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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.

DOI:10.1186/s13034-018-0235-2
PMID:29946353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6006562/
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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本文引用的文献

1
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J Interpers Violence. 2020 Jun;35(11-12):2254-2270. doi: 10.1177/0886260517696866. Epub 2017 Apr 10.
2
Dysfunctional posttraumatic cognitions as a mediator of symptom reduction in Trauma-Focused Cognitive Behavioral Therapy with children and adolescents: Results of a randomized controlled trial.创伤聚焦认知行为疗法治疗儿童和青少年创伤后认知障碍与症状缓解的中介作用:一项随机对照试验的结果。
Behav Res Ther. 2017 Oct;97:178-182. doi: 10.1016/j.brat.2017.08.001. Epub 2017 Aug 4.
3
Acute stress disorder and the transition to posttraumatic stress disorder in children and adolescents: Prevalence, course, prognosis, diagnostic suitability, and risk markers.儿童和青少年的急性应激障碍及向创伤后应激障碍的转变:患病率、病程、预后、诊断适用性及风险标志物
Depress Anxiety. 2017 Apr;34(4):348-355. doi: 10.1002/da.22602. Epub 2017 Jan 30.
4
Cognitive therapy as an early treatment for post-traumatic stress disorder in children and adolescents: a randomized controlled trial addressing preliminary efficacy and mechanisms of action.认知疗法作为儿童和青少年创伤后应激障碍的早期治疗方法:一项探讨初步疗效和作用机制的随机对照试验。
J Child Psychol Psychiatry. 2017 May;58(5):623-633. doi: 10.1111/jcpp.12673. Epub 2016 Dec 15.
5
A randomized trial of cognitive behavior therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma: Predictors and outcome at 1-year follow-up.一项针对单一创伤后创伤后应激障碍儿童的认知行为疗法和认知疗法的随机试验:1 年随访时的预测因素和结果。
Psychol Trauma. 2017 Jul;9(4):471-478. doi: 10.1037/tra0000190. Epub 2016 Sep 26.
6
An Update on the Clinical Utility of the Children's Post-Traumatic Cognitions Inventory.儿童创伤后认知量表临床效用的最新进展
J Trauma Stress. 2016 Jun;29(3):253-8. doi: 10.1002/jts.22096. Epub 2016 May 18.
7
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Br J Clin Psychol. 2015 Nov;54(4):435-49. doi: 10.1111/bjc.12089. Epub 2015 May 27.
8
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9
A Community Study on the Relationship of Posttraumatic Cognitions to Internalizing and Externalizing Psychopathology in Taiwanese Children and Adolescents.一项关于台湾儿童和青少年创伤后认知与内化及外化精神病理学关系的社区研究。
J Abnorm Child Psychol. 2015 Nov;43(8):1475-1484. doi: 10.1007/s10802-015-0030-y.
10
The Dutch version of the Child Posttraumatic Cognitions Inventory: validation in a clinical sample and a school sample.荷兰版儿童创伤后认知清单:临床样本和学校样本的验证。
Eur J Psychotraumatol. 2015 Feb 23;6:26362. doi: 10.3402/ejpt.v6.26362. eCollection 2015.