Validity of the Childhood Trauma Questionnaire in an adolescent psychiatric population
Validity of the Childhood Trauma Questionnaire in an adolescent psychiatric population
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DOI：
10.1097/00004583-199703000-00012
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发表时间：
1997-03-01
影响因子：
13.3
通讯作者：
Handelsman, L
中科院分区：
文献类型：
--
作者：
Bernstein, DP;Ahluvalia, T;Handelsman, L
目的：提出了一个最近开发的虐待清单，童年创伤问卷（CTQ），在青少年精神病患者的样本的有效性的初步研究结果。方法：三百九十八名男性和女性青少年（年龄12至17岁）住院服务的私人精神病医院给予CTQ作为一个更大的测试电池的一部分。还与190名患者的初级治疗师进行了结构化访谈，以获得基于所有可用数据的虐待和忽视评级，包括与患者及其亲属的临床访谈以及转介临床医生和机构的信息。结果如下：CTQ项目的主成分分析产生了五个旋转的因素-情感虐待，情感忽视，性虐待，身体虐待，身体忽视-密切复制的因素结构在早期的成人患者的研究。CTQ因子的内部一致性在整个样本和每个亚组中都非常高。当CTQ因子分数与治疗师的评级进行了一系列的逻辑回归分析，两组变量之间的关系是高度特异性的，支持收敛和判别效度的CTQ。最后，当治疗师的评级作为有效性标准，CTQ表现出良好的敏感性，所有形式的虐待，和满意或更好的特异性水平。结论：这些初步研究结果表明，CTQ是青少年精神科住院环境中儿童创伤的敏感且有效的筛查问卷。
Objective: To present initial findings on the validity of a recently developed maltreatment inventory, the Childhood Trauma Questionnaire (CTQ), in a sample of adolescent psychiatric patients. Method: Three hundred ninety-eight male and female adolescents (aged 12 to 17 years) admitted to the inpatient service of a private psychiatric hospital were given the CTQ as part of a larger test battery. Structured interviews were also conducted with the primary therapists of 190 of the patients to obtain ratings of abuse and neglect based on all available data, including clinical interviews with patients and their relatives and information from referring clinicians and agencies. Results: Principal-components analysis of the CTQ items yielded five rotated factors-emotional abuse, emotional neglect, sexual abuse, physical abuse, and physical neglect-closely replicating the factor structure in an earlier study of adult patients. the internal consistency of the CTQ factors was extremely high both in the entire sample and in every subgroup examined. When CTQ factor scores were compared with therapists' ratings in a series of logistic regression analyses, relationships between the two sets of variables were highly specific, supporting the convergent and discriminant validity of the CTQ. Finally, when therapists' ratings were used as the validity criterion, the CTQ exhibited good sensitivity for all forms of maltreatment, and satisfactory or better levels of specificity. Conclusions: These initial findings suggest that the CTQ is a sensitive and valid screening questionnaire for childhood trauma in an adolescent psychiatric inpatient setting.