Holistic assessment of anger in adolescents - Development of a rating scale

Background: Anger related issues in adolescents are an important contributor to adolescent mortality and many negative developmental outcomes. Anger being the most primitive defence mechanism, determining its maladaptive nature is a complex phenomenon. Further, it lacks clarity in terms of its definition, demarcation from aggression and hostility, and also its assessment. Available anger rating scales do not represent anger adequately or comprehensively. The concept of anger is dealt with exhaustively in Indian classical texts. According to these texts, anger is an evil virtue that is born out of Rajasic nature and leads to momentary loss of cognitive functional abilities. Manifestation of anger occurs at behavioural (kayika), verbal (vachika) and mental (manasika) levels. Based on these principles, a psychometric scale is developed for assessment of anger in adolescents. Objective: The objective of this study was to develop a psychometric scale for assessment of anger in adolescents based on behavioural (kayika), verbal (vachika) and mental (manasika) levels. Materials & methods: Item generation was done referring to the existing scales, texts on spirituality and psychology. It also included discussions with children, teachers and parents. Item reduction was carried out using expert opinion, focused group discussion and factor analysis. Testretest reliability was checked with 127 children (63 girls and 64 boys). The final scale was administered to 757 children (427 girls and 330 boys) to ascertain reliability co-efficient values. Results: Co-efficient of Alpha value for final scale recorded 0.804. Test-retest reliability showed .835 correlation. Conclusion: Anger can be assessed holistically using Trikarana (kayika, vachika and manasika) concept as dealt in almost all Indian classical texts. A 23-item adolescent anger scale is a comprehensive tool to assess behavioural, verbal and mental anger in adolescents. (c) 2017 Transdisciplinary University, Bangalore and World Ayurveda Foundation. Publishing Services by Elsevier B.V.