| Literature DB >> 35366196 |
Anthony C Waddimba1,2, Bailey M Baker3, Jamie R Pogue4,5, Madison P McAuliffe4,5, Monica M Bennett4,5, Ronald D Baxter6, David C Mohr7,8, Ann Marie Warren4,5.
Abstract
PURPOSE: Psychometric validity/reliability of 10-item and 2-item abbreviations of the Connor-Davidson Resilience Scale (CD-RISC-10; CD-RISC-2) was investigated via item response theory and classic approaches.Entities:
Keywords: CD-RISC-10; CD-RISC-2; COVID-19 pandemic; Graded response model; Item response theory; Resilience
Mesh:
Year: 2022 PMID: 35366196 PMCID: PMC8976171 DOI: 10.1007/s11136-022-03125-y
Source DB: PubMed Journal: Qual Life Res ISSN: 0962-9343 Impact factor: 3.440
Characteristics of the Study Sample
| Respondent attribute | verall Study | Derivation | Validation | Significance ( |
|---|---|---|---|---|
| Female | 2,960 (58.9) | 1,482 (59.0) | 1,478 (58.9) | 0.9730a |
| Male | 2,042 (40.7) | 1,020 (40.6) | 1,022 (40.7) | |
| Undisclosed | 21 (0.4) | 10 (0.4) | 11 (0.4) | |
| median (Q1, Q3) | 52 (38, 61) | 52 (38, 61) | 51 (38, 62) | 0.5057b |
| Married/partnered | 2806 (55.86) | 1433 (57.05) | 1373 (54.68) | 0.5387a |
| Single | 1547 (30.80) | 745 (29.66) | 802 (31.94) | |
| Divorced/separated | 630 (12.54) | 318 (12.66) | 312 (12.43) | |
| Undisclosed | 40 (0.80) | 16 (0.64) | 24 (0.96) | |
| White/Non-Hispanic | 3,724 (74.14) | 1,882 (74.92) | 1842 (73.36) | 0.4782a |
| Black | 392 (7.80) | 184 (7.32) | 208 (8.28) | |
| Hispanic | 376 (7.49) | 180 (7.17) | 196 (7.81) | |
| Asian | 359 (7.15) | 185 (7.36) | 174 (6.93) | |
| Other | 172 (3.42) | 81 (3.22) | 91 (3.62) | |
| ≤ 8th Grade | 6 (0.12) | 2 (0.08) | 4 (0.16) | 0.9147a |
| 9th – 11th Grade | 34 (0.68) | 16 (0.64) | 18 (0.72) | |
| High school/GED® | 615 (12.24) | 318 (12.66) | 297 (11.83) | |
| Vocational/technical | 249 (4.96) | 113 (4.50) | 136 (5.42) | |
| Associate degree | 1152 (22.93) | 561 (22.33) | 591 (23.54) | |
| Bachelor’s degree | 1648 (32.81) | 849 (33.80) | 799 (31.82) | |
| Advanced degree | 1299 (25.86) | 644 (25.64) | 655 (26.09) | |
| Other | 14 (0.28) | 8 (0.32) | 6 (0.24) | |
| Undisclosed | 6 (0.12) | 1 (0.04) | 5 (0.20) | |
| < 30,000 $ | 792 (15.77) | 406 (16.16) | 386 (15.37) | 0.1194a |
| 30,000 to < 60,000 $ | 1,166 (23.21) | 554 (22.05) | 612 (24.37) | |
| 60,000 to < 100,000 $ | 1,259 (25.06) | 657 (26.15) | 602 (23.97) | |
| ≥ 100,000 $ | 1,580 (31.46) | 785 (31.25) | 795 (31.66) | |
| Undisclosed | 226 (4.50) | 110 (4.38) | 116 (4.62) | |
| Healthcare practitioner | 1,419 (28.25) | 699 (27.83) | 720 (28.67) | 0.3670a |
| Essential worker | 501 (9.97) | 265 (10.55) | 236 (9.40) | |
| General public | 3,103 (61.78) | 1,548 (61.62) | 1,555 (61.93) | |
| Large metropolitan area | 4457 (88.89) | 2221 (88.59) | 2236 (89.19) | 0.8178a |
