Factorial Structure of the Serbian Version of the Clinical Assessment Interview for Negative Symptoms – Evidence for Three Factors of Negative Symptoms: Frontiers in Psychology

I. Ristić; S. Jerotić; M. Zebić; B. Savić; V. Vuković; Manuela  Russo; T. Voskresenski; N. Jovanović; N.P. Marić

doi:10.3389/fpsyg.2020.570356

Factorial Structure of the Serbian Version of the Clinical Assessment Interview for Negative Symptoms – Evidence for Three Factors of Negative Symptoms: Frontiers in Psychology

I. Ristić, S. Jerotić, M. Zebić, B. Savić, V. Vuković, Manuela Russo, T. Voskresenski, N. Jovanović, N.P. Marić

Health Service & Population Research

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Introduction: Negative symptoms are a common occurrence in patients with psychosis spectrum disorders. Previous analysis of the latent structure of the Clinical Assessment Interview for Negative Symptoms (CAINS) – which was developed to advance the assessment of negative symptomatology – showed two underlying sub-domains (Motivation and Pleasure; Expression). Recent findings indicate that a more complex structure might be more applicable. Aim: To evaluate the psychometric properties of the Serbian version of the CAINS in a sample of outpatients (N = 67) with psychosis spectrum disorders. Materials and Methods: Negative symptoms and general level of psychopathology were assessed with Serbian translations of the CAINS, the 53-item version of the Brief Symptom Inventory (BSI), and the 24-item version of the Brief Psychiatric Rating Scale (BPRS). Principal component analysis (PCA) was carried out on the CAINS items, and correlation analyses were done to assess its convergent and discriminant validity. Results: Our results showed an excellent internal consistency (Cronbach’s alpha = 0.92). PCA revealed a three-component solution consisting of Expressiveness and Motivation for Social and Family Relationships (Factor 1), Motivation for Vocational Activities (Factor 2), and Motivation for Recreation (Factor 3). Convergent validity was supported by significant correlations with the Negative symptoms domain of the BPRS (Factor 1, 0.695, p < 0.01; Factor 2, 0.352, p < 0.05; Factor 3, 0.452, p < 0.01). When assessing discriminant validity, weak correlations were found with BPRS and BSI scores. Conclusion: The Serbian version of CAINS is a valid, reliable and useful tool for the assessment of negative symptomatology. Our findings support a three-factor structure of CAINS, which indicates that the construct is more complex than envisaged by the original conceptualization of two distinct factors. © Copyright © 2020 Ristić, Jerotić, Zebić, Savić, Vuković, Russo, Voskresenski, Jovanović and Marić.

Original language	English
Journal	Front. Psychol.
Volume	11
DOIs	https://doi.org/10.3389/fpsyg.2020.570356
Publication status	Published - 2020

Keywords

assessment
CAINS
negative symptoms
psychosis
schizophrenia

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10.3389/fpsyg.2020.570356

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Ristić, I., Jerotić, S., Zebić, M., Savić, B., Vuković, V., Russo, M., Voskresenski, T., Jovanović, N., & Marić, N. P. (2020). Factorial Structure of the Serbian Version of the Clinical Assessment Interview for Negative Symptoms – Evidence for Three Factors of Negative Symptoms: Frontiers in Psychology. Front. Psychol., 11. https://doi.org/10.3389/fpsyg.2020.570356

@article{416251376479403b81f6e4ba559a0c77,

title = "Factorial Structure of the Serbian Version of the Clinical Assessment Interview for Negative Symptoms – Evidence for Three Factors of Negative Symptoms: Frontiers in Psychology",

abstract = "Introduction: Negative symptoms are a common occurrence in patients with psychosis spectrum disorders. Previous analysis of the latent structure of the Clinical Assessment Interview for Negative Symptoms (CAINS) – which was developed to advance the assessment of negative symptomatology – showed two underlying sub-domains (Motivation and Pleasure; Expression). Recent findings indicate that a more complex structure might be more applicable. Aim: To evaluate the psychometric properties of the Serbian version of the CAINS in a sample of outpatients (N = 67) with psychosis spectrum disorders. Materials and Methods: Negative symptoms and general level of psychopathology were assessed with Serbian translations of the CAINS, the 53-item version of the Brief Symptom Inventory (BSI), and the 24-item version of the Brief Psychiatric Rating Scale (BPRS). Principal component analysis (PCA) was carried out on the CAINS items, and correlation analyses were done to assess its convergent and discriminant validity. Results: Our results showed an excellent internal consistency (Cronbach{\textquoteright}s alpha = 0.92). PCA revealed a three-component solution consisting of Expressiveness and Motivation for Social and Family Relationships (Factor 1), Motivation for Vocational Activities (Factor 2), and Motivation for Recreation (Factor 3). Convergent validity was supported by significant correlations with the Negative symptoms domain of the BPRS (Factor 1, 0.695, p < 0.01; Factor 2, 0.352, p < 0.05; Factor 3, 0.452, p < 0.01). When assessing discriminant validity, weak correlations were found with BPRS and BSI scores. Conclusion: The Serbian version of CAINS is a valid, reliable and useful tool for the assessment of negative symptomatology. Our findings support a three-factor structure of CAINS, which indicates that the construct is more complex than envisaged by the original conceptualization of two distinct factors. {\textcopyright} Copyright {\textcopyright} 2020 Risti{\'c}, Jeroti{\'c}, Zebi{\'c}, Savi{\'c}, Vukovi{\'c}, Russo, Voskresenski, Jovanovi{\'c} and Mari{\'c}.",

