Child Health and Development Institute, Farmington, CT, USA.
Yale University, New Haven, CT, USA.
Clin Pediatr (Phila). 2021 May;60(4-5):252-258. doi: 10.1177/00099228211005302.
Pediatric primary care providers have an important role in addressing the health effects of trauma, yet routine screening is rare. This study evaluated whether the 10-item Child Trauma Screen (CTS) could identify youth experiencing posttraumatic stress disorder (PTSD) symptoms. Participants were 107 caregiver-youth pairs aged 7 to 17 years old, 55.8% male, and 76.4% Hispanic who were recruited at an urban pediatric primary care clinic. Youth and caregivers separately completed the CTS and the UCLA PTSD Reaction Index for (RI-5) prior to their medical visit. Half of youth experienced at least one type of trauma, and one sixth reported elevated PTSD symptoms. The CTS was highly correlated with the RI-5 on PTSD symptom severity, and correctly classified 85% of youth based on likely PTSD diagnosis. The brief CTS can accurately identify youth suffering from PTSD symptoms, and may be particularly feasible to implement in busy primary care practices.
儿科初级保健提供者在解决创伤对健康的影响方面发挥着重要作用，但常规筛查却很少进行。本研究评估了 10 项儿童创伤筛查（CTS）是否可以识别出患有创伤后应激障碍（PTSD）症状的青少年。参与者为 107 对年龄在 7 至 17 岁之间的照顾者-青少年，其中 55.8%为男性，76.4%为西班牙裔，他们是在一家城市儿科初级保健诊所招募的。在就诊前，青少年和照顾者分别完成了 CTS 和 UCLA PTSD 反应指数（RI-5）。半数青少年至少经历过一种创伤，六分之一的青少年报告有创伤后应激障碍症状。CTS 与 RI-5 对 PTSD 症状严重程度高度相关，根据可能的 PTSD 诊断正确分类了 85%的青少年。简短的 CTS 可以准确识别患有 PTSD 症状的青少年，并且在繁忙的初级保健实践中实施可能特别可行。
