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Development and Validation of the Recognizing Addictive Disorders Scale: A Transdiagnostic Measure of
Meagan M Carr1,2, Karen K Saules2, Jennifer D Ellis3
1Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
A new scale, the Recognizing Addictive Disorders (RADs) scale, effectively measures a wide range of addictive behaviors. This tool aids in identifying co-occurring conditions for better treatment planning in addiction services.
Area of Science:
- Psychiatry and Behavioral Science
- Psychometrics
- Clinical Psychology
Background:
- Substance use disorders and behavioral addictions frequently co-occur in clinical populations.
- Existing self-report measures often fail to capture the full spectrum of addictive conditions.
- A validated transdiagnostic measure is needed to assess diverse addictive behaviors.
Purpose of the Study:
- To develop and validate the Recognizing Addictive Disorders (RADs) scale, a brief, transdiagnostic self-report measure.
- To assess the reliability and validity of the RADs scale in a diverse community sample.
- To provide a tool for identifying a range of addictive behaviors in clinical settings.
Main Methods:
- Item generation and evaluation in Study 1.
- Exploratory factor analysis on an online community sample (N=300) in Study 2.
- Confirmatory factor analysis on an independent online community sample (N=427) in Study 3 to validate the factor structure.
Main Results:
- The RADs scale demonstrated good internal consistency (alpha = .92).
- Confirmatory factor analysis supported the scale's factor structure (CFI = .997, TLI = .997, RMSEA = .030).
- The scale showed strong construct validity, correlating highly with a related transdiagnostic addiction measure (r = .72).
Conclusions:
- The findings support the preliminary validity and reliability of the RADs scale as a brief, transdiagnostic measure of addiction.
- The RADs scale can identify diverse addictive behaviors, including non-substance-related issues.
- This measure may enhance treatment planning for individuals with substance use disorders by identifying co-occurring behavioral addictions.
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