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《儿童创伤后认知量表》在韩国性暴力幸存者中的效度验证

Validation of the Child Post-Traumatic Cognitions Inventory in Korean survivors of sexual violence.

作者信息

Lee Han Byul, Shin Kyoung Min, Chung Young Ki, Kim Namhee, Shin Yee Jin, Chung Un-Sun, Bae Seung Min, Hong Minha, Chang Hyoung Yoon

机构信息

Sunflower Center of Southern Gyeonggi for Women and Children Victims of Violence, Suwon, Republic of Korea.

2Hanyang Cyber University, Seoul, Republic of Korea.

出版信息

Child Adolesc Psychiatry Ment Health. 2018 Jun 18;12:32. doi: 10.1186/s13034-018-0235-2. eCollection 2018.

Abstract

BACKGROUND

Dysfunctional cognitions related to trauma is an important factor in the development and maintenance of post-traumatic stress disorder symptoms in children and adolescents. The Child Post-traumatic Cognitions Inventory (CPTCI) assesses such cognitions about trauma. We investigated the psychometric properties of the Korean version of CPTCI and its short form by surveying child and adolescent survivors of sexual violence.

METHODS

Children and adolescents aged 7-16 years ( = 237,  = 12.6,  = 2.3, 222 [93.7%] were female) who were exposed to sexual violence were included in this survey. We assessed the factor structure, internal consistency, and validity of the CPTCI and its short form through data analysis.

RESULTS

Confirmatory factor analysis results supported the two-factor model presented in the original study. The total scale, its subscales, and the short form had good internal consistency (Cronbach's α = .96 for total scale and .91-.95 for the other scales). The CPTCI showed high correlations with scales measuring post-traumatic stress symptoms (= .77-.80), anxiety ( = .69-.71), and depression ( = .74-.77); the correlation with post-traumatic stress symptoms was the highest. The differences in CPTCI scores per post-traumatic stress symptom levels were significant (all < .001) Sex differences in CPTCI scores were not significant (> .05 for all comparisons); however, the scores exhibited differences per age group (all  < .001).

CONCLUSIONS

The results indicate that the Korean version of the CPTCI is a valid and reliable scale; therefore, it may be a valuable tool for assessing maladaptive cognitions related to trauma in research and clinical settings.

摘要

背景

与创伤相关的功能失调认知是儿童和青少年创伤后应激障碍症状发展和维持的一个重要因素。儿童创伤后认知量表(CPTCI)评估此类关于创伤的认知。我们通过对性暴力儿童和青少年幸存者进行调查,研究了CPTCI韩文版及其简版的心理测量特性。

方法

本调查纳入了7至16岁遭受性暴力的儿童和青少年(n = 237,M = 12.6,SD = 2.3,222名[93.7%]为女性)。我们通过数据分析评估了CPTCI及其简版的因子结构、内部一致性和效度。

结果

验证性因子分析结果支持了原始研究中提出的双因子模型。总量表、其分量表和简版具有良好的内部一致性(总量表的Cronbach's α = 0.96,其他量表为0.91 - 0.95)。CPTCI与测量创伤后应激症状(r = 0.77 - 0.80)、焦虑(r = 0.69 - 0.71)和抑郁(r = 0.74 - 0.77)的量表高度相关;与创伤后应激症状的相关性最高。CPTCI得分在不同创伤后应激症状水平上的差异具有显著性(均p < 0.001)。CPTCI得分的性别差异不显著(所有比较p > 0.05);然而,得分在各年龄组间存在差异(均p < 0.001)。

结论

结果表明,CPTCI韩文版是一个有效且可靠的量表;因此,它可能是研究和临床环境中评估与创伤相关的适应不良认知的一个有价值的工具。

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