The Childhood Trauma Questionnaire—Short Form (CTQ-SF) used with adolescents – methodological report from clinical and community samples
Tóm tắt
The Childhood Trauma Questionnaire—Short Form (CTQ-SF) is a widely used retrospective screening tool for childhood maltreatment in adults. Its properties are less known in adolescents. The objective was to investigate acceptability and psychometric properties when used in adolescents. A community sample of adolescents (n=1885) in four waves (from 13 or 14 to 17 years old) and a clinical sample (n=74, mean age 18), both from Sweden, were used to assess acceptability and different aspects of validity and reliability. The CTQ-SF was found to be well-accepted. As expected, the community sample scored lower than the clinical sample on all maltreatment-scales and showed stability over-time. In the community sample, internal consistencies were substantial or excellent for all scales except Physical neglect, and in the clinical sample this was found for all scales. One-year test-retest consistencies of subscales were substantial or almost perfect, and for all scales, they increased from early to mid-adolescence. Directed inconsistencies on item level decreased from early to mid-adolescence. Convergent validity was shown in relation to scales on family climate, parental relations, and emotional health also from early adolescence. Discriminant analyses showed more moderate discriminatory ability although almost seven times better than by-chance. The CTQ is well accepted and can be trusted to provide consistent and valid self-reports from the age of 14 on childhood maltreatment. Some caution is advised when used with younger adolescents, since the test-retest stability is then weaker, and the interpretation of the M/D scale is more ambiguous.
Tài liệu tham khảo
Aloba, O., Opakunle, T., & Ogunrinu, O. (2020). Childhood Trauma Questionnaire-Short Form (CTQ-SF): Dimensionality, validity, reliability and gender invariance among Nigerian adolescents. Child Abuse & Neglect, 101, 104357. https://doi.org/10.1016/j.chiabu.2020.104357
Alvarez-Alonso, M. J., Jurado-Barba, R., Martinez-Martin, N., Espin-Jaime, J. C., Bolaños-Porrero, C., Ordoñez-Franco, A. … Rubio, G. (2016). Association between maltreatment and polydrug use among adolescents. Child Abuse & Neglect, 51(C), 379–389. https://doi.org/10.1016/j.chiabu.2015.07.014
Anderberg, M., & Dahlberg, M. (2018). Gender differences among adolescents with substance abuse problems at Maria clinics in Sweden. Nordic Studies on Alcohol and Drugs, 35(1), 24–38. https://doi.org/10.1177/1455072517751263
Barnett, D., Manly, J. T., & Cicchetti, D. (1993). Defining child maltreatment: The interface between policy and research. In D. Cicchetti, S. L. Toth, & I. E. Sigel (Eds.), Advances in applied developmental psychology: Child abuse, child development, and social policy (pp. 7–73). Norwood: Ablex Publishing Corporation.
Bendre, M. (2019). Predictors of Alcohol Misuse Role of MAOA genotype, methylation, transcription, and negative and positive environmental factors. Uppsala University, Department of Neuroscience (PhD dissertation)
Berglund, K. J., Balldin, J., Berggren, U., Gerdner, A., & Fahlke, C. (2013). Childhood maltreatment affects the serotonergic system in male alcohol-dependent individuals. Alcohol Clin Exp Res, 37(5), 757–762. https://doi.org/10.1111/acer.12023
Bernstein, D. P., Ahluvalia, T., Pogge, D., & Handelsman, L. (1997). Validity of the Childhood Trauma Questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child and Adolescent Psychiatry, 36(3), 340–348. https://doi.org/10.1097/00004583-199703000-00012
Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire. A retrospective self-report. Manual. San Antonio. TX: The Psychological Corporation. Harcourt Brace & Company
