Clinical Scale for Self-Assessment of Irritability

Leeds Trinity, Leeds, England, United Kingdom
The British Journal of Psychiatry (Impact Factor: 7.99). 03/1978; 132(FEB):164-71. DOI: 10.1192/bjp.132.2.164
Source: PubMed


To date there has been no suitable scale for the self-assessment of irritability in the clinical situation. Existing scales have either included aspects of personality trait together with present state or they have been constructed on non-clinical populations. A self-assessment scale has been constructed which seeks to overcome such faults. Measures of depression and of anxiety are included, together with measures of outwardly directed irritability and inwardly directed irritability. This scale should be known as the Irritability, Depression, Anxiety--or IDA--Scale.

Download full-text


Available from: Peter Mcguffin,
1 Follower
385 Reads
    • "The IDAS is a validated instrument capable of distinguishing between depressive and anxiety disorders. IDAS scale investigates depression not only with symptoms of negative mood but also using the absence of positive mood (Snaith et al., 1978). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This retrospective study investigated the influence of psychiatric comorbidity on pain perception and coping with pain in tertiary pain clinic patients, 427 treated for chronic low back pain (CLBP) and 629 for other forms of chronic pain (CG). No differences in psychosomatic dimensions were found between the two groups, but Italian Pain Questionnaire dimensions and intensity scores (t = 7.35; p < 0.0001) were higher in CLBP than in CG subjects. According to the Mini-International Neuropsychiatric Interview, CLBP patients also had a higher prevalence of lifetime major depressive episodes (χ = 4.96; p < 0.05), dysthymic disorder (χ = 4.64; p < 0.05), suicide risk (χ = 10.43; p < 0.01), and agoraphobia (χ = 6.31; p < 0.05) than CG patients did. The Multidimensional Pain Inventory showed a close association between CLBP and both agoraphobia (χ = 3.74; p < 0.05) and dysfunctional coping style (χ = 8.25; p < 0.01), which increased disability. Both agoraphobia and lifetime depression were associated with an overall increase in dimensions and pain intensity in CLBP, but not in CG.
    The Journal of nervous and mental disease 07/2015; 203(8). DOI:10.1097/NMD.0000000000000340 · 1.69 Impact Factor
  • Source
    • "Unified Huntington's Disease Rating Scale (UHDRS; Huntington Study Group, 1996), the Hospital Anxiety and Depression Scale – Snaith Irritability Scale (HADS- SIS; Snaith et al. 1978; Zigmond & Snaith, 1983 "
    [Show abstract] [Hide abstract]
    ABSTRACT: Depressive symptoms are prominent psychopathological features of Huntington's disease (HD), making a negative impact on social functioning and well-being. We compared the frequencies of a history of depression, previous suicide attempts and current subthreshold depression between 61 early-stage HD participants and 40 matched controls. The HD group was then split based on the overall HD group's median Hospital Anxiety and Depression Scale-depression score into a group of 30 non-depressed participants (mean 0.8, s.d. = 0.7) and a group of 31 participants with subthreshold depressive symptoms (mean 7.3, s.d. = 3.5) to explore the neuroanatomy underlying subthreshold depressive symptoms in HD using voxel-based morphometry (VBM) and diffusion tensor imaging (DTI). Frequencies of history of depression, previous suicide attempts or current subthreshold depressive symptoms were higher in HD than in controls. The severity of current depressive symptoms was also higher in HD, but not associated with the severity of HD motor signs or disease burden. Compared with the non-depressed HD group DTI revealed lower fractional anisotropy (FA) values in the frontal cortex, anterior cingulate cortex, insula and cerebellum of the HD group with subthreshold depressive symptoms. In contrast, VBM measures were similar in both HD groups. A history of depression, the severity of HD motor signs or disease burden did not correlate with FA values of these regions. Current subthreshold depressive symptoms in early HD are associated with microstructural changes - without concomitant brain volume loss - in brain regions known to be involved in major depressive disorder, but not those typically associated with HD pathology.
    Psychological Medicine 07/2014; 44(9):1867-1878. DOI:10.1017/S003329171300247X · 5.94 Impact Factor
  • Source
    • "Second, state measures of irritability are often confounded with items that reflect general dispositions or traits (e.g., " Arguments are a major cause of stress in my relationships, " " When I am right, I am right " ; Caprara et al., 1985; Craig et al., 2008). Third, two-dimensional (inward-and outward-directed; Snaith et al., 1978) and multidimensional (behavioral, physiological, cognitive, affective; Craig et al., 2008) structures of irritability have been proposed; however, studies have failed to statistically test for underlying facets. One exception is a study by Caprara et al. (1985) who found one clear dominant factor of irritability using principal components analysis. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Elevated levels of irritability have been reported across a range of psychiatric and medical conditions. However, research on the causes, consequences, and treatments of irritability has been hindered by limitations in existing measurement tools. This study aimed to develop a brief, reliable, and valid self-report measure of irritability that is suitable for use among both men and women and that displays minimal overlap with related constructs. First, 63 candidate items were generated, including items from two recent irritability scales. Second, 1,116 participants (877 university students and 229 chronic pain outpatients) completed a survey containing the irritability item pool and standardized measures of related constructs. Item response theory was used to develop a five-item scale (the Brief Irritability Test) with a strong internal structure. All five items displayed minimal conceptual overlap with related constructs (e.g., depression, anger), and test scores displayed negligible gender bias. The Brief Irritability Test shows promise in helping to advance the burgeoning field of irritability research.
    Assessment 05/2014; 22(1). DOI:10.1177/1073191114533814 · 3.29 Impact Factor
Show more