Talmón-Knuser Florencia, Soler Miriam, González-Sala Francisco, Lacomba-Trejo Laura, Samper-García Paula
Department of Developmental Psychology and Education, Faculty of Health Science, Catholic University of Uruguay, Montevideo 11600, Uruguay.
Faculty of Psychology and Speech Therapy, Universitat de València, 46010 Valencia, Spain.
Children (Basel). 2024 Jan 24;11(2):144. doi: 10.3390/children11020144.
Reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED) manifest in individuals facing attachment system challenges, particularly observed in minors under protective measures. The lack of standardized tools for assessing these difficulties and uncertainty about the most effective instruments from a psychometric perspective prompted this study.
Using the COSMIN checklist, we systematically reviewed instruments assessing RAD, adhering to PRISMA.
Examined tools included the Disturbance Attachment Interview, Preschool Age Psychiatric Assessment, Relationship Patterns Questionnaire, Assessment of RAD and DSED, Development and Well-Being Assessment, and Reactive Attachment Disorder Questionnaire.
Of the 10 articles analyzed, the results highlight a research emphasis on internal consistency and structural and construct validity, sidelining other properties.
Most articles review structural validity and internal consistency. These measures are satisfactory but insufficiently evaluated. It is necessary to evaluate these tools using other indicators such as cross-cultural validity, measurement error, or responsiveness in adolescents under protective measures.
反应性依恋障碍（RAD）和去抑制性社会参与障碍（DSED）在面临依恋系统挑战的个体中表现出来，尤其在受到保护措施的未成年人中观察到。缺乏评估这些困难的标准化工具，以及从心理测量学角度对最有效工具的不确定性促使了本研究。
使用COSMIN清单，我们按照PRISMA系统回顾了评估RAD的工具。
审查的工具包括依恋障碍访谈、学龄前儿童精神病学评估、关系模式问卷、RAD和DSED评估、发育与幸福评估以及反应性依恋障碍问卷。
在分析的10篇文章中，结果突出了对内部一致性以及结构和构想效度的研究重点，而忽略了其他属性。
大多数文章回顾了结构效度和内部一致性。这些测量是令人满意的，但评估不足。有必要使用其他指标，如跨文化效度、测量误差或受保护措施下青少年的反应性，来评估这些工具。
