The Early Childhood Irritability-Related Impairment Interview (E-CRI): A Novel Method for Assessing Young Children's Developmentally Impairing Irritability.
The Early Childhood Irritability-Related Impairment Interview (E-CRI): A Novel Method for Assessing Young Children's Developmentally Impairing Irritability.
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DOI：
10.1016/j.beth.2019.07.008
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发表时间：
2020-03
期刊：
影响因子：
3.7
通讯作者：
Perlman, Susan B
中科院分区：
文献类型：
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作者：
Wakschlag, Lauren S;Krogh-Jespersen, Sheila;Estabrook, Ryne;Hlutkowsky, Christina O;Anderson, Erica L;Burns, James;Briggs-Gowan, Margaret J;Petitclerc, Amelie;Perlman, Susan B
易怒是一种基质的一打以上的临床综合征。因此，识别何时是非典型的和干扰功能是至关重要的，以预防精神障碍的最早阶段的临床序列。发展为基础的测量易怒的进步，使正常的易怒情绪和发脾气的关注指标，从婴儿期开始区分。然而，缺乏对易激惹相关损害的发育敏感评估。我们介绍了幼儿易激惹相关损害访谈（E-CRI），它评估了与易激惹情绪和发脾气相关的损害。信度和效度建立在两个独立的样本上：情绪成长学龄前样本（N=151，M= 4.82岁）和何时担心婴儿/幼儿样本（W2 W; N=330，M= 14个月）。我们生成了一个拟合良好的双因素E-CRI模型，与发脾气和易怒的情绪相关的损害因素。E-CRI具有良好的评分者间信度、重测信度和纵向信度。结构和临床有效性也得到了证明。在这两个样本中，E-CRI因素表现出关联的内化和外化的问题，并在W2 W的关注。愤怒相关的损害表现出更强和更一致的解释价值的结果，而情绪相关的损害增加了解释工具的内化问题。E-CRI还显示出超出家庭生活损害量表（FLIS）发育障碍调查指标解释的方差的增量效用。E-CRI有望作为损伤的指标，为识别反映临床序列初始阶段早期出现的易激惹相关综合征的典型与非典型模式提供信息。
Irritability is a substrate of more than one dozen clinical syndromes. Thus, identifying when it is atypical and interfering with functioning is crucial to the prevention of mental disorder in the earliest phase of the clinical sequence. Advances in developmentally based measurement of irritability have enabled differentiation of normative irritable mood and tantrums from indicators of concern, beginning in infancy. However, developmentally sensitive assessments of irritability-related impairment are lacking. We introduce the Early Childhood Irritability-Related Impairment Interview (E-CRI), which assesses impairment associated with irritable mood and tantrums across contexts. Reliability and validity are established across two independent samples varied by developmental period: the Emotional Growth preschool sample (EmoGrow; N=151, M=4.82years) and the When to Worry infant/toddler sample (W2W; N=330, M=14months). We generated a well-fitting two-factor E-CRI model, with tantrum- and irritable mood-related impairment factors. The E-CRI exhibited good interrater, test–retest, and longitudinal reliability. Construct and clinical validity were also demonstrated. In both samples, E-CRI factors showed association to internalizing and externalizing problems, and to caregiver-reported concern in W2W. Tantrum-related impairment demonstrated stronger and more consistent explanatory value across outcomes, while mood-related impairment added explanatory utility for internalizing problems. The E-CRI also showed incremental utility beyond variance explained by the Family Life Impairment Scale (FLIS) survey indicator of developmental impairment. The E-CRI holds promise as an indicator of impairment to inform identification of typical versus atypical patterns reflecting early emerging irritability-related syndromes in the initial phase of the clinical sequence.