Validity of the Korean Version of the Brief Irritability Test in Psychiatric Patients
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Objective This study aimed to investigate the validity and reliability of the Korean version of the Brief Irritability Test (BITe) and adapt it for Korean patients with psychiatric disorders.Methods A total of 296 patients at the Department of Psychiatry of Hanyang University Guri Hospital completed the BITe, Korean Beck Depression Inventory-II, Korean Beck Anxiety Inventory, the Korean version of the State-Trait Anger Expression Inventory, and Barratt Impulsiveness Scale-11. Construct validity was confirmed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability testing included assessments of internal consistency (Cronbach’s α) and item-total correlations. Convergent validity was examined through correlational analyses with variables such as anxiety, depression, anger, and impulsivity.Results First, the scale had good internal consistency with a Cronbach’s α of 0.88. Second, EFA indicated a single dimensionality of the BITe, and CFA demonstrated a reasonable fit for the single-factor model (comparative fit index=0.97, Tucker-Lewis Index=0.95, normed fit index=0.97, goodness-of-fit index=0.96, root mean square error of approximation=0.12, standardized root mean residual=0.03). Finally, the convergent validity analysis revealed a significant positive correlation with depression, anxiety, and anger, except for anger control, which is a sub-variable of anger.Conclusion The results showed that the Korean version of the BITe had good psychometric properties, and might serve as a valuable tool for assessing irritability in Korean patients with psychiatric disorders.
Abstract
Objective This study aimed to investigate the validity and reliability of the Korean version of the Brief Irritability Test (BITe) and adapt it for Korean patients with psychiatric disorders.Methods A total of 296 patients at the Department of Psychiatry of Hanyang University Guri Hospital completed the BITe, Korean Beck Depression Inventory-II, Korean Beck Anxiety Inventory, the Korean version of the State-Trait Anger Expression Inventory, and Barratt Impulsiveness Scale-11. Construct validity was confirmed through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability testing included assessments of internal consistency (Cronbach’s α) and item-total correlations. Convergent validity was examined through correlational analyses with variables such as anxiety, depression, anger, and impulsivity.Results First, the scale had good internal consistency with a Cronbach’s α of 0.88. Second, EFA indicated a single dimensionality of the BITe, and CFA demonstrated a reasonable fit for the single-factor model (comparative fit index=0.97, Tucker-Lewis Index=0.95, normed fit index=0.97, goodness-of-fit index=0.96, root mean square error of approximation=0.12, standardized root mean residual=0.03). Finally, the convergent validity analysis revealed a significant positive correlation with depression, anxiety, and anger, except for anger control, which is a sub-variable of anger.Conclusion The results showed that the Korean version of the BITe had good psychometric properties, and might serve as a valuable tool for assessing irritability in Korean patients with psychiatric disorders.
참고문헌 (39)
- Born L, "Irritability : the forgotten dimension of female-spe cific mood disorders", Arch Womens Ment Health, 2, pp.153~167 (1999)
- Craig KJ, "The irritability ques tionnaire : a new scale for the measurement of irritability", Psychiatry Res, 159, pp.367~375 (2008)
- Snaith RP, "Irritability : definition, assessment and associated factors", Br J Psychiatry, 147, pp.127~136 (1985)
- Stringaris A, "The affective reactivity index : a concise irritability scale for clinical and research settings", J Child Psychol Psychiatry, 53, pp.11091117~ (2012)
- Barata PC, "Building a definition of irritability from academic definitions and lay descriptions", Emot Rev, 8, pp.164~172 (2016)
- Toohey MJ, "Defining and measuring irritability : con struct clarification and differentiation", Clin Psychol Rev, 53, pp.93108~ (2017)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders, fifth edition(DSM-5)" (2013), American Psy chiatric Association
- Mangelli L, "Ir ritable mood in Italian patients with medical disease", J Nerv Ment Dis, 194, pp.226~228 (2006)
