title: Reliability, Validity, and Clinical Utility of the Dominic Interactive for Adolescents-RevisedA DSM-5-Based Self-Report Screen for Mental Disorders, Borderline Personality Traits, and Suicidality.
abstract: The Dominic Interactive for Adolescents-Revised (DIA-R) is a multimedia self-report screen for 9 mental disorders, borderline personality traits, and suicidality defined by the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5). This study aimed to examine the reliability and the validity of this instrument.
  
  
  
  French- and English-speaking adolescents aged 12 to 15 years ( N = 447) were recruited from schools and clinical settings in Montreal and were evaluated twice. The internal consistency was estimated by Cronbach alpha coefficients and the test-retest reliability by intraclass correlation coefficients. Cutoff points on the DIA-R scales were determined by using clinically relevant measures for defining external validation criteria: the Schedule for Affective Disorders and Schizophrenia for School-Aged Children, the Beck Hopelessness Scale, and the Abbreviated-Diagnostic Interview for Borderlines. Receiver operating characteristic (ROC) analyses provided accuracy estimates (area under the ROC curve, sensitivity, specificity, likelihood ratio) to evaluate the ability of the DIA-R scales to predict external criteria.
  
  
  
  For most of the DIA-R scales, reliability coefficients were excellent or moderate. High or moderate accuracy estimates from ROC analyses demonstrated the ability of the DIA-R thresholds to predict psychopathological conditions. These thresholds were generally capable to discriminate between clinical and school subsamples. However, the validity of the obsessions/compulsions scale was too low.
  
  
  
  Findings clearly support the reliability and the validity of the DIA-R. This instrument may be useful to assess a wide range of adolescents' mental health problems in the continuum of services. This conclusion applies to all scales, except the obsessions/compulsions one.
authors.affiliation: 1 Research Centre, CIUSSS du Nord-de-l'Île-de-Montréal, Rivière-des-Prairies Hospital, Montréal, Québec.|2 Department of Psychology, Université de Montréal, Montréal, Québec.
authors.forename: Lise
authors.initials: L
authors.lastname: Bergeron
authors.affiliation: 1 Research Centre, CIUSSS du Nord-de-l'Île-de-Montréal, Rivière-des-Prairies Hospital, Montréal, Québec.|3 Department of Psychiatry, Université de Montréal, Montréal, Québec.
authors.forename: Nicole
authors.initials: N
authors.lastname: Smolla
authors.affiliation: 1 Research Centre, CIUSSS du Nord-de-l'Île-de-Montréal, Rivière-des-Prairies Hospital, Montréal, Québec.
authors.forename: Claude
authors.initials: C
authors.lastname: Berthiaume
authors.affiliation: 4 CIUSSS de l'Ouest-de-l'Île-de-Montréal, Douglas Mental Health University Institute, Montréal, Québec.|5 Department of Psychiatry, McGill University, Montréal, Québec.
authors.forename: Johanne
authors.initials: J
authors.lastname: Renaud
authors.affiliation: 1 Research Centre, CIUSSS du Nord-de-l'Île-de-Montréal, Rivière-des-Prairies Hospital, Montréal, Québec.|3 Department of Psychiatry, Université de Montréal, Montréal, Québec.
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Breton
authors.affiliation: 1 Research Centre, CIUSSS du Nord-de-l'Île-de-Montréal, Rivière-des-Prairies Hospital, Montréal, Québec.
authors.forename: Marie
authors.initials: M
authors.lastname: St-Georges
authors.affiliation: 1 Research Centre, CIUSSS du Nord-de-l'Île-de-Montréal, Rivière-des-Prairies Hospital, Montréal, Québec.
authors.forename: Pauline
authors.initials: P
authors.lastname: Morin
authors.affiliation: 2 Department of Psychology, Université de Montréal, Montréal, Québec.
authors.forename: Elissa
authors.initials: E
authors.lastname: Zavaglia
authors.affiliation: 1 Research Centre, CIUSSS du Nord-de-l'Île-de-Montréal, Rivière-des-Prairies Hospital, Montréal, Québec.|6 Research Centre, CIUSSS de l'Est-de-l'Île-de-Montréal, Montréal, Québec.|7 Department of Psychology, Université du Québec à Montréal, Montréal, Québec.
authors.forename: Réal
authors.initials: R
authors.lastname: Labelle
mesh_terms: D000293:Adolescent; D001883:Borderline Personality Disorder / Q000175:diagnosis; D002648:Child; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D015203:Reproducibility of Results; D057566:Self Report / Q000592:standards*; D013405:Suicide; D014584:User-Computer Interface
keywords: DSM-5; Dominic Interactive for Adolescents–Revised; borderline traits; mental disorders; reliability; self-report screen; suicidality; validity