The Clinician Affective Reactivity Index: Validity and Reliability of a Clinician-Rated Assessment of Irritability.
clinician
irritability
measurement
reliability
validity
Journal
Behavior therapy
ISSN: 1878-1888
Titre abrégé: Behav Ther
Pays: England
ID NLM: 1251640
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
received:
17
12
2018
revised:
22
09
2019
accepted:
11
10
2019
entrez:
7
3
2020
pubmed:
7
3
2020
medline:
9
9
2020
Statut:
ppublish
Résumé
Irritability is impairing in youth and is the core feature of disruptive mood dysregulation disorder (DMDD). Currently, there are no established clinician-rated instruments to assess irritability in pediatric research and clinical settings. Clinician-rated measures ensure consistency of assessment across patients and are important specifically for treatment research. Here, we present data on the psychometric properties of the Clinician Affective Reactivity Index (CL-ARI), the first semistructured interview focused on pediatric irritability. The CL-ARI was administered to a transdiagnostic sample of 98 youth (M age = 12.66, SD = 2.47; 41% female). With respect to convergent validity, CL-ARI scores were (a) significantly higher for youth with DMDD than for any other diagnostic group, and (b) showed uniquely strong associations with other clinician-, parent-, and youth-report measures of irritability compared to measures of related constructs, such as anxiety. The three subscales of the CL-ARI (temper outbursts, irritable mood, impairment) showed excellent internal consistency. Test-retest reliability of the CL-ARI was adequate. These data support that irritability can be feasibly, validly, and reliably assessed by clinicians using the CL-ARI. A validated, gold-standard assessment of pediatric irritability is critical in advancing research and treatment efforts.
Identifiants
pubmed: 32138938
pii: S0005-7894(19)30127-3
doi: 10.1016/j.beth.2019.10.005
pmc: PMC7060970
mid: NIHMS1545691
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT00006177', 'NCT00025935', 'NCT00018057', 'NCT02531893']
Types de publication
Journal Article
Research Support, N.I.H., Intramural
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
283-293Subventions
Organisme : Intramural NIH HHS
ID : ZIA MH002781
Pays : United States
Organisme : Intramural NIH HHS
ID : ZIA MH002786-17
Pays : United States
Organisme : Intramural NIH HHS
ID : ZIA MH002786
Pays : United States
Organisme : Intramural NIH HHS
ID : ZIA MH002778
Pays : United States
Organisme : Intramural NIH HHS
ID : ZIA MH002781-17
Pays : United States
Organisme : Intramural NIH HHS
ID : ZIA MH002778-19
Pays : United States
Informations de copyright
Copyright © 2019. Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
Conflict of Interest Statement The authors declare there are no conflicts of interest.
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