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The insufficient internal consistency for these three subscales [ 26] and the unsatisfactory scalability of the subscale, social isolation, is consistent with previous results [ 22, 26].
The moral satisfaction dimension presented insufficient internal consistency (0.68) and, of the others, only four had high coefficients (Cronbach's alpha > 0.80).
Accordingly, in our study, Cronbach's alpha showed acceptable internal consistency for the total score and insufficient internal consistency for the Affective dimension in both genders.
Internal consistency was mostly good or at least acceptable for all but three sub-dimensions: Irresponsibility in girls and Unemotionality in both genders showed marginal internal consistency, and Cronbach's alphas for Callousness in both genders indicated insufficient internal consistency.> -wrap-foot> Cronbach's alpha coefficients are reported.
The POMS has not been validated as a 'score' (i.e. there is insufficient internal consistency between domains to be able to use the POMS as a scale where the number of positive domains is representative of the severity of postoperative complications).
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In the 4-factor solution the domains time & money and patients were combined with four variables, although this factor showed an insufficient alpha for internal consistency [ 30].
If internal consistency was insufficient (Cronbach's alpha <0.7), further analysis was performed for every risk factor separately. Mean scores and 95% confidence intervals (95% CI) were calculated per PS risk domain (or single risk factors if internal consistency was insufficient) and plotted.
Quality ratings ranged from 2 to 7 out of 14 with low ratings due to poor internal consistency for subscales, insufficient evidence for factor structure and/or failure to examine floor/ceiling effects, test retest reliability, and discriminant validity.
Internal consistency was sometimes insufficient in the subscales, but apart from this was good for group level comparisons.
The Affective dimension score of the YPI showed acceptable internal consistency in girls, but insufficient in boys.
As for the dimensional scores, the internal consistency was acceptable for the Interpersonal, marginal for the Behavioral and insufficient for the Affective dimension in both genders.
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