| Suburban area | 337 (6.72) | 167 (6.66) | 170 (6.78) | |
| Small town/rural area | 220 (4.39) | 119 (4.75 | 101 (4.03) | |
| South | 1,787 (35.58) | 875 (34.83) | 912 (36.32) | 0.9219a |
| North East | 1,143 (22.76) | 576 (22.93) | 567 (22.58) | |
| West | 1,070 (21.30) | 556 (22.13) | 514 (20.47) | |
| Midwest | 993 (19.77) | 489 (19.47) | 504 (20.07) | |
| Puerto Rico & Islands | 21 (0.42) | 11 (0.44) | 10 (0.40) | |
| Undisclosed | 9 (0.18) | 5 (0.20) | 4 (0.16) | |
| Agreeableness | 5.5 (4.5, 6.5) | 5.5 (4.5, 6.5) | 5.5 (4.5, 6.5) | 0.2529b |
| Conscientiousness | 6 (5, 7) | 6 (5, 7) | 6 (5, 7) | 0.4069b |
| Extraversion | 4 (2.5, 5) | 4 (2.5, 5) | 4 (2.5, 5) | 0.4087b |
| Neuroticism | 5 (4, 6.5) | 5 (4, 6.5) | 5 (4, 6.5) | 0.4917b |
| Openness | 4.5 (4, 5.5) | 4.5 (4, 5.5) | 4.5 (4, 5.5) | 0.5851b |
| Depression | 502 (9.99) | 236 (9.39) | 266 (10.59) | 0.9646a |
| Bipolar Disorder/Mania | 113 (2.25) | 61 (2.43) | 52 (2.07) | 0.9857a |
| Generalized anxiety | 428 (8.52) | 198 (7.88) | 230 (9.16) | 0.9531a |
| PTSD | 158 (3.15) | 77 (3.07) | 81 (3.23) | 0.9980a |
| OCD | 72 (1.43) | 31 (1.23) | 41 (1.63) | 0.9724a |
| Psychotic Disorder | 29 (0.58) | 20 (0.80) | 9 (0.36) | 0.9199a |
| Any phobia | 59 (1.17) | 22 (0.88) | 37 (1.47) | 0.9285a |
| Other | 72 (1.45) | 19 (0.76) | 31 (1.23) | 0.8973a |
| Asthma/emphysema/COPD | 308 (6.13) | 148 (5.89) | 160 (6.37) | 0.9906a |
| Diabetes Mellitus | 315 (6.27) | 149 (5.93) | 166 (6.61) | 0.9817a |
| CVD/hypertension/CHF | 685 (13.64) | 334 (13.30) | 351 (13.98) | 0.9916a |
| Chronic kidney disease | 36 (0.70) | 18 (0.72) | 18 (0.72) | 0.9998a |
| Liver disease | 35 (0.70) | 16 (0.64) | 19 (0.76) | 0.9949a |
| Cancer(s) | 127 (2.53) | 64 (2.55) | 63 (2.51) | 0.9998a |
| Tested Positive for COVID | 67 (1.33) | 37 (1.47) | 30 (1.19) | 0.6156a |
| Cared for COVID Patients | 619 (12.32) | 305 (12.14) | 314 (12.50) | 0.6587a |
| Knew Person with COVID | 2,009 (40.00) | 1,023 (40.72) | 986 (39.27) | 0.0867a |
CHF chronic heart failure, COPD chronic obstructive pulmonary disorder, COVID 2019 Coronavirus Infectious Disease, CVD cardiovascular disease, GED® general educational development tests, H/o history of;,OCD obsessive compulsive disorder, PTSD posttraumatic stress disorder, Q1 first quartile; Q3 third quartile,RUCA rural–urban commuting areas, TIPI Ten-Item Personality Inventory
Key: adenotes a p-value for Chi-square test; bdenotes a p-value for Kruskal–Wallis or Wilcoxon test
Score dispersion and inter-item correlations of the abbreviated Connor–Davidson resilience scale in the derivation subsample
| CD-RISC-10© | Item Score Dispersion | Inter-item Polychoric Correlation, | Cronbach’s alpha if the item is deleted | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean (± SD) | Skewness | Kurtosis | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |||
