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适用于《精神疾病诊断与统计手册》第5版的加州大学洛杉矶分校创伤后应激障碍反应指数家长报告版的心理测量特性。

Psychometric Properties of the Parent-Report Version of the UCLA PTSD Reaction Index for DSM-5.

作者信息

Ramos Cláudia, Cabral Eva, Serrão Vítor, Figueira Pedro, Santos Pedro Vaz, Baptista Joana

机构信息

Centro de Investigação e de Intervenção Social (CIS-IUL), Instituto Universitário de Lisboa (Iscte-IUL), Lisbon, Portugal.

ISPA-Instituto Universitário, Lisbon, Portugal.

出版信息

J Child Adolesc Trauma. 2021 Sep 20;15(3):627-637. doi: 10.1007/s40653-021-00406-5. eCollection 2022 Sep.

Abstract

The UCLA PTSD Reaction Index for DSM-5 (RI-5) is a developmentally appropriate and well recognized screening tool for the assessment of Post-Traumatic Stress Disorder (PTSD) in children and adolescents. The children/adolescent self-report version of the RI-5 has been thoroughly studied in very recent years, showing adequate psychometric properties. Despite such results, the utility of the parent/caregiver-report version, which also integrates the RI-5 system, remains to be explored. As such, the present study aimed to test the general psychometric properties of the parent/caregiver-report version of RI-5, based on a sample of 457 children and adolescents, aged between 7 and 17 years, exposed to at least one potentially traumatic experience, and their respective primary caregivers. The RI-5 total score and categories revealed good internal consistency reliability. The total number of traumas reported emerged as a significant predictor of the RI-5 total score. The RI-5 total score proved to be significantly correlated with more internalizing and externalizing problems, but correlation coefficients were below .70, serving as an indicator of discriminant validity. The four-factor structure of the RI-5 was supported through confirmatory factor analysis. In conclusion, the present study provided preliminary evidence supporting the utility of the parent/caregiver-report version of the RI-5 for research purposes and for clinical assessment and treatment, anchored on a multiple informant perspective of child psychopathology.

摘要

加州大学洛杉矶分校《精神疾病诊断与统计手册》第5版创伤后应激障碍反应指数(RI - 5)是一种适合不同发育阶段且广为人知的筛查工具,用于评估儿童和青少年的创伤后应激障碍(PTSD)。近年来,RI - 5的儿童/青少年自评版本已得到充分研究,显示出良好的心理测量学特性。尽管有这些结果,但同样整合了RI - 5系统的家长/照顾者报告版本的效用仍有待探索。因此,本研究旨在基于457名年龄在7至17岁之间、至少经历过一次潜在创伤事件的儿童和青少年及其各自的主要照顾者样本,测试RI - 5家长/照顾者报告版本的一般心理测量学特性。RI - 5总分及类别显示出良好的内部一致性信度。报告的创伤总数是RI - 5总分的显著预测因子。RI - 5总分与更多的内化和外化问题显著相关,但相关系数低于0.70,这是区分效度的一个指标。通过验证性因素分析支持了RI - 5的四因素结构。总之,本研究提供了初步证据,支持RI - 5家长/照顾者报告版本在研究目的以及临床评估和治疗中的效用,该效用基于儿童精神病理学的多信息提供者视角。

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