An evaluation of the measurement equivalence of the Childhood Trauma Questionnaire-Short Form across gender and race in a sample of drug-abusing adults
An evaluation of the measurement equivalence of the Childhood Trauma Questionnaire-Short Form across gender and race in a sample of drug-abusing adults
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DOI：
10.1016/j.jpsychores.2007.04.010
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发表时间：
2007-10-01
影响因子：
4.7
通讯作者：
Hatch, John P.
中科院分区：
文献类型：
--
作者：
Thombs, Brett D.;Lewis, Charles;Hatch, John P.
目的：一些实践指南和建议要求评估成人医疗患者的儿童虐待史。然而，筛查工具的文化敏感性尚未得到研究。据报告，在滥用药物的成年人中，儿童滥用史的比例很高。本研究的目的是调查儿童创伤量表简表（CTQ-SF）的测量不变性跨组定义的性别和种族的物质滥用的成年人样本。方法：本研究对德克萨斯州圣安东尼奥的693名活动性静脉药物滥用者进行了横断面调查。结构方程模型方法被用来评估测量不变性的CTQ-SF之间的男性和女性的主题和黑人和西班牙裔的主题。结果如下：有证据表明，CTQ-SF的五个因素结构的不变性跨组和部分不变性模型在项目水平。与研究假设一致，即使在控制了对类似项目的反应之后，提到“虐待”的两个项目，使用实际的词，也更有可能得到女性的认可。此外，与西班牙裔相比，黑人报告“用硬物惩罚”的比例往往高于他们对其他与身体虐待有关的项目的回答。结论：在总量表评分水平上，CTQ-SF中各组间非测量不变性的偏倚量最小。然而，在临床上，使用广泛的标签术语的个人问题更有可能将女性识别为有虐待史，而将身体纪律和身体虐待相结合的个人问题可能会过度识别美国黑人有虐待史。(c)2007爱思唯尔公司All rights reserved.
Objective: A number of practice guidelines and recommendations call for an assessment of childhood abuse history among adult medical patients. The cultural sensitivity of screening instruments, however, has not been examined. High rates of childhood abuse history have been reported among adults who abuse substances. The objective of this study was to investigate the measurement invariance of the Childhood Trauma Questionnaire-Short Form (CTQ-SF) across groups defined by gender and race in a sample of substance-abusing adults. Methods: This study performed a cross-sectional survey of 693 active intravenous drug abusers from San Antonio, TX. Structural equation modeling methods were used to evaluate the measurement invariance of the CTQ-SF between male and female subjects and between Black and Hispanic subjects. Results: Evidence was found for the invariance of the five-factor structure of the CTQ-SF across groups and for a partial invariance model at the item level. Consistent with study hypotheses, two items that referred to "abuse," using the actual word, were more likely to be endorsed by women than by men, even after controlling for responses on similar items. In addition, compared to Hispanics, Blacks tended to report having been "punished with hard objects" at higher rates than expected from their responses on other items related to physical abuse. Conclusion: The amount of bias from nonmeasurement invariance in the CTQ-SF across groups was minimal at the total scale score level. Clinically, however, individual questions that use broad labeling terms are more likely to identify women as having a history of abuse, and individual questions that blend the constructs of physical discipline and physical abuse may overidentify Black Americans as having a history of abuse. (c) 2007 Elsevier Inc. All rights reserved.