The Child Behavior Checklist PTSD Scale: Screening for PTSD in Young Children With High Exposure to Trauma
The Child Behavior Checklist PTSD Scale: Screening for PTSD in Young Children With High Exposure to Trauma
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DOI：
10.1002/jts.20658
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发表时间：
2011-08-01
影响因子：
3.3
通讯作者：
Chinitz, Susan
中科院分区：
文献类型：
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作者：
Loeb, Joanne;Stettler, Erin M.;Chinitz, Susan
本研究的目的是检验儿童行为检查表（CBCL）创伤后应激障碍（PTSD）子量表在城市早期儿童心理健康中心儿童创伤后应激障碍筛查中的有效性。使用各种测量方法，我们评估了51名接受PTSD门诊儿童家长心理治疗的高创伤暴露学龄前儿童。我们将CBCL上的15个项目与UCLA-PTSD指数、基于《精神疾病诊断与统计手册》（第4版；DSM-IV；美国精神病学协会，1994年）和《婴幼儿心理健康与发育障碍诊断分类》（修订版；DC:0-3； 2005年0-3）的临床诊断进行了比较。使用DC:0-3标准，24%的儿童被诊断为PTSD，但使用DSM-IV只有4%。在这一人群中，CBCL-PTSD量表没有达到显著的敏感性或特异性，无法作为一种有价值的PTSD筛查工具。
The objective of this study was to examine the validity of the Child Behavior Checklist (CBCL) Posttraumatic Stress Disorder (PTSD) subscale to screen for PTSD in children attending an inner-city early childhood mental health center. Using various measures, we assessed 51 preschool-age children with high exposure to trauma receiving outpatient child parent psychotherapy for PTSD. We compared 15 items on the CBCL, a proposed subscale indicative of PTSD, to the UCLA-PTSD Index and to clinical diagnosis based on the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) and the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (rev. ed.; DC:0-3; Zero to Three, 2005). Using the DC:0-3 criteria, 24% of the children were diagnosed with PTSD, but only 4% using the DSM-IV. The CBCL-PTSD subscale did not reach significant sensitivity or specificity to be a valuable screening tool for PTSD in this population.