Unit of Psychotraumatology, Department of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.
Institute for Population and Social Research (IPSR), Mahidol University, Salaya, Nakhon Pathom, Thailand.
Eur J Psychotraumatol. 2023;14(1):2158428. doi: 10.1080/20008066.2022.2158428.
The International Trauma Questionnaire (ITQ) is a standardized and validated measure aligned with the 11th version of the International Classification of Diseases (ICD-11) diagnostic criteria to assess post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (CPTSD). It has been translated into 25 different languages, but is yet to be translated into Dari and validated for use in the Afghan population. This study aimed (1) to translate and culturally adapt the ITQ for use in Dari; (2) to assess the construct validity and composite reliability of ICD-11 PTSD and CPTSD using the Dari ITQ; and (3) to examine the concurrent, convergent, and discriminant validity of the Dari ITQ. The Dari ITQ was validated through the completion of a set of standardized measures by 305 Afghan asylum seekers and refugees in Austria. Factorial analyses and psychometric properties of the Dari ITQ were assessed using confirmatory factor analysis (CFA), bivariate correlations, and multivariate regression. Asylum seekers showed significantly higher levels of ICD-11 CPTSD symptomatology and probable diagnoses of ICD-11 PTSD, Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) PTSD, anxiety, depression, and psychological distress in comparison to refugees. CFA results supported the two-factor second-order model comprised of the PTSD and disturbances in self-organization (DSO) as the best fit to the data. The psychometric adequacy of this model in the Dari ITQ was evidenced by high factor loadings and excellent internal reliability. The Dari ITQ showed satisfactory concurrent, convergent, and discriminant validity. The current study supports the statistical validity and cultural sensitivity of the Dari ITQ in identifying symptoms of ICD-11 PTSD and CPTSD among Afghan asylum seekers and refugees.
国际创伤问卷(ITQ)是一种标准化和经过验证的测量工具,与第 11 版国际疾病分类(ICD-11)诊断标准相匹配,用于评估创伤后应激障碍(PTSD)和复杂创伤后应激障碍(CPTSD)。它已被翻译成 25 种不同的语言,但尚未被翻译成达里语并在阿富汗人群中进行验证。本研究旨在:(1)翻译并文化适应 ITQ 以用于达里语;(2)使用达里 ITQ 评估 ICD-11 PTSD 和 CPTSD 的结构有效性和综合可靠性;(3)检验达里 ITQ 的同时效度、收敛效度和区分效度。通过对 305 名在奥地利的阿富汗寻求庇护者和难民完成一套标准化量表的评估,验证了达里 ITQ。使用验证性因素分析(CFA)、双变量相关性和多元回归分析评估了达里 ITQ 的因子分析和心理测量特性。与难民相比,寻求庇护者表现出明显更高水平的 ICD-11 CPTSD 症状和 ICD-11 PTSD、《精神障碍诊断与统计手册》第 4 版(DSM-IV)PTSD、焦虑、抑郁和心理困扰的可能诊断。CFA 结果支持 PTSD 和自我组织障碍(DSO)组成的两因素二阶模型作为最适合数据的模型。该模型在达里 ITQ 中的心理测量学充分性表现为高因子负荷和极好的内部可靠性。达里 ITQ 显示出令人满意的同时效度、收敛效度和区分效度。本研究支持达里 ITQ 在识别阿富汗寻求庇护者和难民的 ICD-11 PTSD 和 CPTSD 症状方面的统计有效性和文化敏感性。
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