Walsh Christine A, MacMillan Harriet L, Trocmé Nico, Jamieson Ellen, Boyle Michael H
Faculty of Social Work, Professional Faculties Building, 2500 University Drive N.W., Calgary, Alberta, Canada.
Child Abuse Negl. 2008 Nov;32(11):1037-57. doi: 10.1016/j.chiabu.2008.05.003. Epub 2008 Nov 6.
This study presents evaluative data on the Childhood Experiences of Violence Questionnaire (CEVQ), a brief, self-report measure of youth victimization.
Literature reviews, expert consultations and qualitative interviews informed the development of the CEVQ. Test-retest reliability of the preliminary and final versions of the CEVQ was examined. Child welfare workers (n=11) assessed content validity. Construct validity was assessed by comparing levels of emotional and behavioral problems of youth with self-reports (n=177) of victimization. Criterion validity was tested by comparing clinicians' judgment of child physical abuse (PA) and child sexual abuse (SA) with youths' self-reports (n=93).
In general, test-retest intra-class correlations (ICCs) for the preliminary version of the questionnaire were good to excellent. Reliability estimates for the stem questions in the final version of the CEVQ were excellent, except for peer violence items which showed fair to good agreement. ICCs for PA, severe PA, SA, and severe SA of the CEVQ were .85, .77, .92, and .87, respectively. Youth with self-reported victimization had significantly higher scores for most categories of emotional and behavioral disorders. Experts classified victimization items as relevant. Kappa coefficients comparing clinician's judgments and youth's self-reports for PA, severe PA, SA, and severe SA were .67, .64, .70, and .50, respectively.
The present findings provide preliminary evidence that the CEVQ is a brief, reliable, valid and informative instrument for assessing exposure to victimization and maltreatment among youth.
Although this instrument is not appropriate for clinical use at this time, its psychometric properties will make it useful in conducting further epidemiological research and studies evaluating interventions aimed at reducing victimization.
本研究呈现了关于暴力童年经历问卷(CEVQ)的评估数据,这是一种用于测量青少年受侵害情况的简短自评工具。
文献综述、专家咨询和定性访谈为CEVQ的编制提供了依据。对CEVQ初稿和终稿进行了重测信度检验。11名儿童福利工作者评估了内容效度。通过比较青少年受侵害情况的自我报告(n = 177)与情绪和行为问题水平来评估结构效度。通过比较临床医生对儿童身体虐待(PA)和儿童性虐待(SA)的判断与青少年的自我报告(n = 93)来检验效标效度。
总体而言,问卷初稿的重测组内相关系数(ICC)良好至优秀。CEVQ终稿中主干问题的信度估计极佳,但同伴暴力项目的一致性为中等至良好。CEVQ中PA、严重PA、SA和严重SA的ICC分别为0.85、0.77、0.92和0.87。自我报告受侵害的青少年在大多数情绪和行为障碍类别上得分显著更高。专家将受侵害项目归类为相关。比较临床医生判断与青少年自我报告的PA、严重PA、SA和严重SA的kappa系数分别为0.67、0.64、0.70和0.50。
目前的研究结果提供了初步证据,表明CEVQ是一种简短、可靠、有效且信息丰富的工具,可用于评估青少年遭受侵害和虐待的情况。
尽管该工具目前不适用于临床,但它的心理测量特性将使其在开展进一步的流行病学研究以及评估旨在减少侵害行为的干预措施的研究中发挥作用。