Peng Chang, Cheng Junhan, Rong Fajuan, Wang Yan, Yu Yizhen
Department of Maternal, Child and Adolescent Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Psychol. 2023 Feb 27;14:1130683. doi: 10.3389/fpsyg.2023.1130683. eCollection 2023.
The Childhood Trauma Questionnaire-Short Form (CTQ-SF) is a widely utilized instrument of childhood maltreatment (CM). However, psychometric properties and normative data of the CTQ-SF for Chinese adolescents are still unknown.
To examine psychometric properties and normative data of Chinese version CTQ-SF in a nationally representative sample of Chinese adolescents, including internal consistency reliability, test-retest reliability, structural validity, and convergent validity.
A total of 20,951 adolescents aged 12 to 18 years were recruited from five provinces across China. Item analysis was used for 25 clinical items of the CTQ-SF. Confirmatory factor analysis was performed to examine fit indices of the factor structure. The Adverse Childhood Experiences Scale (ACEs) was used to evaluate convergent validity. The percentile ranks for scores of the CTQ-SF and each subscales were presented.
According to the results of three methods in Item analysis, Item 4 should be dropped. The remaining 24 clinical items achieved satisfactory fits in an alternative four-factor model. The alternative CTQ-SF showed acceptable internal consistency and the Cronbach's α of the four subscales was 0.824 (Neglect), 0.755 (Sexual Abuse), 0.713 (Physical Abuse), and 0.666 (Emotional Abuse), respectively. Besides, test-retest reliability and convergent validity of the alternative CTQ-SF were also acceptable.
The alternative four-factor model CTQ-SF exhibits good reliability and validity among Chinese adolescents. Additionally, the normative information of the CTQ-SF could provide practical support for determining severity of different subtypes of CM.
儿童期创伤问卷简表（CTQ-SF）是一种广泛应用于儿童期虐待（CM）评估的工具。然而，CTQ-SF在中国青少年中的心理测量学特性和常模数据仍不清楚。
在中国具有全国代表性的青少年样本中检验中文版CTQ-SF的心理测量学特性和常模数据，包括内部一致性信度、重测信度、结构效度和收敛效度。
从中国五个省份招募了总共20951名12至18岁的青少年。对CTQ-SF的25个临床项目进行项目分析。进行验证性因素分析以检验因素结构的拟合指数。使用儿童期不良经历量表（ACEs）评估收敛效度。给出了CTQ-SF及其各分量表得分的百分位数排名。
根据项目分析中三种方法的结果，应删除项目4。其余24个临床项目在替代四因素模型中获得了令人满意的拟合。替代CTQ-SF显示出可接受的内部一致性，四个分量表的Cronbach's α分别为0.824（忽视）、0.755（性虐待）、0.713（身体虐待）和0.666（情感虐待）。此外，替代CTQ-SF的重测信度和收敛效度也可以接受。
替代四因素模型CTQ-SF在中国青少年中表现出良好的信度和效度。此外，CTQ-SF的常模信息可为确定不同类型儿童期虐待的严重程度提供实际支持。
