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发展和验证功能创伤后认知问卷(FPTCQ)在意外创伤暴露的儿童和青少年中的应用。

Development and validation of the Functional Posttraumatic Cognitions Questionnaire (FPTCQ) in children and adolescents exposed to accidental trauma.

机构信息

Department of Psychology.

Department of Psychosomatics and Psychiatry.

出版信息

Psychol Trauma. 2021 Jul;13(5):514-521. doi: 10.1037/tra0000979. Epub 2020 Nov 9.

DOI:10.1037/tra0000979
PMID:33166167
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7613125/
Abstract

OBJECTIVE

Cognitive models of posttraumatic stress disorder highlight posttraumatic cognitions (PTCs) as a crucial mechanism of trauma adjustment. So far, only dysfunctional PTCs have been investigated in detail. Research on functional PTCs is scarce. This study addresses this gap by developing and validating a self-report measure called (FPTCQ) in children and adolescents.

METHOD

The questionnaire was administered to 114 children and adolescents aged 7 to 15 years who had experienced an acute accidental potentially traumatic event, such as a road traffic accident or a burn injury, and as a result received medical treatment. In addition to classical item analysis and exploratory factor analysis, reliability and construct validity of the FPTCQ were investigated.

RESULTS

The exploratory factor analysis revealed a one-factor structure of the FPTCQ. The final 11-item questionnaire displayed satisfactory internal consistency (Cronbach's α = .78), irrespective of age. Functional PTCs were inversely related to dysfunctional PTCs, = -.44, < .001, posttraumatic stress symptoms, = -.35, < .001, depression symptoms, = -.22, < .05, and anxiety symptoms, = -.43, < .001, thus supporting construct validity.

CONCLUSIONS

The FPTCQ is a reliable and valid measure for standardized assessment of functional PTCs among children and adolescents. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

目的

创伤后应激障碍的认知模型强调创伤后认知(PTC)是创伤适应的关键机制。到目前为止,只有功能失调的 PTC 得到了详细的研究。关于功能 PTC 的研究很少。本研究通过开发和验证一种名为(FPTCQ)的自我报告测量工具,来填补这一空白,该工具适用于儿童和青少年。

方法

该问卷对 114 名年龄在 7 至 15 岁之间的儿童和青少年进行了测试,这些儿童和青少年经历了急性意外创伤性事件,如交通事故或烧伤,因此接受了医疗治疗。除了经典的项目分析和探索性因素分析外,还研究了 FPTCQ 的信度和构念效度。

结果

探索性因素分析显示 FPTCQ 具有单因素结构。最终的 11 项问卷具有令人满意的内部一致性(Cronbach's α =.78),与年龄无关。功能 PTC 与功能失调的 PTC 呈负相关,r = -.44,p <.001,与创伤后应激症状,r = -.35,p <.001,抑郁症状,r = -.22,p <.05,焦虑症状,r = -.43,p <.001,从而支持构念效度。

结论

FPTCQ 是一种可靠和有效的工具,可用于标准化评估儿童和青少年的功能 PTC。

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