Evidence map›Paper›PMID 40029924›Full record

ArticlePloS one2025

Evaluating the psychometric properties of the 24-item and 12-item real relationship inventory-client forms.

Alberto Stefana, Paolo Fusar-Poli, Eduard Vieta, Eric A Youngstrom

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alberto StefanaDepartment of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio, United States of America.ORCID https://orcid.org/0000-0002-4807-7184
Paolo Fusar-PoliDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Eduard VietaBipolar and Depressive Disorders Unit, Hospital Clinic, IDIBAPS, CIBERSAM, Institute of Neuroscience, University of Barcelona, Barcelona, Catalonia, Spain.
Eric A YoungstromDepartment of Psychiatry and Behavioral Health, The Ohio State University, Columbus, Ohio, United States of America.ORCID https://orcid.org/0000-0003-2251-6860

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current study assessed the psychometric properties of the long (24 items) and brief (12 items) versions of the Real Relationship Inventory-Client (RRI-C) in a United States sample. The RRI-C is the most used quantitative measure of the real relationship construct, yet its psychometric properties have not been explored outside its development studies. A sample of 700 adults in individual psychotherapy was recruited in the study and filled out a comprehensive battery of measures. Analytical techniques included confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), multigroup CFA, multigroup factor analysis alignment, item response theory, internal reliability assessments, Bland-Altman regression analysis, and calculation of reliable change benchmark thresholds. Both RRI-C versions demonstrated a bifactor structure encompassing Genuineness and Realism dimensions. The bifactor ESEM model provided strong fit: χ2[210] =  482.464, CFI =  0.999, TLI =  0.998, RMSEA =  0.043, SRMR =  0.020 for the 24-item RRI-C; χ2[45] =  111.916, CFI =  0.999, TLI =  0.998, RMSEA =  0.046, SRMR =  0.028 for the 12-item RRI-C. McDonald's omega total was 0.97 and 0.95 respectively. The correlation between the total scores of the two versions was r =  0.98; the average discrepancy was 1.85 points higher for the comprehensive version with a slope of -0.013 (p =  0.12). Both versions showed functionally identical reliability and factor structure when therapy is online vs. in-person. Significant correlations were found between the RRI-C and the Working Alliance Inventory (r =  0.68 and r =  0.67 for the 24-item and 12-item versions, respectively, both p < .001) and the Session Evaluation Scale (r =  0.62 and r =  0.58, respectively, both p <  0.001). This study substantiates the sound psychometric properties of the 24-item and 12-item RRI-C.

Indexed as

PsychometricsAdultFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychotherapyReproducibility of ResultsSurveys and QuestionnairesYoung Adult

Identifiers

PMID40029924
PMCPMC11875345

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.