A Parental Tool to Screen for Posttraumatic Stress in Children: First Psychometric Results

Authors

  • Eva Verlinden,

    Corresponding author
    1. Department of Child and Adolescent Psychiatry, Academic Medical Center, 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, Department of Child and Adolescent Psychiatry, Academic Medical Center, P.O. Box 303, 1115 ZG, Duivendrecht, The Netherlands. E-mail: verlinden.eva@gmail.com

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  • Yvette L. van Laar,

    1. De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
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  • Els P. M. van Meijel,

    1. Department of Child and Adolescent Psychiatry, Academic Medical Center, 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. Clinical Research Unit, Academic Medical Center, 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. Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
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  • Frits Boer,

    1. Department of Child and Adolescent Psychiatry, Academic Medical Center, 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. Department of Child and Adolescent Psychiatry, Academic Medical Center, 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). The authors 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 Annu Sharma, Romana Luske, Sanja Goddijn, Mirjam Schippers, and Maj Gigengack for their valuable contribution to the collection of data.

Abstract

The Children's Revised Impact of Event Scale (CRIES-13) is a brief self-report measure designed to screen children for posttraumatic stress disorder (PTSD). This study investigates the psychometric properties of a Dutch version of the CRIES-13–parent version and evaluates its correlation with the child version. A sample of 59 trauma-exposed children (8 years–18 years) and their parents completed an assessment including the CRIES-13 (child/parent version) along with the Anxiety Disorders Interview Schedule for DSM-IV: Parent version. Results demonstrated good internal consistency (α = .87) with acceptable values for the 3 subscales. A strong correlation (r = .73) with another measure of PTSD and lower correlations with a behavioral measure (r = .15 to .38) were found, confirming the convergent/divergent validity. A cutoff score ≥ 31 emerged as the best balance between sensitivity and specificity, and correctly classified 83.6% of all children as having a diagnosis of PTSD. This study provides support for the reliability and validity of the CRIES-13–parent version as a screening measure for posttraumatic stress in children.

Resumen

La escala de eventos con impacto revisado en niños (CRIES-13) es una medida de auto reporte breve diseñado para detectar el trastorno por estrés post-traumático (TEPT) en niños. Este estudio investiga las propiedades psicométricas de la versión Holandesa para padres del CRIES-13 y evalúa su correlación con la versión para niños. Una muestra de 59 niños expuestos a trauma (8–18 años) y sus padres, completaron la evaluación incluyendo el CRIES-13 (versión niño/adulto) junto con la entrevista programada para trastornos de ansiedad del DSM-IV: versión parental. Los resultados demuestran una buena consistencia interna (α = .87) con valores aceptables para las 3 subescalas. Se encontró también una correlación marcada (r = .73) con otra medida del EPT y bajas correlaciones con medidas conductuales (r = .15 a .38), confirmando la validación convergente/divergente. El puntaje de corte igual o mayor que 31 surgió como el mejor balance entre sensibilidad y especificidad, y clasificaba correctamente el 83.6% de todos los niños con y sin diagnóstico de EPT. Este estudio proporciona evidencia sobre la confiabilidad y validez de la versión parental del CRIES-13 como una herramienta de detección de estrés post-traumático en niños.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:篩選兒童的創傷後壓力的父母評估工具:第一批心理測量結果。

撮要:兒童事件影響量表修訂版(CRIES-13)是一個簡短自我報告量度來篩選兒童的創傷後壓力症(PTSD)。本文測試CRIES-13荷蘭父母使用版本的心理測量特性,和評估它與兒童版本的關連。樣本是59名受創兒童(8至18歲)和他們的雙親,他們完成CRIES-13(兒童/父母版本)和DSM-Ⅳ焦慮症面見議程父母版本的評核。結果顯示良好的內在一致性(α=.87)而3個子量表的價值都可接受。此量表與其他PTSD量表有強烈關連(r=.73),但與另一行為量表則有較低關連(r=.15至.38),此亦確認其收歛/發散效度。31或以上的截斷點是敏感度和特異性的最佳平衡點,能正確將83.6%兒童分辨是否患上PTSD。本研究支持:CRIES-13父母版本作為篩選兒童創傷後壓力的量表的可靠性和有效度。

标题:筛选儿童的创伤后压力的父母评估工具:第一批心理测量结果。

撮要:儿童事件影响量表修订版(CRIES-13)是一个简短自我报告量度来筛选儿童的创伤后压力症(PTSD)。本文测试CRIES-13荷兰父母使用版本的心理测量特性,和评估它与儿童版本的关连。样本是59名受创儿童(8至18岁)和他们的双亲,他们完成CRIES-13(儿童/父母版本)和DSM-Ⅳ焦虑症面见议程父母版本的评核。结果显示良好的内在一致性(α=.87)而3个子量表的价值都可接受。此量表与其他PTSD量表有强烈关连(r=.73),但与另一行为量表则有较低关连(r=.15至.38),此亦确认其收敛/发散效度。31或以上的截断点是敏感度和特异性的最佳平衡点,能正确将83.6%儿童分辨是否患上PTSD。本研究支持:CRIES-13父母版本作为筛选儿童创伤后压力的量表的可靠性和有效度。

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