Treatment satisfaction is an important patient-reported outcome reflecting patients’ perceptions of treatment effectiveness, tolerability, and overall experience with care. Valid and culturally adapted instruments are needed to assess treatment satisfaction among Arabic-speaking patients with cancer in Lebanon. This study aimed to validate the Arabic version of the Functional Assessment of Chronic Illness Therapy–Treatment Satisfaction (FACIT-TS) Scale among Lebanese patients with cancer.

A cross-sectional study was conducted among patients with cancer from Lebanon. Participants completed the Arabic FACIT-TS along with measures assessing quality of life, psychological distress, and perceived social support. Confirmatory factor analysis (CFA) was performed to evaluate the factorial structure of the scale.

CFA supported a unidimensional structure of the Arabic FACIT-TS with satisfactory fit indices. The scale demonstrated good internal consistency (Cronbach’s α = 0.87; McDonald’s ω = 0.87). Measurement invariance across gender was supported at configural, metric, scalar, and strict levels. No significant difference in treatment satisfaction scores was observed between male and female patients. Higher treatment satisfaction was associated with better quality of life, greater perceived social support, and reduced psychological distress.

The Arabic version of the FACIT-TS demonstrated satisfactory reliability and validity among patients with cancer. The instrument appears to be a psychometrically sound tool for assessing treatment satisfaction among Lebanese patients with cancer and may support the integration of patient-reported outcomes into clinical practice and research within Lebanese oncology settings and potentially similar Arabic-speaking clinical contexts pending further validation.

To examine the psychometric properties of the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) in Mexican cancer patients, and to evaluate their utility as brief screening measures for depressive and anxiety symptoms in oncology care.

In this cross-sectional study, 357 adult patients receiving oncological treatment at a cancer hospital in Mexico completed the culturally adapted Spanish versions of the PHQ-9 and GAD-7. Exploratory and confirmatory factor analyses were conducted to assess the factorial structure of both instruments, and internal consistency was evaluated using Cronbach’s alpha. Concurrent validity was examined through correlations with related measures.

The PHQ-9 yielded a 2-factor structure with acceptable internal consistency (Cronbach’s α = 0.837), while the GAD-7 showed a 1-factor structure with good internal consistency (Cronbach’s α = 0.881). The PHQ-9 explained 55.3% of the variance and the GAD-7 explained 58.5%. Confirmatory factor analyses indicated adequate model fit for both instruments.

Findings suggest that the PHQ-9 and GAD-7 are brief, valid, and reliable tools for detecting depressive and anxiety symptoms in Mexican cancer patients. Their use may facilitate the early identification of symptoms of anxiety and depression in oncology settings and support both clinical care and psycho-oncology research.

This study assessed the construct validity, predictive validity, and responsiveness of the 4-metre walk test (4MWT) in community-dwelling older Canadians.

Baseline and 3-year follow-up data from the Canadian Longitudinal Study on Aging were examined, including participants ≥ 65 years with 4MWT assessments. Secondary outcomes included physical and self-report measures and healthcare utilization (e.g., hospitalization and emergency department visits).

Baseline data on 12,433 and follow-up data on 10,107 participants were analysed. For construct validity, low-to-high correlations with the comparator measures (rho = 0.25 [with the Life Space Assessment] to 0.72 [with the Timed-Up and Go]) and known-groups differences of 0.15 m/s (assistive device use) and 0.04 m/s (falls) were found. For predictive validity, areas under the curve ranged from 0.51 to 0.59 for healthcare utilization, indicating poor prediction. For responsiveness, low-to-moderate correlations between change scores were found (rho = 0.01–0.44).

Findings demonstrated partial support for construct validity and responsiveness and no support for predictive validity.

Prolonged grief disorder (PGD) is a debilitating condition recently recognized to psychiatric diagnostic manuals. There is a pressing need for valid, reliable, and culturally adapted instruments that align with internationally established diagnostic criteria for the diagnosis of pathological grief, particularly for Latinx populations, who often face limited access to timely mental health services. This study aimed to translate, adapt, and validate the Mexican version of the PG-13-R scale.

