic approach. Furthermore, the results supported no differential item functioning as a function of respondents' characteristics (age, body mass index, diagnosis of eating disorders, frequency of physical activities, gender, and vegetarian diet). Latent mean differences were found in healthy orthorexia and orthorexia nervosa factors as a function of respondents' characteristics. Finally, significant correlations were found between TOS factors and convergent measures (alcohol consumption, cigarette smoking, disturbed eating attitudes and behaviors, intuitive eating, and negative affect)., Conclusion: The present study confirmed that the French version of the TOS has satisfactory psychometric properties (i.e., factor validity and reliability, no differential item functioning, and convergent validity)., Level of Evidence: V, cross-sectional study., (© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

Purpose: Since the term orthorexia nervosa (ON) was coined from the Greek (ὀρθός, right and ὄρεξις, appetite) in 1997 to describe an obsession with "correct" eating, it has been used worldwide without a consistent definition. Although multiple authors have proposed diagnostic criteria, and many theoretical papers have been published, no consensus definition of ON exists, empirical primary evidence is limited, and ON is not a standardized diagnosis. These gaps prevent research to identify risk and protective factors, pathophysiology, functional consequences, and evidence-based therapeutic treatments. The aims of the current study are to categorize the common observations and presentations of ON pathology among experts in the eating disorder field, propose tentative diagnostic criteria, and consider which DSM chapter and category would be most appropriate for ON should it be included., Methods: 47 eating disorder researchers and multidisciplinary treatment specialists from 14 different countries across four continents completed a three-phase modified Delphi process, with 75% agreement determined as the threshold for a statement to be included in the final consensus document. In phase I, participants were asked via online survey to agree or disagree with 67 statements about ON in four categories: A-Definition, Clinical Aspects, Duration; B-Consequences; C-Onset; D-Exclusion Criteria, and comment on their rationale. Responses were used to modify the statements which were then provided to the same participants for phase II, a second round of feedback, again in online survey form. Responses to phase II were used to modify and improve the statements for phase III, in which statements that met the predetermined 75% of agreement threshold were provided for review and commentary by all participants., Results: 27 statements met or exceeded the consensus threshold and were compiled into proposed diagnostic criteria for ON., Conclusions: This is the first time a standardized definition of ON has been developed from a worldwide, multidisciplinary cohort of experts. It represents a summary of observations, clinical expertise, and research findings from a wide base of knowledge. It may be used as a base for diagnosis, treatment protocols, and further research to answer the open questions that remain, particularly the functional consequences of ON and how it might be prevented or identified and intervened upon in its early stages. Although the participants encompass many countries and disciplines, further research will be needed to determine if these diagnostic criteria are applicable to the experience of ON in geographic areas not represented in the current expert panel., Level of Evidence: Level V: opinions of expert committees., (© 2022. The Author(s).)

Background: Orthorexia nervosa (OrNe) is a pattern of disordered eating behavior characterized by excessive preoccupation with overvalued ideas about healthy eating. Healthy orthorexia (HeOr) refers to a non-pathological interest in healthy eating and nutrition. Despite converging evidence that OrNe is correlated with measures of psychopathology and personality traits, there is relatively little empirical data relating OrNe and HeOr to eating and health-promoting behavior., Methods: Aim 1: exploratory structural equation modeling was used to evaluate the factor structure of an English-language version of the Teruel Orthorexia Scale, the only measure of OrNe that also assesses HeOr in two samples (Yoga practitioners, N = 469, and Mechanical Turk workers, N = 453). Aim 2: conducted in the Mechanical Turk sample, partial correlation and linear regression analyses were used to evaluate the relationships of OrNe and HeOr with other symptoms of, and clinical impairment from, disordered eating, food choices, diet quality, body mass index (BMI), nutrition knowledge, alcohol/tobacco/vaping use, and sedentary behavior., Results: The two-factor structure of the TOS was replicated. HeOr and OrNe had opposing relationships with measures of disordered eating behavior and distress, food choices, diet quality, and nutrition knowledge. HeOr was negatively related to BMI, whereas OrNe was positively related to substance use and sedentary behavior., Conclusions: OrNe and HeOr are distinct latent constructs, with the latter reflecting non-pathological behavior. Only OrNe is related to elevated disordered eating and clinical impairment. Despite involving obsessions and compulsions related to healthy eating, OrNe was associated with relatively unhealthy eating and other lifestyle behaviors., Level of Evidence: Level V, descriptive cross-sectional study., (© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

Amidst a worldwide vaccination campaign, trust in science plays a significant role when addressing the COVID-19 pandemic. Given current concerns regarding research standards, we were interested in how Spanish scholars perceived COVID-19 research and the extent to which questionable research practices and potentially problematic academic incentives are commonplace. We asked researchers to evaluate the expected quality of their COVID-19 projects and other peers' research and compared these assessments with those from scholars not involved in COVID-19 research. We investigated self-admitting and estimated rates of questionable research practices and attitudes towards current research status. Responses from 131 researchers suggested that COVID-19 evaluations followed partisan lines, with scholars being more pessimistic about others' colleagues' research than their own. Additionally,researchers not involved in COVID-19 projects were more negative than their participating peers. These differences were particularly notable for areas such as the expected theoretical foundations or overall quality of the research, among others. Most Spanish scholars expected questionable research practices and inadequate incentives to be widespread. In these two aspects, researchers tended to agree regardless of their involvement in COVID-19 research. We provide specific recommendations for improving future meta-science studies, such as redefining QRPs as inadequate research practices (IRP). This change could help avoid key controversies regarding QRPs' definition while highlighting their detrimental impact. Lastly, we join previous calls to improve transparency and academic career incentives as a cornerstone for generating trust in science., Supplementary Information: The online version contains supplementary material available at 10.1007/s12144-022-02797-6., Competing Interests: Conflicts of InterestThe authors declare no conflict of interest., (© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.)

