Adapting the early recognition inventory ERIraos to Estonian: A validation study

IF 2.2 4区医学 Q3 PSYCHIATRY Early Intervention in Psychiatry Pub Date : 2024-02-22 DOI:10.1111/eip.13519

Kairit Sirts, Kätlin Anni, Roman Balõtšev, Siim Jakobsoo, Kirti-Ly Jaanson, Liina Haring

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Abstract

Aim

Validated assessment tools are needed to identify clinically high risk for psychosis. This study aimed to validate the early recognition inventory ERIraos, which consists of the ERIraos Checklist for risk screening and the ERIraos Symptom List for a more thorough risk assessment in the Estonian language to detect psychotic prodromal symptoms.

Methods

A prospective cohort study provided an opportunity to evaluate the characteristics of the ERIraos instrument in predicting the increased risk of a psychotic disorder in the future. The 177 study participants, aged 13–42 years old, were divided into groups without an increased risk and three risk groups with different risk severity levels based on the ERIraos Symptom List assessment.

Results

The results indicated excellent inter-rater reliability for the ERIraos Symptom List total score. The ability of the ERIraos checklist to screen persons with an elevated psychosis risk was very good (ROC-AUC = 0.86). The capability of the ERIraos Symptom List scores to predict the probability of transitioning to psychosis within 2 years was very good (ROC-AUC = 0.83). Brief limited intermittent psychotic symptoms and observable behavioural and affective symptoms were statistically significant predictors of transition to psychosis. There were strong and statistically significant correlations between the ERIraos Symptom List scores and other clinical measures assessing functioning and psychopathology.

Conclusions

The results of this study demonstrate the reliability and validity of the Estonian version of the ERIraos instrument and support the usability of ERIraos as a two-step tool for the early recognition of psychosis risk.

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将早期识别量表 ERIraos 改编为爱沙尼亚语：验证研究。

目的：需要经过验证的评估工具来识别精神病的临床高风险。ERIraos包括用于风险筛查的ERIraos清单和用于更全面风险评估的ERIraos症状清单：一项前瞻性队列研究为评估 ERIraos 工具在预测未来精神病性障碍风险增加方面的特点提供了机会。根据ERIraos症状清单评估结果，177名年龄在13-42岁之间的研究参与者被分为无风险组和三个风险严重程度不同的风险组：结果表明，ERIraos 症状清单总分的评分者间可靠性极佳。ERIraos检查表筛查精神病风险升高者的能力非常好（ROC-AUC = 0.86）。ERIraos症状清单得分预测2年内转为精神病的概率的能力非常好（ROC-AUC = 0.83）。短暂的局限性间歇性精神病性症状以及可观察到的行为和情感症状在统计学上对向精神病转变有显著的预测作用。ERIraos症状列表得分与其他评估功能和精神病理学的临床测量结果之间存在很强的统计学意义上的相关性：本研究结果证明了爱沙尼亚版 ERIraos 工具的可靠性和有效性，并支持 ERIraos 作为早期识别精神病风险的两步工具的可用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.