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June 18, 2026Journal of Child and Adolescent Psychopharmacology

Validation of the Temper Outbursts/Irritability-2: A Two-Item Screener for Temper Outbursts and Irritability in Youth

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Authors

DWDaniel A. WaschbuschDBDara E. BabinskiESErika F.H. Saunders

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Overview

Randomized trial evaluates the TOI-2 screener for irritability in youth, suggesting it enhances clinical assessment accuracy.

Key Points

  • This study aims to validate the TOI-2 screener for measuring irritability and temper outbursts in youth.
  • Evaluated TOI-2 screener in 11 youth referred to an outpatient child psychiatry clinic.
  • Used criterion measures for convergent and discriminant validity, including ODD and CD symptoms.
  • Screening accuracy assessed via receiver operating characteristic (ROC) analysis.
  • ROC analysis showed excellent classification accuracy, area under the curve = 0.91.
  • Cut scores of ≥2.5 and ≥3.0 optimized performance, with Youden's J = 0.66.
  • Youth with positive screens displayed greater symptom severity and poorer adjustment across clinical domains.

Cite This Study

Waschbusch et al. (2026) studied this question.

synapsesocial.com/papers/6a338c9b630953a74978de02https://doi.org/10.1177/10445463261459346
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Psychometric properties of the Irritability and Dysregulation of Emotion Scale (TIDES-13) and Emotional Outburst Inventory (EMO-I) in a transdiagnostic sample of Turkish youth2026
  2. 2Diagnostic- and age-based measurement invariance of irritability in youths2026
  3. 3The Affective Reactivity Index in Australian children: Psychometric properties and measurement invariance across clinical and community samples.2026
  4. 4Development and Psychometric Evaluation of the Adolescent and Young Adults Trait-State Irritability Reactivity and Regulation Inventory (IRRIT-IJ)2026
  5. 5Irritability in children: Promising advances in measurement and treatment2024