Little is known about orthorexia in both its pathological (orthorexia nervosa, OrNe) and adaptive (healthy orthorexia, HeOr) forms. To date, few studies have been carried out to analyze the personality profile associated with orthorexia, and the results have been contradictory. The aim of the present study was to explore the characteristic pathological personality traits associated with OrNe and HeOr. A total of 297 participants ( M age = 30.8 years; 94.6% women) from the general population completed the Teruel Orthorexia Scale (TOS) and Personality Inventory for DSM-5-Short Form (PID-5-SF) questionnaires. Results showed significant low-medium correlations between OrNe and the four personality factors (Negative Affectivity, Detachment, Disinhibition, and Psychoticism) ( r s range [0.08, 0.36]). In the regression analysis, the predictors of OrNe were Neuroticism and, to a lesser extent, Psychoticism. For HeOr, the associations were lower ( r s range [-0.13, 0.05]) and negative, except Psychoticism. Only the relationship with Disinhibition was statistically significant, although after controlling for OrNe, Negative Affectivity and Antagonism also became significant. In the regression analysis, the predictors of HeOr were Disinhibition (negative direction) and Psychoticism (positive direction). The findings show that OrNe is associated with a pathological personality pattern characterized by difficulty in regulating emotions and negative affect (Negative Affectivity), as well as eccentricity, feeling special, and holding beliefs outside the norm (Psychoticism). However, HeOr seems to be related to the tendency toward high responsibility, self-control, the ability to maintain the focus of attention (low Disinhibition), and Psychoticism. Future studies should confirm whether this combination is a key component underlying the development and maintenance of orthorexia., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Roncero, Barrada, García-Soriano and Guillén.)

Background: Some of the commonly used tools to assess orthorexia nervosa (OrNe) do not allow a meaningful interpretation of the scores or yield mixed results about the dimensions needed to represent orthorexia. Since no advancement in the theoretical knowledge can be made without a thorough examination of the measurement aspects, this study aimed to evaluate the correlation between orthorexia nervosa (OrNe) and lifestyle habits, notably alcohol drinking, cigarette and waterpipe smoking, and physical exercise, and to validate and assess the psychometric properties of the Arabic versions of the Eating Habits Questionnaire (EHQ) and Düsseldorf Orthorexia Scale (DOS)., Methods: A total of 456 adult participants completed a self-administered questionnaire. Exploratory structural equation models were used to test the internal structure of the instruments. Shorter and more explicit versions were proposed for instruments. Pearson and partial correlations were computed between orthorexia scores and healthy behaviors scores., Results: Regarding the internal structure of both EHQ and DOS, evidence favored the bi-dimensional construct of orthorexia. Both tools presented two theoretically clearly interpretable factors (OrNe and Healthy Orthorexia-HeOr-). The two questionnaires presented a high convergent validity, as dimensions with the same interpretation were correlated around 0.80. While OrNe was positively correlated with the use of unhealthy substances (higher alcohol use disorder, cigarette, and waterpipe dependence), HeOr was negatively associated with these behaviors., Conclusion: Our results emphasize the idea that further attention should be paid to the multidimensional structure of orthorexia, as OrNe and HeOr present an opposite pattern of associations with healthy behaviors. An OrNe etiopathogenesis common to eating disorders can explain these differences., (© 2021. The Author(s).)

Knowledge of diverse sexual motivations can have profound implications for our comprehension of the causes, correlations, and consequences of sexual behavior. This study had two objectives: on the one hand, to determine the different motives why young Spanish university students have sex and their relationship with different sociodemographic and psychosexual variables and sexual behavior; on the other hand, to review and improve the psychometric properties of the Sexual Motivations Scale and validate it in Spanish. Participants were 805 university students of both sexes (78% women, 74% heterosexuals), aged between 18 and 26 years ( M age = 20.88), who completed a battery of online questionnaires. Significant associations were found between young people's sexual motives, especially the motives of coping, peer pressure, and enhancement, the sociodemographic variables (sex, age sexual orientation, relational status), sexual behavior (age of initiation), and psychosexual variables (sociosexuality, self-esteem as a sexual partner, satisfaction with sex life). Also, a new structure of the Sexual Motivations Scale was proposed, with the elimination of the factor of Self-Affirmation. The discussion highlights the relevance of the results obtained due to their implications in the promotion of sexual health, in addition to achieving the first instrument validated in Spanish for the evaluation of sexual motivations., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Barrada, Castro, Fernández-del-Río and Ramos-Villagrasa.)

Because of its prevalence and its potential negative consequences, child sexual abuse (CSA) is a public health problem in every country in the world. Knowledge of the characteristics of abuse episodes (victim, abuser, relationship between them, type of sexual contact, duration, threat and/or use of force) is essential to specify the contents of intervention programs for the detection and reduction of the negative consequences of CSA. Starting with an initial sample of 1605 university students of both sexes (70.9% women, 29.1% men), aged between 18 and 26 years ( M = 21.1, SD = 2.2), 90 participants who had suffered an episode of CSA up to age 16 were selected (84.4% women, 15.6% men; M age = 21.1, SD = 2.2). It was found that: (1) there was a higher prevalence of CSA among women and that the victims' average age when they suffered abuse was around 11 years; (2) the abusers were mostly male, close to the victims, and with an average of slightly less than 30 years; and (3) there was a significant proportion (25.6%) of CSA cases with penetration and in which force was used or threatened. These results are relevant, as they show that there is still a noteworthy prevalence of CSA cases on university campuses that needs to be addressed. Knowing the characteristics of these episodes is critical to implementing more effective interventions.

