Reactivity of Emotions in Adolescents - Caregivers' Tool (React): Development and Validation of a Novel Parent-Rated Measure for Assessing Emotional Dysregulation in Youth.

IF 2 Q3 CLINICAL NEUROLOGY
Gianluca Sesso, Fulvio Guccione, Lorenzo Conti, Elena Valente, Antonio Narzisi, Stefano Berloffa, Pamela Fantozzi, Valentina Viglione, Gabriele Masi, Annarita Milone
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引用次数: 0

Abstract

Objective: Emotional Dysregulation (ED) is characterized by the inability to manage emotions effectively, leading to maladaptive behaviors, and often co-occurs with psychiatric conditions carrying significant long-term consequences. Early diagnosis of ED is thus essential for targeted interventions. To address this need, we developed and validated the "Reactivity of Emotions in Adolescents: Caregivers' Tool" (REACT), a novel parent-rated questionnaire designed to assess ED in adolescents.

Method: The present study involved two samples, one drawn from the general population (n = 89 healthy controls from local schools) and the other composed of clinical patients (n = 76 adolescents with different psychiatric and/or neurodevelopmental conditions). Patients' diagnoses were confirmed through the clinical interview K-SADS-PL to explore the presence of any psychopathological conditions. Participants from both groups completed the RIPoSt-Y questionnaire, providing a measure of ED, while their parents filled out the ARI, measuring affective reactivity in youth. Confirmatory and exploratory factor analyses were performed to refine the questionnaire's internal structure.

Results: The final REACT questionnaire consists of 55 items distributed across three subscales, namely Negative Emotionality, Irritability, and Excitability. Psychometric evaluation showed that these subscales demonstrated excellent internal consistency and strong construct validity, with clinical patients scoring higher on all subscales compared to healthy controls. The REACT questionnaire showed also high convergent validity by exhibiting significant positive correlations with established measures of ED.

Conclusions: This novel tool represents a valuable improvement in the assessment of ED in adolescence as it may facilitate tailored interventions to provide emotional well-being and long-term outcomes.

青少年的情绪反应--照顾者工具(React):开发和验证用于评估青少年情绪失调的新型家长评分量表。
目的:情绪失调(ED)的特点是无法有效地管理情绪,从而导致不适应行为,并经常与精神疾病并发,造成严重的长期后果。因此,ED 的早期诊断对于采取有针对性的干预措施至关重要。为了满足这一需求,我们开发并验证了 "青少年情绪反应性"(REactivity of Emotions in Adolescents:照顾者工具"(REACT),这是一份由家长评分的新型问卷,旨在评估青少年的 ED:本研究涉及两个样本,一个样本来自普通人群(n = 89 名来自当地学校的健康对照者),另一个样本由临床患者组成(n = 76 名患有不同精神疾病和/或神经发育疾病的青少年)。患者的诊断通过 K-SADS-PL 临床访谈进行确认,以了解是否存在任何精神病理状况。两组受试者均填写了 RIPoSt-Y 问卷,该问卷提供了对 ED 的测量,而他们的父母则填写了 ARI,该问卷测量了青少年的情感反应性。为了完善问卷的内部结构,我们进行了确认性和探索性因素分析:最终的 REACT 问卷由 55 个项目组成,分布在三个分量表中,即消极情绪、易激惹和兴奋。心理测量学评估显示,这些分量表具有良好的内部一致性和较强的建构效度,与健康对照组相比,临床患者在所有分量表上的得分都较高。REACT 问卷还显示出较高的收敛效度,与已有的 ED 测量方法呈显著正相关:结论:这一新颖的工具是对青少年 ED 评估的重要改进,因为它有助于采取量身定制的干预措施,以提供情绪健康和长期疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Neuropsychiatry
Clinical Neuropsychiatry CLINICAL NEUROLOGY-
CiteScore
11.10
自引率
1.60%
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