Stefana Alberto, Fusar-Poli Paolo, Vieta Eduard, Gelso Charles J, Youngstrom Eric A
Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
OASIS Service, South London and Maudsley NHS Foundation Trust, London, UK.
Psychother Res. 2025 Mar;35(3):395-411. doi: 10.1080/10503307.2024.2320331. Epub 2024 Mar 18.
To develop and validate a very brief version of the 24-item Real Relationship Inventory-Client (RRI-C) form.
Two independent samples of individual psychotherapy patients (= 700, = 434) completed the RRI-C along with other measures. Psychometric scale shortening involved exploratory factor analysis, item response theory analysis, confirmatory factor analysis (CFA), and multigroup CFA. Reliability and convergent and discriminant validity of the scale and subscales were also assessed.
The 8-item RRI-C (RRI-C-SF) preserves the two-factor structure: Genuineness (= 4, = .86) and Realism (= 4, = .87), which were correlated at = .74. CFA provided the following fit indices for the bifactor model: /= 2.16, CFI = .99, TLI = .96, RMSEA = .07, and SRMR = .03. Multigroup CFA showed that the RRI-C-SF was invariant across in-person and remote session formats. The RRI-C-SF demonstrated high reliability (= .91); high correlation with the full-length scale (= .96); and excellent convergent and discriminant validity with measures of other elements of the therapeutic relationship, personality characteristics, current mental health state, and demographic-clinical variables. Clinical change benchmarks were calculated to serve as valuable tools for both research and clinical practice.
The RRI-C-SF is a reliable measure that can be used for both research and clinical purposes. It enables a nuanced assessment of the genuineness and the realism dimensions of the real relationship.
开发并验证24项《真实关系量表 - 来访者版》(RRI - C)的一个非常简短的版本。
两个独立的个体心理治疗患者样本(n = 700,n = 434)完成了RRI - C以及其他测量。心理测量量表的缩短涉及探索性因素分析、项目反应理论分析、验证性因素分析(CFA)和多组CFA。还评估了量表及其子量表的信度、聚合效度和区分效度。
8项RRI - C(RRI - C - SF)保留了双因素结构:真诚性(n = 4,α = 0.86)和现实性(n = 4,α = 0.87),二者的相关系数为r = 0.74。CFA为双因素模型提供了以下拟合指标:χ²/df = 2.16,CFI = 0.99,TLI = 0.96,RMSEA = 0.07,SRMR = 0.03。多组CFA表明,RRI - C - SF在面对面和远程治疗形式中具有不变性。RRI - C - SF表现出高信度(α = 0.91);与全长量表高度相关(r = 0.96);并且与治疗关系的其他要素、人格特征、当前心理健康状态以及人口统计学 - 临床变量的测量具有出色的聚合效度和区分效度。计算了临床变化基准,以作为研究和临床实践的有价值工具。
RRI - C - SF是一种可靠的测量工具,可用于研究和临床目的。它能够对真实关系的真诚性和现实性维度进行细致入微的评估。