Evidence map›Paper›PMID 32819424›Full record

ArticleBMC psychology2020

CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties.

Veronica Lorentzen, Bjørn Helge Handegård, Connie Malén Moen, Kenth Solem, Kjersti Lillevoll, Ingunn Skre

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Article in BMC psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Veronica LorentzenDepartment of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, P.O. Box 6050 Langnes, N-9037, Tromsø, Norway. veronica.lorentzen@uit.no.ORCID http://orcid.org/0000-0001-6165-6730
Bjørn Helge HandegårdThe Regional Centre for Child and Adolescent Mental Health - North, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037, Tromsø, Norway.
Connie Malén MoenDepartment of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, P.O. Box 6050 Langnes, N-9037, Tromsø, Norway.
Kenth SolemSubstance use and Psychiatry unit, Department of Substance Use and Addiction Medicine, Clinic for Mental Health and Substance Use, Nordland Hospital, 8076, Bodø, Norway.
Kjersti LillevollDepartment of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, P.O. Box 6050 Langnes, N-9037, Tromsø, Norway.
Ingunn SkreDepartment of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, P.O. Box 6050 Langnes, N-9037, Tromsø, Norway.

Funding

Helse Nord RHF HNF1383-17
6 · The paper itself

Abstract

backgroundInstruments for monitoring the clinical status of adolescents with emotional problems are needed. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) according to theory measures problems/symptoms, well-being, functioning and risk. Documentation of whether the theoretical factor structure for CORE-OM is applicable for adolescents is lacking.

methodsThis study examined the factor structure and psychometric properties of the CORE-OM based on two samples of adolescents (age 14-18): youths seeking treatment for emotional problems (N = 140) and high school students (N = 531). A split half approach was chosen. An exploratory factor analysis (EFA) was performed on the first half of the stratified samples to establish the suitability of the model. A Confirmatory Factor Analysis (CFA) with the chosen model from the EFA was performed on the second half. Internal consistency and clinical cut-off scores of the CORE-OM were investigated.

resultsThe best fitting model only partially confirmed the theoretical model for the CORE-OM. The model consisted of five factors: 1) General problems, 2) risk to self, 3) positive resources 4) risk to others and 5) problems with others. The clinical cut-off score based on the all-item total was higher than in an adult sample. Both the all-item total and general problems cut-off scores showed gender differences.

conclusionThe factor analysis on CORE-OM for adolescents resulted in a five-factor solution, and opens up for new subscales concerning positive resources and problems with others. A 17-item solution for the general problems/symptoms scale is suggested. We advise developers of self-report instruments not to reverse items, if they do not intend to measure a separate factor, since these seem to affect the dimensionality of the scales. Comparing means for gender in non-clinical samples should not be done without modification of the general emotional problem and the positive resources scales. Slightly elevated CORE-OM scores (up to 1.3) in adolescents may be normal fluctuations.

Indexed as

Affective SymptomsOutcome Assessment, Health CareAdolescentAdultFactor Analysis, StatisticalHumansPsychometricsReproducibility of ResultsSelf ReportSurveys and QuestionnairesAdolescentsClinicalCORE-OMEmotional disordersOutcome measureValidation

Identifiers

PMID32819424
PMCPMC7439542

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