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T. … Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27(2), 169–190
Bernstein, D. P., & Fink, L. (2011). Childhood Trauma Questionnaire. A retrospective self-report. Manual – Svensk version [Swedish version]. Stockholm: Pearson Assessment
Bloom, B. L. (1985). A factor analysis of self-report measures of family functioning. Family process, 24(2), 225–239. https://doi.org/10.1111/j.1545-5300.1985.00225.x
Briere, J. (1992). Methodological issues in the study of sexual abuse effects. Journal of Consulting and Clinical Psychology, 60(2), 196–203. https://doi.org/10.1037/0022-006X.60.2.196
Broberg, A., Almqvist, L., Axberg, U., Almqvist, K., Cater, Å., Eriksson, M., & Sharifi, U. (2011). Stöd till barn som bevittnat våld mot mamma: Resultat från en nationell utvärdeing [Support to children who have witnessed violence against their mothers: Results from a national evaluation study]. Gothenburg: University of Gothenburg
Butchart, A., Harvey, H. P., Mian, M., & Fürniss, T. (2006). Preventing child maltreatment: A guide to taking action and generating evidence. Geneva, Switzerland: World Health Organization and the International Society for Prevention of Child Abuse and Neglect
Carlsson, E. (2016). The importance of psychological and physical stressors on diabetes-related immunity in a young population – an interdisciplinary approach. Jönköping University, School of Health and Welfare (PhD dissertation)
Cammack, A.L., Hogue, C.J., Drews-Botsch, C.D. et al. (2016) Test-retest reliability of retrospective self-reported maternal exposure to childhood abuse and neglect. Arch Womens Ment Health 19, 415–421. https://doi.org/10.1007/s00737-015-0536-x
Cicchetti, D., & Rogosch, F. A. (2002). A developmental psychopathology perspective on adolescence. Journal of Consulting and Clinical Psychology, 70(1), 6–20. https://doi.org/10.1037/0022-006X.70.1.6
Cicchetti, D., & Toth, S. L. (2005). Child maltreatment. Annual review of clinical psychology 1, 409-438 10.1146/annurev.clinpsy.1.102803.144029
Charak, R., de Jong, J. T. V. M., Berckmoes, L. H., Ndayisaba, H., & Reis, R. (2017). Assessing the factor structure of the Childhood Trauma Questionnaire, and cumulative effect of abuse and neglect on mental health among adolescents in conflict-affected Burundi. Child Abuse & Neglect, 72, 383–392. https://doi.org/10.1016/j.chiabu.2017.09.009
Chu, A. T., DePrince, A. P., & Weinzierl, K. M. (2008). Children's perception of research participation: Examining trauma exposure and distress. Journal of Empirical Research on Human Research Ethics, 3(1), 49–58. https://doi.org/10.1525/2Fjer.2008.3.1.49
Daalder, A. L., & Bogaerts, S. (2011). Measuring childhood abuse and neglect in a group of female indoor sex workers in the Netherlands: A confirmatory factor analysis of the Dutch version of the Childhood Trauma Questionnaire-Short Form. Psychological Reports, 108(3), 856–860. https://doi.org/10.2466/02.10.13.16.PR0.108.3.856-860
Dahlberg, M., Anderberg, M., & Wennberg, P. (2017). Psychometric properties of the UngDOK – a structured interview for adolescents with substance use problems. Nordic Studies on Alcohol and Drugs, 34(2), 160–172. https://doi.org/10.1177/1455072516687440
Della Femina, D., Yeager, C. A., & Lewis, D. O. (1990). Child abuse: adolescent records vs. adult recall. Child Abuse & Neglect, 14(2), 227–231. https://doi.org/10.1016/0145-2134(90)90033-P
Dovran, A., Winje, D., Øverland, S. N., Breivik, K., Arefjord, K., Dalsbø, A. S. … Waage, L. (2013). Psychometric properties of the Norwegian version of the Childhood Trauma Questionnaire in high-risk groups. Scandinavian Journal of Psychology, 54(4), 286–291. https://doi.org/10.1111/sjop.12052
