{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T02:04:53Z","timestamp":1776132293497,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The term \u2018At Risk Mental State\u2019 (ARMS) has been used since the mid\u20101990s to describe a state prospectively in which a young person has a heightened risk of developing a psychotic disorder. Comprehensive Assessment of At\u2010Risk Mental State (CAARMS) is an interview schedule that can be utilised to assess ARMS reliably and accurately. The present multistage study envisioned translating and adapting CAARMS into Urdu and establishing its psychometric properties so that it can effectively serve the purpose of recognising and treating the prodromal phase of first\u2010episode psychosis for the Urdu\u2010speaking population, especially in Pakistan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The translation was done by employing seven steps outlined by Sousa and Rojjanasrirat (2011). The translated and adapted tool was administered on a sample of <jats:italic>n<\/jats:italic>\u2009=\u200987 (first episode psychosis [FEP]\u2009=\u200930 UHR\u2009+\u2009[ARMS]\u2009=\u200927; UHR\u2009\u2013\u2009[normal]\u2009=\u200930) which was obtained from psychiatry departments of different hospitals and the community. Inter\u2010rater reliability and concurrent validity were established by running Pearson Correlation, while construct validity was established by employing the Kruskal\u2013Wallis <jats:italic>H<\/jats:italic> test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results showed that the CAARMS\u2010Urdu had a content validity index (I\u2010CVI) of 1; inter\u2010rater reliability of 0.99; Cronbach's alpha coefficient of 0.97; and good construct and concurrent validity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The CAARMS\u2010U displayed excellent reliability and validity. In the future, CAARMS\u2010U could be used to assess early psychosis and the efficient diagnosis of ARMS individuals in Urdu\u2010speaking communities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.70029","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T06:29:16Z","timestamp":1742279356000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Translation and Adaptation of the Comprehensive Assessment of At\u2010Risk Mental State (<scp>CAARMS<\/scp>) in Urdu and Establishing Its Psychometric Properties"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3713-7844","authenticated-orcid":false,"given":"Sana","family":"Jaffar","sequence":"first","affiliation":[{"name":"Centre for Clinical Psychology University of the Punjab  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabia","family":"Dasti","sequence":"additional","affiliation":[{"name":"Centre for Clinical Psychology University of the Punjab  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nazish","family":"Habib","sequence":"additional","affiliation":[{"name":"Punjab Institute of Mental Health  Lahore Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Linguistic Validation Manual for Health Outcome Assessments","author":"Acquadro C.","year":"2012"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2007.10.001"},{"key":"e_1_2_8_4_1","unstructured":"Akhtar S.2008.\u201cSchizophrenia in Pakistan. 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