- Fava M, "The importance of irritability as a symptom of major depressive disorder : results from the national comorbidity survey replication", Mol Psychia try, 15, pp.856~867 (2010)
- Perlis RH, "Irritability is associated with anxiety and greater severity, but not bi polar spectrum features, in major depressive disorder", Acta Psychiatr Scand, 119, pp.282~289 (2009)
- Pickles A, "Pre dictors of suicidality across the life span : the Isle of Wight study", Psychol Med, 40, pp.1453~1466 (2010)
- Eyre O, "Irritability in ADHD : associations with depression liability", J Affect Disord, 215, pp.281~287 (2017)
- Stringaris A, "Longitudinal outcome of youth opposition ality : irritable, headstrong, and hurtful behaviors have distinctive pre dictions", J Am Acad Child Adolesc Psychiatry, 48, pp.404~412 (2009)
- Seroczynski AD, "Etiology of the impulsivi ty", aggression relationship : genes or environment?, 1999, pp.86, 41~57
- Jha MK, "Irritability and its clinical utility in major depressive disorder : prediction of individu al-level acute-phase outcomes using early changes in irritability and depression severity", Am J Psychiatry, 176, pp.358~366 (2019)
- Holtzman S, "The brief irritability test(BITe) : a measure of irritability for use among men and women", As sessment, 22, pp.101~115 (2015)
- First MB, "Structured clinical inter view for DSM-5 disorders—clinician version(SCID-5-CV)" (2016), American Psychiatric Association
- Patton JH, "Factor structure of the Barratt Im pulsiveness Scale", J Clin Psychol, 51, pp.768~774 (1995)
- Heo SY, "The Korean version of the Barratt Impulsive ness Scale, 11th version: its reliability and validity", Kor J Psychol Gen, 31, pp.769~782 (2012)
- Beck AT, "An inventory for measuring clinical anxiety : psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
- Lee HK, "Psychometric proper ties of the Beck Anxiety Inventory in the community-dwelling sample of Korean adults", Kor J Clin Psychol, 35, pp.822~830 (2016)
- Beck AT, "Manual for Beck Depression Inventory II" (1966), Psychological Corporation
- Lim SU, "The Beck Depression Inventory-second edition : psychometric properties in Korean adult populations", Kor J Clin Psychol, 38, pp.300~307 (2019)
- Spielberger CD, "Individual differences, stress, and health psychology", pp.89~108 (1988), Springer
- Chon KK, "Development of the STAXI-K: IV", Korean J Art Ther, 7, pp.35~50 (2000)
- Kaiser HF, "An index of factorial simplicity", Psychometrika, 39, pp.3136~ (1974)
- Kline RB, "Principles and practice of structural equation modeling" (2015), Guilford Press
- MacCallum RC, "Power analysis and de termination of sample size for covariance structure modeling", Psychol Methods, 1, pp.130~149 (1996)
- Hu LT, "Cutoff criteria for fit indexes in covariance struc ture analysis : conventional criteria versus new alternatives", Struct Equ Model, 6, pp.1~55 (1999)
- Kenny DA, "The performance of RMSEA in models with small degrees of freedom", Sociol Methods Res, 44, pp.486507~ (2015)
- Cortina JM, "What is coefficient alpha? An examination of theory and applications", J Appl Psychol, 78, pp.98~104 (1993)
- Pallant J, "SPSS survival manual: a step by step guide to data analysis us ing IBM SPSS" (2020), Routledge
- Cristobal E, "Perceived e-service quality(PeSQ) : measurement validation and effects on consumer satisfaction and web site loyalty", Manag Serv Qual, 17, pp.317~340 (2007)
- Evans SC, "Is irritability a top problem in youth mental health care? A multi-informant, multi method investigation", Child Psychiatry Hum Dev, 54, pp.1027~1041 (2023)
- Sukhodolsky DG, "Cognitive-behavioral therapy for anger and aggression in children" (2012), Guilford Press
- Stringaris A, "Practitioner re view : definition, recognition, and treatment challenges of irritability in young people", J Child Psychol Psychiatry, 59, pp.721~739 (2018)
- Stoddard J, "An open pilot study of training hostile interpre tation bias to treat disruptive mood dysregulation disorder", J Child Adolesc Psychopharmacol, 26, pp.49~57 (2016)
- Valiengo LL, "Plasma cortisol in first episode drug-naïve mania : differential levels in euphoric versus irritable mood", J Affect Disord, 138, pp.149~152 (2012)
- Zhan N, "Clinical correlates of irritability, anger, hostility, and aggression in posttraumatic stress disorder", Psy chol Trauma (2023)[DOI]
