背景:儿童虐待对心理健康有深远的影响。儿童创伤问卷简表(CTQ-SF)和儿童不良经历国际问卷(ACE-IQ)是评估儿童虐待的常用回顾性评估工具。
目的:本研究旨在对CTQ-SF和ACE-IQ进行综合比较,包括内部一致性,患病率,以及创伤相关结局的预测功效。它还试图根据两种仪器之间已建立的可比性来增强ACE-IQ的评分方法。
方法:招募了来自中国北方的1484名大学生,评估与创伤经历相关的人口统计学特征和结果,包括创伤后应激障碍(PTSD),复杂的创伤后应激障碍(CPTSD),边缘性人格障碍(BPD),焦虑,和抑郁症。
方法:进行了偶然性相关分析,以评估CTQ-SF和ACE-IQ之间的一致程度。二元逻辑回归模型用于比较不同仪器的预测能力。
结果:CTQ-SF和ACE-IQ仪器显示出良好的内部一致性和跨共享类别的显着相关性。然而,创伤类型和不良结局之间的预测关系在不同的仪器中不一致.ACE-IQ,包括13个创伤类别,显示较低的AIC和BIC指数,表明一个适合阐明结果的优越模型。
结论:本研究引入了ACE-IQ的评分方法,提高这两项措施的可比性,并强调捕捉儿童可能经历的全方位虐待类型的重要性。这些发现对临床和流行病学研究具有重要意义。为理解虐待儿童的影响提供有价值的见解。
Child maltreatment has profound effects on mental health. The Childhood Trauma Questionnaire Short Form (CTQ-SF) and the Adverse Childhood Experiences International Questionnaire (ACE-IQ) are commonly used retrospective assessment tools for evaluating child maltreatment.
This study aims to conduct a comprehensive comparison of the CTQ-SF and ACE-IQ, encompassing internal consistency, prevalence, and the predictive efficacy of trauma-related outcomes. It also seeks to enhance the scoring method of ACE-IQ based on the established comparability between the two instruments.
1484 college students from northern
China were recruited, assessing demographic characteristics and outcomes related to traumatic experiences, including post-traumatic stress disorder (PTSD), complex post-traumatic stress disorder (CPTSD), borderline personality disorder (BPD), anxiety, and depression.
A contingency correlation analysis was performed to evaluate the degree of agreement between the CTQ-SF and ACE-IQ. Binary logistic regression models were utilized to compare the predictive capabilities of distinct instruments.
CTQ-SF and ACE-IQ instruments display favorable internal consistency and notable correlations across shared categories. However, the predictive relationships between trauma type and adverse outcomes are inconsistent across instruments. The ACE-IQ, encompassing 13 trauma categories, demonstrate a lower AIC and BIC index, indicating a superior model fit for elucidating outcomes.
This study introduces a scoring methodology for ACE-IQ, improving the comparability of the two measures and emphasizing the importance of capturing the full range of maltreatment types a child may have experienced. These findings have significant implications for clinical and epidemiological research, providing valuable insights for understanding the impact of child maltreatment.