Fan, X., Miller, B. C., Park, K. E., Winward, B. W., Christensen, M., Grotevant, H. D., & Tai, R. H. (2006). An Exploratory Study about Inaccuracy and Invalidity in Adolescent Self-Report Surveys. Field Methods, 18(3), 223–244. DOI: https://doi.org/10.1177/152822X06289161
Fergusson, D. M., Horwood, L. J., & Woodward, L. J. (2000). The stability of child abuse reports: a longitudinal study of the reporting behaviour of young adults. Psychological Medicine, 30(3), 529–544. https://doi.org/10.1017/S0033291799002111
Finkelhor. D., Vandermindena, F. D., Turner, J., Hamby, H., & Shattucka, S., A (2014). Upset among youth in response to questions about exposure to violence, sexual assault and family maltreatment. Child Abuse & Neglect, 217–223. https://doi.org/10.1016/j.chiabu.2013.07.021
Garrusi, B., & Nakhaee, N. (2009). Validity and reliability of a Persian version of the Childhood Trauma Questionnaire. Psychological Reports, 104(2), 509–516. https://doi.org/10.2466/PR0.104.2.509-516
Gerdner, A., & Allgulander, C. (2009). Psychometric properties of the Swedish version of the Childhood Trauma Questionnaire—Short Form (CTQ-SF). Nordic Journal of Psychiatry, 63(2), 160–170. https://doi.org/10.1080/08039480802514366
Gerdner, A., & Wickström, L. (2015). Reliability of ADDIS for diagnoses of substance use disorders according to ICD-10. DSM-IV and DSM-5: test-retest and inter-item consistency. Substance Abuse Treatment. Prevention. and Policy, 10(14), https://doi.org/10.1186/s13011-015-0008-3
Gibbons, J. D. (1993). Non-parametric statistics – an introduction. Series: Quantitative Applications in the Social Sciences 90. Beverly Hills. Sage University Paper
Grassi-Oliveira, R., Stein, L. M., & Pezzi, J. C. (2006). Tradução e validação de conteúdo da versão em português do Childhood Trauma Questionnaire [Translation and content validation of the Childhood Trauma Questionnaire into Portuguese language]. Revista de saude publica, 40(2), 249–255. https://doi.org/10.1590/s0034-89102006000200010
Grassi-Oliveira, R., Cogo-Moreira, H., Salum, G. A., Brietzke, E., Viola, T. W., et al. (2014). Childhood Trauma Questionnaire (CTQ) in Brazilian Samples of Different Age Groups: Findings from Confirmatory Factor Analysis. PLOS ONE, 9(1), e87118. https://doi.org/10.1371/journal.pone.0087118
Goodman, L. A., & Kruskal, W. H. (1954). Measures of Association for Cross Classifications. Journal of the American Statistical Association, 49(268), 732–764. https://doi.org/10.2307/2281536
Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology & Psychiatry, 38, 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x
Gustavsson, P. A., Hjern, A., Modin, B., Bergström, M., & Berlin, M. (2012). Skolans betydelse för barns och ungas psykiska hälsa. En studie baserad på den nationella totalundersökningen i årskurs 6 och 9 hösten 2009. [The school’s importance for children’s and young people’s mental health. A study based on the national total survey in grades 6 and 9 autumn 2009]. Stockholm: National Board of Health and Welfare
Hagborg, J., Berglund, K., & Fahlke, C. (2018). Evidence for a relationship between child maltreatment and absenteeism among high-school students in Sweden. Child Abuse & Neglect, 75, 41–49. https://doi.org/10.1016/j.chiabu.2017.08.027
Hagborg, J. M., Thorvaldsson, V., & Fahlke, C. (2020). Child maltreatment and substance-use-related negative consequences: Longitudinal trajectories from early to mid-adolescence. Addictive Behaviors, 106, 8. https://doi.org/10.1016/j.addbeh.2020.106365
Hagquist, C. (2005). Mätning av barns och ungdomars psykiska hälsa – förslag till nationella och återkommande undersökningar. [Measurement of the mental health of children and adolescents – proposals for national and regular surveys.] Stockholm. National Board of Health and Welfare
