ub.xmlui.mirage2.page-structure.MuninLogoub.xmlui.mirage2.page-structure.openResearchArchiveLogo
    • EnglishEnglish
    • norsknorsk
  • Velg spraakEnglish 
    • EnglishEnglish
    • norsknorsk
  • Administration/UB
View Item 
  •   Home
  • Det helsevitenskapelige fakultet
  • Institutt for psykologi
  • Artikler, rapporter og annet (psykologi)
  • View Item
  •   Home
  • Det helsevitenskapelige fakultet
  • Institutt for psykologi
  • Artikler, rapporter og annet (psykologi)
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

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

Permanent link
https://hdl.handle.net/10037/19428
DOI
https://doi.org/10.1186/s40359-020-00459-5
Thumbnail
View/Open
article.pdf (819.4Kb)
Published version (PDF)
Date
2020-08-20
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Author
Lorentzen, Veronica; Handegård, Bjørn Helge; Moen, Connie Malén; Solem, Kenth; Lillevoll, Kjersti; Skre, Ingunn
Abstract
Background - Instruments 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.

Methods - This 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.

Results - The 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.

Conclusion - The 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.

Is part of
Lorentzen, V. (2022). Providing a short and effective transdiagnostic treatment intervention and a valid outcome measure for adolescent with anxiety and depression. A randomized controlled trial of the SMART intervention and validation of the CORE-OM in adolescents aged 14 to 17. (Doctoral thesis). https://hdl.handle.net/10037/27462
Publisher
BMC
Citation
Lorentzen V, Handegård BHH, Lillevoll K, Solem, Moen CM, Skre IB. CORE-OM as a routine outcome measure for adolescents with emotional disorders: factor structure and psychometric properties. BMC Psychology. 2020;8(86):1-14
Metadata
Show full item record
Collections
  • Artikler, rapporter og annet (psykologi) [459]
Copyright 2020 The Author(s)

Browse

Browse all of MuninCommunities & CollectionsAuthor listTitlesBy Issue DateBrowse this CollectionAuthor listTitlesBy Issue Date
Login

Statistics

View Usage Statistics
UiT

Munin is powered by DSpace

UiT The Arctic University of Norway
The University Library
uit.no/ub - munin@ub.uit.no

Accessibility statement (Norwegian only)