Health Promotion and Check-up Center, Hospital Sírio Libanês, Sao Paulo, Brasil.
Instituto de Psiquiatria (LIM-23), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brasil.
Int J Psychiatry Clin Pract. 2021 Nov;25(4):421-429. doi: 10.1080/13651501.2020.1821893. Epub 2020 Sep 25.
Dimensions of Anger Reactions (DAR-5) is a brief 5-item instrument to assess experience of anger. We aimed to verify the DAR-5 as a screening instrument in the community.
A sample of 368 apparently healthy adults who attended an outpatient ambulatory facility self-reported on the DAR-5 scale, the Spielberger's State-Trait Anger Expression Inventory (STAXI), the Beck Anxiety Inventory (BAI), and the Patient Health Questionnaire (PHQ-9). Indicators of reliability and validity were calculated to demonstrate the performance of the DAR-5.
According to the DAR-5, around half the respondents found themselves becoming angry with people or situations and reported persistent duration of anger. Antagonism towards others was the least frequently experienced anger (8.4%). The DAR-5 was found to be reliable and stable, showing a significant correlation with the BAI and PHQ-9 for both sexes. In confirmatory factor analysis, a one-dimensional structure of anger experience was demonstrated through salient fit statistics. A cut-off > 8 was the best threshold against STAXI for discriminating cases of anger, irrespective of sex.
The shortness of the DAR-5, along with its cost-effective applicability, qualifies this measuring tool as a useful instrument for inclusion in the routine assessment of anger reactions in the general population.Key pointsThis is the first time the validity of DAR-5 has been demonstrated in a developing country.The Portuguese version of DAR-5 has appropriate sensitivity and high specificity.The DAR-5 demonstrated to be a reliable and stable instrument, irrespective of sex.
愤怒反应维度量表（DAR-5）是一种简短的 5 项量表，用于评估愤怒体验。我们旨在验证 DAR-5 作为社区中的筛查工具。
一个由 368 名明显健康的成年人组成的样本在门诊设施中自我报告了 DAR-5 量表、斯皮尔伯格状态特质愤怒表达量表（STAXI）、贝克焦虑量表（BAI）和患者健康问卷（PHQ-9）。计算了可靠性和有效性指标，以证明 DAR-5 的性能。
根据 DAR-5，大约一半的受访者发现自己对人和情况感到愤怒，并报告愤怒持续时间较长。对他人的敌意是最不常经历的愤怒（8.4%）。DAR-5 被证明是可靠和稳定的，与 BAI 和 PHQ-9 在两性中均呈显著相关。在验证性因素分析中，通过显著的拟合统计数据展示了愤怒体验的一维结构。无论性别如何，DAR-5 得分>8 是区分愤怒病例的最佳截断值，与 STAXI 相比。
DAR-5 的简短性以及其具有成本效益的适用性，使该测量工具成为纳入一般人群愤怒反应常规评估的有用工具。
这是 DAR-5 在发展中国家首次得到验证。
DAR-5 的葡萄牙语版本具有适当的敏感性和高特异性。
DAR-5 表现出可靠且稳定的工具，与性别无关。
