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幼儿创伤症状检查表(TSCYC):多中心研究中的信度及其与虐待经历的关联

The Trauma Symptom Checklist for Young Children (TSCYC): reliability and association with abuse exposure in a multi-site study.

作者信息

Briere J, Johnson K, Bissada A, Damon L, Crouch J, Gil E, Hanson R, Ernst V

机构信息

Department of Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles 90033, USA.

出版信息

Child Abuse Negl. 2001 Aug;25(8):1001-14. doi: 10.1016/s0145-2134(01)00253-8.

DOI:10.1016/s0145-2134(01)00253-8
PMID:11601594
Abstract

OBJECTIVE

The Trauma Symptom Checklist for Young Children (TSCYC) is a 90-item caretaker-report measure of children's trauma- and abuse-related symptomatology. It contains two reporter validity scales and eight clinical scales [Post-traumatic Stress-Intrusion (PTS-I), Post-traumatic Stress-Avoidance (PTS-AV), Post-traumatic Stress-Arousal (PTS-AR), Post-traumatic Stress-Total (PTS-TOT), Sexual Concerns (SC), Dissociation (DIS), Anxiety (ANX), Depression (DEP), and Anger/Aggression (ANG)], as well as an item assessing hours per week of caretaker contact with the child. This paper introduces the TSCYC and describes its psychometric properties in a multisite validity study.

METHOD

A total of 219 TSCYCs administered by six clinician/researchers across the United States were analyzed for scale reliability and association with several types of childhood maltreatment.

RESULTS

The TSCYC clinical scales have good reliability and are associated with exposure to childhood sexual abuse, physical abuse, and witnessing domestic violence. The PTS-I, PTS-AV, PTS-AR, and PTS-TOT scales were most predictive, followed by SC in the case of sexual abuse and DIS in the case of physical abuse. There were a small number of age, sex, and race effects on TSCYC scores.

CONCLUSIONS

The TSCYC appears to have reasonable psychometric characteristics, and correlates as expected with various types of trauma exposure. Subject to continued validation and the development of general population norms, its use as a clinical measure is supported.

摘要

目的

《幼儿创伤症状检查表》(TSCYC)是一项由照料者报告的、包含90个条目的测量儿童创伤及虐待相关症状的工具。它包含两个报告者效度量表和八个临床量表[创伤后应激-侵入(PTS-I)、创伤后应激-回避(PTS-AV)、创伤后应激-唤醒(PTS-AR)、创伤后应激-总分(PTS-TOT)、性方面的担忧(SC)、解离(DIS)、焦虑(ANX)、抑郁(DEP)以及愤怒/攻击(ANG)],还有一个评估照料者每周与孩子接触时长的条目。本文介绍了TSCYC,并在一项多地点效度研究中描述了其心理测量特性。

方法

分析了由美国六位临床医生/研究人员管理的总共219份TSCYC,以评估量表的信度以及与几种儿童期虐待类型的相关性。

结果

TSCYC临床量表具有良好的信度,并且与儿童期性虐待、身体虐待以及目睹家庭暴力有关。PTS-I、PTS-AV、PTS-AR和PTS-TOT量表的预测性最强,在性虐待情况下其次是SC量表,在身体虐待情况下其次是DIS量表。TSCYC得分存在少量年龄、性别和种族效应。

结论

TSCYC似乎具有合理的心理测量特征,并且与各种类型的创伤暴露如预期的那样相关。在持续验证以及制定一般人群常模的前提下,支持将其用作临床测量工具。

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