Skip to main content
Log in

A brief methodological comment on possible inaccuracies induced by multimodal measurement analysis and reporting

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

The use of multiple response system measurement adds an important dimension to behavioral medicine research. However, multiple measurement can result in problems in both analyzing and reporting outcome data. Problems in analysis include the increasing of chance findings as the measurement number increases. Problems in reporting include a blurring of response categories when general labels are used, a biased emphasis on the minority of variables showing experimental differences, and a misleading tendency to base comparative conclusions on general labels which do not accurately represent all data measured. Some examples of these problems from methodologically sound studies are described and alternative ways of dealing with the findings from multiple measurements are suggested.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Andrew, J. M. (1970). Recovery from surgery, with and without preparatory instruction, for three coping styles.J. Person. Soc. Psychol. 15: 277–233.

    Google Scholar 

  • Ax, A. F. (1953). The physiological differentiation between fear and anger in humans.Psychosom. Med. 15: 433–442.

    PubMed  Google Scholar 

  • Baum, A., Grunberg, N. E., and Singer, J. E. (1982). The use of psychological and neuroendocrinological measurements in the study of stress.Health Psychol. 1: 217–236.

    Google Scholar 

  • Bock, R. D., and Haggard, E. A. (1968). The use of a multivariate analysis of variance in behavioral research. In Witla, D. K. (ed.),Handbook of Measurement and Assessment in Behavioral Sciences, Addison-Wesley, Reading, Mass.

    Google Scholar 

  • Cassell, S. (1965). Effects of brief puppet therapy upon the emotional responses of children undergoing cardiac catheterization.J. Consult. Clin. Psychol.29:1–8.

    Google Scholar 

  • Eckenhoff, J. F. (1953). Preanesthetic sedation for children: Analysis of the effects for tonsillectomy and adenoidectomy.Am. Med. Assoc. Arch. Otolargyngol. 57: 411–416.

    Google Scholar 

  • Johnson, P. A., and Stockdale, D. F. (1975). Effects of puppet therapy on Palmar sweating of hospitalized children.Johns Hopkins Med. J. 137: 1–5.

    PubMed  Google Scholar 

  • Kaplan, R. M., and Litrownik, A. J. (1977). Some statistical methods for the assessment of multiple outcome criteria in behavioral research.Behav. Ther. 8: 383–392.

    Google Scholar 

  • Katz, E. R., Kellerman, J., and Siegel, S. E. (1980). Behavioral distress in children with cancer undergoing medical procedures: Developmental considerations.J. Consult. Clin. Psychol. 48: 356–365.

    PubMed  Google Scholar 

  • Kelinger, F. N., and Pedhazur, E. J. (1973).Multiple Regression in Behavioral Research, Holt, Rinehart and Winston, New York.

    Google Scholar 

  • Knight, R. B., Atkins, A., Eagle, C., Evans, N., Finkelstein, J. W. Fukushima, D., Katz, J., and Weiner, H. (1979). Psychological stress, ego defenses, and cortisol production in children hospitalized for elective surgery.Psychosom. Med. 41: 40–49.

    PubMed  Google Scholar 

  • Lacey, J. I. (1950). Individual differences in somatic response patterns.J. Comp. Physiol. Psychol. 43: 338–350.

    PubMed  Google Scholar 

  • Lang, P. J. (1978). The psychophysiology of anxiety. In Akiskal, H. (ed.),Exploration of Biological Criteria, Spectrum, New York.

    Google Scholar 

  • Lick, J. R., and Katkin, E. S. (1978). Assessment of anxiety and fear. In Hersen, M., and Bellack, A. S. (eds.),Behavioral Assessment: A Practical Handbook, Pergamon Press, New York.

    Google Scholar 

  • Melamed, B. G., and Siegel, L. J. (1975). Reduction of anxiety in children facing hospitalization and surgery by use of filmed modeling.J. Consult. Clin. Psychol. 43: 511–521.

    PubMed  Google Scholar 

  • Melamed, B. G., and Siegel, L. J. (1980).Behavioral Medicine: Practical Application in Health Care, Springer, New York.

    Google Scholar 

  • Melamed, B. G., Meyer, R., Gee, C., and Soule, L. (1976). The influence of time and type of preparation on children's adjustment to hospitalization.J. Pediat. Psychol. 1: 31–37.

    Google Scholar 

  • Melamed, B. G., Klingman, A., and Siegel, L. J. (1983). Childhood stress and anxiety: Individualizing cognitive behavioral strategies in the reduction of medical and dental stress. In Meyers, A., and Craighead, N. E. (ed.),Cognitive Behavior Therapy in Children, Plenum, New York (in press).

    Google Scholar 

  • Mumford, E., Schlesinger, H., and Glass, G. V. (1982). The effects of psychological intervention on recovery from surgery and heart attacks: An analysis of the literature.Am. J. Public Health 72: 141–151.

    PubMed  Google Scholar 

  • Peterson, L., and Brownlee-Duffeck, M. (1984). Prevention of anxiety and pain due to medical and dental procedures. In Robert, M. C., and Peterson, L. (eds.),Prevention of Problems in Childhood: Psychological Research and Applications, Wiley-Interscience, New York (in press).

    Google Scholar 

  • Shaffer, J. W. (1979). On the analysis of repeated measures over time in medical, pharmocological, and behavioral research.J. Behav. Med. 2: 221–238.

    PubMed  Google Scholar 

  • Shipley, R. H., Butt, J., and Horwitz, E. (1979). Preparation to reexperience a stressful medical examination: Effect of repetitious videotape exposure and coping style.J. Consult. Clin. Psychol. 47: 485–492.

    PubMed  Google Scholar 

  • Siegel, L. J. (1976). Preparation of children for hospitalization: A selected review of the research literature.J. Pediat. Psychol. 1: 26–30.

    Google Scholar 

  • Wilson, J. F. (1981). Behavioral preparation for surgery: Benefit or harm?J. Behav. Med. 4: 79–101.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

The present manuscript evolved from a discussion presented in M. C. Roberts and L. Peterson (eds.),Prevention of Problems in Childhood: Psychological Research and Applications, Wiley-Interscience, New York (in press). Andrew Homer deserves special thanks for his assistance with past versions of the manuscript.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Peterson, L. A brief methodological comment on possible inaccuracies induced by multimodal measurement analysis and reporting. J Behav Med 7, 307–313 (1984). https://doi.org/10.1007/BF00845362

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00845362

Key words

Navigation