Maude Archambault, Chantal Cyr, Helen Minnis, Stine Lehmann, Sebastien Monette
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引用次数: 0
摘要
用于评估反应性依恋障碍(RAD)和抑制性社会参与障碍(DSED)的经验验证工具寥寥无几。RAD和DSED评估访谈(RADA)是一种半结构化诊断访谈,于2018年在CAPA-RAD访谈的基础上进行了更新,以反映《精神障碍诊断与统计手册》(第5版;DSM-5)中诊断标准的变化。本研究旨在对加拿大学龄儿童的 RADA 进行验证。来自社区(98 人)、寄养家庭(147 人)和寄宿家庭(123 人)的 5 至 12 岁儿童的照顾者完成了 RADA 访谈和一系列问卷调查。RADA 访谈的确认性因子分析(CFA)支持与 DSM-5 症状群相似的四因子结构。一个简短的 "严格DSM-5 "版本的RADA显示了双因素结构--RAD和DSED,并且与数据非常吻合。这两种结构的量表显示出良好到卓越的内部一致性、分析者之间的可靠性、收敛效度和已知群体效度。对儿童进行分类后,RAD 和 DSED 的比率分别为
Validation of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment (RADA): A DSM-5 Semistructured Interview.
Very few empirically validated tools exist for assessing reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED). The RAD and DSED assessment interview (RADA), a semistructured diagnostic interview, was updated in 2018 from the CAPA-RAD interview to reflect the diagnostic criteria changes in the Diagnostic and statistical manual of mental disorders (5th ed.; DSM-5). The aim of this study was to validate the RADA on school-age children in Canada. Caregivers of 5 to 12-year-old children from the community (n = 98), in foster care (n = 147), and in residential care (n = 123) completed the RADA interview and a series of questionnaires. Confirmatory factor analysis (CFA) of the RADA interview supported a four-factor structure similar to the DSM-5 symptom clusters. A short "strictly DSM-5" version of the RADA showed a two-factor structure-RAD and DSED-and an excellent fit to the data. Scales of both structures showed good-to-excellent internal consistency, interrater reliability, convergent validity, and known-group validity. Classifying the children yielded RAD and DSED rates of <1% and 18%, respectively, for children in foster care and 7% and 10%, respectively, for children in residential care. This study supports the validity of the RADA interview for school-age children and is the first to provide RAD and DSED rates for children in residential care.
期刊介绍:
Assessment publishes articles in the domain of applied clinical assessment. The emphasis of this journal is on publication of information of relevance to the use of assessment measures, including test development, validation, and interpretation practices. The scope of the journal includes research that can inform assessment practices in mental health, forensic, medical, and other applied settings. Papers that focus on the assessment of cognitive and neuropsychological functioning, personality, and psychopathology are invited. Most papers published in Assessment report the results of original empirical research, however integrative review articles and scholarly case studies will also be considered.