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I thank the editors of JMIR Mental Health for the opportunity to respond to the Letter to the Editor [1] critiquing the methodology of the Computerised Online Life events Record (CLEAR) [2] published in this journal. While appreciating the critique, it expands on only one of the validity findings, comparing CLEAR with a life event interview and checklist questionnaire. There are significant points not outlined in the letter [1] and these are addressed here. Without questioning the additional statistical analyses provided by the sensitivity and specificity, the conclusion that this is unacceptable for a “diagnostic tool” is refuted. CLEAR is not a clinical diagnostic tool but owing to its high predictive validity with regard to depression and superiority to the checklist life events test (LTE-Q) [3], it retains value as a method for identifying environmental stressors related to clinical models.

jmir mental health

Author’s Reply to: Comment on “Web-Based Measure of Life Events Using Computerized Life Events and Assessment Record (CLEAR): Preliminary Cross-Sectional Study of Reliability, Validity, and Association With Depression”: Validity and Methodological Issues