用于评估创伤后应激障碍(PTSD)和复杂性创伤后应激障碍(CPTSD)的中文版国际创伤问卷(ITQ)的翻译与验证。
Translation and validation of the Chinese ICD-11 International Trauma Questionnaire (ITQ) for the Assessment of Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD).
作者信息
Ho Grace W K, Karatzias Thanos, Cloitre Marylene, Chan Athena C Y, Bressington Daniel, Chien Wai Tong, Hyland Philip, Shevlin Mark
机构信息
School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
School of Health & Social Care, Edinburgh Napier University, Edinburgh, UK.
出版信息
Eur J Psychotraumatol. 2019 May 15;10(1):1608718. doi: 10.1080/20008198.2019.1608718. eCollection 2019.
: Two stress-related disorders have been proposed for inclusion in the revised ICD-11: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). The International Trauma Questionnaire (ITQ) is a bespoke measure of PTSD and CPTSD and has been widely used in English-speaking countries. : The primary aim of this study was to develop a Chinese version of the ITQ and assess its content, construct, and concurrent validity. : Six mental health practitioners and experts rated the Chinese translated and back-translated items to assess content validity. A sample of 423 Chinese young adults completed the ITQ, the WHO Adverse Childhood Experiences International Questionnaire, and the Hospital Anxiety and Depression Scale. Among them, 31 participants also completed the English and Chinese versions of the ITQ administered in random order at retest. Four alternative confirmatory factor analysis models were tested using data from participants who reported at least one adverse childhood experience (ACE; N = 314). : The Chinese ITQ received excellent ratings on relevance and appropriateness. Test-retest reliability and semantic equivalence across English and Chinese versions were acceptable. The correlated first-order six-factor model and a second-order two-factor (PTSD and DSO) both provided an acceptable model fit. The six ITQ symptoms clusters were all significantly correlated with anxiety, depression, and the number of ACEs. : The Chinese ITQ generates scores with acceptable psychometric properties and provides evidence for including PTSD and CPTSD as separate diagnoses in ICD-11.
在修订的《国际疾病分类第11版》(ICD - 11)中,已提议将两种与应激相关的障碍纳入其中:创伤后应激障碍(PTSD)和复杂性创伤后应激障碍(CPTSD)。国际创伤问卷(ITQ)是一种专门用于测量PTSD和CPTSD的工具,在英语国家已被广泛使用。本研究的主要目的是开发ITQ的中文版,并评估其内容效度、结构效度和同时效度。六位心理健康从业者和专家对ITQ的中文翻译及回译条目进行评分,以评估内容效度。423名中国年轻人完成了ITQ、世界卫生组织儿童期不良经历国际问卷以及医院焦虑抑郁量表。其中,31名参与者在复测时还随机完成了ITQ的英文和中文版本。使用报告至少有一次儿童期不良经历(ACE;N = 314)的参与者的数据,对四个替代验证性因素分析模型进行了测试。中文ITQ在相关性和适用性方面获得了极高的评分。中英文版本之间的重测信度和语义等效性均可接受。相关的一阶六因素模型和二阶两因素(PTSD和DSO)模型均提供了可接受的模型拟合度。ITQ的六个症状集群均与焦虑、抑郁以及ACE的数量显著相关。中文ITQ生成的分数具有可接受的心理测量学特性,并为在ICD - 11中将PTSD和CPTSD作为单独诊断纳入提供了依据。