Sharp, C;
Steinberg, L;
McLaren, V;
Weir, S;
Ha, C;
Fonagy, P;
(2021)
Refinement of the Reflective Function Questionnaire for Youth (RFQY) Scale B using item response theory.
Assessment
10.1177/10731911211003971.
(In press).
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Abstract
We conducted item response theory (IRT) analyses to refine the Reflective Function Questionnaire for Youth (RFQY) Scale B. Data from a non-clinical sample of young people (n = 737; ages 18-25) was used to derive a shortened version of the RFQY. Results were replicated in a clinical sample of inpatient adolescents (n = 467; ages 12-17), resulting in a five-item measure, thereafter named the RFQY-5. The RFQY-5 item set was then scrutinized for construct validity against the original 23-item RFQY item set in a randomly selected sample of 100 inpatient adolescents not included in the IRT replication, and 186 healthy adolescents drawn from the community. Results showed that the RFQY-5 performed similarly as the long version in terms of associations with criterion variables, and outperformed the longer version in discriminating between inpatient and community-dwelling adolescents who differed in their levels of borderline traits. The study provides evidence in support of the use of the RFQY-5 in research and clinical settings.
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