keywords = "assessment, CAINS, negative symptoms, psychosis, schizophrenia",

author = "I. Risti{\'c} and S. Jeroti{\'c} and M. Zebi{\'c} and B. Savi{\'c} and V. Vukovi{\'c} and Manuela Russo and T. Voskresenski and N. Jovanovi{\'c} and N.P. Mari{\'c}",

note = "Export Date: 22 July 2024; Cited By: 3; Correspondence Address: I. Risti{\'c}; Faculty of Medicine, University of Belgrade, Belgrade, Serbia; email: [email protected]; I. Risti{\'c}; Clinic for Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia; email: [email protected]",

year = "2020",

doi = "10.3389/fpsyg.2020.570356",

language = "English",

volume = "11",

journal = "Front. Psychol.",

issn = "1664-1078",

publisher = "Frontiers Media S.A.",

}

TY - JOUR

T1 - Factorial Structure of the Serbian Version of the Clinical Assessment Interview for Negative Symptoms – Evidence for Three Factors of Negative Symptoms

T2 - Frontiers in Psychology

AU - Ristić, I.

AU - Jerotić, S.

AU - Zebić, M.

AU - Savić, B.

AU - Vuković, V.

AU - Russo, Manuela

AU - Voskresenski, T.

AU - Jovanović, N.

AU - Marić, N.P.

N1 - Export Date: 22 July 2024; Cited By: 3; Correspondence Address: I. Ristić; Faculty of Medicine, University of Belgrade, Belgrade, Serbia; email: [email protected]; I. Ristić; Clinic for Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia; email: [email protected]

PY - 2020

Y1 - 2020

N2 - Introduction: Negative symptoms are a common occurrence in patients with psychosis spectrum disorders. Previous analysis of the latent structure of the Clinical Assessment Interview for Negative Symptoms (CAINS) – which was developed to advance the assessment of negative symptomatology – showed two underlying sub-domains (Motivation and Pleasure; Expression). Recent findings indicate that a more complex structure might be more applicable. Aim: To evaluate the psychometric properties of the Serbian version of the CAINS in a sample of outpatients (N = 67) with psychosis spectrum disorders. Materials and Methods: Negative symptoms and general level of psychopathology were assessed with Serbian translations of the CAINS, the 53-item version of the Brief Symptom Inventory (BSI), and the 24-item version of the Brief Psychiatric Rating Scale (BPRS). Principal component analysis (PCA) was carried out on the CAINS items, and correlation analyses were done to assess its convergent and discriminant validity. Results: Our results showed an excellent internal consistency (Cronbach’s alpha = 0.92). PCA revealed a three-component solution consisting of Expressiveness and Motivation for Social and Family Relationships (Factor 1), Motivation for Vocational Activities (Factor 2), and Motivation for Recreation (Factor 3). Convergent validity was supported by significant correlations with the Negative symptoms domain of the BPRS (Factor 1, 0.695, p < 0.01; Factor 2, 0.352, p < 0.05; Factor 3, 0.452, p < 0.01). When assessing discriminant validity, weak correlations were found with BPRS and BSI scores. Conclusion: The Serbian version of CAINS is a valid, reliable and useful tool for the assessment of negative symptomatology. Our findings support a three-factor structure of CAINS, which indicates that the construct is more complex than envisaged by the original conceptualization of two distinct factors. © Copyright © 2020 Ristić, Jerotić, Zebić, Savić, Vuković, Russo, Voskresenski, Jovanović and Marić.

AB - Introduction: Negative symptoms are a common occurrence in patients with psychosis spectrum disorders. Previous analysis of the latent structure of the Clinical Assessment Interview for Negative Symptoms (CAINS) – which was developed to advance the assessment of negative symptomatology – showed two underlying sub-domains (Motivation and Pleasure; Expression). Recent findings indicate that a more complex structure might be more applicable. Aim: To evaluate the psychometric properties of the Serbian version of the CAINS in a sample of outpatients (N = 67) with psychosis spectrum disorders. Materials and Methods: Negative symptoms and general level of psychopathology were assessed with Serbian translations of the CAINS, the 53-item version of the Brief Symptom Inventory (BSI), and the 24-item version of the Brief Psychiatric Rating Scale (BPRS). Principal component analysis (PCA) was carried out on the CAINS items, and correlation analyses were done to assess its convergent and discriminant validity. Results: Our results showed an excellent internal consistency (Cronbach’s alpha = 0.92). PCA revealed a three-component solution consisting of Expressiveness and Motivation for Social and Family Relationships (Factor 1), Motivation for Vocational Activities (Factor 2), and Motivation for Recreation (Factor 3). Convergent validity was supported by significant correlations with the Negative symptoms domain of the BPRS (Factor 1, 0.695, p < 0.01; Factor 2, 0.352, p < 0.05; Factor 3, 0.452, p < 0.01). When assessing discriminant validity, weak correlations were found with BPRS and BSI scores. Conclusion: The Serbian version of CAINS is a valid, reliable and useful tool for the assessment of negative symptomatology. Our findings support a three-factor structure of CAINS, which indicates that the construct is more complex than envisaged by the original conceptualization of two distinct factors. © Copyright © 2020 Ristić, Jerotić, Zebić, Savić, Vuković, Russo, Voskresenski, Jovanović and Marić.

KW - assessment

KW - CAINS

KW - negative symptoms

KW - psychosis

KW - schizophrenia

U2 - 10.3389/fpsyg.2020.570356

DO - 10.3389/fpsyg.2020.570356

M3 - Article

SN - 1664-1078

VL - 11

JO - Front. Psychol.

JF - Front. Psychol.

ER -

Factorial Structure of the Serbian Version of the Clinical Assessment Interview for Negative Symptoms – Evidence for Three Factors of Negative Symptoms: Frontiers in Psychology

Abstract

Keywords

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