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Forty-seven psychiatric inpatients in a Canadian psychiatric hospital participated in an evaluation of the stability and validity of the Holden Psychological Screening Inventory (HPSI). Stability coefficients over a 1-month period were .85, .79, and .66 for the HPSI Psychiatric, Social, and Depression Symptomatology scales, respectively, and coefficient alpha reliabilities for these scales ranged between .76 and .89 across both time periods. Staff rating composite scales corresponding to the self-report HPSI scales had stability coefficients of .74, .85, and .82, respectively. As well, they had inter-rater reliabilities that ranged between .65 and .84 across both time periods. The 3 staff rating composites at time 1 correlated equivalently with the corresponding 3 primary HPSI scales at times 1 and 2 (p > .05). Similarly, the 3 staff rating composites at time 2 correlated equivalently with the corresponding 3 primary HPSI scales at times 1 and 2 (p > .05). Over a 1-month period, HPSI scale scores were very stable and correlations with criterion ratings were stable. Using a confirmatory factor analysis, with each of the 3 dimensions defined by the time 1 and 2 measures for the 3 HPSI scales and 3 staff rating composites, evidence for discriminant as well as convergent validity was obtained. In summary, the self-report HPSI and the staff rating composite measures evidenced sufficient reliability and validity to meet the requirements for routine clinical assessment work with psychiatric inpatients. Additionally, the stability data provide effects of retesting baseline data for assessing treatment outcome in this population.
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