Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic
Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic
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DOI：
10.1016/j.chiabu.2003.08.009
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发表时间：
2004-07-01
影响因子：
4.8
通讯作者：
Anda, RF
中科院分区：
文献类型：
--
作者：
Dube, SR;Williamson, DF;Anda, RF
不良童年经历（ACE）研究是一项大型流行病学研究，旨在研究广泛的儿童压力源对成年人健康和社会结果的影响。本研究的目的是检查的重测信度的不良童年经历的回顾性报告。在目前的研究中，我们使用了658名参与者的数据，他们在两个不同的场合完成了ACE研究问卷。我们使用科恩的kappa来评估儿童性虐待，身体虐待和情感虐待的成人报告的重测信度;以及家庭功能障碍的形式，包括精神疾病，药物滥用，父母不和或离婚，被监禁的家庭成员和家庭暴力。重测信度进行了两个反应发生在成年期。这并不允许我们讨论从儿童到成年的报告是否有变化的问题。尽管如此，研究结果提供了一个总体指标，即成年后不良童年经历的报告具有良好到极好的可靠性。总之，我们发现在回答有关不良童年经历的问题时的重测信度以及由此产生的ACE评分是良好的，并且是中度到实质性的。这些研究结果表明，对儿童虐待和相关形式的严重家庭功能障碍的回顾性反应一般是稳定的。（PsycInfo数据库记录（c）2020阿帕，保留所有权利）
The Adverse Childhood Experiences (ACE) Study is a large epidemiological study that examines the impact of a broad range of childhood stressors on the health and social outcomes of adults. The aim of the current study was to examine the test-retest reliability of retrospective reports of adverse childhood experiences. In the current study, we used data from 658 participants who completed the ACE Study questionnaire on two separate occasions. We used Cohen's kappa to assess the test-retest reliability of adult reports of childhood sexual, physical, and emotional abuse; and forms of household dysfunction, including growing up with mental illness, substance abuse, parental discord or divorce, an incarcerated household member, and domestic violence. The test-retest reliability was conducted on both responses occurring during adulthood. This does not allow us to address the issue of whether or not there was a change in reporting from childhood to adulthood. Nonetheless, the results provide an overall indication that there is good to excellent reliability in the reports of adverse childhood experiences during adulthood. summary, we found the test-retest reliability in the responses to questions about adverse childhood experiences as well as the resulting ACE score to be good and moderate to substantial. These findings suggest that retrospective responses to childhood abuse and related forms of serious household dysfunction are generally stable over time.(PsycInfo Database Record (c) 2020 APA, all rights reserved)