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普通人群中儿童创伤筛查量表(CTS)的验证与标准化

Validation and standardization of the Childhood Trauma Screener (CTS) in the general population.

作者信息

Witt Andreas, Öz Yusuf, Sachser Cedric, Brähler Elmar, Glaesmer Heide, Fegert Jörg M

机构信息

Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhövelstr.1, 89075, Ulm, Germany.

Integrated Research and Treatment Center Adiposity Diseases, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.

出版信息

Child Adolesc Psychiatry Ment Health. 2022 Sep 1;16(1):73. doi: 10.1186/s13034-022-00506-6.

DOI:10.1186/s13034-022-00506-6
PMID:36050773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9438230/
Abstract

BACKGROUND

A valid, quick and widely applicable retrospective screening tool for child maltreatment is of great importance to better adapt interventions and treatments. The Childhood Trauma Screener (CTS), derived from the Childhood Trauma Questionnaire (CTQ), is one such instrument that aims to increase the likelihood of detecting mental and physical disorders that have manifested in adulthood as a result of traumatic experiences and maltreatment in childhood and adolescence. The present study aimed to investigate the psychometric properties of the CTS and generate normative data.

METHODS

Data from two representative surveys were combined. Both surveys used identical methods. The CTS, consisting of five items, other self-report instruments, and demographic characteristics were used. Construct validity was examined using confirmatory factor analysis (CFA). A subsample was used to examine convergent validity with the Adverse Childhood Experiences Questionnaire (ACE). Normative data are reported for age groups and gender.

RESULTS

A total of 5039 study participants provided valid responses to the 5-items questionnaire (54.3% female, response rate = 78.9%). CFA showed good fit indices for a 2-factor solution. Convergent validity was generally supported by moderate intercorrelations with the ACE.

CONCLUSIONS

The results confirm the solid psychometric properties of the CTS as an easy-to-use, ultra-short retrospective measure of child maltreatment. The data can be used to compare sample or individual results with reference data provided.

摘要

背景

一种有效、快速且广泛适用的儿童虐待回顾性筛查工具对于更好地调整干预措施和治疗方法至关重要。源自儿童创伤问卷(CTQ)的儿童创伤筛查器(CTS)就是这样一种工具,其目的是提高检测出因童年和青少年时期的创伤经历及虐待而在成年后出现的心理和身体障碍的可能性。本研究旨在调查CTS的心理测量特性并生成常模数据。

方法

合并了两项代表性调查的数据。两项调查采用相同的方法。使用了由五个项目组成的CTS、其他自我报告工具以及人口统计学特征。使用验证性因子分析(CFA)检验结构效度。一个子样本用于检验与儿童期不良经历问卷(ACE)的收敛效度。报告了各年龄组和性别的常模数据。

结果

共有5039名研究参与者对这份五项问卷提供了有效回答(女性占54.3%,回复率 = 78.9%)。CFA显示二因子模型具有良好的拟合指数。与ACE的中等程度的相互关联总体上支持了收敛效度。

结论

结果证实了CTS作为一种易于使用的超短儿童虐待回顾性测量工具具有可靠的心理测量特性。这些数据可用于将样本或个体结果与所提供的参考数据进行比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcba/9438230/e2768a78984a/13034_2022_506_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcba/9438230/e2768a78984a/13034_2022_506_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcba/9438230/e2768a78984a/13034_2022_506_Fig1_HTML.jpg

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