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Published in: BMC Psychiatry 1/2022

Open Access 01-12-2022 | Panic Disorder | Research article

French adaptation and validation of the Panic Disorder Severity Scale—self-report

Authors: Pasquale Roberge, Patricia Marx, Jonathan Couture, Nathalie Carrier, Annie Benoît, Martin D. Provencher, Martin M. Antony, Peter J. Norton

Published in: BMC Psychiatry | Issue 1/2022

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Abstract

Background

The aims of this study were to conduct a cross-cultural validation of the Panic Disorder Severity Scale – Self-Report (PDSS-SR) and to examine psychometric properties of the French-Canadian version.

Methods

A sample of 256 adults were included in the validation study based on data from the baseline interview of a clinical trial on transdiagnostic cognitive-behavioral therapy for mixed anxiety disorders. Participants completed the Anxiety and Related Disorders Interview Schedule (ADIS-5), and self-report instruments including the PDSS-SR, Beck Anxiety Inventory (BAI), Mobility Inventory for Agoraphobia (MIA), Sheehan Disability Scale (SDS), Patient Health Questionnaire (PHQ-9), Social Phobia Inventory (SPIN), Insomnia Severity Index (ISI) and Penn State Worry Questionnaire (PSWQ). The cross-cultural adaptation in French of the PDSS-SR included a rigorous back-translation process, with an expert committee review. Sensitivity to change was also examined with a subgroup of patients (n = 72) enrolled in the trial.

Results

The French version of the PDSS-SR demonstrated good psychometric properties. The exploratory factor analysis supported a one factor structure with an eigenvalue > 1 that explained 64.9% of the total variability. The confirmatory factor analysis (CFA) corroborated a one-factor model with a good model fit. Internal consistency analysis showed a .91 Cronbach’s alpha. The convergent validity was adequate with the ADIS-5 clinical severity ratings for panic disorder (r = .56) and agoraphobia (r = .39), as well as for self-report instruments [BAI (r = .63), MIA (accompanied: r = .50; alone: r = .47) and SDS (r = .37)]. With respect to discriminant validity, lower correlations were found with the SPIN (r = .17), PSWQ (r = .11), ISI (r = .19) and PHQ-9 (r = .28). The optimal threshold for probable diagnosis was 9 for the PDSS-SR and 4 for the very brief 2-item version. The French version showed good sensitivity to change.

Conclusions

The French version of the PDSS-SR has psychometric properties consistent with the original version and constitutes a valid brief scale to assess the severity of panic disorder and change in severity over time, both in research and clinical practice.
Appendix
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Footnotes
1
The version of the PDSS-SR used by Wuyek et al. [5] included only five items because of a clerical error (personal communication, Martin M. Antony). The correct version of the PDSS-SR includes seven items.
 
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Metadata
Title
French adaptation and validation of the Panic Disorder Severity Scale—self-report
Authors
Pasquale Roberge
Patricia Marx
Jonathan Couture
Nathalie Carrier
Annie Benoît
Martin D. Provencher
Martin M. Antony
Peter J. Norton
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2022
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-022-03989-x

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