INITIAL RELIABILITY AND VALIDITY OF A NEW RETROSPECTIVE MEASURE OF CHILD-ABUSE AND NEGLECT
INITIAL RELIABILITY AND VALIDITY OF A NEW RETROSPECTIVE MEASURE OF CHILD-ABUSE AND NEGLECT
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DOI：
10.1176/ajp.151.8.1132
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发表时间：
1994-08-01
影响因子：
17.7
通讯作者：
RUGGIERO, J
中科院分区：
文献类型：
--
作者：
BERNSTEIN, DP;FINK, L;RUGGIERO, J
目的：本报告介绍了一种新的儿童虐待和忽视的回顾性测量的信度和效度的初步发现，即儿童创伤问卷。方法：对286名药物或酒精依赖患者进行儿童创伤问卷调查，其中40名患者在间隔2至6个月后再次进行问卷调查。68名患者还接受了关于儿童虐待和忽视的结构化访谈，这是作者开发的儿童创伤访谈。结果：对儿童创伤问卷的主成分分析得出四个旋转正交因子：身体和情感虐待、情感忽视、性虐待和身体忽视。各因素的Cronbach’s alpha值在0.79 ~ 0.94之间，表明内部一致性较高。儿童创伤问卷在2- 6个月的时间间隔内也显示出良好的重测信度（类内相关=0.88），并且与儿童创伤访谈具有一致性，这表明患者基于儿童创伤问卷的儿童虐待和忽视报告在时间和不同类型的工具上都是高度稳定的。结论：本研究结果为儿童创伤问卷的信度和效度提供了有力的初步支持。
Objective: This report presents initial findings on the reliability and validity of a new retrospective measure of child abuse and neglect, the Childhood Trauma Questionnaire. Method: Two hundred eighty-six drug- or alcohol-dependent patients were given the Childhood Trauma Questionnaire as part of a larger test battery, and 40 of these patients were given the given the questionnaire again after an interval of 2 to 6 months. Sixty-eight of the patients were also given a structured interview for child abuse and neglect, the Childhood Trauma Interview that was developed by the authors. Results: Principal-components analysis of responses on the Childhood Trauma Questionnaire yielded four rotated orthogonal factors: physical and emotional abuse, emotional neglect, sexual abuse, and physical neglect. Cronbach's alpha for the factors ranged,from 0.79 to 0.94, indicating high internal consistency. The Childhood Trauma Questionnaire also demonstrated good test-retest reliability over a 2- to 6-month interval (intraclass correlation=0.88), as well as convergence with the Childhood Trauma Interview, indicating that patients' reports of child abuse and neglect based on the Childhood Trauma Questionnaire were highly stable, both over time and across types of instruments. Conclusions: These findings provide strong initial support for the reliability and validity of the Childhood Trauma Questionnaire.