| 1 | “able to adapt when changes occur” | 2.974 (.983) | − 0.887 | 0.545 | 1.000 | 0.925 | |||||||||
| 2 | “can deal with whatever comes” | 2.975 (.944) | − 0.758 | 0.318 | 0.823 (.009) | 1.000 | 0.922 | ||||||||
| 3 | “try to see humorous side of things” | 2.665 (1.071) | − 0.488 | − 0.358 | 0.545 (.017) | 0.601 (.016) | 1.000 | 0.931 | |||||||
| 4 | “…stress can make me stronger” | 2.652 (1.014) | − 0.433 | − 0.252 | 0.605 (.016) | 0.641 (.015) | 0.615 (.015) | 1.000 | 0.926 | ||||||
| 5 | “tend to bounce back after… hardships” | 3.022 (.979) | − 0.932 | 0.590 | 0.659 (.014) | 0.723 (.013) | 0.567 (.016) | 0.676 (.014) | 1.000 | 0.924 | |||||
| 6 | “can achieve… goals, even if…obstacles” | 2.986 (.953) | − 0.813 | 0.397 | 0.650 (.015) | 0.690 (.014) | 0.530 (.017) | 0.639 (.015) | 0.717 (.013) | 1.000 | 0.923 | ||||
| 7 | “Under pressure, I stay focused…” | 2.807 (.988) | − 0.650 | 0.093 | 0.672 (.014) | 0.719 (.012) | 0.517 (.017) | 0.611 (.015) | 0.660 (.014) | 0.719 (.012) | 1.000 | 0.923 | |||
| 8 | “not easily discouraged by failure” | 2.570 (1.102) | − 0.456 | − 0.432 | 0.568 (.016) | 0.624 (.015) | 0.505 (.017) | 0.570 (.016) | 0.616 (.015) | 0.650 (.014) | 0.687 (.013) | 1.000 | 0.927 | ||
| 9 | “strong… when dealing with challenges” | 2.978 (1.022) | − 0.857 | 0.236 | 0.661 (.014) | 0.721 (.013) | 0.544 (.017) | 0.627 (.015) | 0.716 (.013) | 0.754 (.011) | 0.736 (.012) | 0.696 (.013) | 1.000 | 0.922 | |
| 10 | “able to handle unpleasant or painful feelings” | 2.835 (1.032) | − 0.734 | 0.121 | 0.642 (.015) | 0.695 (.013) | 0.525 (.017) | 0.605 (.015) | 0.686 (.013) | 0.674 (.014) | 0.680 (.013) | 0.656 (.014) | 0.772 (.011) | 1.000 | 0.924 |
| Scale | Scale Score Dispersion | Item-to-Scale Polychoric Correlation, | Polychoric correlation, | ||||||||||||
| Mean (± SD) | Percent Floor | Percent Ceiling | |||||||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ||||||
| CDRISC-10 | 28.463 (7.926) | 0.70 | 6.60 | 0.831 (.008) | 0.881 (.006) | 0.737 (.010) | 0.809 (.008) | 0.853 (.007) | 0.851 (.007) | 0.852 (.007) | 0.810 (.008) | 0.878 (.006) | 0.843 (.007) | 1.000 | |
| CDRISC-2 | 5.996 (1.745) | 1.30 | 24.70 | 0.943 (.004) | – | – | – | 0.935 (.004) | – | – | – | – | – | 0.908 (.004) | |
| Summation of Items 2 and 9 | 5.953 (1.785) | 1.20 | 25.00 | – | 0.949 (.003) | – | – | – | – | – | – | 0.959 (.003) | – | 0.936 (.003) | |
Key: CD-RISC-10 = Ten-item abbreviation of the Connor–Davidson resilience scale; SD = standard deviation; SE = standard error; © As the CD-RISC-10 is a proprietary scale protected by copyright, the brief phrases here do not reveal the entire framing of items
