Validation of the Arabic Version of Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA)

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Published Dec 27, 2025
https://doi.org/10.62438/tunismed.v103i10.5710
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Vol. 103 No. 10 (2025): Tunis Med Oct 2025

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Khouloud Akrimi
Psychiatry Department E, Razi Hospital,1068, Manouba, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Sana Ellini
Psychiatry Department E, Razi Hospital,1068, Manouba, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Mejda Cheour
Psychiatry Department E, Razi Hospital,1068, Manouba, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Rahma Damak
Psychiatry Department E, Razi Hospital,1068, Manouba, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia

Abstract

Introduction: Cognitive disorders can be early and persistent symptoms of bipolar disorder, even in the euthymic phase. These impairments significantly affect patients' quality of life. Early detection and regular follow-up are therefore crucial to effective, comprehensive management. To achieve this, it is essential to have validated tools adapted to the patient's language, guaranteeing accurate and reliable assessment. To facilitate this task, we chose to translate and validate the Arabic version of the COBRA scale.


Aim: The main objective of this study was to translate and validate the Arabic version of the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA) scale. Specifically, we aimed to evaluate the psychometric properties, including reliability, validity, and feasibility of the Arabic version of the COBRA in a sample of Arabic-speaking individuals with bipolar disorder and healthy controls.


Methods : This is a psychometric validation study of the Arabic version of the COBRA, obtained by a back-translation method of the original version, conducted on a sample of 161 participants, including 71 patients diagnosed with bipolar disorder and followed at Razi Hospital and 90 subjects with no personal or family psychiatric history, as assessed by the MINI International Neuropsychiatric Interview. The validity study was based on face and content validity, reliability, discriminative validity, construct validity and feasibility.


Results : The Arabic version of the COBRA demonstrated satisfying psychometric properties with excellent internal consistency (Cronbach's alpha=0.86) .....(abstract truncated at 250 words).

Keywords:

Bipolar disorder , Translation , Questionnaire , Arabic , Cognitive complaints

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