Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Apr 4;26(1):671.
doi: 10.4081/ripppo.2023.671.

Italian validation of the Clinical Outcomes in Routine Evaluation-10 (CORE-10): a short measure for routine outcome monitoring in clinical practice

Antonino La Tona  1 , Sofia Tagini  2 , Agostino Brugnera  3 , Barbara Poletti  4 , Edoardo Nicolò Aiello  5 , Gianluca Lo Coco  6 , Lidia Del Piccolo  7 , Angelo Compare  8
Affiliations

Italian validation of the Clinical Outcomes in Routine Evaluation-10 (CORE-10): a short measure for routine outcome monitoring in clinical practice

Antonino La Tona et al. Res Psychother. .

Abstract

The customization of the intervention using patient feedback is an evidence-based practice aimed at the continuous evaluation, during treatment, of the patient's change at a clinical level. There are few easy-to-use tools for common assessment of psychological distress, designed to be used for screening and during treatment to monitor progress. The Clinical Outcomes in Routine Evaluation-10 (CORE-10) is definitely one of them. Thus, the aim of the present study was to examine the psychometric properties of the Italian version of the CORE-10. A sample of 548 participants (females, N=463, 84.5%; mean age 23.29±7.21 years) was recruited in the study and filled out a battery of measures. The internal validity of the CORE-10 was investigated through a confirmatory factor analysis which evidenced a good fit to the data, suggesting a unidimensional factorial structure of the measure. Further, the scale had a good internal reliability and was significantly associated with other measures of distress, interpersonal problems, well-being, and insecure attachment. Finally, it showed excellent diagnostic accuracy, as well as intrinsic and post-test diagnostics. Given its validity and reliability, the CORE-10 may be adopted by Italian-speaking psychotherapists and researchers to evaluate the outcomes of mental health interventions as well as to track the session-to-session changes over time in psychological distress among patients.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: B.P. received compensation for consulting services and/or speaking activities from Liquidweb S.r.l.; she is Associate Editor for Frontiers in Neuroscience. All other authors have no conflicts of interest to report.

Figures

Figure 1.
Figure 1.
Standardized estimates and residual variances of the Clinical Outcomes in Routine Evaluation-Outcome Measure (N=548). Items 2 and 3 were reversed for ease of interpretation. Residual variances were computed as remainders after model estimation. **p<0.001.
See this image and copyright information in PMC

References

    1. Aiello E. N., Fiabane E., Margheritti S., Magnone S., Bolognini N., Miglioretti M., Giorgi I. (2022). Psychometric properties of the Copenhagen Burnout Inventory (CBI) in Italian Physicians. La Medicina del Lavoro, 113(4), e2022037. doi: 10.23749/mdl.v113i4.13219 - PMC - PubMed
    1. Barkham M., Bewick B., Mullin T., Gilbody S., Connell J., Cahill J., Mellor-Clark J., Richards D., Unsworth G., Evans C. (2013). The CORE-10: A short measure of psychological distress for routine use in the psychological therapies. Counselling & Psychotherapy Research, 13(1), 3-13. doi: 10.1080/14733145.2012.729069
    1. Barkham M., Hardy G. E., Mellor-Clark J. (Eds.). (2010). Developing and delivering practice-based evidence: A guide for the psychological therapies. John Wiley & Sons.
    1. Barkham M., Margison F., Leach C., Lucock M., Mellor-Clark J., Evans C., McGrath G. (2001). Service profiling and outcomes benchmarking using the CORE-OM: Toward practice- based evidence in the psychological therapies. Journal of Consulting and Clinical Psychology, 69(2), 184-196. doi: 10.1037/0022-006x.69.2.184 - PubMed
    1. Bottesi G., Ghisi M., Altoè G., Conforti E., Melli G., Sica C. (2015). The Italian version of the Depression Anxiety Stress Scales-21: Factor structure and psychometric properties on community and clinical samples. Comprehensive Psychiatry, 60, 170-181. doi: 10.1016/j.comppsych.2015.04.005 - PubMed