Reliability and convergent validity of retrospective reports of childhood maltreatment by individuals with bipolar disorder
Reliability and convergent validity of retrospective reports of childhood maltreatment by individuals with bipolar disorder
复制标题
DOI：
10.1016/j.psychres.2023.115105
复制
发表时间：
2023-02-14
影响因子：
11.3
通讯作者：
Parker, Camilla
中科院分区：
文献类型：
--
作者：
Hosang, Georgina M.;Manoli, Athina;Parker, Camilla
儿童期虐待与双相情感障碍的病因和临床病程有关。大多数研究采用回溯性虐待自我报告，这很容易受到偏见的影响，这引发了人们对其有效性和可靠性的质疑。本研究以双相人格样本为研究对象，考察了10年来重测信度、收敛效度和当前情绪对儿童期虐待回顾报告的影响。85例双相I型障碍患者在基线时完成了儿童创伤问卷[CTQ]和父母亲和量表[PBI]。贝克抑郁问卷和自我报告躁狂问卷分别评估了抑郁和躁狂症状。53名参与者在基线和10年随访时完成了CTQ。在CTQ和PBI之间观察到良好的趋同效度。相关系数从r_s=-0.35(CTQ情绪虐待和PBI父亲关怀)到Rs=-0.65(CTQ情绪忽视和PBI母性关怀)。基线的CTQ报告与10年的随访之间有很好的一致性(范围：Kappa=0.41，身体忽视为Kappa=0.83，性虐待)。与没有报告虐待的参与者相比，报告虐待(但不是忽视)的参与者的抑郁和躁狂得分更高。这些发现支持在研究和临床实践中使用这种方法，尽管目前的情绪应该被考虑在内。
Childhood maltreatment is associated with the etiology and clinical course of bipolar disorder. Most studies employ retrospective maltreatment self-reports which are vulnerable to bias, raising questions about their val-idity and reliability. This study examined the test-retest reliability over 10 years, the convergent validity and the impact of current mood on retrospective reports of childhood maltreatment in a bipolar sample. 85 participants with bipolar I disorder completed the Childhood Trauma Questionnaire [CTQ] and the Parental Bonding In-strument [PBI] at baseline. Beck Depression Inventory and Self Report Mania Inventory assessed depressive and manic symptoms, respectively. 53 participants completed the CTQ at baseline and 10-year follow-up. Good levels of convergent validity were observed between the CTQ and PBI. Correlations ranged from rs=-0.35 (CTQ emotional abuse and PBI paternal care) to rs=-0.65 (CTQ emotional neglect and PBI maternal care). Good agreement between CTQ reports at baseline and 10-year follow-up were found (range: kappa=0.41 for physical neglect to kappa=0.83 for sexual abuse). Higher depression and mania scores were recorded among participants who reported abuse (but not neglect) compared to those without such reports. These findings support using this method in research and clinical practice, though current mood should be taken into account.