Validation of the Arabic version of the brief irritability test (Ar-BITe) in non-clinical adolescents.

Journal: BMC psychiatry

Volume: 23

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  The Tunisian Center of Early Intervention in Psychosis, Department of psychiatry "Ibn Omrane", Razi hospital, Manouba, , Tunisia. School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box , Jounieh, Lebanon. College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates. School of Pharmacy, Lebanese International University, Beirut, Lebanon. Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon. saharobeid@hotmail.com. School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box , Jounieh, Lebanon. souheilhallit@hotmail.com.

Abstract summary 

Despite the substantial clinical relevance of irritability in the development and maintenance of several mental disorders and its negative effects on functioning, no valid and reliable measures are available yet to identify the presence and consequences of irritability as a distinct construct among the Arabic-speaking populations. To bridge this gap, and help advance this field in the under-researched Arab region, we aimed to validate an Arabic-language version of the Brief Irritability Test (BITe).Eligible participants were native Arabic-speaking non-clinical adolescents from Lebanon; 527 participants aged 15.73 ± 1.81 years (56% females) completed the survey.Utilizing the Confirmatory Factor Analysis approach, we found that the five items of the Arabic BITe loaded into a single factor structure. The scale showed excellent reliability, as both Cronbach's alpha and McDonald's omega coefficient values were of 0.88. Multi-group analyses showed invariance across sex groups in our sample at the configural, metric, and scalar levels. Female adolescents exhibited higher BITe scores than their male counterparts (14.01 vs. 13.25), but this difference did not reach the statistical significance. Good concurrent validity was supported based on positive correlations between irritability scores and measures of aggression, anger and hostility (r Pearson's coefficients ranging from 0.35 to 0.42), as well as positive correlations with insomnia symptoms scores.The present findings allow us to conclude that the Arabic version of the BITe is a unidimensional, reliable, valid, brief, and economic self-report measure of the irritability construct for both male and female Arabic-speakers. Providing an Arabic validated version of the BITe will hopefully foster the research efforts of the Arab scientific community in this area, and promote the implementation of timely, evidence-informed and culturally-sensitive mental health interventions that appropriately address irritability-related problems and consequences among Arab young populations.

Authors & Co-authors:  Fekih-Romdhane Feten F Azzi Vanessa V Hallit Rabih R Malaeb Diana D Dabbous Mariam M Sakr Fouad F Obeid Sahar S Hallit Souheil S

Study Outcome 

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Statistics
Citations :  Brotman MA, Kircanski K, Leibenluft E. Irritability in children and adolescents. Ann Rev Clin Psychol. 2017;13:317–41. doi: 10.1146/annurev-clinpsy-032816-044941.
Authors :  8
Identifiers
Doi : 701
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Adolescents;Arabic;BITe;Irritability;Psychometric properties
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England