Gerdner Arne, Allgulander Christer
Department of Social Work, Mid Sweden University, Ostersund, Sweden.
Nord J Psychiatry. 2009;63(2):160-70. doi: 10.1080/08039480802514366.
Childhood maltreatment is delicate to assess both in clinical work and in research. There is a need for assessment tools that can be easily administered in an ethical and non-intrusive way that meets requirements of conceptual validity for various types of maltreatment and is sensitive to levels of severity. This study explores the psychometric properties of the Swedish translation of one such tool-the Childhood Trauma Questionnaire-Short Form (CTQ-SF; Bernstein and Fink, 1998). The CTQ-SF was administered to seven samples (total n=659)-five clinical samples and two non-clinical student samples. The factor structure supports the construct validity of the global maltreatment scale, four of the five maltreatment subscales (emotional abuse, physical abuse, sexual abuse and emotional neglect) and the minimization/denial (MD) scale, but not the physical neglect (PN) subscale. All items are highly correlated with their respective subscale. The discriminant validity is satisfactory. Highly significant correlation with social desirability gives further support for the MD-scale and to the recommendation of how to apply it. Internal consistency of PN is acceptable and for all other scales satisfactory. Swedish norm groups tend to score lower than similar American norm groups on abuse scales but higher on the neglect scales. Percentiles for seven gender-specific norm groups are presented. The weaknesses of the PN-scale are discussed and new constructs are proposed. The Swedish version of the CTQ-SF has the same construct validity and internal consistency as the original, including less homogeneity of the PN scale.
童年期受虐在临床工作和研究中都很难评估。需要有评估工具，能够以符合道德且无侵扰的方式轻松实施，满足各类虐待的概念效度要求，并对严重程度敏感。本研究探讨了一种此类工具——儿童创伤问卷简表（CTQ-SF；伯恩斯坦和芬克，1998年）瑞典语翻译版的心理测量特性。CTQ-SF被施用于七个样本（总计n = 659）——五个临床样本和两个非临床学生样本。因素结构支持总体虐待量表、五个虐待子量表中的四个（情感虐待、身体虐待、性虐待和情感忽视）以及最小化/否认（MD）量表的结构效度，但不支持身体忽视（PN）子量表。所有项目与其各自的子量表高度相关。区分效度令人满意。与社会期望的高度显著相关性进一步支持了MD量表以及关于如何应用它的建议。PN的内部一致性可接受，其他所有量表的内部一致性令人满意。瑞典常模组在虐待量表上的得分往往低于类似的美国常模组，但在忽视量表上得分更高。给出了七个特定性别的常模组的百分位数。讨论了PN量表的弱点并提出了新的构想。CTQ-SF的瑞典语版本与原版具有相同的结构效度和内部一致性，包括PN量表的同质性较低。