Hardt, J., & Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. Journal of Child Psychology and Psychiatry, 45(2), 260–273. https://doi.org/10.1111/j.1469-7610.2004.00218.x
Hasking, P., Tatnell, R. C., & Martin, G. (2015). Adolescents’ reactions to participating in ethically sensitive research: A prospective self-report study. Child and Adolescent Psychiatry and Mental Health, 9, 39. https://doi.org/10.1186/s13034-015-0074-3
Jernbro, C., & Jansson, S. (2017). Våld mot barn. En nationell kartläggning [Violence against children. A national survey]. Stockholm: Allmänna Barnhuset
Kalin, T., Persdotter, B., Ahlgren, T., & Gerdner, A. (2021). How do child welfare referrals in Sweden match children's self-reporting of severe exposure? Child & Family Social Work, 1– 12. https://doi.org/10.1111/cfs.12856
Karos, K., Niederstrasser, N., Abidi, L., Bernstein, D. P., & Bader, K. (2014). Factor structure, reliability, and known groups validity of the German version of the Childhood Trauma Questionnaire (Short-form) in Swiss patients and nonpatients. Journal of Child Sexual Abuse, 23(4), 418–430. https://doi.org/10.1080/10538712.2014.896840
Kendall-Tackett, K., & Becker-Blease, K. (2004). The importance of retrospective findings in child maltreatment research. Child Abuse & Neglect, 28, 723–727. https://doi.org/10.1016/j.chiabu.2004.02.002
Kim, J., Dubowitz, H., Hudson-Martin, E., & Lane, W. (2008). Comparison of 3 data collection methods for gathering sensitive and less sensitive information. Ambulatory Pediatrics, 8(4), 255–260. https://doi.org/10.1016/j.ambp.2008.03.033
Kim, D., Bae, H., Han, C., Oh, H. Y., & MacDonald, K. (2013) Psychometric properties of the Childhood Trauma Questionnaire-Short Form (CTQ-SF) in Korean patients with schizophrenia. Schizophrenia Research 144(1-3) 93-98 https://doi.org/10.1016/j.schres.2012.12.020
Lamers, S. M., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M., & Keyes, C. L. (2011). Evaluating the psychometric properties of the mental health continuum-short form (MHC-SF). Journal of Clinical Psychology, 67(1), 99–110. https://doi.org/10.1002/jclp.20741
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174. https://doi.org/10.2307/2529310
Lundgren, K., Gerdner, A., & Lundqvist, L. O. (2002). Childhood abuse and neglect in severely dependent female addicts: homogeneity and reliability of a Swedish version of the Childhood Trauma Questionnaire. International Journal of Social Welfare, 11, 219–227. https://doi.org/10.1111/1468-2397.00219
MacDonald, K., Thomas, M. L., Sciolla, A. F., Schneider, B., Pappas, K., Bleijenberg, G. … Wingenfeld, K. (2016). Minimization of childhood maltreatment is common and consequential: Results from a large, multinational sample using the Childhood Trauma Questionnaire. PLoS ONE, 11(1), https://doi.org/10.1371/journal.pone.0146058
Melchert, T. P., & Parker, R. L. (1997). Different forms of childhood abuse and memory. Child Abuse & Neglect, 21(2), 125–135. https://doi.org/10.1016/S0145-2134(96)00138-X
Nilsson, D., & Svedin, C. G. (2017). Kunskapsöversikt om stöd och behandling för barn som utsatts för sexuella övergrepp och fysisk misshandel. [Knowledge overview on support and treatment for children who have been victims of sexual abuse and physical abuse]. Stockholm: Linköpings universitet och Stiftelsen Allmänna Barnhuset
Paivio, S. C. (2001). Stability of retrospective self-reports of child abuse and neglect before and after therapy for child abuse issues. Child Abuse & Neglect, 25(8), 1053–1068. https://doi.org/10.1016/S0145-2134(01)00256-3
Paivio, S. C., & Cramer, K. M. (2004). Factor structure and reliability of the Childhood Trauma Questionnaire in a Canadian undergraduate student sample. Child Abuse & Neglect, 28(8), 889–904. https://doi.org/10.1016/j.chiabu.2004.01.011
