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.

项目摘要/摘要 烦恼是儿童和青少年最常见的心理健康问题之一。而且，这是一个 后来的心理病理学和成年功能障碍的最强预测指标。烦躁可以 以多种方式表现出来，这最近导致一些研究人员将其概念化为两个 组成部分：滋补性烦躁，定义为持续生气或脾气暴躁的情绪；定义为 短暂的脾气暴躁。尽管从概念上提出了这种区别，但研究检查了 滋补/体性烦躁是否在经验上是分开的，并且在其临床相关性中是否有不同 机制，纵向过程和治疗反应受到限制。实证工作的重要障碍 该领域是没有在心理测量的测量，可以区分滋补/音阶 目前可用于研究或临床使用。长期目标。我建议开发和 评估对学龄儿童和青少年的补品/音阶易怒性的第一个多信息测量。 该措施将通过提供心理测量，多信息来填补文献中的紧急空白 仪器将进一步研究补品/音阶易怒性的病毒作用，并有助于发展和 评估了针对预防和治疗的目标方法。设计。我将补品/阶段量表开发了1） 对涵盖相关结构的现有工具进行全面的文献搜索，2）利用 发育心理病理学专家修改和完善项目库，3）进行认知 使用综合思考和汇报方法对儿童和青少年的父母进行访谈。 拟议的项目将从五个样本中收集数据，包括三个便利社区样本（a 总共约800名6-17岁的孩子和约800名无关13-17岁的年轻人）通过 Qualtrics XM面板，允许迭代规模开发过程；纵向数据集（约215个父母 具有更广泛的验证措施的6岁儿童富含烦恼的人；和临床样本（〜150 父母及其在门诊心理学和精神病学诊所的约150 10-17岁的孩子）评估 测量对人口更严重受损的概括性。在每个样本中，参与者将 完成简短的调查评估易怒以及情绪和行为症状。目标/方法。这 该项目的目的是五倍：1）开发和完善一种新颖的多信息量表来评估青年 使用经典心理测量学和项目响应理论（IRT）分析的滋补/音阶烦恼； 2）评估 通过检查强调/物质易怒的并发关系，有效性和判别有效性 现有的烦躁，父母心理病理学，育儿风格，儿童温度和儿童的措施 心理病理学； 3）评估预测有效性通过建模补品/音阶易怒和 后来衡量青年心理问题； 4）评估线人的评估测量不变性，年龄， 生物学和种族/种族； 5）使用IRT开发评级量表的缩短版本。