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Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population
Rage Attacks (RA) represent a clinically relevant symptom in patients with different psychiatric disorders. However, only recently the Rage Attack Questionnaire Revised (RAQ-R, 22 items, range, 0–66) has been developed as a new instrument for the assessment of RA. This study aimed to validate the RA...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439255/ https://www.ncbi.nlm.nih.gov/pubmed/34531770 http://dx.doi.org/10.3389/fpsyt.2021.724802 |
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author | Palm, Lisa Haas, Martina Pisarenko, Anna Jakubovski, Ewgeni Müller-Vahl, Kirsten R. |
author_facet | Palm, Lisa Haas, Martina Pisarenko, Anna Jakubovski, Ewgeni Müller-Vahl, Kirsten R. |
author_sort | Palm, Lisa |
collection | PubMed |
description | Rage Attacks (RA) represent a clinically relevant symptom in patients with different psychiatric disorders. However, only recently the Rage Attack Questionnaire Revised (RAQ-R, 22 items, range, 0–66) has been developed as a new instrument for the assessment of RA. This study aimed to validate the RAQ-R in a large mixed psychiatric and psychosomatic sample. We tested internal consistency, convergent and discriminant validity as well as factor structure. In order to further explore the relationship of RA to other psychiatric symptoms, we calculated Pearson correlations between the RAQ-R and several other self-assessments including measurements for general psychological distress, quality of life, depression, anxiety, attention deficit/hyperactivity disorder (ADHD), impulsivity, and self-regulation abilities. Most relevant predictors of RA were examined in a multiple regression with stepwise elimination. In order to assess the manifestation of RA in different psychiatric disorders, group differences between diagnostic categories and healthy controls were calculated. Additionally, psychiatric patients were compared to patients with Tourette syndrome along RAQ-R scores. Data from healthy subjects and patients with Tourette syndrome were obtained from a previous study of our group. In this study, we included 156 patients with a wide and typical spectrum of psychiatric diseases. The RAQ-R was found to have excellent internal consistency and strong construct validity in this sample (Cronbach's α = 0.97, Average Variance Extracted = 0.58). Thus, the RAQ-R was shown to be a psychometrically sound assessment of RA in patients with different psychiatric disorders. Close constructs to RA were found to be aggression and hostility (r = 0.68) as well as low frustration tolerance and impulse control (r = 0.69). Compared to healthy controls, RA were significantly more common in the psychiatric sample (p < 0.001). More specifically, RAQ-R scores in all diagnostic categories assessed were higher compared to controls. Highest scores and effect sizes were found in patients with ADHD and borderline personality disorder (p < 0.001). Our results suggest that RA are a common and relevant symptom in many psychiatric disorders. As depression and RA showed only a moderate relation, RA should be distinguished from the concept of anger attacks, which are described as a core symptom of depression. |
format | Online Article Text |
id | pubmed-8439255 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84392552021-09-15 Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population Palm, Lisa Haas, Martina Pisarenko, Anna Jakubovski, Ewgeni Müller-Vahl, Kirsten R. Front Psychiatry Psychiatry Rage Attacks (RA) represent a clinically relevant symptom in patients with different psychiatric disorders. However, only recently the Rage Attack Questionnaire Revised (RAQ-R, 22 items, range, 0–66) has been developed as a new instrument for the assessment of RA. This study aimed to validate the RAQ-R in a large mixed psychiatric and psychosomatic sample. We tested internal consistency, convergent and discriminant validity as well as factor structure. In order to further explore the relationship of RA to other psychiatric symptoms, we calculated Pearson correlations between the RAQ-R and several other self-assessments including measurements for general psychological distress, quality of life, depression, anxiety, attention deficit/hyperactivity disorder (ADHD), impulsivity, and self-regulation abilities. Most relevant predictors of RA were examined in a multiple regression with stepwise elimination. In order to assess the manifestation of RA in different psychiatric disorders, group differences between diagnostic categories and healthy controls were calculated. Additionally, psychiatric patients were compared to patients with Tourette syndrome along RAQ-R scores. Data from healthy subjects and patients with Tourette syndrome were obtained from a previous study of our group. In this study, we included 156 patients with a wide and typical spectrum of psychiatric diseases. The RAQ-R was found to have excellent internal consistency and strong construct validity in this sample (Cronbach's α = 0.97, Average Variance Extracted = 0.58). Thus, the RAQ-R was shown to be a psychometrically sound assessment of RA in patients with different psychiatric disorders. Close constructs to RA were found to be aggression and hostility (r = 0.68) as well as low frustration tolerance and impulse control (r = 0.69). Compared to healthy controls, RA were significantly more common in the psychiatric sample (p < 0.001). More specifically, RAQ-R scores in all diagnostic categories assessed were higher compared to controls. Highest scores and effect sizes were found in patients with ADHD and borderline personality disorder (p < 0.001). Our results suggest that RA are a common and relevant symptom in many psychiatric disorders. As depression and RA showed only a moderate relation, RA should be distinguished from the concept of anger attacks, which are described as a core symptom of depression. Frontiers Media S.A. 2021-08-18 /pmc/articles/PMC8439255/ /pubmed/34531770 http://dx.doi.org/10.3389/fpsyt.2021.724802 Text en Copyright © 2021 Palm, Haas, Pisarenko, Jakubovski and Müller-Vahl. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Palm, Lisa Haas, Martina Pisarenko, Anna Jakubovski, Ewgeni Müller-Vahl, Kirsten R. Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population |
title | Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population |
title_full | Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population |
title_fullStr | Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population |
title_full_unstemmed | Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population |
title_short | Validation of the Rage Attack Questionnaire-Revised (RAQ-R) in a Mixed Psychiatric Population |
title_sort | validation of the rage attack questionnaire-revised (raq-r) in a mixed psychiatric population |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8439255/ https://www.ncbi.nlm.nih.gov/pubmed/34531770 http://dx.doi.org/10.3389/fpsyt.2021.724802 |
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