Article pdf available in journal of affective disorders 225 august. Change scale in pdf this is not the best program to measure pdf files, especially since you have to also compensate for the scale of the pdf if it was even printed to an actual scale. This is a pdf file of an unedited manuscript that has. In 187 adult adhd patients, we explored psychometric properties of the affective lability scale short form als18 items. Psychometric properties of the affective lability scale. Affective instability in borderline personality disorder. Eventually, the present scale was developed, consisting of. Affective lability, a sudden, exaggerated, unpredictable, and developmentally inappropriate change in emotion, is a key prodromal feature of bd 38, and is present in adults with bd even when euthymic 9. The als18 is an 18item reduced versionof the original 54item als harvey et al.
Childrens affective lability scale cals the cals is a 20item scale that measures how frequently a childs affect switches from a normal to a hyperresponsive affect. Prevalence and predictors of affective lability after. Bios childrens affective lability scale cals child. Moore sr, gresham ls, bromberg mb, kasarkis ej, smith ra. A self report measure of affective lability journal of neurology. The scale was developed by creating items describing the affective change from a persons normal euthymic mood to other affective modalities including elation, depression, and anger.
It has potential applications as both a clinical screening device and a research tool. The short affective lability scales als18 measures three aspects of. Scale command type scale into the command line and press enter alternatively you can find this command on the modify panel on the home tab in the ribbon. It was normed with school children in regular education classrooms and with children hospitalized in a psychiatric facility. Affective lability was measured using the affective lability scale short form als. Pseudobulbar affect uncontrollable laughing andor crying. Elevated affective lability and poor response inhibition. Fill in the circle on the scale below each question that best describes your mood. Mood lability among offspring of parents with bipolar disorder and. Affective instability personality disorders the goals of the current study were to use speci. The center for neurologic study lability scale cnsls, is a selfreport measure of affective lability developed by moore and colleagues moore et al. It was noted that these scales are highly correlated in unselected students and it is believed that ongoing research with clinical populations will better allow for determination of the independence of these scales.
The aim of this study was to investigate the psychometric properties of the original 54 item version als54 and the short 18 item version als18 of the affective lability scale als in patients with bipolar disorders, their firstdegree. However, mood lability is ubiquitous across psychiatric disorders and may be a marker of. One scale used to measure affect lability is the affective lability scales als, a 54item survey developed to assess change across various modalities of affective functioning harvey et al. Affective lability scale als both aim and als measure primarily affective traits general emotional characteristics not states emotional. Center for neurologic studylability scale cnsls for. Pdf early maladaptive schemas in patients with bipolar and. Pdf an investigation of mental imagery in bipolar disorder. This questionnaire is not intended to substitute for professional medical assessment andor advice. Psychometric properties of a short form of the affective. How to properly scale an image or pdf after inserting into. A self report measure of affective lability journal of.
The als includes 54 questions, rated from 0 to 3, and is divided into six sections that examine affective variations. Psychometric properties of the affective lability scale 54 and 18item version in patients with bipolar disorder, firstdegree relatives, and healthy controls. Psychometric properties of a short form of the affective lability scale. Imho go find a dedicated not free pdf takeoff software solution for your business needs. Spent some quality time drawing up an idea on the cad for a container. In affective lability, the expression may be partially controllable 14. Results a seven item questionnaire emerged, composed of two subscales measuring labile laughter four items and labile tearfulness three items. Items are rated from 1 very characteristic of me, extremely descriptive to 1. The scale reliably quantifies patients perceptions of several aspects of pba episodes, including frequency, intensity, lability, degree of voluntary control, and inappropriateness to context. Pdf psychometric properties of the affective lability. Request pdf psychometric properties and factor structure of the short form of the affective lability scale in adult patients with adhd objective.
Reliability, validity and validation of the cns emotional. It is known that the finer degrees of emotional control decline with increasing age and that disease in the frontal lobe, temporal lobe, third ventricle, hypothalamus, putamen, caudate nucleus and brain stem can all bring on socalled pathological. As such, pba is a disorder of involuntary emotional expression typically laughing and crying that is uncontrollable, inappropriate to the. Sinai medical school state university of new york at binghamton a selfreport measure of changeable affect was developed, with a goal of identification of patterns of instability in mood. The affective control scale acs is a widely used measure of fear of emotion. Objectives the development and validation of the center for neurologic study lability scale cnsls, the first self report measure of affective lability in patients with amyotrophic lateral sclerosis als.
