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

ABSTRACT 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.

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    • "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 "
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    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
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    • "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. "
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    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
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    • "In relation to outward irritability , there was a significant correlation between the scale and Snaith's own 9-point scale assessment, which was combined with reports from nurses and relatives regarding the client's outward hostility (r = 0.79). For inward irritability, there was a significant correlation with the client's own report of anger directed towards himself or herself (r = 0.84; Snaith et al. 1978). Three further studies have explored the convergent validity of the AWBS, finding correlations with theoretically related constructs (Snaith & Taylor 1985; Aylard et al. 1987). "
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    ABSTRACT: Abstract: The adoption of evidence-based practice in social work has been widely promoted in recent years and with this, a growing emphasis on the evaluation of practice using well validated and reliable measurement processes. The Department of Health’s “Framework for the Assessment of Children in Need and their Families” in the United Kingdom includes quantitative measures that form part of a systematic assessment of the needs of children and their families that includes assessment of parenting capacity and parental emotional state. The measure selected to assess parental mood was originally known as the Irritability, Depression and Anxiety Scale, and has been renamed within the Assessment Framework as the Adult Well Being Scale. This instrument is designed to assess depression, anxiety, and inward and outward irritability. However, there has been relatively little contemporary evaluation of the reliability and validity of the measure, and the extent to which it measures the four constructs it is designed to assess. This research therefore conducted extensive analyses of the reliability, validity, and underlying factor structure of the Adult Well Being Scale. The four subscales did not demonstrate sound psychometric properties. At best a total score may be used as an indicator of “overall psychological distress”.
    Child & Family Social Work 12/2013; DOI:10.1111/cfs.12108 · 0.93 Impact Factor
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