Conflict of interest statement: No conflicts declared.
Development and validation of the Child Post-Traumatic Cognitions Inventory (CPTCI)
Article first published online: 25 MAR 2009
© 2009 The Authors. Journal compilation © 2009 Association for Child and Adolescent Mental Health
Journal of Child Psychology and Psychiatry
Volume 50, Issue 4, pages 432–440, April 2009
How to Cite
Meiser-Stedman, R., Smith, P., Bryant, R., Salmon, K., Yule, W., Dalgleish, T. and Nixon, R. D.V. (2009), Development and validation of the Child Post-Traumatic Cognitions Inventory (CPTCI). Journal of Child Psychology and Psychiatry, 50: 432–440. doi: 10.1111/j.1469-7610.2008.01995.x
- Issue published online: 25 MAR 2009
- Article first published online: 25 MAR 2009
- Manuscript accepted 1 July 2008
- Post-traumatic stress disorder;
Background: Negative trauma-related cognitions have been found to be a significant factor in the maintenance of post-traumatic stress disorder (PTSD) in adults. Initial studies of such appraisals in trauma-exposed children and adolescents suggest that this is an important line of research in youth, yet empirically validated measures for use with younger populations are lacking. A measure of negative trauma-related cognitions for use with children and adolescents, the Child Post-Traumatic Cognitions Inventory (CPTCI), is presented. The measure was devised as an age-appropriate version of the adult Post-Traumatic Cognitions Inventory (Foa et al., 1999).
Methods: The CPTCI was developed and validated within a large (n = 570) sample, comprising community and trauma-exposed samples of children and adolescents aged 6–18 years.
Results: Principal components analysis suggested a two-component structure. These components were labelled ‘permanent and disturbing change’ and ‘fragile person in a scary world’, and were each found to possess good internal consistency, test–retest reliability, convergent validity, and discriminative validity. The reliability and validity of these sub-scales was present regardless of whether the measure was completed in the acute phase or several months after a trauma. Scores on these sub-scales did not vary with age.
Conclusions: The CPTCI is a reliable and valid measure that is not specific to the type of trauma exposure, and shows considerable promise as a research and clinical tool. The structure of this measure suggests that appraisals concerning the more abstract consequences of a trauma, as well as physical threat and vulnerability, are pertinent factors in trauma-exposed children and adolescents, even prepubescent children.