Archambault Maude, Cyr Chantal, Minnis Helen, Lehmann Stine, Monette Sebastien
Université du Québec à Montréal, Canada.
Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'île-de-Montréal, Quebec, Canada.
Assessment. 2024 Sep 25:10731911241276625. doi: 10.1177/10731911241276625.
Very few empirically validated tools exist for assessing reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED). The RAD and DSED assessment interview (RADA), a semistructured diagnostic interview, was updated in 2018 from the CAPA-RAD interview to reflect the diagnostic criteria changes in the (5th ed.; ). The aim of this study was to validate the RADA on school-age children in Canada. Caregivers of 5 to 12-year-old children from the community ( = 98), in foster care ( = 147), and in residential care ( = 123) completed the RADA interview and a series of questionnaires. Confirmatory factor analysis (CFA) of the RADA interview supported a four-factor structure similar to the symptom clusters. A short "strictly " version of the RADA showed a two-factor structure-RAD and DSED-and an excellent fit to the data. Scales of both structures showed good-to-excellent internal consistency, interrater reliability, convergent validity, and known-group validity. Classifying the children yielded RAD and DSED rates of <1% and 18%, respectively, for children in foster care and 7% and 10%, respectively, for children in residential care. This study supports the validity of the RADA interview for school-age children and is the first to provide RAD and DSED rates for children in residential care.
目前用于评估反应性依恋障碍（RAD）和去抑制性社会参与障碍（DSED）的经过实证验证的工具非常少。RAD和DSED评估访谈（RADA）是一种半结构化诊断访谈，于2018年从CAPA - RAD访谈更新而来，以反映《精神疾病诊断与统计手册》（第5版）中的诊断标准变化。本研究的目的是在加拿大的学龄儿童中验证RADA。来自社区（n = 98）、寄养机构（n = 147）和寄宿机构（n = 123）的5至12岁儿童的照顾者完成了RADA访谈和一系列问卷。对RADA访谈的验证性因素分析（CFA）支持了一种类似于《精神疾病诊断与统计手册》症状群的四因素结构。RADA的一个简短“严格DSM - 5”版本显示出一种双因素结构——RAD和DSED——并且与数据拟合良好。两种结构的量表都显示出良好到优秀的内部一致性、评分者间信度、收敛效度和已知群体效度。对儿童进行分类后发现，寄养儿童中RAD和DSED的发生率分别<1%和18%，寄宿儿童中分别为7%和10%。本研究支持RADA访谈对学龄儿童的有效性，并且是首次提供寄宿儿童中RAD和DSED发生率的数据。
