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使用项目反应理论验证创伤前因问卷。

Validation of the Traumatic Antecedents Questionnaire using item response theory.

机构信息

Graduate School of Medical Science and Engineering, Korea Advanced Institute for Science and Technology (KAIST), Daejeon, Korea.

KAIST Clinic Pappalardo Center, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea.

出版信息

Brain Behav. 2020 Dec;10(12):e01870. doi: 10.1002/brb3.1870. Epub 2020 Oct 1.

Abstract

BACKGROUND

Traumatic Antecedents Questionnaire (TAQ) is a traumatic experience scale that measures exposure to traumatic events across four age periods. Although the TAQ has good convergent validity with other traumatic scales, the classification of the domains and the psychometric properties of the scale has not been verified.

METHODS

A total of 290 young adults completed the TAQ, and 156 participated in the retest. The number of trauma domains was determined using principal component analysis. Rasch model was used for verifying the items that each domain might represent in one common measurement.

RESULTS

When scores were transformed as binary a code 0 and 1 from the original 4 categories, 8 domains were established consisting of Domestic violence, Sexual/other rare trauma, Incompetence, Caring family, Accidents to close person, Unstable caring environment, Safe environment, and Lack of sexual/extreme trauma. Most domains had acceptable psychometric properties with a mean-square fit value within the range of 0.7-1.3. The Bland and Altman analysis suggest 98.7% of difference scores between test and retest were within ±2 standard deviations from the mean. TAQ severity showed a significant relationship with the multiplicity score of the Maltreatment and Abuse Chronology of Exposure scale (r = 0.677).

CONCLUSIONS

The newly proposed scoring system and 8 domains for the TAQ demonstrated excellent internal consistency, test-retest reliability, and validity. Further studies are needed to develop new items in domains with less than 5 items to improve the psychometric properties of the scale and to create a maltreatment domain that includes bullying items.

摘要

背景

创伤前因问卷(TAQ)是一种衡量四个年龄段创伤经历的创伤量表。尽管 TAQ 与其他创伤量表具有良好的收敛效度,但该量表的领域分类和心理测量特性尚未得到验证。

方法

共有 290 名年轻成年人完成了 TAQ,其中 156 人参加了重测。使用主成分分析确定创伤领域的数量。Rasch 模型用于验证每个领域可能在一个共同测量中代表的项目。

结果

当分数转换为二进制代码 0 和 1 时,从原始的 4 个类别中建立了 8 个领域,包括家庭暴力、性/其他罕见创伤、无能、关爱家庭、亲密的人遭遇意外、不稳定的关爱环境、安全环境和缺乏性/极端创伤。大多数领域具有可接受的心理测量特性,平均平方拟合值在 0.7-1.3 范围内。Bland 和 Altman 分析表明,测试和重测之间的差异分数有 98.7%在均值的±2 个标准差内。TAQ 严重程度与虐待和创伤暴露编年史量表的多重得分呈显著相关(r=0.677)。

结论

新提出的 TAQ 评分系统和 8 个领域表现出良好的内部一致性、测试重测信度和有效性。需要进一步研究以在少于 5 个项目的领域中开发新项目,以提高量表的心理测量特性,并创建一个包含欺凌项目的虐待领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fff9/7749547/458afc392e28/BRB3-10-e01870-g001.jpg

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