In recent years, dating apps have changed the way people meet and communicate with potential romantic and/or sexual partners. There exists a stereotype considering that these apps are used only for casual sex, so those apps would not be an adequate resource to find a long-term relationship. The objective of this study was to analyze possible individual differences in the mating orientations (short-term vs. long-term) between users and non-users of dating apps. Participants were 902 single students from a mid-size Spanish university, of both sexes (63% female, and 37% male), aged between 18 and 26 years (M = 20.34, SD = 2.05), who completed a battery of online questionnaires. It was found that, whereas dating apps users had a higher short-term mating orientation than non-users (more frequent behavior, higher desire, and more positive attitude), there were no differences in the long-term orientation as a function of use/non-use. Considering this, dating apps are a resource with a strong presence of people interested on hooking-up while, simultaneously, not a bad (nor good) option for finding long-term love., Competing Interests: The authors declared that no competing interests exist.

We respond to some of Myszkowski and colleagues' (2020, Br. J. Psychology) critical comments on our recent work on aesthetic sensitivity (Corradi, Chuquichambi, Barrada, Clemente, & Nadal, 2020, Br. J. Psychology). We show that these comments stem mostly from factual inaccuracies., (© 2020 The British Psychological Society.)

Aesthetic sensitivity has been defined as the ability to recognize and appreciate beauty and compositional excellence, and to judge artistic merit according to standards of aesthetic value. The Visual Aesthetic Sensitivity Test (VAST) has often been used to assess this ability, but recent research has revealed it has several psychometric problems. Such problems are not easily remedied, because they reflect flawed assumptions inherent to the concept of aesthetic sensitivity as traditionally understood, and to the VAST itself. We introduce a new conception of aesthetic sensitivity defined as the extent to which someone's aesthetic valuation is influenced by a given feature. Experiment 1 aimed to characterize aesthetic sensitivity to four prominent features in visual aesthetics: complexity, symmetry, contour, and balance. Experiment 2 aimed to replicate the findings of Experiment 1 and to assess the test-retest reliability of an instrument designed to measure aesthetic sensitivity to these features using an abridged set of stimuli. Our results reveal that people differ remarkably in the extent to which visual features influence their liking, highlighting the crucial role of individual variation when modelling aesthetic preferences. We did not find clear relations between the four measures of aesthetic sensitivity and personality, intelligence, and art interest and knowledge. Finally, our measurement instrument exhibited an adequate-to-good test-retest reliability., (© 2019 The British Psychological Society.)

Tinder is the most popular and most used dating app in the world today. Due to the recent popularization of the phenomenon of dating apps, there are still some gaps in the literature. Therefore, this study had a threefold objective: (1) to determine the prevalence and characteristics of Tinder users and Tinder use among young university students; (2) to know why these young people use Tinder; and (3) to analyze the relationship between Tinder use and different psychosocial correlates (positive and negative affect, body satisfaction, sociosexuality, and attitudes towards consensual nonmonogamy) and psychosexual well-being (self-esteem as a sexual partner, satisfaction with sex life, and preoccupation with sex). Participants were 1261 Spanish university students (77.4% women, 77.5% heterosexuals) between ages 18 and 26 ( M = 20.59, SD = 2.04) who completed a battery of online questionnaires. A prevalence of Tinder use of about 15% was found. The motives for use most frequently reported by the participants were those of curiosity, passing time/entertainment, and sexual orientation. Besides, Tinder users showed greater sociosexuality than nonusers, as well as increased dissatisfaction with their sex life and sexual preoccupation, and more positive attitudes towards consensual nonmonogamy. Importantly, no or very small differences were found in the general emotional well-being-related variables. Tinder seems like just another tool used by young people for their romantic and/or sexual interactions, without any negative connotation.

Public bathrooms are sensible locations in which individuals confront an intimate environment outside the comfort of their own home. The assessment of public bathrooms is especially problematic for people whose illnesses make them more prone to needing this service. Unfortunately, there is a lack in the evaluation of the elements that are relevant to the user's perspective. For that reason, we propose a new scale to assess these elements of evaluation of public bathrooms. We developed a scale of 14 items and three domains: privacy, ease of use and cleanliness. We tested the factor validity of this three-factor solution ( n = 654) on a sample of healthy individuals and 155 respondents with a bowel illness or other affection that reported to be bathroom-dependent. We found that bathroom-dependent people value more privacy and cleanliness more than their healthy counterparts. We additionally found a gender effect on the scale: female participants scored higher in every domain. This study provides the first scale to assess value concerning public bathrooms and to highlight the relevance of different bathrooms' aspects to users.

