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Can J Psychiatry. 2017 Mar;62(3):211-222. doi: 10.1177/0706743716670129. Epub 2016 Sep 24.

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.

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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.
3 Department of Psychiatry, Université de Montréal, Montréal, Québec.
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.
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.



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.


DSM-5; Dominic Interactive for Adolescents–Revised; borderline traits; mental disorders; reliability; self-report screen; suicidality; validity

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