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使用儿童行为量表筛查学龄前儿童创伤后应激障碍

Screening for preschool posttraumatic stress disorder with the Child Behavior Checklist.

作者信息

Dehon Christopher, Scheeringa Michael S

机构信息

University of New Orleans, LA, USA.

出版信息

J Pediatr Psychol. 2006 May;31(4):431-5. doi: 10.1093/jpepsy/jsj006. Epub 2005 Mar 3.

DOI:10.1093/jpepsy/jsj006
PMID:16606629
Abstract

OBJECTIVE

To examine the psychometric properties and utility of a Child Behavior Checklist-Posttraumatic Stress Disorder (CBCL-PTSD) Scale to screen for posttraumatic stress disorder (PTSD) in traumatized preschool children.

METHOD

Data for this study were drawn from a study of young child trauma and consisted of 62 traumatized children, 23 months through 6 years of age. The children's mothers were interviewed about PTSD symptoms and then completed the Child Behavior Checklist (CBCL).

RESULTS

The modified CBCL-PTSD correlated highly with the number of PTSD symptoms from the interview (r = 0.66). The CBCL-PTSD scale predicted PTSD symptoms above and beyond the internalizing and externalizing scales of the CBCL. A cutoff score of nine on this scale possessed the best sensitivity and specificity in classifying those traumatized children who met diagnostic criteria for PTSD.

CONCLUSION

The modified CBCL-PTSD scale could be a useful cost-effective tool to screen for PTSD in traumatized, preschool-age children.

摘要

目的

检验儿童行为清单-创伤后应激障碍(CBCL-PTSD)量表的心理测量特性及效用,以筛查受创伤学龄前儿童的创伤后应激障碍(PTSD)。

方法

本研究数据取自一项关于幼儿创伤的研究,包括62名年龄在23个月至6岁之间的受创伤儿童。研究人员就PTSD症状对儿童的母亲进行了访谈,随后母亲们完成了儿童行为清单(CBCL)。

结果

改良后的CBCL-PTSD与访谈中PTSD症状的数量高度相关(r = 0.66)。CBCL-PTSD量表在预测PTSD症状方面,超出了CBCL的内化和外化量表。该量表的临界值为9时,在对符合PTSD诊断标准的受创伤儿童进行分类时,具有最佳的敏感性和特异性。

结论

改良后的CBCL-PTSD量表可能是一种有用且经济高效的工具,用于筛查受创伤的学龄前儿童的PTSD。

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