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

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

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

Suggested Citation

  • Alberto Stefana & Paolo Fusar-Poli & Eduard Vieta & Eric A Youngstrom, 2025. "Evaluating the psychometric properties of the 24-item and 12-item real relationship inventory-client forms," PLOS ONE, Public Library of Science, vol. 20(3), pages 1-24, March.
    • Handle: RePEc:plo:pone00:0311411
    DOI: 10.1371/journal.pone.0311411
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