The emergence and popularization of dating apps have changed the way people meet and interact with potential romantic and sexual partners. In parallel with the increased use of these applications, a remarkable scientific literature has developed. However, due to the recency of the phenomenon, some gaps in the existing research can be expected. Therefore, the objective of this study was to conduct a systematic review of the empirical research of the psychosocial content published in the last five years (2016-2020) on dating apps. A search was conducted in different databases, and we identified 502 articles in our initial search. After screening titles and abstracts and examining articles in detail, 70 studies were included in the review. The most relevant data (author/s and year, sample size and characteristics, methodology) and their findings were extracted from each study and grouped into four blocks: user dating apps characteristics, usage characteristics, motives for use, and benefits and risks of use. The limitations of the literature consulted are discussed, as well as the practical implications of the results obtained, highlighting the relevance of dating apps, which have become a tool widely used by millions of people around the world.

During the present decade a large body of research has employed confirmatory factor analysis (CFA) to evaluate the factor structure of the Strengths and Difficulties Questionnaire (SDQ) across multiple languages and cultures. However, because CFA can produce strongly biased estimations when the population cross-loadings differ meaningfully from zero, it may not be the most appropriate framework to model the SDQ responses. With this in mind, the current study sought to assess the factorial structure of the SDQ using the more flexible exploratory structural equation modeling approach. Using a large-scale Spanish sample composed of 67,253 youths aged between 10 and 18 years ( M = 14.16, SD = 1.07), the results showed that CFA provided a severely biased and overly optimistic assessment of the underlying structure of the SDQ. In contrast, exploratory structural equation modeling revealed a generally weak factorial structure, including questionable indicators with large cross-loadings, multiple error correlations, and significant wording variance. A subsequent Monte Carlo study showed that sample sizes greater than 4,000 would be needed to adequately recover the SDQ loading structure. The findings from this study prevent recommending the SDQ as a screening tool and suggest caution when interpreting previous results in the literature based on CFA modeling.

The purposes of this research were (1) to analyse the psychometric properties of the Inferential Confusion Questionnaire-Expanded Version (ICQ-EV) in a Spanish population; (2) to explore the role of inferential confusion in obsessive-compulsive disorder (OCD); and (3) to compare the inferential confusion construct in nonclinical and clinical samples. A sample of 342 nonclinical participants and 66 patients with OCD completed the ICQ-EV Spanish adaptation as well as a set of questionnaires. Results confirmed a good fit of the ICQ-EV Spanish version to the original unifactorial structure and excellent internal consistency and test-retest reliability. Moreover, results confirmed that the ICQ-EV predicts Obsessing, Checking, Washing, and Hoarding symptoms, independently of the contribution of dysfunctional beliefs. In addition, OCD patients scored significantly higher on the ICQ-EV than nonclinical participants. The Spanish version of the ICQ-EV is a reliable instrument to assess inferential confusion, and further support is provided for the relevance of the inferential confusion construct in OCD., (© 2020 John Wiley & Sons, Ltd.)

The development of new technologies, the expansion of the Internet, and the emergence of dating apps (e.g., Tinder, Grindr) in recent years have changed the way to meet and approach potential romantic and/or sexual partners. The recent phenomenon has led to some gaps in the literature on individual differences (sociodemographic variables and personality traits) between users (previous and current users) and non-users of dating apps. Thus, the aim of this study was to analyze the relationship between using dating apps, sociodemographics (gender, age, sexual orientation, and relationship status), and bright and dark personality traits. Participants were 1705 university students (70% women, 30% men), aged between 18 and 26 ( M = 20.60, SD = 2.09), who completed several online questionnaires. Through multinomial logistic regression analyses, it was found that men, older youth, and members of sexual minorities were more likely to be current and previous dating apps users. Being single and higher scores in open-mindedness were associated with higher probability to be current dating apps user. The dark personality showed no predictive ability. The discussion highlights the usefulness of knowing and considering the sociodemographic background and the characteristics of personality patterns in the design and implementation of preventive and promotion programs of healthy romantic and sexual relationships to improve people's better health and well-being.

Currently, there are two predominant approaches in adaptive testing. One, referred to as cognitive diagnosis computerized adaptive testing (CD-CAT), is based on cognitive diagnosis models, and the other, the traditional CAT, is based on item response theory. The present study evaluates the performance of two item selection rules (ISRs) originally developed in the CD-CAT framework, the double Kullback-Leibler information (DKL) and the generalized deterministic inputs, noisy "and" gate model discrimination index (GDI), in the context of traditional CAT. The accuracy and test security associated with these two ISRs are compared to those of the point Fisher information and weighted KL using a simulation study. The impact of the trait level estimation method is also investigated. The results show that the new ISRs, particularly DKL, could be used to improve the accuracy of CAT. Better accuracy for DKL is achieved at the expense of higher item overlap rate. Differences among the item selection rules become smaller as the test gets longer. The two CD-CAT ISRs select different types of items: items with the highest possible a parameter with DKL, and items with the lowest possible c parameter with GDI. Regarding the trait level estimator, expected a posteriori method is generally better in the first stages of the CAT, and converges with the maximum likelihood method when a medium to large number of items are involved. The use of DKL can be recommended in low-stakes settings where test security is less of a concern., Competing Interests: The authors have declared that no competing interests exist.

Childhood sexual abuse (CSA) is considered as an activity aimed at providing sexual pleasure, stimulation, or sexual gratification to an adult who uses a minor for this purpose, taking advantage of the situation of superiority. CSA can have devastating consequences for the child. Previous studies have concluded that those who suffer an episode of CSA perform more risky sexual behaviors and are more likely to experience further episodes of sexual victimization during adolescence and early youth. There are two theoretical contributions that, although they offer partial views, can help to understand the association between CSA, sexual behavior, and revictimization in adulthood: the traumagenic dynamics model and the information-motivation-behavioral skills model. This short review provides an overview of the problems and theoretical explanations that have been presented up to the present, underlining the importance of prevention and sex education as of childhood, as well as the need to continue investigating in order to develop specific theoretical models that help to understand and prevent CSA and its consequences.

