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儿童和青少年创伤筛查:儿童焦虑相关情绪障碍筛查中创伤应激障碍量表的效度

Screening for trauma in children and adolescents: the validity of the Traumatic Stress Disorder Scale of the screen for child anxiety related emotional disorders.

作者信息

Muris P, Merckelbach H, Körver P, Meesters C

机构信息

Department of Medical, Clinical, and Experimental Psychology, Maastricht University, The Netherlands.

出版信息

J Clin Child Psychol. 2000 Sep;29(3):406-13. doi: 10.1207/S15374424JCCP2903_11.

Abstract

Examined the validity of the Traumatic Stress Disorder scale of the Screen for Child Anxiety Related Emotional Disorders (SCARED), a recently developed self-report questionnaire measuring Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) defined anxiety disorders symptoms in children. A large sample of normal schoolchildren (N = 996) ages 7 to 19 years completed the SCARED. Children who scored high on the SCARED Traumatic Stress Disorder scale (i.e., trauma group; n = 43) and children who scored low on this scale (i.e., control group; n = 43) were then interviewed about their most aversive life event. In addition, children completed self-report questionnaires of traumatic experiences and posttraumatic stress disorder (PTSD) symptomatology. Results showed that children in the trauma group more frequently reported life events that independent judges considered to be 'potentially traumatic' than did control children. Furthermore, children in the trauma group reported having experienced more traumatic incidents and had higher scores on PTSD-related questionnaires compared with control children. Moreover, trauma group children more frequently fulfilled DSM-IV criteria for PTSD than did control children. The results of this study support the validity of the Traumatic Stress Disorder scale of the SCARED.

摘要

考察了儿童焦虑相关情绪障碍筛查量表(SCARED)中创伤后应激障碍量表的效度,SCARED是最近编制的一份自陈问卷,用于测量《精神疾病诊断与统计手册》(第4版,[DSM-IV];美国精神病学协会,1994)所定义的儿童焦虑症症状。一大样本7至19岁的正常学童(N = 996)完成了SCARED问卷。然后,对在SCARED创伤后应激障碍量表上得分高的儿童(即创伤组;n = 43)和在该量表上得分低的儿童(即对照组;n = 43)进行访谈,询问他们最痛苦的生活事件。此外,儿童还完成了关于创伤经历和创伤后应激障碍(PTSD)症状的自陈问卷。结果显示,与对照组儿童相比,创伤组儿童更频繁地报告被独立评判者认为是“潜在创伤性”的生活事件。此外,与对照组儿童相比,创伤组儿童报告经历了更多创伤事件,且在PTSD相关问卷上得分更高。而且,创伤组儿童比对照组儿童更频繁地符合DSM-IV的PTSD标准。本研究结果支持了SCARED创伤后应激障碍量表的效度。

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