Potential items, as well as measures of affect intensity, affective. The als includes 54 questions, rated from 0 to 3, and is divided into six sections that examine affective variations between euthymia on the one hand, and depression, elation, anger and. Pdf psychometric properties of the affective lability scale 54 and. Select y for yes to scale the objects based on the alignment points. Patients may find themselves crying uncontrollably at something that is only moderately sad, being unable to stop themselves for several minutes. In the present study, we investigated the unique relations between fear of specific emotions and the. Pdf objectives mental imagery abnormalities occur across. The cnsls can help physicians accurately diagnose pba. Ai n 7, affective lability n 6, affective dysregulation n 1, emotional dysregulation n 4, emotion regulation n 2, emotional lability n 1, mood instability n 2, mood lability n 1 and mood swings n 1. Psychometric properties of a short form of the affective lability scale als18. Affective lability is a term used in mood disorders where as emotional dysregulation is described in attention deficit hyperactivity disorder. Sinai medical school state university of new york at binghamton a selfreport measure of changeable affect was developed, with a goal. The subscale specificity of the affective control scale.
The childrens affective lability scale cals is a 20item parent report measure developed to assess affect regulation in children aged 616. Childrens affective lability scale cals child form for children 8 years and older bios 1103 directions. Loss of control of emotion is a relatively common affliction associated with a variety of central nervous system disorders. The development and validation of the center for neurologic studylability scale cnsls, the first self report measure of affective lability in patients with amyotrophic lateral sclerosis als. A valid and quick tool to measure affective lability may therefore be of interest. Pdf binge eating behaviours in bipolar disorders researchgate. Childrens affective lability scale cals cry sudden scale scale related to child suddenly starting to cry for little or no apparent reason, more so than other children hisher age, as a part of the childrens affective lability scale cals. At first glance these two terms might appear to make categorical distinctions yet the clinical presentation is often much more confusing. Preliminary reliability study of the affective lability. Pba occurs secondary to a neurologic disorder or brain injury.
The young mania rating scale and beck depression inventory were used to confirm that. Pseudobulbar affect pba, or emotional incontinence, is a type of emotional disturbance characterized by uncontrollable episodes of crying andor laughing, or other emotional displays. The center for neurologic study lability scale cnsls is a selfreport measure of affective lability developed by moore and colleagues 1997. Methods ai, measured using the affective lability scale als, was compared between people with dsmiv bpi n923, bpii n363 and mddr n207 accounting for confounders and current mood. Conclusionsthe cnsls is a short, easily administered, and psychometrically sound measure of affective lability for use with patients with als. Regression modelling was used to examine the association between ai and childhood traumas in each diagnostic group. Center for neurologic study lability scale cnsls for pseudobulbar affect pba the cnsls has been validated in als and ms patient populations. Affective instability due to marked reactivity of mood e. N2 a selfreport measure of changeable affect was developed, with a goal. The scale reliably quantifies patients perceptions of several aspects of pba episodes, including frequency, intensity, lability, degree of. Psychometric properties of a short form of the affective lability scale als that was developed in a nonclinical sample i. Never or rarely occurs times during the month times a week 46 times a week 1 or more.
The aim of this study was to investigate the psychometric properties of the original 54 item version als54 and the short 18 item version als18 of the affective lability scale als in patients with bipolar disorders, their firstdegree relatives and healthy controls. The measure consists of three subscales that have demonstrated good psychometric properties using a non. Request pdf on oct 23, 2014, monica aas and others published psychometric properties of the affective lability scale 54 and 18item version in patients with bipolar disorder, firstdegree. The cnsls is a short sevenitem, selfadministered questionnaire, designed to be completed by the patient, that provides a quantitative measure of the perceived frequency of pba episodes. I suddenly start to cry for little or no apparent reason. Select the image you want to scale and press enter. Although the scale as a whole has good utility and predictive validity, there is little work on the specificity of the subscales of the acs, which measure fear of anxiety, anger, depressed mood and positive mood. Psychometric properties and factor structure of the short. Numbers of definitions for each of the terms employed in included studies were. Affective lability is an important dimension of adult adhd, associated with marked impairments and worse outcomes. Pseudobulbar affect is a broader term defined to encompass pathological laughter and crying and affective lability 14.
1231 969 1283 96 1340 62 377 1161 592 1128 320 974 293 1161 1388 1371 1009 1438 1463 556 735 874 629 1513 126 1333 216 564 515 930 428 359 184 1130 847 595 673 773 125 1325 1499 1249 691 797 127 646 416 923