Research about sociosexuality, understood as differences in people's willingness to have sex without commitment in terms of its predictors, such as demographics, relationship status, or individual traits, such as personality, is still scarce. Although sociosexuality was initially considered unidimensional, a tridimensional structure-with behavior, attitudes, and desire as its components-is gaining momentum in the literature nowadays. The present study proposes to develop different predictive models for each dimension, examining the role of personality (i.e., the "Big Five" and the "Dark Tetrad") and sociodemographic variables. Participants were 991 university students from a Spanish university (75.5% women, 72.0% heterosexual, M age = 20.66). Our results provide evidence that predictors of sociosexuality vary depending on the dimension under analysis. Being female, older, not having a heterosexual orientation, and not being involved in a current relationship predicted higher scores in sociosexual behavior and attitudes. Regarding personality, psychopathy and extraversion were the only traits involved in all three components of sociosexuality. Neuroticism, agreeableness, and conscientiousness also play a role in the prediction of some of the sociosexuality dimensions. These results help to disentangle the relationship between personality and sociosexuality and to design more effective programs and policies to promote sexual health.

It was recently proposed that healthy orthorexia (HeOr) and orthorexia nervosa (OrNe) should be differentiated. The aim of the present study was to analyze whether the two dimensions of orthorexia can be considered new eating styles or basically equivalent to restrained eating behavior. Two samples of university students (sample 1, n = 460; sample 2, n = 509) completed the Teruel Orthorexia Scale (TOS), the Dutch Eating Behavior Questionnaire (DEBQ), and the Positive and Negative Affect Schedule (PANAS). Factor analysis with the TOS and DEBQ items together revealed an adequate fit for the preexisting five-factor solution (TOS: OrNe and HeOr; DEBQ: Restrained Eating, Emotional Eating, and External Eating). This result points out that these factors are conceptually distinguishable. Moreover, we tested whether the different eating styles presented different patterns of correlations with gender, body mass index (BMI), and age, and whether OrNe and HeOr predicted Positive and Negative Affect after controlling for Restrained, Emotional, and External Eating. Whereas Restrained and Emotional Eating were higher for women and increased with BMI in both samples, HeOr and OrNe presented much lower associations with these variables. OrNe was positively related to Negative Affect and negatively to Positive Affect, whereas HeOr was positively related to Positive Affect. Again, this result supports the assumption that OrNe is a new variant of disordered eating, whereas HeOr could possibly be seen as a protective behavior., Competing Interests: The authors have declared that no competing interests exist.

Recent research points to the bidimensional nature of orthorexia, with one dimension related to interest in healthy eating (healthy orthorexia) and another dimension related to a pathological preoccupation with eating healthily (orthorexia nervosa). Research was needed to provide further support for this differentiation. We examined the food-choice motives related to both aspects of orthorexia. Participants were 460 students from a Spanish university who completed the Teruel Orthorexia Scale and the Food Choice Questionnaire. By means of structural equation modeling, we analyzed the relationship between orthorexia, food-choice motives, gender, body mass index, and age. The motives predicting food choices in orthorexia nervosa and healthy orthorexia were quite different. In the case of orthorexia nervosa, the main motive was weight control, with sensorial appeal and affect regulation also showing significant associations. For healthy orthorexia, the main motive was health content, with sensorial appeal and price also showing significant associations. This supports the hypothesis that orthorexia nervosa is associated with maladaptive eating behavior motived more by weight control than by health concerns.

Young people's use and participation in online sexual activities (OSA) has increased in the past two decades and has changed their behavior in the area of sexuality. The existing literature has some important limitations, concerning the assessment of the construct and its orientation toward problematic use, while ignoring its healthy use or social participation and its relationship with well-being. The main objective of this study was to analyze the relationships between the three types of OSA (compulsive, isolated, and social) proposed by Delmonico and Miller, as well as offline sexual behavior, and psychosexual well-being. It was also necessary to evaluate the factor structure of the Internet Sexual Screening Test (ISST). Participants were 1,147 university students of both sexes, aged between 18 and 26 years, who completed a battery of online questionnaires. The main finding of the study is that, when controlling for other online sexual behavior, different types of OSA evaluated relate differently to offline sexual behavior and to psychosexual well-being, and that most young people made healthy use and participation of OSA. It also presents a new structure of the ISST. The discussion emphasizes the need to recognize the positive consequences of OSA to implement programs for the promotion of sexual health.

Rationale and Method: Accurately identifying motives to gamble is crucial in the functional analysis of gambling behavior. In this study, a data-driven approach was followed to clarify the factor structure underlying a pool of motives for gambling, selected from the Gambling Motives Questionnaire-Financial (GMQ-F), and the Reasons for Gambling Questionnaire (RGQ), in a sample of regular problem and non-problem gamblers. Additionally, the role of gambling motives in the relationship between root behavioral activation/inhibition systems (BIS/BAS) and gambling severity, frequency, and preferences was explored using structural equation modelling (SEM)., Results and Conclusions: The present study identified Social, Financial, and Fun/thrill-related gambling motives factors, but also a fourth factor in which some positive and negative reinforcement-based motives were grouped into a single and broader Affect regulation factor. This Affect regulation factor shared variance both with BIS and BAS-related measures, and was the only direct predictor of disordered gambling symptoms. The Fun/thrill factor was directly related to frequency of participation in high-arousal, skill-based games, and all factors were related to participation in lower-arousal, chance games (with Social motives negatively predicting both participation in the latter and total severity). In the SEM model, measures of BIS/BAS sensitivity were connected to gambling behavior only through gambling motives. Based on measures of items' specificity, a shortened Spanish scale (the brief Gambling Motives Inventory, bGMI) is proposed to assess gambling motives in accordance with the observed 4-factor structure., Competing Interests: The authors have declared that no competing interests exist. Although José C. Perales is an academic editor for PLOS ONE, this does not alter our adherence to PLOS ONE policies on sharing data and materials.

