Tension Scale

Information about Measure
First Name Lesley Jo
Last Name Weaver
Email ljweaver@uoregon.edu
Affiliation University of Oregon
Other means of contacting author (e.g., website, Academia.edu, ResearchGate) lesleyjoweaver.com
Mental health assessment tool that was adapted/developed/validated Tension scale
Mental health condition assessed Other: Tension
Idiom of distress included, if any Tension
Lifestage of interest Adult (General)
Age range (age – age)
Country or countries where tool was developed/adapted/validated India
Language(s) of the adapted/developed/validated tool Hindi
Clinical or community sample? Clinical
Subpopulation in which tool was developed/validated (e.g., tool was developed and tested among middle-class women)? women with and without type 2 diabetes
Development procedures Locally developed and validated
If validated, what was the gold standard? the Hopkins Symptoms Checklist-25, translated and adapted for use in Hindi
Description of other development procedures, if applicable
Cronbach’s alpha >0.8
Sensitivity
Spec
Other information about tool (e.g., additional psychometrics [NPV, PPV, Youden’s index, diagnostic odds ratio])
Links to development/adaptation/validation studies and/or previous studies using the tool Weaver, L.J. Cult Med Psychiatry (2017) 41: 35. https://doi.org/10.1007/s11013-016-9516-5
Weaver, L. J., & Kaiser, B. N. (2015). Developing and Testing Locally Derived Mental Health Scales: Examples from North India and Haiti. Field Methods, 27(2), 115–130. https://doi.org/10.1177/1525822X14547191
Notes when administering the tool Tool can be administered by anyone who can read and write HIndi; deliver the tool verbally and record scores; sum scores with all items equally weighted. I score responses as much more=2, somewhat more=1, no change=0.
I have not developed standard cutoffs for clinically significant symptomatology. Instead I use “tension” scores as a continuous variable in analyses or divide them by tertiles or quartiles.
The tool’s main prompt (“Since getting diabetes, do you feel any of the following mood-related items much more, somewhat more, or the same as before?”) could be changed to something generic such as “In the past [time period], have you felt any of the following mood-related items much more, somewhat more, or the same as usual?”.
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