Development of a short and an ultra-brief version of the Saving Inventory-revised (SI-R) for assessing hoarding severity: The SI-R9 and the SI-R3

IF 3.7 2区 医学 Q1 PSYCHIATRY Journal of psychiatric research Pub Date : 2025-02-01 DOI:10.1016/j.jpsychires.2024.12.026
Soroush Sarvestani , Jonathan David , Maja Nedeljkovic , Melissa M. Norberg , Richard Moulding
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Abstract

Hoarding Disorder (HD) is marked by the inability to discard possessions, and often excessive acquiring, which results in cluttered living spaces that substantially disrupt daily life. While the Saving Inventory-Revised (SI-R) serves as a reliable and valid tool for assessing hoarding severity, its length may preclude routine use. We aimed to develop a valid shorter version of the scale using Item Response Theory and Confirmatory Factor Analysis in a non-selected sample of 2890 individuals and a clinical HD sample of 200 participants, which were divided into test and confirmatory samples in a 2:1 ratio. This led to a 9-item SI-R9, containing the original three subscales of discarding, clutter and acquiring; and an ultra-brief 3-item scale, the SI-R3. The original and revised versions demonstrated construct, convergent, and divergent validity. Significant gender differential was noted on some items, particularly those from the full SI-R, but was small in nature. Clinical cut-offs for all three scales showed good sensitivity and specificity. In conclusion, the SI-R3 and SI-R9 were successfully developed from the original scale, we hope that clinicians and researchers will benefit from reduced administration time, improved compliance, and more cost-effectiveness, and this will lead to greater use in clinical and research settings.
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开发用于评估囤积严重程度的储蓄清单修订(SI-R)的简短和超简短版本:SI-R9和SI-R3。
囤积症(HD)的特点是无法丢弃所有物,经常过度获取,导致生活空间混乱,严重扰乱日常生活。虽然储蓄库存修订(SI-R)是评估囤积严重程度的可靠和有效的工具,但它的长度可能会妨碍常规使用。我们的目标是利用项目反应理论和验证性因子分析,在非选择的2890个个体样本和200个临床HD样本中开发有效的更短版本的量表,这些样本以2:1的比例分为测试样本和验证样本。这导致了一个包含9个条目的SI-R9,包含原始的三个子量表:丢弃、杂乱和获取;还有一个超简单的3项量表,SI-R3。原始版本和修订版本证明了结构效度、收敛效度和发散效度。在一些项目上,特别是在完整的SI-R项目上,注意到显著的性别差异,但本质上是很小的。三种量表的临床临界值均表现出良好的敏感性和特异性。总之,SI-R3和SI-R9在最初规模的基础上成功开发,我们希望临床医生和研究人员能够从缩短的给药时间、提高的依从性和更高的成本效益中受益,这将导致在临床和研究环境中的更多使用。
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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