This study analyses the extent to which cheating occurs in a real selection setting. A two-stage, unproctored and proctored, test administration was considered. Test score inconsistencies were concluded by applying a verification test (Guo and Drasgow Z-test). An initial simulation study showed that the Z-test has adequate Type I error and power rates in the specific selection settings explored. A second study applied the Z-test statistic verification procedure to a sample of 954 employment candidates. Additional external evidence based on item time response to the verification items was gathered. The results revealed a good performance of the Z-test statistic and a relatively low, but non-negligible, number of suspected cheaters that showed higher distorted ability estimates. The study with real data provided additional information on the presence of suspected cheating in unproctored applications and the viability of using item response times as an additional evidence of cheating. In the verification test, suspected cheaters spent 5.78 seconds per item more than expected considering the item difficulty and their assumed ability in the unproctored stage. We found that the percentage of suspected cheaters in the empirical study could be estimated at 13.84%. In summary, the study provides evidence of the usefulness of the Z-test in the detection of cheating in a specific setting, in which a computerized adaptive test for assessing English grammar knowledge was used for personnel selection.

Background: Earlier scales on mindful eating do not measure mindful eating independent from emotional or external eating, or mindful eating in common situations., Objective: The objective was to develop a new instrument to measure the attention element of mindful eating, the Mindful Eating Behavior Scale (MEBS), and to compute the internal structure, reliabilities, and convergent validity of this scale., Design: A cross-sectional ancillary study within the Longitudinal Aging Study Amsterdam was conducted between fall 2014 and spring 2015., Participants/setting: Participants were 1,227 Dutch adults aged 55 years and older from the Longitudinal Aging Study Amsterdam., Main Outcome Measure: A selection of 20 items from existing instruments was used to design an initial version of the MEBS., Statistical Analyses Performed: The internal structure of the MEBS was evaluated using an exploratory structural equation modeling approach on half of the sample and confirmatory factor analysis on the whole sample to develop the final version of the scale. The measurement invariance of the scores was tested with respect to sex, age, and body mass index. Reliabilities of subscales were determined with Cronbach's α. To test convergent validity, the scores of the new scale were correlated with theoretically relevant variables., Results: Two items were deleted because of low item loadings and one item because of high correlated uniqueness. The final confirmatory factor analysis model with 17 items and four domains (Focused Eating, Hunger and Satiety Cues, Eating with Awareness, and Eating without Distraction) showed good fit (comparative fit index=0.97, Tucker-Lewis index=0.96, and root mean square error of approximation=0.04). Measurement invariance was found for sex, age, and body mass index. Cronbach's α values were medium to high (.70 to .89). Most correlations were in the expected directions, which indicated good preliminary convergent validity., Conclusions: The MEBS was successfully developed consisting of 17 items and four domains. Because of low interfactor correlations, a total score combining the four domains should not be computed. The MEBS showed good internal consistency and preliminary convergent validity in a sample of Dutch adults aged 55 years and older., (Copyright © 2018 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.)

Casual sex has become a common experience for many university students. Therefore, it is necessary to have instruments and studies that analyze youth's orientation toward sociosexuality. The SOI-R assesses sociosexual behavior, attitudes toward sociosexuality, and the desire for relationships without commitment with just nine items. The goal of this study was to validate the Spanish version of the SOI-R, to improve the scale, and to contribute evidence of the utility of the Sociosexual Desire subscale. Participants were 839 heterosexual university students of both sexes, aged between 18 and 26, who completed a battery of online questionnaires. The internal structure of the SOI-R revealed the three proposed theoretical dimensions, with medium to low relationships between factors. The instrument has measurement invariance with regards to sex and age. The Spanish version of the SOI-R had adequate levels of reliability. The modification of the first item of the scale is suggested, as well as the relevance of assessing sociosexual desire as an independent construct. The relation between sociosexuality and other sociodemographic and psychosocial variables was also analyzed. The discussion highlights the need for research to determine youth's sociosexual orientation and patterns of casual sex.

