The factor structure and psychometric properties of the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) in Norwegian clinical and non-clinical samples

Background The Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) is a 34-item instrument developed to monitor clinically significant change in out-patients. The CORE-OM covers four domains: well-being, problems/symptoms, functioning and risk, and sums up in two total scores: the mean of All items, and the mean of All non-risk items. The aim of this study was to examine the psychometric properties of the Norwegian translation of the CORE-OM. Methods A clinical sample of 527 out-patients from North Norwegian specialist psychiatric services, and a non-clinical sample of 464 persons were obtained. The non-clinical sample was a convenience sample consisting of friends and family of health personnel, and of students of medicine and clinical psychology. Students also reported psychological stress. Exploratory factor analysis (EFA) was employed in half the clinical sample. Confirmatory (CFA) factor analyses modelling the theoretical sub-domains were performed in the remaining half of the clinical sample. Internal consistency, means, and gender and age differences were studied by comparing the clinical and non-clinical samples. Stability, effect of language (Norwegian versus English), and of psychological stress was studied in the sub-sample of students. Finally, cut-off scores were calculated, and distributions of scores were compared between clinical and non-clinical samples, and between students reporting stress or no stress. Results The results indicate that the CORE-OM both measures general (g) psychological distress and sub-domains, of which risk of harm separates most clearly from the g factor. Internal consistency, stability and cut-off scores compared well with the original English version. No, or only negligible, language effects were found. Gender differences were only found for the well-being domain in the non-clinical sample and for the risk domain in the clinical sample. Current patient status explained differences between clinical and non-clinical samples, also when gender and age were controlled for. Students reporting psychological distress during last week scored significantly higher than students reporting no stress. These results further validate the recommended cut-off point of 1 between clinical and non-clinical populations. Conclusions The CORE-OM in Norwegian has psychometric properties at the same level as the English original, and could be recommended for general clinical use. A cut-off point of 1 is recommended for both genders

How a simple and stereotyped acoustic signal transmits individual information: the song of the White-browed Warbler Basileuterus leucoblepharus

The White-browed Warbler Basileuterus leucoblepharus, a common bird of the BrazilianAtlantic forest, emits only one distinct song type in the context of territorial defense. Individual or neighbor-stranger recognition may be more difficult when birds share similar songs. In fact, the analysis of songs of different individuals reveals slight differences in the temporal and the frequency domains. Effectively, a careful examination of the signals of different individuals (21) by 5 complementary methods of analysis reveals first, that one or two gaps in frequency occur between two successive notes at different moments of the song, and second, that their temporal and frequency positions are stereotyped for each individual. Playback experiments confirm these findings. By propagation experiments, we show that this individual information can be only transmitted at short range (< 100 m) in the forest. In regard to the size and the repartition of territories, this communication process appears efficient and adaptive.<br>O Pula-pula-assobiador Basileuterus leucoblepharus, um pássaro comum da Mata Atlântica, emite um único e distintivo tipo de canto para defesa territorial. O reconhecimento individual ou entre vizinho e estranho pode ser mais difícil quando as aves compartilham cantos semelhantes. De fato, a análise dos cantos de diferentes indivíduos revelou ligeiras diferenças nos domínios temporal e das freqüências. Efetivamente, um exame cuidadoso dos sinais de 21 indivíduos diferentes por 5 métodos complementares de análise revelou que, primeiro, um ou dois espaços na série tonal ocorrem entre duas notas sucessivas em determinados momentos do canto e, segundo, ocupam posições em tempo e freqüência estereotipadas para cada indivíduo. Experiências de "play-back" confirmam esses dados. Através de experiências de propagação, mostramos que esta informação individual pode ser transmitida somente a curta distância ( < 100 m) na mata. Considerando o tamanho e a repartição dos territórios, este processo de comunicação mostra-se eficiente e bem adaptado