Publication: Psychometric properties of the clinician affective reactivity index for assessment of irritability in a clinical sample of Turkish children and adolescents
Date
2022-01-01
Authors
Authors
Turan, Serkan
Ermiş, Çağatay
Eray, Şafak
Yavuz, Büşra Ece
Uzman, Simge
Özbek, Mutlu Muhammed
Tunçtürk, Mustafa
Ciray, Remzi Oğulcan
İnal, Neslihan
Journal Title
Journal ISSN
Volume Title
Publisher
Sciendo
Abstract
Background: No clinician-oriented scale exists to assess irritability in Turkey. This pilot study aimed to evaluate the psychometric properties of the Turkish version of The Clinician Affective Reactivity Index (CL-ARI).Metho: A total of 116 children and adolescents aged between 10 to 17 years (14.1 +/- 2.1 years) were recruited from the psychiatric outpatient clinics. The participants completed a set of scales (Strengths and Difficulties Questionnaire [SDQ], Affective Reactivity Index [ARI], Revised Child Anxiety and Depression Scale, Swanson, Nolan, and Pelham, Version IV Scale). Diagnostic interviews were administered to confirm psychiatric diagnoses. Cronbach's alpha was calculated to assess internal consistency. Discriminant validity was further tested using independent sample t-test and Receiver Operating Characteristic curves. Interrater reliability was tested using intraclass correlation coefficients (ICC). Convergent validity was also tested using Pearson's correlation.Results: Cronbach's alpha values of CL-ARI were 0.919 total score, 0.842 for the temper outbursts score, 0.861 for the irritable mood score, and 0.840 for the impairment score. ICC values for interrater reliability were high for the temper outbursts (r = 0.993), the irritable mood (r = 0.993), the impairment (r = 0.917), and the total score (r = 0.991). In the sample, there was a high level of correlation between the self-report ARI-child/parent form and the CL-ARI total and subscale scores. Likewise, moderate-high level of correlations were found between the behavioral SDQ child/parent forms and the CL-ARI total and subscale scores.Conclusions: This is the Turkish validation of the CL-ARI, a dedicated interview and rating scale to assess irritability in the clinical sample. The results of this study suggest that the Turkish version of CL-ARI has adequate internal consistency and interrater reliability, and sufficient convergent and discriminant validity to be used in research settings.
Description
Keywords
Difficulties questionnaire, Affective-disorders, Depression scale, Lifetime version, Dsm-5, Psychopathology, Schizophrenia, Personality, Reliability, Strengths, Irritability, Children, Adolescent, Validity, Reliability, Psychometric properties, Psychiatry