Research related to the fit evaluation at the item level involving cognitive diagnosis models (CDMs) has been scarce. According to the parsimony principle, balancing goodness of fit against model complexity is necessary. General CDMs require a larger sample size to be estimated reliably, and can lead to worse attribute classification accuracy than the appropriate reduced models when the sample size is small and the item quality is poor, which is typically the case in many empirical applications. The main purpose of this study was to systematically examine the statistical properties of four inferential item-fit statistics: S - X 2 , the likelihood ratio (LR) test, the Wald (W) test, and the Lagrange multiplier (LM) test. To evaluate the performance of the statistics, a comprehensive set of factors, namely, sample size, correlational structure, test length, item quality, and generating model, is systematically manipulated using Monte Carlo methods. Results show that the S - X 2 statistic has unacceptable power. Type I error and power comparisons favor LR and W tests over the LM test. However, all the statistics are highly affected by the item quality. With a few exceptions, their performance is only acceptable when the item quality is high. In some cases, this effect can be ameliorated by an increase in sample size and test length. This implies that using the above statistics to assess item fit in practical settings when the item quality is low remains a challenge., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Stereotype dimensions-competence, morality and sociability-are fundamental to studying the perception of other groups. These dimensions have shown moderate/high positive correlations with each other that do not reflect the theoretical expectations. The explanation for this (e.g., halo effect) undervalues the utility of the shared variance identified. In contrast, in this work we propose that this common variance could represent the global evaluation of the perceived group. Bi-factor models are proposed to improve the internal structure and to take advantage of the information representing the shared variance among dimensions. Bi-factor models were compared with first order models and other alternative models in three large samples (300-309 participants). The relationships among the global and specific bi-factor dimensions with a global evaluation dimension (measured through a semantic differential) were estimated. The results support the use of bi-factor models rather than first order models (and other alternative models). Bi-factor models also show a greater utility to directly and more easily explore the stereotype content including its evaluative content.

Orthorexia nervosa has recently been defined as excessive preoccupation with healthy eating, causing significant nutritional deficiencies and social and personal impairments. The ORTO-15 is the most widely used instrument to evaluate orthorexia nervosa, although previous studies obtained inconsistent results about its psychometric properties, and there are no data on the Spanish version. Thus, the main objective of the present study was to analyze the psychometric properties of the Spanish adaptation of the ORTO-15. In order to cross-validate the results, two independent samples were used (Sample 1: n = 807, 74.1% women; Sample 2: n = 242, 63.2% women). The results did not support the original recoding and reversal of the items; thus, the original scores were maintained. The analysis of the internal structure showed that the best interpretable solution was unidimensional, and due to low loadings, four items were removed. The internal consistency (α = .74) and temporal stability (r = .92; p < .001) of the final ORTO-11 version were adequate, higher than the 15-item version. The questionnaire showed significant associations with eating psychopathology (EAT-26 and SR-YBC-EDS; range r = .64 - .29; p < .05). However, this result should be interpreted with caution due to the redundancy observed between the ORTO-15 and the EAT-26. Our results suggest that the psychometric properties of the Spanish version of the ORTO-15 are not adequate. Moreover, the instrument detects people who are on diets, but it is not efficient in detecting the severity of orthorexic behaviors and attitudes. New instruments are needed to continue the study of orthorexia nervosa.

Background: Even though the Five Factor Model (FFM) has been the dominant paradigm in personality research for the past two decades, very few studies have measured the FFM adaptively. Thus, the purpose of this research was the building of a new item pool to develop a computerized adaptive test (CAT) for personality assessment., Method: A pool of 480 items that measured the FFM facets was developed and applied to 826 participants. Facets were calibrated separately and item selection was performed being mindful of the preservation of unidimensionality of each facet. Then, a post-hoc simulation study was carried out to test the performance of separate CATs to measure the facets., Results: The final item pool was composed of 360 items with good psychometric properties. Findings reveal that a CAT administration of four items per facet (total length of 120 items) provides accurate facets scores, while maintaining the factor structure of the FFM., Conclusions: An item pool with good psychometric properties was obtained and a CAT simulation study demonstrated that the FFM facets could be measured with precision using a third of the items in the pool.

The current study proposes a new bi-factor rotation method, Schmid-Leiman with iterative target rotation (SLi), based on the iteration of partially specified target matrices and an initial target constructed from a Schmid-Leiman (SL) orthogonalization. SLi was expected to ameliorate some of the limitations of the previously presented SL bi-factor rotations, SL and SL with target rotation (SLt), when the factor structure either includes cross-loadings, near-zero loadings, or both. A Monte Carlo simulation was carried out to test the performance of SLi, SL, SLt, and the two analytic bi-factor rotations, bi-quartimin and bi-geomin. The results revealed that SLi accurately recovered the bi-factor structures across the majority of the conditions, and generally outperformed the other rotation methods. SLi provided the biggest improvements over SL and SLt when the bi-factor structures contained cross-loadings and pure indicators of the general factor. Additionally, SLi was superior to bi-quartimin and bi-geomin, which performed inconsistently across the types of factor structures evaluated. No method produced a good recovery of the bi-factor structures when small samples (N = 200) were combined with low factor loadings (0.30-0.50) in the specific factors. Thus, it is recommended that larger samples of at least 500 observations be obtained.

The Dutch Eating Behavior Questionnaire is a widely used instrument for assessment of emotional, external and restrained eating. The aim of the present study is to (i) analyse its internal structure using exploratory structural equation modelling; (ii) to assess its measurement invariance with respect to sex, BMI, age and level of education; and (iii) to evaluate the relations of the factors with these variables. Except that women were slightly over-represented, the sample (n = 2173) closely followed the sociodemographic characteristics of the overall Dutch population. The three theoretical factors that emerged from the analysis were in close correspondence with the three scales for emotional, external and restrained eating. Only two items (item 3 - 'desire to eat when nothing to do…' and item 21 - 'resist delicious food...') presented problematic loadings. The questionnaire showed satisfactory measurement invariance, and expected patterns of mean differences and relations were found. All in all, the results highlight the adequate psychometric properties of the Dutch Eating Behavior Questionnaire. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association., (Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.)

