Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Asian J Psychiatr. 2021 Jun;60:102643. doi: 10.1016/j.ajp.2021.102643. Epub 2021 Apr 8.
In recognition to the rising incidences of child sexual abuse in India, various challenges of existing trauma measures and absence of indigenous efforts at development of comprehensive impact assessment scale, present study was conceptualized.
To develop and establish psychometric properties of Multidimensional Scale for Children with Sexual Abuse.
Outpatient department of government hospitals, non-governmental organizations and child care institutes were primary data setting from which a total of 457 participants were sampled.
The scale development process consisted of identifying impact themes from 59 qualitative research participants and item pooling from available scales; item writing followed by content and face validity analysis from 18 experts; and pilot testing on 30 children. The scale was then applied to 200 children with CSA and 150 children without sexual abuse. The factor structure of the scale was obtained using exploratory factor analysis. Internal consistency, split-half reliability, and validity (convergent, divergent, discriminant) were evaluated. Cut-off scores were obtained using the receiver operating characteristics curve and percentile analysis.
The scale consisted of 62 items across 5 domains. It has high reliability (Cronbach's α 0.93; split-half reliability 0.89), high content, and discriminant validity. Convergent and divergent validity are satisfactory. Scale cut-off score of 31 has high sensitivity.
To our knowledge, this scale is the first such psychometrically robust self-rated scale for young children with sexual abuse in the Asian country. Available in both Hindi and English language, the scale provides a quick measure of trauma across multidimensional functioning.
鉴于印度儿童性虐待事件不断增加，本研究旨在针对现有创伤评估方法存在的各种挑战以及缺乏本土开发全面影响评估量表的情况，提出解决方案。
开发并建立儿童性虐待多维量表的心理计量学特性。
政府医院、非政府组织和儿童关爱机构的门诊是本研究的主要数据采集点，共从这些机构中抽取了 457 名参与者。
量表的开发过程包括从 59 名定性研究参与者中确定影响主题，并从现有量表中汇集项目；根据 18 名专家的内容和表面有效性分析进行项目编写；然后对 30 名儿童进行试点测试。然后将该量表应用于 200 名遭受 CSA 的儿童和 150 名未遭受性虐待的儿童。使用探索性因子分析获得量表的因子结构。评估内部一致性、分半信度和效度（聚合、发散、判别）。使用受试者工作特征曲线和百分位分析获得截断分数。
该量表包含 5 个领域的 62 个项目。它具有很高的信度（Cronbach's α 0.93；分半信度 0.89）、高内容和判别效度。聚合和发散效度令人满意。量表截断分数为 31，具有较高的灵敏度。
据我们所知，这是印度针对亚洲国家儿童性虐待的第一个具有心理计量学稳健性的自评量表。该量表有印地语和英语两种版本，提供了一种快速测量多维度创伤功能的方法。
