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Updated: Jun 26, 2026

Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
The Personality Structure Questionnaire (PSQ): a cross-validation with a large clinical sample.
Alan Bedford1, Felix Davies, Jennifer Tibbles
1Department of Psychological Therapies, The Old Chapel, Bootham Park, York, UK. alanbedford65@hotmail.com
The Personality Structure Questionnaire (PSQ) is a valid, unidimensional tool for assessing psychological health in National Health Service (NHS) patients. Therapy significantly reduces PSQ scores, indicating improved patient outcomes.
Area of Science:
- Psychology
- Clinical Psychology
- Psychometrics
Background:
- The Personality Structure Questionnaire (PSQ) is used to assess psychological health.
- Validating psychometric instruments is crucial for accurate patient assessment in clinical settings.
Purpose of the Study:
- To evaluate the psychometric properties of the Personality Structure Questionnaire (PSQ) in a large sample of adult National Health Service (NHS) patients.
- To assess the stability of PSQ scores during waiting periods and their change following psychological therapy.
Main Methods:
- Maximum likelihood and principal component analyses were used to assess the unidimensionality of the PSQ.
- Cronbach's alpha was calculated to determine internal consistency.
- Convergent and discriminant validity were examined through correlations with other psychological tests and clinician ratings.
Main Results:
- The PSQ items formed a unidimensional scale, meeting criteria for maximum likelihood, principal component analyses, and Cronbach's alpha.
- PSQ scores showed a small negative association with age and no significant sex difference.
- Scores remained stable during the waiting list period but significantly decreased after a median of 15 weeks of therapy.
- Intercorrelations between the PSQ's sub-concept clusters were sizeable and statistically significant.
Conclusions:
- The PSQ is a psychometrically sound, unidimensional measure suitable for assessing psychological health in NHS patients.
- Therapy is effective in reducing psychological pathology as measured by the PSQ.
- Further refinements to the PSQ may enhance its utility in clinical practice.
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