儿童创伤后应激反应指数法语版的验证：法语区学龄儿童的心理测量特性
Validation of the French version of the Child Post-Traumatic Stress Reaction Index: psychometric properties in French speaking school-aged children.
作者信息
Olliac Bertrand, Birmes Philippe, Bui Eric, Allenou Charlotte, Brunet Alain, Claudet Isabelle, Sales de Gauzy Jérôme, Grandjean Hélène, Raynaud Jean-Philippe
机构信息
Institut National de la Santé et de la Recherche Médicale Unité Mixte de Recherche 1094, Tropical Neuroepidemiology, Limoges, France; Univ Limoges, School of Medicine, Institute of Neuroepidemiology and Tropical Neurology, Centre National de la Recherche Scientifique FR 3503 GEIST, Limoges, France; Institut National de la Santé et de la Recherche Médicale Unité Mixte de Recherche 1027, Université Paul Sabatier, Toulouse, France; Pôle Hospitalo-Universitaire de Psychiatrie de l'enfant et de l'adolescent, Centre Hospitalier Esquirol, Limoges, France.
Université de Toulouse, Université Paul Sabatier, Laboratoire du Stress Traumatique (LST - EA 4560) Centre Hospitalier Universitaire de Toulouse, Hôpital Casselardit, Toulouse, France.
出版信息
PLoS One. 2014 Dec 2;9(12):e112603. doi: 10.1371/journal.pone.0112603. eCollection 2014.
BACKGROUND
Although the reliable and valid Child Post-Traumatic Stress Reaction Index (CPTS-RI) is a widely used measure of posttraumatic stress disorder (PTSD) symptoms in children, it has not been validated in French-speaking populations. The present study aims to assess the psychometric properties of the CPTS-RI in three samples of French-speaking school-children.
METHODS
Data was obtained from three samples. Sample 1 was composed of 106 children (mean (SD) age = 11.7(0.7), 50% females) victims of an industrial disaster. Sample 2 was composed of 50 children (mean (SD) age = 10.8(2.6), 44% females) who had received an orthopaedic surgical procedure after an accident. Sample 3 was composed of 106 children (mean (SD) age = 11.7(2.2), 44% females) admitted to an emergency department after a road traffic accident. We tested internal consistency using Cronbach's alpha. We examined test-retest reliability using intraclass correlation coefficient. In order to assess the convergent validity of the French version of the CPTS-RI and the Clinician Administered PTS Scale-Child and Adolescent (CAPS-CA), spearman-correlation coefficient was computed. To verify the validity of the cut-off scores, a ROC curve was constructed which evaluated the sensitivity and specificity of each score compared to the diagnosis with the CAPS-CA. We also used principal components analysis with varimax rotation to study the structure of the French version of the CPTS-RI.
RESULTS
Cronbach's alpha coefficient was 0.87 for the French version of the CPTS-RI. Two-week test-retest intraclass correlation coefficient (n = 30) was 0.67. The French version of the CPTS-RI was well correlated with the CAPS-CA (r = 0.76, p < 0.001). Taking the CAPS-CA as the diagnostic reference, with a diagnostic cut-off of >24 for the CPTS-RI, the sensitivity and specificities were 100% and 62.6%, respectively. The French version of the CPTS-RI demonstrated a three-factor structure.
CONCLUSIONS
The CPTS-RI is reliable and valid in French-speaking children.
背景
尽管可靠且有效的儿童创伤后应激反应指数（CPTS-RI）是一种广泛用于测量儿童创伤后应激障碍（PTSD）症状的工具，但尚未在说法语的人群中得到验证。本研究旨在评估CPTS-RI在三个说法语学童样本中的心理测量特性。
方法
数据来自三个样本。样本1由106名儿童（平均（标准差）年龄 = 11.7（0.7），50%为女性）组成，他们是一场工业灾难的受害者。样本2由50名儿童（平均（标准差）年龄 = 10.8（2.6），44%为女性）组成，这些儿童在一次事故后接受了骨科手术。样本3由106名儿童（平均（标准差）年龄 = 11.7（2.2），44%为女性）组成，他们在一次道路交通事故后被送往急诊科。我们使用克朗巴哈系数（Cronbach's alpha）测试内部一致性。我们使用组内相关系数检验重测信度。为了评估CPTS-RI法语版与临床医生管理的儿童及青少年PTSD量表（CAPS-CA）的收敛效度，计算了斯皮尔曼相关系数。为了验证临界值分数的有效性，构建了一条ROC曲线，该曲线评估了每个分数相对于CAPS-CA诊断的敏感性和特异性。我们还使用了具有方差最大化旋转的主成分分析来研究CPTS-RI法语版的结构。
结果
CPTS-RI法语版的克朗巴哈系数为0.87。两周重测组内相关系数（n = 30）为0.67。CPTS-RI法语版与CAPS-CA相关性良好（r = 0.76，p < 0.001）。以CAPS-CA作为诊断参考，CPTS-RI的诊断临界值>24时，敏感性和特异性分别为100%和62.6%。CPTS-RI法语版呈现出三因素结构。
结论
CPTS-RI在说法语的儿童中是可靠且有效的。
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