Validation of an irritability measure in preschoolers in school-based and clinical Brazilian samples

Sugaya, Luisa; Kircanski, Katharina; Stringaris, Argyris; Polanczyk, Guilherme Vanoni; Leibenluft, Ellen

doi:10.1007/s00787-020-01701-6

Cited by 5 publications

(4 citation statements)

References 48 publications

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“…Therefore, it could be suggested that the CL-ARI scores could reflect both informants' reports. Also, in line with the associations between irritability and the impairment in functioning within the clinical sample (36,37), the impairment subscale was also correlated with total SDQ scores.…”

Section: Discussionsupporting

confidence: 55%

Psychometric properties of The Clinician Affective Reactivity Index for Assessment of Irritability in a clinical sample of Turkish children and adolescents

Turan

Ermiş

Eray

et al. 2022

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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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). Method 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.

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Section: Discussionsupporting

confidence: 55%

Psychometric properties of The Clinician Affective Reactivity Index for Assessment of Irritability in a clinical sample of Turkish children and adolescents

Turan

Ermiş

Eray

et al. 2022

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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“…Second, the factor structure of the ARI has achieved mixed results in previous studies. For the ARI-P, a one-factor structure showed a good overall fit in two studies (Mulraney et al, 2014; Stringaris et al, 2012), and the fit was acceptable in two others (Sugaya et al, 2022; Wilson et al, 2022). For the ARI-S, a one-factor structure showed a good overall fit in one study (DeSousa et al, 2013), acceptable in another (Stringaris et al, 2012), and a poor fit in a third study (Mulraney et al, 2014).…”

Section: Studies On Arimentioning

confidence: 93%

“…Notably, two duration-related items ''Stay angry for a long time'' and ''Angry most of the time'' are included in the ARI, while they are not included in the DSM-5 irritability dimension of ODD (''Often loses temper,'' ''Is often touchy or easily annoyed,'' and ''Is often angry and resentful''). Since its development in 2012, the ARI has been translated into 15 non-English languages and has been used in various study areas (Sugaya et al, 2022;Wilson et al, 2022). The ARI has several advantages over other scales.…”

Section: Studies On Arimentioning

confidence: 99%

“…Third, previous validation studies in different cultures have shown good internal consistency (Cronbach’s α≥ .80), good test–retest reliability for the ARI-P, and acceptable test–retest reliability for the ARI-S—intraclass correlation coefficient (ICC) of the ARI-P = .82; ICC of the ARI-S = .66—and good convergent and concurrent validity (DeSousa et al, 2013; Dougherty et al, 2021; S. C. Evans et al, 2021; Mallidi et al, 2023; Mulraney et al, 2014; Pan & Yeh, 2018; Stringaris et al, 2012; Sugaya et al, 2022; Tseng et al, 2017; Wilson et al, 2022). Finally, the ARI-P has been recommended by the DSM-5 as the choice for assessing the cross-cutting symptom of irritability.…”

Section: Studies On Arimentioning

confidence: 99%

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Psychometric Evaluation of the Affective Reactivity Index Among Children and Adolescents in China: A Multi-Method Assessment Approach

Lu,

Fang,

Cai

et al. 2023

Assessment

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The Affective Reactivity Index (ARI) is one of the most studied scales for assessing youth irritability, but little is known about its measurement performance in community populations. This study applied item response theory (IRT), network analysis, and classical test theory (CTT) to examine the psychometric properties of the ARI in a sample of n = 395 community-based children ( Mage = 13.44, SD = 2.51) and n = 403 parents. In this sample, the ARI demonstrated good reliability, as well as convergent and concurrent validity. The one-factor structure was supported by both confirmatory factor analysis (CFA) and network analysis. IRT analysis revealed that the ARI effectively distinguished between various levels of irritability within the community population. Network analysis identified “Loses temper easily,”“Gets angry frequently,” and “Often loses temper” are central aspects of irritability. The findings support the ARI as a brief, reliable, and valid instrument to assess irritability in community children and adolescents.

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Irritability

Hirsch

Benda

Garvey

et al. 2023

Autism and Child Psychopathology Series

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Validation of an irritability measure in preschoolers in school-based and clinical Brazilian samples

Cited by 5 publications

References 48 publications

Psychometric properties of The Clinician Affective Reactivity Index for Assessment of Irritability in a clinical sample of Turkish children and adolescents

Psychometric properties of The Clinician Affective Reactivity Index for Assessment of Irritability in a clinical sample of Turkish children and adolescents

Psychometric Evaluation of the Affective Reactivity Index Among Children and Adolescents in China: A Multi-Method Assessment Approach

Irritability

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