Fig. 1Response option characteristic curves for the ten items of the abbreviated Connor–Davidson Resilience Scale
Unidimensional Graded Response Model of the Ten-Item Abbreviated Connor–Davidson Resilience Scale in the Derivation Subsample – Item Scalability, Slope (Discrimination), and Response Category Threshold (Difficulty) Parameters
| CD-RISC-10© Scale Item | Monotonicity | Slope ʃ | Response Category Thresholds ʃ | Item Goodness of Fit | |||||
|---|---|---|---|---|---|---|---|---|---|
| Hi (SE) | Ƅ1 (SE) | Ƅ2 (SE) | Ƅ3 (SE) | Ƅ4 (SE) | S-Σ2 Index | p | |||
| 1 | “able to adapt when changes occur” | 0.604 (0.014) | 2.587 (.047) | − 2.360 (.071) | − 1.819 (.055) | − 0.687 (.034) | 0.431 (.033) | 105.997 | 0.004 |
| 2 | “can deal with whatever comes” | 0.662 (0.011) | 3.208 (.061) | − 2.458 (.075) | − 1.770 (.051) | − 0.621 (.031) | 0.448 (.030) | 110.430 | < 0.001 |
| 3 | “try to see humorous side of things” | 0.529 (0.015) | 1.630 (.032) | − 2.679 (.097) | − 1.604 (.063) | − 0.285 (.038) | 0.927 (.048) | 120.611 | 0.014 |
| 4 | “…stress can make me stronger” | 0.605 (0.013) | 2.132 (.039) | − 2.501 (.081) | − 1.522 (.053) | − 0.226 (.033) | 0.923 (.041) | 80.227 | 0.112 |
| 5 | “tend to bounce back after… hardships” | 0.634 (0.012) | 2.796 (.051) | − 2.365 (.072) | − 1.773 (.054) | − 0.717 (.033) | 0.341 (.031) | 86.718 | 0.053 |
| 6 | “can achieve… goals, even if…obstacles” | 0.635 (0.012) | 2.856 (.052) | − 2.456 (.079) | − 1.769 (.054) | − 0.650 (.032) | 0.425 (.031) | 81.090 | 0.062 |
| 7 | “Under pressure, I stay focused…” | 0.639 (0.012) | 2.836 (.050) | − 2.316 (.071) | − 1.537 (.048) | − 0.449 (.031) | 0.696 (.034) | 102.67 | 0.003 |
| 8 | “not easily discouraged by failure” | 0.593 (0.014) | 2.310 (.040) | − 2.062 (.066) | − 1.245 (.045) | − 0.196 (.032) | 0.883 (.041) | 135.391 | < 0.001 |
| 9 | “strong… when dealing with challenges” | 0.657 (0.012) | 3.387 (.062) | − 2.194 (.066) | − 1.524 (.045) | − 0.589 (.030) | 0.326 (.029) | 73.082 | 0.138 |
| 10 | “able to handle unpleasant or painful feelings” | 0.624 (0.013) | 2.792 (.048) | − 2.176 (.067) | − 1.513 (.048) | − 0.497 (.031) | 0.572 (.033) | 99.400 | 0.005 |
Key α is the item slope (discrimination) parameter; Ƅ1 to Ƅ4 are item response category threshold (difficulty, location) parameters;
Hi is the scalability index of monotonicity; SE = standard error; ʃ indicates that p < 0.0001 for all the slope (α) and threshold (Ƅ) parameters, S- Σ2 is the generalized item-level goodness-of-fit index (calculated on 2460 observations with complete data); p is significance level for the S- Σ2 index
© As the CD-RISC-10 is a proprietary scale protected by copyright, the brief phrases here do not reveal the entire framing of items
