{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T21:51:44Z","timestamp":1769723504358,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T00:00:00Z","timestamp":1343260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Few standardized tools are available for time\u2010efficient screening of emotional health status across diagnostic categories, especially in primary care. We evaluated the 45\u2010question Brief Risk\u2010resilience Index for<jats:styled-content style=\"fixed-case\">SC<\/jats:styled-content>reening (<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>) and the 15\u2010question mini\u2010<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>in identifying poor emotional health and coping capacity across a range of diagnostic groups \u2013 compared with a detailed clinical assessment \u2013 in a large sample of adult outpatients. Participants 18\u201360\u2002years of age (<jats:italic>n<\/jats:italic>\u00a0=\u00a01079) recruited from 12 medical research and clinical sites completed the computerized assessments. Three index scores were derived from the full<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>and the mini\u2010<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>: one for risk (negativity\u2013positivity bias) and two for coping (resilience and social capacity). Summed answers were converted to standardized<jats:italic>z<\/jats:italic>\u2010scores.<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>scores were compared with detailed health assessment and diagnostic interview (for current psychiatric, psychological, and neurological conditions) by clinicians at each site according to diagnostic criteria. Clinicians were blinded to<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>scores. Clinical assessment stratified participants as having \u201cclinical\u201d (<jats:italic>n<\/jats:italic>\u00a0=\u00a0435) or \u201chealthy\u201d (<jats:italic>n<\/jats:italic>\u00a0=\u00a0644) diagnostic status. Receiver operating characteristic analyses showed that a<jats:italic>z<\/jats:italic>\u2010score threshold of \u22121.57 on the full<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>index of emotional health provided an optimal classification of \u201cclinical\u201d versus \u201chealthy\u201d status (sensitivity: 81.2%, specificity: 92.7%, positive predictive power: 80.2%, and negative predictive power: 93.1%). Comparable findings were revealed for the mini\u2010<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>. Negativity\u2013positivity bias index scores contributed the most to prediction. The negativity\u2013positivity index of emotional health was most sensitive to classifying major depressive disorder (100%), posttraumatic stress disorder (95.8%), and panic disorder (88.7%). The<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>and mini\u2010<jats:styled-content style=\"fixed-case\">BRISC<\/jats:styled-content>both offer a brief, clinically useful screen to identify individuals at risk of disorders characterized by poor emotion regulation, from those with good emotional health and coping.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.76","type":"journal-article","created":{"date-parts":[[2012,7,27]],"date-time":"2012-07-27T14:09:23Z","timestamp":1343398163000},"page":"576-589","source":"Crossref","is-referenced-by-count":15,"title":["Sensitivity, specificity, and predictive power of the \u201cBrief Risk\u2010resilience Index for<scp>SC<\/scp>reening,\u201d a brief pan\u2010diagnostic web screen for emotional health"],"prefix":"10.1002","volume":"2","author":[{"given":"Leanne M.","family":"Williams","sequence":"first","affiliation":[{"name":"BRAINnet Foundation 71 Stephenson Street Suite 400 San Francisco California 94105"},{"name":"University of Sydney Medical School and Westmead Millennium Institute Sydney New South Wales 2145 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas J.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Brain Resource Level 12 235 Jones Street Ultimo Sydney 2007 Australia"},{"name":"Brain Resource 1000 Sansome Street San Francisco California 94111"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen R.","family":"Wisniewski","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of Pittsburgh 127 Parran Hall Pittsburgh Pennsylvania 15261"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine M.","family":"Gatt","sequence":"additional","affiliation":[{"name":"University of Sydney Medical School and Westmead Millennium Institute Sydney New South Wales 2145 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen H.","family":"Koslow","sequence":"additional","affiliation":[{"name":"BRAINnet Foundation 71 Stephenson Street Suite 400 San Francisco California 94105"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayashri","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Duke\u2010NUS Graduate Medical School Singapore 8 College Road Singapore 169857"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Savannah","family":"DeVarney","sequence":"additional","affiliation":[{"name":"Brain Resource Level 12 235 Jones Street Ultimo Sydney 2007 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evian","family":"Gordon","sequence":"additional","affiliation":[{"name":"University of Sydney Medical School and Westmead Millennium Institute Sydney New South Wales 2145 Australia"},{"name":"Brain Resource Level 12 235 Jones Street Ultimo Sydney 2007 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augustus","family":"John Rush","sequence":"additional","affiliation":[{"name":"Duke\u2010NUS Graduate Medical School Singapore 8 College Road Singapore 169857"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,7,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-198909000-00003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1988.01800360048007"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(88)90002-3"},{"key":"e_1_2_8_5_1","volume-title":"BRISC and WebNeuro assessment manual, v1.7","author":"Brain Resource Ltd publishers","year":"2010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(01)01167-2"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2008.03.014"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa4901_13"},{"key":"e_1_2_8_10_1","first-page":"A04","article-title":"Primary care, public health and mental health","volume":"7","author":"Druss B. 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