We translated and then back-translated the original PG-13-R. The scale was reviewed by experts in psychometrics and cognitively debriefed with a Mexican sample. The study included 397 participants, consisting of: (1) Family members of patients who died from cancer and received supportive care from a patient navigation program at a public hospital in Mexico City (CDMX) and (2) Individuals from the broader community who were contacted via social media (X, Facebook). Participants completed an online survey that included sociodemographic data, the preliminary version of the PG-13-R, an assessment of depression (PHQ-9) and of anxiety (GAD-7). Internal consistency was analyzed using Cronbach’s alpha. A confirmatory factor analysis (CFA) was conducted to examine evidence of validity, along with a Pearson correlation analysis between PG-13-R scores and existing measures assessing related but distinct constructs (i.e., depression and anxiety).

CFA supported a 1-factor structure with good model fit after accounting for error covariance between related items. The Mexican PG-13-R demonstrated good internal consistency (Cronbach’s α = 0.89) and positive significant correlations with measures of depression and anxiety, providing evidence of score reliability and validity.

The adapted PG-13-R offers a culturally appropriate tool for assessing prolonged grief in Mexican Spanish-speaking populations, with potential for use in clinical and research settings. The use of the PG-13-R scale is recommended for clinical research and mental health care in the Mexican population.

Understanding gender identity in transgender and gender-diverse (TGD) individuals is crucial for effective care. The Gender Preoccupation and Stability Questionnaire (GPSQ) measures the preoccupation and stability of gender identity, but no Italian validation is available.

This study aimed to translate, culturally adapt and validate the Italian version of the GPSQ in a clinical sample of TGD adults.

The GPSQ was translated with a forward–backward method and completed by 151 TGD adults at a gender clinic. Participants also filled out the Symptom Checklist-58 and Body Uneasiness Test. We assessed structural validity (EFA), internal consistency, test–retest reliability, and examined known-groups and predictive validity.

The EFA supported a four-factor structure – Gender Identity Instability, Cognitive-Affective Salience, Preoccupation, and Distress/Intervention-Oriented Reflection – with good fit (root mean square error of approximation 0.06; Comparative Fit Index 0.95; Tucker–Lewis Index 0.93; standard root mean square residual 0.04). The GPSQ showed solid internal consistency (α = 0.78; ω = 0.73) and excellent test–retest reliability (r = 0.98; intraclass correlation coefficient 0.98). Higher scores correlated with psychological distress (r = 0.55, p < 0.001) and body image concerns (r = 0.48, p < 0.001). Preoccupation was most linked to obsessive–compulsive symptoms, and Cognitive-Affective Salience to body image concerns. Participants not on hormones scored higher (p = 0.010, Cohen’s d = 0.36).

The Italian GPSQ is a reliable and valid tool to assess gender-related preoccupation and identity instability in TGD individuals. Its multidimensional structure makes it useful in both clinical practice and research in the Italian context.

The World Health Organization Disability Assessment Schedule (WHODAS 2.0) has been validated across various settings and health conditions. However, few studies have evaluated the 12-item WHODAS 2.0 within low- and middle-income countries (LMICs) among individuals with mental health conditions.

This study aimed to evaluate the psychometric properties of the 12-item WHODAS 2.0 in populations with depression, anxiety and psychosis from seven LMICs.

Secondary analyses were carried out using existing longitudinal data-sets in adult populations with depression, anxiety and psychosis across Brazil, Ethiopia, Ghana, India, Nigeria, Peru and South Africa. Reliability, validity and responsiveness to change of the 12-item WHODAS 2.0 were examined.

The 12-item WHODAS-2.0 was acceptably one-dimensional for all data-sets at baseline, with model-fit indices ranging from moderate to excellent. Internal consistency of the measure was found to be high across settings (Cronbach’s α = 0.83−0.97). Weak to moderate correlations with measures of symptom severity were found across all countries, except India. Moderate to strong correlations were observed with measures of functioning/quality of life across all countries, except Nigeria and Ghana.

Internal responsiveness to change was large in five out of seven studies, except both Ethiopian studies. However, external responsiveness to change exhibited variability, with weak to moderate correlations between change in WHODAS 2.0 and symptom scores across all countries.

The 12-item WHODAS 2.0 generally showed acceptable psychometric properties across different settings and mental health conditions. However, high variability was observed in convergent validity and external responsiveness to change, which warrants further investigation.

Gender dysphoria is linked to various psychosocial challenges in adolescence, underscoring the need to identify and support youth experiencing gender-related distress. Although gender identity exists on a spectrum beyond the binary, no validated tool currently exists in Turkey that uses inclusive, gender-neutral language to assess it in adolescents.

