Rooney Evan E, Stewart Regan W, Ramachandran Sujith, Orengo-Aguayo Rosaura, Young John
Scientific Infusion that Helps (SITH) Lab, Department of Psychology, University of Mississippi, University, Mississippi, USA.
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
J Trauma Stress. 2022 Oct;35(5):1559-1570. doi: 10.1002/jts.22841. Epub 2022 Apr 23.
Conducting research in global applied settings necessitates the use of easily administered, brief, and evidentiary measures. One widely used, brief self-report measure of posttraumatic stress disorder (PTSD) symptoms in children and adolescents is the Child PTSD Symptom Scale for DSM-5-Self-Report (CPSS-5-SR). The present study examined the factor structure, measurement invariance, reliability, and convergent validity of the Spanish translation of the CPSS-5-SR in a sample of 1,296 third- through 12th-graders in El Salvador (M = 12.73 years, SD = 2.67, 55.2% female, 100.0% Latinx). This sample was collected as part of a government-led initiative to conduct broad school-based psychopathology screening, with the wider goal of introducing trauma-informed services into El Salvador's school system. Consistent with prior research, confirmatory factor analysis indicated that the four-factor DSM-5 model displayed a strong fit with the data. Measurement invariance by gender was also examined, with results showing invariance at the configural, metric, and scalar levels, indicating strong evidence that participants' patterns of response did not differ by gender. The results also indicated strong reliability, Cronbach's α = .91, and convergent validity with measures of commonly comorbid psychopathology, rs = .43-.68. Total scale norms derived from the current sample are provided. These findings highlight the considerable levels of posttraumatic stress experienced by Salvadorian youth and the importance of establishing evidentiary measures of psychopathology that can be used in diverse global populations. In particular, psychometric research represents the first step in augmenting efforts to screen, refer, and treat youth impacted by violence across the globe.
在全球应用场景中开展研究需要使用易于实施、简短且有证据支持的测量方法。一种广泛使用的、用于测量儿童和青少年创伤后应激障碍（PTSD）症状的简短自评测量工具是《DSM-5儿童PTSD症状量表-自评版》（CPSS-5-SR）。本研究在萨尔瓦多1296名三年级至十二年级学生（M = 12.73岁，SD = 2.67，55.2%为女性，100.0%为拉丁裔）的样本中，检验了CPSS-5-SR西班牙语翻译版的因子结构、测量不变性、信度和聚合效度。该样本是作为一项政府主导的广泛的基于学校的精神病理学筛查倡议的一部分收集的，其更广泛的目标是将创伤知情服务引入萨尔瓦多的学校系统。与先前的研究一致，验证性因子分析表明，四因子DSM-5模型与数据拟合良好。还检验了按性别划分的测量不变性，结果显示在构型、度量和标量水平上具有不变性，这表明有充分证据表明参与者的反应模式不存在性别差异。结果还表明具有较高的信度，克朗巴哈α系数为0.91，并且与常见共病精神病理学测量方法具有聚合效度，相关系数rs = 0.43 - 0.68。提供了从当前样本得出的总量表常模。这些发现凸显了萨尔瓦多青少年经历的相当程度的创伤后应激，以及建立可用于不同全球人群的精神病理学证据支持测量方法的重要性。特别是，心理测量学研究是加强对全球受暴力影响的青少年进行筛查、转诊和治疗工作的第一步。
