Translation and Adaptation of the Comprehensive Assessment of At-Risk Mental State (CAARMS) in Urdu and Establishing Its Psychometric Properties

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-03-17 DOI:10.1111/eip.70029

Sana Jaffar, Rabia Dasti, Nazish Habib

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引用次数: 0

Abstract

Objectives

The term ‘At Risk Mental State’ (ARMS) has been used since the mid-1990s to describe a state prospectively in which a young person has a heightened risk of developing a psychotic disorder. Comprehensive Assessment of At-Risk Mental State (CAARMS) is an interview schedule that can be utilised to assess ARMS reliably and accurately. The present multistage study envisioned translating and adapting CAARMS into Urdu and establishing its psychometric properties so that it can effectively serve the purpose of recognising and treating the prodromal phase of first-episode psychosis for the Urdu-speaking population, especially in Pakistan.

Method

The translation was done by employing seven steps outlined by Sousa and Rojjanasrirat (2011). The translated and adapted tool was administered on a sample of n = 87 (first episode psychosis [FEP] = 30 UHR + [ARMS] = 27; UHR – [normal] = 30) which was obtained from psychiatry departments of different hospitals and the community. Inter-rater reliability and concurrent validity were established by running Pearson Correlation, while construct validity was established by employing the Kruskal–Wallis H test.

Results

The results showed that the CAARMS-Urdu had a content validity index (I-CVI) of 1; inter-rater reliability of 0.99; Cronbach's alpha coefficient of 0.97; and good construct and concurrent validity.

Conclusion

The CAARMS-U displayed excellent reliability and validity. In the future, CAARMS-U could be used to assess early psychosis and the efficient diagnosis of ARMS individuals in Urdu-speaking communities.

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乌尔都语危险心理状态综合评价（CAARMS）的翻译与改编及其心理测量学性质的建立

自20世纪90年代中期以来，“高危精神状态”（ARMS）一词就被用来描述一种年轻人发展为精神障碍的风险较高的状态。风险心理状态综合评估（CAARMS）是一种可以可靠、准确地评估风险心理状态的访谈计划。目前的多阶段研究设想将CAARMS翻译和适应为乌尔都语，并建立其心理测量特性，以便它可以有效地为乌尔都语人口，特别是在巴基斯坦，识别和治疗第一发作精神病的前驱期。方法采用Sousa和Rojjanasrirat（2011）概述的七个步骤完成翻译。翻译和改编的工具应用于n = 87例样本(首发精神病[FEP] = 30 UHR + [ARMS] = 27；UHR - [normal] = 30)，从不同医院和社区的精神科获得。量表间信度和并发效度采用Pearson相关检验，结构效度采用Kruskal-Wallis H检验。结果CAARMS-Urdu的内容效度指数（I-CVI）为1；信度为0.99；Cronbach’s alpha系数为0.97；良好的构念和并发效度。结论cararms - u量表具有良好的信效度。在未来，cararms - u可用于评估乌尔都语社区中ARMS个体的早期精神病和有效诊断。

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

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.