This study aimed to evaluate the psychometric properties of the Turkish adaptation of the Utrecht Gender Dysphoria Scale–Gender Spectrum (UGDS-GS) among clinical- and community-based adolescents.

A total of 240 participants aged 12–23 years were included. The validity of UGDS-GS was assessed through content validity and confirmatory factor analysis. Reliability was measured using Cronbachʼs alpha and test–retest intraclass correlation coefficient (ICC). A sociodemographic data form, UGDS, UGDS-GS, Rosenberg Self-Esteem Scale (RSES) and Youth Self-Report (YSR) were utilised.

Findings demonstrated strong content validity, with a content validity Index of 0.69, and robust construct validity, indicated by a comparative fit index of 0.993 and a root-mean-square error of approximation of 0.071 following the exclusion of three items. UGDS-GS effectively differentiated scores across demographic groups, showing significant variances based on assigned gender and age. The scale also exhibited excellent criterion validity, evidenced by an area under the curve of 0.947 in receiver operating characteristic analysis, with high sensitivity (80%) and specificity (95.9%) at an optimal cut-off value of 42.50. With a Cronbachʼs alpha of 0.935, UGDS-GS demonstrated strong internal consistency and substantial test–receiver operating characteristic retest reliability (ICC 0.884), alongside notable but weak correlations with several RSES subscales and low to moderate correlations with YSR scores.

These results affirm that tUGDS-GS is valuable and reliable in assessing gender dysphoria in Turkish adolescents. Further research is warranted to improve applicability in diverse contexts and populations.

Individuals admitted to the Intensive Care Unit (ICU) due to cancer frequently encounter cognitive impairment and alterations in their mental health, which engenders psychological distress and considerably impacts their quality of life. In Mexico, there is an imperative for valid and reliable clinical tools to identify these symptoms, to providing timely and appropriate psychological intervention.

To determine the psychometric properties of the Intensive Care Psychological Assessment Tool (IPAT) in a Mexican population with cancer discharged from ICU.

A cross-sectional instrumental design with non-probability convenience sampling was employed. Data were collected between February 2023 and October 2024 with 75 people discharged from the ICU. Factor structure (confirmatory factor analysis), reliability (internal consistency), measurement invariance, and criteria validity (convergent, discriminant, and known-groups) were assessed. Patients were assessed during oncological hospitalization, following ICU.

The participants were predominantly male, residing in the interior of the country, with an average age of 44 years (range 19–78, SD 16.21). Internal consistency results were deemed to be satisfactory (α = 0.78) for 9 items. The CFA indices were adequate [χ2 (gl) 27.436 (24), CMIN/DF 1.143, CFI 0.96, GFI 0.97, SRMR 0.036, RMSEA 0.044] as were the scalar invariance indices for invasive mechanical ventilation [CFI = 0.871; RMSEA = 0.058; χ2/gl = 20.519 (10)] and for gender, restricted invariance indices [CFI = 0.849; RMSEA = 0.068; χ2/gl = 23.302 (12)].

The Mexican version of the IPAT for people with cancer is a valid and reliable tool for use in oncology and critical care settings in Mexico. It is recommended for use at the time of discharge from the ICU, as it allows the identification of psychological distress for timely intervention. For future considerations, diverse clinical settings and patient populations should be explored to enhance the tool’s applicability and generalizability in the varied contexts of cancer in ICU.

Millions of people witnessing early, repeated media coverage of wars are at heightened risk of developing mental health conditions. However, most literature available on the field is based on measures with unverified psychometric qualities. This study aimed to design and validate a new self-report scale to measure the extent of exposure to media content related to war, the War-related Media Exposure Scale (WarMES).

A cross-sectional study based on 2635 community adults (73.1% females, mean age of 23.98 ± 7.55 years) from 5 countries (Tunisia, Kuwait, Egypt, Jordan, Oman). To verify the factor structure, we carried out an Exploratory Factor Analysis in a first subsample (N = 859) then a Confirmatory Factor Analysis on the remaining subsample (N = 1777) using SPSS AMOS.

Based on an initial pool of 18 items, results showed that a 9-item one-factor model fits the data well. Support for internal consistency was provided by a Cronbach’s α = 0.96. The factor structure was equivalent across sex and country groups. Evidence for concurrent validity was provided by demonstrating that WarMES scores positively correlated with stress and depression.

Findings suggest that the WarMES is valid, reliable and allows to accurately measure the amount of time spent viewing war-content on media.