Develops and validates a new assessment tool for reactive aggression in children, indicating improved diagnosis precision.
Objective Severe behavioral outbursts characterized by reactive aggression (RA) are common and highly impairing for young children and their families. A growing body of research suggests RA may characterize a distinct group of youth with behavior problems; however, there is a lack of validated, RA-specific assessment tools for children. The current work presents psychometric evidence for a novel screening tool and outcome measure: the 16-item Reactive Aggression Assessment (RAGA-16).Method A nationally representative US sample (N = 1,162) of parents with children ages 5 to 19 (M = 11.4; SD = 3.98) completed an as-yet unpublished assessment of mood and behavior problems. Using this item pool, we employed two distinct test development approaches, Data-Informed vs. Automated Test Assembly (ATA), and compared the resulting scales based on multiple facets of reliability and associations with parent-reported health information.Results Both the Data-Informed and ATA-derived forms showed high reliability (rxx > .80) across a wide range of symptom severity and excellent internal consistency despite containing largely different items. The Data-Informed version showed descriptively higher detection of parent-report externalizing disorders (AUC = .76 vs. .73). Percentile and T-Score norms for scores on the Data Informed form are reported.Conclusions The Data-Informed version was selected as the final version of the RAGA-16. Having a brief, highly reliable, targeted assessment of RA with epidemiological norms allows researchers and clinicians to better characterize RA behaviors in youth. Forthcoming work will validate the RAGA-16 as a screening tool in clinical settings.
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Langfus et al. (2026) studied this question.
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