Paquette, D., Laporte, L., Bigras, M., & Zoccolillo, M. (2004). Validation de la version française du CTQ et prévalence de l’histoire de maltraitance [Validation of the French version of the CTQ and prevalence of the history of maltreatment]. Sante Mentale au Quebec, 29(1), 201–220. https://doi.org/10.7202/008831ar
Shaffer, A., Huston, L., & Egeland, B. (2008). Identification of child maltreatment using prospective and self-report methodologies: A comparison of maltreatment incidence and relation to later psychopathology. Child Abuse & Neglect, 32(7), 682–692. https://doi.org/10.1016/j.chiabu.2007.09.010
Shannon, C., Hanna, D., Tumelty, L., Waldron, D., Maguire, C., Mowlds, W. … Mulholland, C. (2016). Reliability of reports of childhood trauma in bipolar disorder: a test–retest study over 18 months. Journal of Trauma & Dissociation, 17(4), 511–519. https://doi.org/10.1080/15299732.2016.1141147
Smedje, H., Broman, J. E., Hetta, J., & von Knorring, A. L. (1999). Psychometric properties of a Swedish version of the ‘Strengths and Difficulties Questionnaire’. European Child & Adolescent Psychiatry, 8(2), 63–70. https://doi.org/10.1007/s007870050086
Sölva, K., Haselgruber, A., & Lueger-Schuster, B. (2020). Latent classes of childhood maltreatment in children and adolescents in foster care: associations with ICD-11 PTSD and complex PTSD. European Journal of Psychotraumatology, 11. https://doi.org/10.1080/20008198.2020.1832757
Statistics Sweden (2019). Kommuner i siffror [Municipalities in numbers]. Retrieved from https://www.scb.se/hitta-statistik/sverige-i-siffror/#?region2=00
Tilton-Weaver, L. (2014). Adolescents’ information management: Comparing ideas about why adolescents disclose to or keep secrets from their parents. Journal of Youth & Adolescence, 43(5), 803–813. https://doi.org/10.1007/s10964-013-0008-4
Thombs, B. D., Bernstein, D. P., Lobbestael, J., & Arntz, A. (2009). A validation study of the Dutch Childhood Trauma Questionnaire-Short Form: factor structure, reliability, and known-groups validity. Child Abuse & Neglect, 33(8), 518–523. https://doi.org/10.1016/j.chiabu.2009.03.001
Trickett, P. K., Negriff, S., Ji, J., & Peckins, M. (2011). Child Maltreatment and Adolescent Development. Journal of Research on Adolescence, 21(1), 3–20. https://doi.org/10.1111/j.1532-7795.2010.00711.x
Weeks, R., & Widom, C. S. (1998). Self-reports of early childhood victimization among incarcerated adult male felons. Journal of Interpersonal Violence, 13(3), 346–361. https://doi.org/10.1177/088626098013003003
WHO (2020). Child maltreatment: Infographics. World Health Organization, Geneva Retrieved 2020 December 11 from https://www.who.int/violence_injury_prevention/violence/child/Child_maltreatment_infographic_EN.pdf
Widom, C. S., Raphael, K. G., & DuMont, K. A. (2004). The case for prospective longitudinal studies in child maltreatment research: commentary on Dube, Williamson, Thompson, Felitti, and Anda (2004). Child abuse & neglect, 28(7), 715-722. https://doi.org/10.1016/j.chiabu.2004.03.009
Williams, L. M. (1994). Recall of childhood trauma: A prospective study of women’s memories of child sexual abuse. Journal of Consulting and Clinical Psychology, 62(6), 1167–1176. https://doi.org/10.1037/0022-006X.62.6.1167
Wingenfeld, K., Spitzer, C., Mensebach, C., Grabe, H. J., Hill, A., Gast, U. … Driessen, M. (2010). Die deutsche Version des Childhood Trauma Questionnaire (CTQ): Erste Befunde zu den psychometrischen Kennwerten [The German version of the Childhood Trauma Questionnaire (CTQ): preliminary psychometric properties]. Psychotherapie, Psychosomatik, medizinische Psychologie, 60(11), 442–450. https://doi.org/10.1055/s-0030-1247564