Psychometric Properties of the Preschool Age Psychiatric Assessment (PAPA) in Farsi: Based on DSM-5

ObjectivesThe first onset of many psychiatric disorders usually occurs inchildhood or adolescence. The structured interview of Preschool Age Psychiatric Assessment (PAPA) was developed in response to the need for a standardized and reliable method to assess psychiatric disorders in preschool-age children. This study aimed to translate DSM-5-based PAPA into Farsi and evaluate its face and content validity and reliability.Materials & MethodsThe procedure was a forward translation of PAPA to Farsi, evaluation for face and content validity, finalization of items within the expert panel, backward translation to English, matching the original PAPA with randomly selected items from the backward translation version, and revision as needed, and finally evaluation for the validity of the changes for localization and cultural considerations. The interviews based on the final Farsi version were performed on thirty parents of children from two to five years old (chosen from Tabriz health centers) to determine the reliability and were repeated at an interval of two weeks. ResultsThe mean of CVI=0.91 and Modified Kappa=0.90 were obtained, and reliability with Cronbach’s alpha was 0.89.ConclusionThe Farsi version of the DSM-5-based PAPA diagnostic interview has good face and content validity and reliability

Validity, Reliability and Psychometric Evaluation of Persian Version of Young Internet Addiction Questionnaire For Tabriz University and Tabriz University of Medical Sciences Students

Introduction: The concept of addiction has developed enough to be used outside of areas such as drugs and alcohol and is being generally applied to many other behaviors such as internet use. The aim of this study is to evaluate the validity and reliability of the Persian version of the Young Internet Addiction Questionnaire (YIAQ) in university students in Tabriz. Methods: Initially, YIAQ was translated from English to Persian by someone with expert English skills, and then the Persian version was translated to English by another person. After that, a specialist in the field of psychiatry with acceptable skills in the field of English compared these two versions and suggested needed changes. In this methodological (mixed method) study, the Delphi method was used in the qualitative part and a cross-sectional design was used in the quantitative part. The Persian version was evaluated using the Delphi method by ten specialists in the field of internet use and they mentioned changes needed to evaluate face and content validity. For the evaluation of the Cronbach’s alpha coefficient, 200 students with different majors at Tabriz University were selected randomly and filled out the Persian version of YIAQ. Reliability was confirmed by clinical interview. Results: The reliability of the questionnaire was acceptable for 20 questions with Cronbach’s alpha coefficient of 0.93. The face and content validity were determined by the Delphi method and application of opinions of specialists in the field of internet use. Conclusion: The Persian version of YIAQ is valid and reliable for the evaluation of internet addictio

The Efficacy of Addition of Atomoxetine to Speech Therapy on the Stuttering Severity of Children Aged 4-12 Years; a Double-Blind Controlled Randomized Clinical Trial

  Objectives Stuttering is a common problem at all ages and it is thus required to treat this problem since childhood. Atomoxetine is currently used for the treatment of attention deficit hyperactivity disorder (ADHD) and can also be effective for the treatment of stuttering due to its selective inhibition of norepinephrine reuptake and dopaminergic properties. Therefore, this randomized clinical trial (RCT) aimed to evaluate the effect of Atomoxetine on children’s stuttering. Materials & Methods Children aged 4–12 years, diagnosed with stuttering, who referred to pediatric neurology clinic, were randomly divided into experimental (N=50) and control (N=50) groups. One group received atomoxetine plus speech therapy and the other group only speech therapy. Both groups completed the Stuttering Severity Questionnaire (SSI4) at baseline (on the first visit) and three months after the intervention. Results Most (67%) were boy; 24% aged <60mo,46% 60–95mo,and 30% >95mo. About half (52%) had a positive family history of stuttering. Stuttering severity was highest at ages of 60–95mo, in left–handed children,those who used formula,and those who felt insecure in the family; but was not different based on child’s sex, concomitant ADHD, multilingualism, facial or movement tics, based on sleeping hours, and using teats. Mean stuttering severity reduced in both groups (P<.001) with a greater decrease in the experimental group, compared to the control group (P=.011). Conclusion Atomoxetine,plus speech therapy,is effective for the treatment of children’s stuttering and can be used as a complementary treatment strategy in these patients