Reliability, Validity, and Clinical Utility of the Dominic Interactive for Adolescents–Revised: A DSM-5–Based Self-Report Screen for Mental Disorders, Borderline Personality Traits, and Suicidality
Autor: | Jean-Jacques Breton, Marie St-Georges, Réal Labelle, Lise Bergeron, Johanne Renaud, Nicole Smolla, Claude Berthiaume, Pauline Morin, Elissa Zavaglia |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Male
Psychotherapist Adolescent DSM-5 03 medical and health sciences User-Computer Interface 0302 clinical medicine Borderline Personality Disorder Humans Diagnosis Computer-Assisted Big Five personality traits Self report Child Reliability (statistics) Original Research Psychiatric Status Rating Scales Mental Disorders Reproducibility of Results RELIABILITY VALIDITY 030227 psychiatry Psychiatry and Mental health Suicide Female Self Report Psychology 030217 neurology & neurosurgery Clinical psychology |
Popis: | Objectives: The Dominic Interactive for Adolescents–Revised (DIA-R) is a multimedia self-report screen for 9 mental disorders, borderline personality traits, and suicidality defined by the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5). This study aimed to examine the reliability and the validity of this instrument. Methods: French- and English-speaking adolescents aged 12 to 15 years ( N = 447) were recruited from schools and clinical settings in Montreal and were evaluated twice. The internal consistency was estimated by Cronbach alpha coefficients and the test-retest reliability by intraclass correlation coefficients. Cutoff points on the DIA-R scales were determined by using clinically relevant measures for defining external validation criteria: the Schedule for Affective Disorders and Schizophrenia for School-Aged Children, the Beck Hopelessness Scale, and the Abbreviated-Diagnostic Interview for Borderlines. Receiver operating characteristic (ROC) analyses provided accuracy estimates (area under the ROC curve, sensitivity, specificity, likelihood ratio) to evaluate the ability of the DIA-R scales to predict external criteria. Results: For most of the DIA-R scales, reliability coefficients were excellent or moderate. High or moderate accuracy estimates from ROC analyses demonstrated the ability of the DIA-R thresholds to predict psychopathological conditions. These thresholds were generally capable to discriminate between clinical and school subsamples. However, the validity of the obsessions/compulsions scale was too low. Conclusions: Findings clearly support the reliability and the validity of the DIA-R. This instrument may be useful to assess a wide range of adolescents’ mental health problems in the continuum of services. This conclusion applies to all scales, except the obsessions/compulsions one. |
Databáze: | OpenAIRE |
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