Fig. 2A Item information curves for the ten items of the abbreviated Connor–Davidson Resilience Scale. B Test information curves for ten-item and two-item abbreviations of the Connor–Davidson Resilience Scale
Fig. 3Receiver operating characteristic and Precision-recall curve plots of CD-RISC-2 scale’s ability to discriminate high CD-RISC-10 scale scores in the derivation subsample
Internal Consistency Reliability Indices of the Abbreviated Connor–Davidson Resilience Scales in the Validation Subsample
| Index of Scale Reliability | CDRISC-10 Scale | CDRISC-2 Scale | Summated Score of Items 2 and 9 |
|---|---|---|---|
| Ordinal alpha (α) coefficient | 0.950 | 0.794 | 0.856 |
| Ordinal theta (θ) coefficient | 0.951 | 0.794 | 0.856 |
| Cronbach's alpha (α) coefficient (standardized) | 0.934 | 0.726 | 0.804 |
| Cronbach's alpha (α) coefficient (raw) | 0.933 | 0.726 | 0.801 |
| Spearman-Brown coefficient | 0.945 | 0.726 | 0.804 |
| McDonald’s omega (ω) coefficient of composite reliability | 0.950 | 0.791 | 0.855 |
| Average variance extracted (AVE) | 0.657 | 0.665 | 0.767 |
Convergent and Discriminant Validity of the Abbreviated Connor–Davidson Resilience Scales in the Validation Subsample
| Type of Criterion Validity | Construct | Measurement Scale or Subscale | CD-RISC-10 | CD-RISC-2 | Summation of |
|---|---|---|---|---|---|
| Scale | Scale | Items 2 and 9 | |||
| Divergent validity | Anxiety | GAD-7 Scale | − 0.450 (.018) | − 0.437 (.018) | − 0.435 (.019) |
| Depression | PHQ-8 Scale | − 0.460 (.017) | − 0.424 (.018) | − 0.448 (.018) | |
| Anxiety Sensitivity | ASI-3 physical concerns | − 0.354 (.019) | − 0.332 (.019) | − 0.349 (.019) | |
| ASI-3 cognitive concerns | − 0.400 (.019) | − 0.374 (.019) | − 0.404 (.019) | ||
| ASI-3 social concerns | − 0.259 (.019) | − 0.247 (.020) | − 0.259 (.020) | ||
| COVID Fear | FCV-19 Scale | − 0.357 (.026) | − 0.342 (.027) | − 0.371 (.027) | |
| Convergent validity | Personality Traits | TIPI – agreeableness | 0.308 (.019) | 0.275 (.019) | 0.302 (.020) |
| TIPI – conscientiousness | 0.453 (.017) | 0.404 (.018) | 0.480 (.017) | ||
| TIPI – emotional stability | 0.588 (.014) | 0.539 (.015) | 0.578 (.015) | ||
| TIPI – extraversion | 0.302 (.019) | 0.275 (.019) | 0.295 (.020) | ||
| TIPI – openness to experience | 0.330 (.018) | 0.306 (.019) | 0.313 (.019) | ||
| Coping Orientation | Brief COPE – acceptance | 0.254 (.020) | 0.278 (.021) | 0.258 (.021) | |
| Brief COPE – positive reframing | 0.223 (.020) | 0.185 (.021) | 0.190 (.021) | ||
| Brief COPE – active coping | 0.213 (.020) | 0.174 (.020) | 0.189 (.020) | ||
| Brief COPE – religion | 0.122 (.022) | 0.076 (.023) | 0.103 (.023) | ||
| Brief COPE – planning/strategizing | 0.088 (.021) | 0.072 (.022) | 0.077 (.022) | ||
| Brief COPE – use of humor | 0.077 (.022) | 0.044 (.023) | 0.026 (.023) | ||
