Schandorph Løkkegaard Sille, Jeppesen Camilla, Elklit Ask
Danish National Centre for Psychotraumatology, Department of Psychology, University of Southern Denmark Odense, Denmark.
Scand J Child Adolesc Psychiatr Psychol. 2023 Feb 28;11(1):1-9. doi: 10.2478/sjcapp-2023-0001. eCollection 2023 Jan.
There is a lack of reliable and valid PTSD tests for young children that cannot read or are weak readers. The semi-projective cartoon test, "Darryl", which is read aloud, is a measure that appeals to this age group. The test has been applied in both clinical and epidemiological studies.
to validate a cartoon test, "Darryl", for children aged 6 or older in a population of children suspectedly sexually and/or physically abused.
In the Danish Child Centres, 327 children were screened with Darryl as part of an assessment for further intervention. The Bech Youth Inventory was filled out by 113 children, and 63 caregivers filled out the Strengths & Difficulties Questionnaire. Correlations were used to study the convergent validity between the scales and subscales and effect sizes were estimated. Reliability of the scales was investigated using Cronbach's alpha.
Following the DSM-IV, 55.7% of the children (n = 182) had a possible PTSD diagnosis. More girls (n = 110, 62.9 %) than boys (n = 72, 47.4%) had PTSD. A total of 21.7 % (n = 71) had subclinical PTSD, lacking only one symptom of the full diagnosis. There was no significant difference in PTSD regarding physical or sexual abuse.
The test allows clinicians in the pediatric field to screen for possible PTSD in a population where systematic self-report data have paramount importance.
Darryl appears to be a valid and reliable test for screening young children who have been physically or sexually abused. The test is helpful for clinician working with young children to identify those have developed trauma symptoms to secure them early treatment.
对于不识字或阅读能力较弱的幼儿，缺乏可靠且有效的创伤后应激障碍（PTSD）测试。半投射性卡通测试“达里尔”（需大声朗读）是一种吸引该年龄组的测量方法。该测试已应用于临床和流行病学研究。
在疑似遭受性虐待和/或身体虐待的儿童群体中，验证针对6岁及以上儿童的卡通测试“达里尔”。
在丹麦儿童中心，327名儿童接受了“达里尔”测试，作为进一步干预评估的一部分。113名儿童填写了贝克青少年量表，63名照顾者填写了优势与困难问卷。通过相关性研究量表与子量表之间的收敛效度，并估计效应大小。使用克朗巴赫α系数研究量表的信度。
根据《精神疾病诊断与统计手册》第四版（DSM-IV），55.7%的儿童（n = 182）可能被诊断为创伤后应激障碍。患有创伤后应激障碍的女孩（n = 110，62.9%）比男孩（n = 72，47.4%）更多。共有21.7%（n = 即71）的儿童患有亚临床创伤后应激障碍，仅缺少完整诊断中的一项症状。在创伤后应激障碍方面，身体虐待或性虐待之间没有显著差异。
该测试使儿科领域的临床医生能够在系统的自我报告数据至关重要的人群中筛查可能的创伤后应激障碍。
“达里尔”似乎是一种有效且可靠的测试，可用于筛查遭受身体或性虐待的幼儿。该测试有助于从事幼儿工作的临床医生识别那些出现创伤症状的儿童，以便为他们提供早期治疗。