Perceived control has shown predictive value for anxiety severity symptoms as well as cognitive-behavior therapy outcomes. The most commonly used measure of perceived control is the Anxiety Control Questionnaire (ACQ), and more recently the ACQ Revised (ACQ-R). However, both questionnaires have shown structural inconsistencies among several studies. Also, although the ACQ and ACQ-R seem to be multidimensional instruments, a single total score have been commonly used. This study examined the internal structure of the ACQ-R Spanish version using exploratory factor and exploratory bi-factor analysis in a sample of 382 college students and 52 people diagnosed of panic disorder (with or without agoraphobia). Also, in this study we assessed the preliminary diagnostic value of the ACQ-R scores. The results indicated that the ACQ-R Spanish version structure consisted of two factors: one related with perceived control of internal emotional reactions (Emotion Control) and another related with perceived control of external events (Threat and Stress Control). Both specific factors can be adequately summarized by a general factor (General Anxiety Perception of Control; CFI = .973, TLI = .954, RMSEA = .039; p = .002), which accounted for 70% of the common explained variance. The correlations between the ACQ-R scores and with variables like anxiety (r = -.66) or anxiety sensitivity (r = -.50) presented the expected pattern of results. Either the two dimensions structure or the total score have proved to be a good tool to distinguish between participants with panic disorder and non-clinical samples (area under the curve = 0.79).

This article introduces two new item selection methods, the modified posterior-weighted Kullback-Leibler index (MPWKL) and the generalized deterministic inputs, noisy "and" gate (G-DINA) model discrimination index (GDI), that can be used in cognitive diagnosis computerized adaptive testing. The efficiency of the new methods is compared with the posterior-weighted Kullback-Leibler (PWKL) item selection index using a simulation study in the context of the G-DINA model. The impact of item quality, generating models, and test termination rules on attribute classification accuracy or test length is also investigated. The results of the study show that the MPWKL and GDI perform very similarly, and have higher correct attribute classification rates or shorter mean test lengths compared with the PWKL. In addition, the GDI has the shortest implementation time among the three indices. The proportion of item usage with respect to the required attributes across the different conditions is also tracked and discussed., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Previous research has suggested multiple factor structures for the 12-item General Health Questionnaire (GHQ-12), with contradictory evidence arising across different studies on the validity of these models. In the present research, it was hypothesized that these inconsistent findings were due to the interaction of 3 main methodological factors: ambiguous response categories in the negative items, multiple scoring schemes, and inappropriate estimation methods. Using confirmatory factor analysis with appropriate estimation methods and scores obtained from a large (n = 27,674) representative Spanish sample, we tested this hypothesis by evaluating the fit and predictive validities of 4 GHQ-12 factor models-unidimensional, Hankins' (2008a) response bias model, Andrich and Van Schoubroeck's (1989) 2-factor model, and Graetz's (1991) 3-factor model-across 3 scoring methods: standard, corrected, and Likert. In addition, the impact of method effects on the reliability of the global GHQ-12 scores was also evaluated. The combined results of this study support the view that the GHQ-12 is a unidimensional measure that contains spurious multidimensionality under certain scoring schemes (corrected and Likert) as a result of ambiguous response categories in the negative items. Therefore, it is suggested that the items be scored using the standard method and that only a global score be derived from the instrument., (PsycINFO Database Record (c) 2014 APA, all rights reserved.)

The dimensionality of the Hospital Anxiety and Depression Scale (HADS) is a current source of controversy among experts. The present study integrates a solid theoretical framework (Clark & Watson's, 1991, tripartite theory) and a fine-grained methodological approach (structural equation modeling; SEM) to examine the dimensionality and construct validity of the HADS in fibromyalgia (FM) patients. Using the HADS data of 269 Spanish patients with FM, we estimated the cross-sectional and, for the first time, longitudinal fit (autoregressive model) of 2 competing models (oblique 2-factor vs. bifactor) via confirmatory factor analysis. The pattern of relationships between the HADS latent dimensions and positive and negative affect (PA and NA) was analyzed using SEM. HADS reliability was assessed by computing the omega and omega hierarchical coefficients. The bifactor model, which accounted for the covariance among HADS items with regard to 1 general factor (psychological distress) and 2 specific factors (depression and anxiety), described the HADS structure better than the original oblique 2-factor model during both study periods. All latent dimensions of the bifactor model were temporally stable. The SEM analysis revealed a significant link between psychological distress and NA as well as between depression and low PA. Only the general factor of psychological distress showed adequate reliability. In conclusion, the HADS shows a clear bifactor structure among FM patients. Our results indicate that it is not recommendable to compute anxiety and depression scores separately because anxiety variance is tapped primarily by the broader construct of psychological distress, and both specific dimensions show low reliability.

Background: No studies have been found that compared the psychopathology features, including personality disorders, of Panic Disorder (PD) and Panic Disorder with Agoraphobia (PDA), and a nonclinical sample with anxiety vulnerability., Method: The total sample included 152 participants, 52 in the PD/PDA, 45 in the high anxiety sensitivity (AS) sample, and 55 in the nonclinical sample. The participants in PD/PDA sample were evaluated with the structured interview ADIS-IV. The Brief Symptom Inventory and the MCMI-III were used in all three samples., Results: Statistically significant differences were found between the PD/PDA and the nonclinical sample in all MCMI-III scales except for antisocial and compulsive. No significant differences were found between PD/PDA and the sample with high scores in AS. Phobic Anxiety and Paranoid Ideation were the only scales where there were significant differences between the PD/PDA sample and the high AS sample., Conclusions: Our findings showed that people who scored high on AS, despite not having a diagnosis of PD/PDA, were similar in regard to psychopathology features and personality to individuals with PD/PDA.