Characteristics of the Children's Revised Impact of Event Scale in a Clinically Referred Dutch Sample

Authors

  • Eva Verlinden,

    Corresponding author
    1. Academic Medical Center, Department of Child and Adolescent Psychiatry, University of Amsterdam, Amsterdam, The Netherlands
    2. De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
    • Correspondence concerning this article should be addressed to Eva Verlinden, Academic Medical Center, Department of Child and Adolescent Psychiatry, P.O. Box 303, 1115 ZG, Duivendrecht, The Netherlands, (+31) 20 566 3383. E-mail: verlinden.eva@gmail.com

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  • Els P. M. van Meijel,

    1. Academic Medical Center, Department of Child and Adolescent Psychiatry, University of Amsterdam, Amsterdam, The Netherlands
    2. De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
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  • Brent C. Opmeer,

    1. Academic Medical Center, Clinical Research Unit, University of Amsterdam, Amsterdam, The Netherlands
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  • Renée Beer,

    1. De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
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  • Carlijn de Roos,

    1. GGZ Rivierduinen, Psychotrauma Center for Children and Youth, Leiden, The Netherlands
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  • Iva A. E. Bicanic,

    1. University Medical Center Utrecht, National Psychotrauma Center for Children and Youth, The Netherlands
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  • Francien Lamers-Winkelman,

    1. Children's and Youth Trauma Center, Haarlem, The Netherlands
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  • Miranda Olff,

    1. Academic Medical Center, Department of Psychiatry, University of Amsterdam, Amsterdam, The Netherlands
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  • Frits Boer,

    1. Academic Medical Center, Department of Child and Adolescent Psychiatry, University of Amsterdam, Amsterdam, The Netherlands
    2. De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
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  • Ramón J. L. Lindauer

    1. Academic Medical Center, Department of Child and Adolescent Psychiatry, University of Amsterdam, Amsterdam, The Netherlands
    2. De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
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  • This study was supported by a grant of the Netherlands Organization for Health Research and Development (ZonMw, grant number 15701.0005). We wish to thank Joost Daams, clinical librarian from the Division of Clinical Methods and Public Health, Academic Medical Center, Amsterdam, The Netherlands, for his help with the literature search. We also would like to thank Belinda Dow, Research Fellow at the University of Queensland, Australia, for her help as a native English speaker. Finally, we would like to thank Annu Sharma, Romana Luske, Sanja Goddijn, Mirjam Schippers, and Maj Gigengack, who have done an excellent job in the collection of data.

Abstract

Early identification of posttraumatic stress disorder (PTSD) in children is important to offer them appropriate and timely treatment. The Children's Revised Impact of Event Scale (CRIES) is a brief self-report measure designed to screen children for PTSD. Research regarding the diagnostic validity of the CRIES is still insufficient, has been restricted to specific populations, and sample sizes have often been small. This study evaluated the reliability and validity of the 8-item (CRIES-8) and 13-item (CRIES-13) versions of the CRIES in a large clinically referred sample. The measure was completed by 395 Dutch children (7–18 years) who had experienced a wide variety of traumatic events. PTSD was assessed using the Anxiety Disorders Interview Schedule for DSM-IV: Child and Parent version. A cutoff score of 17 on the CRIES-8 and 30 on the CRIES-13 emerged as the best balance between sensitivity and specificity, and correctly classified 78%–81% of all children. The CRIES-13 outperformed the CRIES-8, in that the overall efficiency of the CRIES-13 was slightly superior (.81 and .78, respectively). The CRIES appears to be a reliable and valid measure, which gives clinicians a brief and user-friendly instrument to identify children who may have PTSD and offer them appropriate and timely treatment.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:荷蘭臨床轉介樣本中兒童事件影響量表修訂版(CRIES)的特徵。

撮要:在兒童中及早發現創傷後壓力症(PTSD)便可提供迫切合適的治療。兒童事件影響量表修訂版(CRIES) 是篩選兒童PTSD的一個簡短自我報告量表。針對CRIES 診斷效力的研究並未足夠,大多局限於個別人群和只有小型樣本規模。本文在一大型臨床轉介樣本中評估CRIES 的8-項目(CRIES-8)和13-項目(CRIES-13)版本的信賴度和效力。共有395名曾經歷不同種類創傷事件的荷蘭兒童(7–18歲)完成測量。PTSD 是使用DSM-IV焦慮症會見程序(兒童及家長版本)來評核。CRIES-8 的17分和CRIES-13的30分為分界點,能最佳平衡敏感度和特異性,亦正確地區分全部兒童的78%-81%。而CRIES-13比CRIES-8優勝,因為CRIES-13的全面效率略高(分別是.81和.78)。CRIES是一個可信賴和有效的量度,給臨床醫療人員一個簡短而易用的工具,以找出可能患上PTSD的兒童,並提供迫切合適治療。

标题:荷兰临床转介样本中儿童事件影响量表修订版(CRIES)的特征。

撮要:在儿童中及早发现创伤后压力症(PTSD)便可提供迫切合适的治疗。儿童事件影响量表修订版(CRIES) 是筛选儿童PTSD的一个简短自我报告量表。针对CRIES 诊断效力的研究并未足够,大多局限于个别人群和只有小型样本规模。本文在一大型临床转介样本中评估CRIES 的8-项目(CRIES-8)和13-项目(CRIES-13)版本的信赖度和效力。共有395名曾经历不同种类创伤事件的荷兰儿童(7–18岁)完成测量。PTSD 是使用DSM-IV焦虑症会见程序(儿童及家长版本)来评核。CRIES-8 的17分和CRIES-13的30分为分界点,能最佳平衡敏感度和特异性,亦正确地区分全部儿童的78%-81%。而CRIES-13比CRIES-8优胜,因为CRIES-13的全面效率略高(分别是.81和.78)。CRIES是一个可信赖和有效的量度,给临床医疗人员一个简短而易用的工具,以找出可能患上PTSD的儿童,并提供迫切合适治疗。

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