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法国版儿童创伤后应激检查表在法国学龄儿童中的验证

Validation of the French Version of the Child Posttraumatic Stress Checklist in French School-Aged Children.

作者信息

Gindt Morgane, Richez Aurelien, Battista Michèle, Fabre Roxane, Thümmler Susanne, Fernandez Arnaud, Askenazy Florence

机构信息

Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Hôpitaux Pédiatriques de Nice CHU-Lenval, Nice, France.

Université Côte d'Azur, CoBTek, FRIS, Nice, France.

出版信息

Front Psychiatry. 2021 Aug 20;12:678916. doi: 10.3389/fpsyt.2021.678916. eCollection 2021.

Abstract

The child posttraumatic stress disorder checklist (CPC) updated to DSM-5 is a questionnaire aimed to assess posttraumatic stress disorder (PTSD) symptoms in children. It is available in both parents and child versions. The back-translation method has been used for the French translation of the CPC. It has not been yet validated in French-speaking populations. The aim of this study was to assess the psychometric properties and the validity of the CPC in a sample of French-speaking schoolchildren and their parents. The sample was composed by 176 children outpatients implicated in the Nice terrorist attack (14 July 2016) aged 7-17 (mean = 11.68 years, SD = 2.63 months) and 122 parents. Cronbach's alpha was used to test CPC internal consistency. The Spearman-correlation coefficient was performed between the French version of the CPC and the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime version (K-SADS-PL) to assess the convergent validity. An ROC curve was constructed to verify the validity of the cutoff scores. An evaluation of the sensitivity and specificity of each score and a comparison with the diagnosis of the K-SADS-PL were made. Finally, a principal component analysis with varimax rotation was computed to analyze the structure of the French version of the CPC. Cronbach's alpha coefficient was 0.90 for child version and 0.91 for parent version of the CPC. There was a statistical correlation between the K-SADS-PL for PTSD and the total score of CPC for the child version ( = 0.62; < 0.001) and for the parent version ( = 0.55; < 0.001). The sensitivity and specificity of the children version with a threshold of >20 were 73.1 and 84.7%, respectively, using the K-SADS-PL as the diagnostic reference for PTSD. Concerning the parent version, using the same recommended cutoff score, the sensitivity, and specificity were 77 and 80.5%, respectively. The psychometric properties of the French CPC are good. This questionnaire appears to be valid and should be used in French-speaking children.

摘要

更新为《精神疾病诊断与统计手册》第5版的儿童创伤后应激障碍检查表(CPC)是一份旨在评估儿童创伤后应激障碍(PTSD)症状的问卷。它有家长版和儿童版。CPC的法语翻译采用了回译法。它尚未在说法语的人群中得到验证。本研究的目的是在一个说法语的学童及其家长样本中评估CPC的心理测量特性和有效性。样本由176名卷入尼斯恐怖袭击(2016年7月14日)的7至17岁儿童门诊患者(平均年龄 = 11.68岁,标准差 = 2.63个月)和122名家长组成。使用克朗巴哈系数来检验CPC的内部一致性。在CPC法语版与《儿童情感障碍和精神分裂症现症与终生版量表》(K-SADS-PL)之间进行斯皮尔曼相关系数分析,以评估收敛效度。构建ROC曲线以验证临界值分数的有效性。对每个分数的敏感性和特异性进行评估,并与K-SADS-PL的诊断结果进行比较。最后,进行了主成分分析并采用方差最大化旋转来分析CPC法语版的结构。CPC儿童版的克朗巴哈系数为0.90,家长版为0.91。PTSD的K-SADS-PL与CPC儿童版总分之间存在统计学相关性(r = 0.62;p < 0.001),与家长版总分之间也存在相关性(r = 0.55;p < 0.001)。以K-SADS-PL作为PTSD的诊断参考,儿童版临界值>20时的敏感性和特异性分别为73.1%和84.7%。关于家长版,使用相同的推荐临界值分数时,敏感性和特异性分别为77%和80.5%。CPC法语版的心理测量特性良好。这份问卷似乎是有效的,应用于说法语的儿童。

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