Toward Validating a Measure of Tonic and Phasic Irritability in Community and Clinical Samples

在社区和临床样本中验证强直性和阶段性烦躁性的测量

• 批准号: 10681607
• 负责人: Jamilah Silver
• 金额: $ 4.46万
• 依托单位: STATE UNIVERSITY NEW YORK STONY BROOK
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10681607
• 关键词: 17 year old; 6 year old; Adolescence; Adolescent; Adult; Age; Anger; Area; Assessment tool; Attentional deficit; Behavioral Symptoms; Child; Child Rearing; Childhood; Clinic; Clinical; Communities; Data; Development; Disease; Equipment and supply inventories; Ethnic Origin; Etiology; Exhibits; Factor Analysis; Functional disorder; Generalized Anxiety Disorder; Goals; Grain; Hyperactivity; Impairment; Intervention; Interview; Literature; Longevity; Longitudinal Studies; Measurement; Measures; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Methodology; Methods; Modeling; Moods; Onset of illness; Outcome; Outpatients; Parents; Participant; Patient Self-Report; Pattern; Phase; Population; Predictive Factor; Prevention approach; Process; Psychiatry; Psychology; Psychometrics; Psychopathology; Race; Reporting; Research; Research Personnel; Sampling; School-Age Population; Schools; Services; Severities; Structure; Substance Use Disorder; Surveys; Symptoms; Temperament; Testing; Validity and Reliability; Work; Youth; biological sex; cognitive interview; design; effective therapy; emotional symptom; follow up assessment; functional disability; functional outcomes; informant; instrument; longitudinal course; longitudinal dataset; negative affect; novel; prevent; psychologic; response; risk prediction; sound; suicidal; text searching; theories; therapy development; treatment response

Project Summary/Abstract Irritability is one of the most common mental health problems in children and adolescents. Moreover, it is one of the strongest predictors of later psychopathology and functional impairment in adulthood. Irritability can manifest in a variety of ways, which has recently led some investigators to conceptualize it as consisting of two components: tonic irritability, defined as persistently angry or grumpy mood; and phasic irritability, defined as short-lived temper outbursts. Though this distinction has been raised conceptually, research examining whether tonic/phasic irritability are empirically separable and differ in their clinical correlates, underlying mechanisms, longitudinal course, and treatment response is limited. A significant obstacle for empirical work in this area has been that no psychometrically validated measure that differentiates between tonic/phasic irritability is currently available for research or clinical use. Long-term objectives. I propose to develop and evaluate the first multi-informant measure of tonic/phasic irritability for school-age children and adolescents. This measure will fill an urgent gap in the literature by providing a psychometrically-sound, multi-informant instrument that will advance research on the etiopathogenesis of tonic/phasic irritability and help develop and evaluate targeted approaches to prevention and treatment. Design. I developed the tonic/phasic scale by 1) conducting a comprehensive literature search of existing instruments that cover related constructs, 2) utilizing experts in developmental psychopathology to revise and refine the item pool, and 3) conducting cognitive interviews with parents of children and adolescents using a combined think-aloud and debriefing methodology. The proposed project will collect data from five samples including three convenience community samples (a total of ~800 parents of 6–17-year-old children and ~800 unrelated 13–17-year-old youth) collected through Qualtrics XM panels, allowing for an iterative scale development process; a longitudinal dataset (~215 parents of 6-year-olds enriched for irritability) with a wider set of validating measures; and a clinical sample (~150 parents and their ~150 10–17-year-old children in outpatient psychology and psychiatry clinics) to evaluate the generalizability of the measure to a more severely impaired population. In each sample, participants will complete a brief survey assessing irritability and emotional and behavioral symptoms. Aims/Methods. The aims of this project are five-fold: 1) develop and refine a novel multi-informant scale for assessing youth tonic/phasic irritability using classical psychometric and item-response theory (IRT) analyses; 2) evaluate convergent and discriminant validity by examining concurrent relationships of tonic/phasic irritability with existing measures of irritability, parental psychopathology, parenting style, child temperament, and child psychopathology; 3) assess predictive validity by modeling relationships between tonic/phasic irritability and later measures of youth psychological problems; 4) evaluate measurement invariance for informant, age, biological sex, and race/ethnicity; and 5) develop a shortened version of the rating scale using IRT.

项目总结/摘要 易怒是儿童和青少年最常见的心理健康问题之一。此外，它是一个 是成年后精神病理学和功能障碍的最强预测因子。易怒可以 以各种方式表现出来，最近导致一些研究人员将其概念化为由两个 成分：紧张性烦躁，定义为持续愤怒或脾气暴躁的情绪;和阶段性烦躁，定义为 短暂的脾气爆发虽然这种区别已经在概念上提出，研究检查 紧张性/阶段性应激是否在经验上是可分离的，并且在其临床相关性方面不同， 机制、纵向病程和治疗反应有限。实证研究的一个重大障碍是， 这一领域一直没有心理测量学验证的措施，区分紧张/相位 刺激性目前可用于研究或临床应用。长期目标。我建议发展和 评估学龄儿童和青少年的紧张性/阶段性易怒的第一个多信息测量。 这项措施将填补一个迫切的空白，在文献中提供一个心理测量健全，多线人 仪器，将推进紧张性/阶段性应激的发病机制的研究，并帮助开发和 评估有针对性的预防和治疗方法。设计我通过以下方式开发了强直/相位量表1） 对涵盖相关结构的现有工具进行全面的文献检索，2）利用 发展精神病理学专家修订和完善项目库，以及3）进行认知 与儿童和青少年的父母进行访谈，使用有声思维和汇报相结合的方法。 拟议项目将从五个样本中收集数据，包括三个便利社区样本（a 共收集了约800名6-17岁儿童的父母和约800名无关的13-17岁青年）， Qualtrics XM面板，允许迭代量表开发过程;纵向数据集（约215个父项 的6岁儿童丰富的易怒）与更广泛的一套验证措施;和临床样本（约150 在门诊心理和精神病诊所的父母和他们的150名10-17岁的儿童），以评估 将该措施推广到受损更严重的人群。在每个样本中，参与者将 完成一个简短的调查，评估易怒、情绪和行为症状。目的/方法的 该项目的目标有五个方面：1）开发和完善一个新的多信息源量表，用于评估青年 紧张性/阶段性应激使用经典的心理测量学和项目反应理论（IRT）分析; 2）评估 收敛和判别效度通过检查紧张性/阶段性易怒与 现有的易怒、父母精神病理学、父母教养方式、儿童气质和儿童 精神病理学; 3）通过建立紧张性/阶段性易怒和 青少年心理问题的后期测量：4）评估测量对被调查者，年龄， 生物性别和种族/民族;和5）使用IRT开发一个简短版本的评级量表。