Fink L A, Bernstein D, Handelsman L, Foote J, Lovejoy M
Department of Psychiatry, Bronx VA Medical Center, NY 10468, USA.
Am J Psychiatry. 1995 Sep;152(9):1329-35. doi: 10.1176/ajp.152.9.1329.
The Childhood Trauma Interview, a new instrument for brief and comprehensive retrospective assessment of childhood interpersonal trauma, is presented with initial evidence of its reliability and validity.
Drug- or alcohol-dependent patients (N = 220) were given the Childhood Trauma Interview and a questionnaire measure of child abuse, the Childhood Trauma Questionnaire. Convergent and discriminant validity for the Childhood Trauma Interview were tested by comparing correlations between analogous and nonanalogous trauma scales to those of the Childhood Trauma Questionnaire.
Interrater reliability for the majority of trauma dimensions measured by the Childhood Trauma Interview was very high (63% had intraclass correlations above 0.90). Principal-components analysis yielded six rotated factors that accounted for 74% of the variance among scores: separations and losses, physical neglect, emotional abuse or assault, physical abuse or assault, witnessing violence, and sexual abuse or assault. Since these six factors exactly represented the areas that the interview was designed to assess, the construct validity of the Childhood Trauma Interview was supported. Without exception, convergent correlations were significantly higher than discriminant correlations, and convergence was improved when multidimensional variables from the Childhood Trauma Interview and their interactions were regressed onto Childhood Trauma Questionnaire scores.
These initial findings suggest that the Childhood Trauma Interview is a reliable and valid method for brief assessment of multiple dimensions of six types of childhood interpersonal trauma.
介绍童年创伤访谈这一用于简短且全面回顾性评估童年人际创伤的新工具，并给出其信效度的初步证据。
对220名药物或酒精依赖患者进行童年创伤访谈，并使用一份儿童虐待问卷调查表即童年创伤问卷进行测量。通过比较童年创伤访谈中类似和非类似创伤量表之间的相关性与童年创伤问卷的相关性，来检验童年创伤访谈的聚合效度和区分效度。
童年创伤访谈所测量的大多数创伤维度的评分者间信度非常高（63%的组内相关系数高于0.90）。主成分分析产生了六个旋转因子，这些因子占分数变异的74%：分离与丧失、身体忽视、情感虐待或攻击、身体虐待或攻击、目睹暴力以及性虐待或攻击。由于这六个因子恰好代表了该访谈旨在评估的领域，因此童年创伤访谈的结构效度得到了支持。无一例外，聚合相关性显著高于区分相关性，并且当将童年创伤访谈中的多维变量及其相互作用回归到童年创伤问卷分数上时，聚合性得到了改善。
这些初步研究结果表明，童年创伤访谈是一种可靠且有效的方法，可用于简短评估六种类型童年人际创伤的多个维度。