| Brief COPE – emotional support | 0.042 (.022) | 0.018 (.022) | 0.041 (.022) | ||
| Divergent validity | Brief COPE – behavioral disengagement | − 0.378 (.022) | − 0.399 (.022) | − 0.402 (.022) | |
| Brief COPE – self-blame | − 0.384 (.021) | − 0.372 (.021) | − 0.396 (.021) | ||
| Brief COPE – substance abuse | − 0.246 (.025) | − 0.268 (.025) | − 0.271 (.025) | ||
| Brief COPE – denial of reality | − 0.222 (.024) | − 0.250 (.024) | − 0.255 (.024) | ||
| Brief COPE – venting | − 0.121 (.021) | − 0.109 (.022) | − 0.141 (.022) | ||
| Brief COPE – self distraction | − 0.046 (.021) | − 0.039 (.022) | − 0.047 (.022) | ||
| Brief COPE – instrumental support | − 0.043 (.022) | − 0.079 (.023) | − 0.076 (.023) |
KEY ASI-3 = Anxiety Sensitivity Index-3; Brief COPE = Coping Orientation to Problems Experienced Inventory; CD-RISC-10 = Ten-item abbreviation of the Connor–Davidson Resilience Scale; CD-RISC-2 = Two-item abbreviation of the Connor–Davidson Resilience Scale; FCV-19 = Seven-item Fear of COVID-19 Scale; GAD-7 = Seven-item Generalized Anxiety Disorder Scale; PHQ-8 = Eight-item Patient Health Questionnaire; ρ = polychoric correlation coefficient; SE = standard error of correlation coefficient; TIPI = Ten-item Personality Inventory;
Inter-rater Reliability of the Abbreviated Connor–Davidson Resilience Scales in the Validation Subsample
| CD-RISC-2 Scale vs CD-RISC-10 Scale | Summation of Items 2 and 9 vs CD-RISC-10 Scale | CD-RISC-2 Scale vs Summation of Items 2 and 9 | |
|---|---|---|---|
| Percent agreement | 88.875 | 90.805 | 86.172 |
| Cohen's kappa statistic (κc) | 0.692 | 0.750 | 0.638 |
| Conger’s kappa statistic | 0.692 | 0.746 | 0.617 |
| Fleiss' kappa statistic (κf) | 0.692 | 0.749 | 0.639 |
| Gwet's AC1 coefficient | 0.826 | 0.855 | 0.776 |
| Brennan‐Prediger coefficient (κ3) | 0.778 | 0.816 | 0.723 |
| Krippendorff's alpha (α) coefficient | 0.692 | 0.750 | 0.638 |
| Accuracy | 0.889 | 0.908 | – |
| Misclassification (Error) rate | 0.111 | 0.092 | – |
| Sensitivity/Recall (True positive probability) | 0.819 | 0.890 | – |
| Specificity (True negative probability) | 0.908 | 0.913 | – |
| Positive predictive value/Precision | 0.717 | 0.743 | – |
| Negative predictive value | 0.947 | 0.967 | – |
| False negative probability | 0.181 | 0.110 | – |
| False positive probability (1 – Specificity) | 0.092 | 0.087 | – |
| Area under the ROC curve | 0.934 | 0.952 | – |
| Area under the PRC curve | 0.624 | 0.688 | – |
| Matthews correlation coefficient (ϕ) | 0.695 | 0.755 | – |
| F1-score | 0.765 | 0.810 | – |
Key: CDRISC-10 = Ten-item abbreviation of the Connor–Davidson Resilience Scale; CDRISC-2 = Two-item abbreviation of the Connor–Davidson Resilience Scale; ROC = receiver operating characteristic; PRC = precision recall characteristic