Reliability and Validity of the Korean Version of the Childhood Trauma Questionnaire-Short Form for Psychiatric Outpatients
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참고문헌
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초록
Objective The Childhood Trauma Questionnaire (CTQ) is perhaps the most widely used and well-studied retrospective measure of childhood abuse or neglect. This study tested the initial reliability and validity of a Korean translation of the Childhood Trauma Questionnaire (CTQ-K) among non-psychotic psychiatric outpatients. Methods The CTQ-K was administered to a total of 163 non-psychotic psychiatric outpatients at a university-affiliated training hospital. Internal consistency, four-week test-retest reliability, and validity were calculated. A portion of the participants (n=65) also completed the Trauma Assessment Questionnaire (TAQ), the Impact of Events Scale-Revised, and the Dissociative Experiences Scale-Taxon. Results Four-week test-retest reliability was high (r=0.87) and internal consistency was good (Cronbach’s α=0.88). Each type of childhood trauma was significantly correlated with the corresponding subscale of the TAQ, thus confirming its concurrent validity. In addition,the CTQ-K total score was positively related to post-traumatic symptoms and pathological dissociation, demonstrating the convergent validity of the scale. The CTQ-K was also negatively correlated with the competence and safety subscale of the TAQ, confirming discriminant validity. Additionally, we confirmed the factorial validity by identifying a five-factor structure that explained 64% of the total variance. Conclusion Our study indicates that the CTQ-K is a measure of psychometric soundness that can be used to assess childhood abuse or neglect in Korean patients. It also supports the cross-cultural equivalence of the scale.
Abstract
Objective The Childhood Trauma Questionnaire (CTQ) is perhaps the most widely used and well-studied retrospective measure of childhood abuse or neglect. This study tested the initial reliability and validity of a Korean translation of the Childhood Trauma Questionnaire (CTQ-K) among non-psychotic psychiatric outpatients. Methods The CTQ-K was administered to a total of 163 non-psychotic psychiatric outpatients at a university-affiliated training hospital. Internal consistency, four-week test-retest reliability, and validity were calculated. A portion of the participants (n=65) also completed the Trauma Assessment Questionnaire (TAQ), the Impact of Events Scale-Revised, and the Dissociative Experiences Scale-Taxon. Results Four-week test-retest reliability was high (r=0.87) and internal consistency was good (Cronbach’s α=0.88). Each type of childhood trauma was significantly correlated with the corresponding subscale of the TAQ, thus confirming its concurrent validity. In addition,the CTQ-K total score was positively related to post-traumatic symptoms and pathological dissociation, demonstrating the convergent validity of the scale. The CTQ-K was also negatively correlated with the competence and safety subscale of the TAQ, confirming discriminant validity. Additionally, we confirmed the factorial validity by identifying a five-factor structure that explained 64% of the total variance. Conclusion Our study indicates that the CTQ-K is a measure of psychometric soundness that can be used to assess childhood abuse or neglect in Korean patients. It also supports the cross-cultural equivalence of the scale.
참고문헌 (32)
- Goodwin J, "Reporting by adult psychiatric patients of childhood sexual abuse", Am J Psychiatry, 145, pp.1183~1184 (1988)
- Mitchell D, "Sexual abuse assessment on admission by nursing staff in general hospital psychiatric settings", Psychiatr Serv, 47, pp.159~164 (1996)
- Jacobson A, "The failure of routine assessment to detect histories of assault experienced by psychiatric patients", Hosp Community Psychiatry, 38, pp.386~389 (1987)
- Mueser KT, "Interpersonal trauma and posttraumatic stress disorder in patients with severe mental illness: demographic, clinical, and health correlates", Schizophr Bull, 30, pp.45~57 (2004)
- Jacobson A, "Physical and sexual assault histories among psychiatric outpatients", Am J Psychiatry, 146, pp.755~758 (1989)
- Swett C Jr, "Sexual and physical abuse histories and psychiatric symptoms among male psychiatric outpatients", Am J Psychiatry, 147, pp.632~636 (1990)
- Brown GR, "Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse", Am J Psychiatry, 148, pp.55~61 (1991)
- Read J, "Why, when and how to ask about childhood abuse", Adv Psychiatr Treat, 13, pp.101~110 (2007)
- Bernstein DP, "Initial reliability and validity of a new retrospective measure of child abuse and neglect", Am J Psychiatry, 151, pp.1132~1136 (1994)
- Burgermeister D, "Childhood adversity: a review of measurement instruments", J Nurs Meas, 15, pp.163~176 (2007)
- Aslan H, "Initial validity and reliability of the Turkish version of the Childhood Trauma Questionnaire", Ann Med Sci, 9, pp.113~119 (2000)
- Gerdner A, "Psychometric properties of the Swedish version of the Childhood Trauma Questionnaire-Short Form (CTQSF)", Nord J Psychiatry, 63, pp.160~170 (2009)
- Wingenfeld K, "The German version of the Childhood Trauma Questionnaire (CTQ): preliminary psychometric properties", Psychother Psychosom Med Psychol, 60, pp.442~450 (2010)
- Bernstein DP, "Childhood Trauma Questionnaire, in A Retrospective Self-Report. Manual" (1998), The Psychological Corporation, Harcourt Brace & Company
- Bernstein DP, "Development and validation of a brief screening version of the Childhood Trauma Questionnaire", Child Abuse Negl, 27, pp.169~190 (2003)
- Herman JL, "Childhood trauma in borderline personality disorder", Am J Psychiatry, 146, pp.490~495 (1989)
- Weiss DS, "The Impact of Event Scale-Revised, in Assessing Psychological Trauma and PTSD", pp.399~411 (1997), Guilford Press
- Waller NG, "Types of dissociation and dissociative types: a taxometric analysis of dissociative experiences", Psychol Methods, 1, pp.300~321 (1996)
- Scher CD, "The childhood trauma questionnaire in a community sample: psychometric properties and normative data", J Trauma Stress, 14, pp.843~857 (2001)
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- Park JM, "Standardization of dissociative experiences scale-Korean version", Korean J Psychopathol, 4, pp.105~125 (1995)
- Villano CL, "Psychometric utility of the Childhood Trauma Questionnaire with female street-based sex workers", J Trauma Dissociation, 5, pp.33~41 (2004)
- Garrusi B, "Validity and reliability of a Persian version of the Childhood Trauma Questionnaire", Psychol Rep, 104, pp.509~516 (2009)
- Wright KD, "Factorial validity of the Childhood Trauma Questionnaire in men and women", Depress Anxiety, 13, pp.179~183 (2001)
- Paivio SC, "Stability of retrospective self-reports of child abuse and neglect before and after therapy for child abuse issues", Child Abuse Negl, 25, pp.1053~1068 (2001)
- Sullivan TP, "Differential relationships of childhood abuse and neglect subtypes to PTSD symptom clusters among adolescent inpatients", J Trauma Stress, 19, pp.229~239 (2006)
- Chu JA, "Dissociative symptoms in relation to childhood physical and sexual abuse", Am J Psychiatry, 147, pp.887~892 (1990)
- DiLillo D, "Retrospective assessment of childhood sexual and physical abuse: a comparison of scaled and behaviorally specific approaches", Assessment, 13, pp.297~312 (2006)
- Sar V, "Childhood emotional abuse and dissociation in patients with conversion symptoms", Psychiatry Clin Neurosci, 63, pp.670~677 (2009)
- Levin PA, "Trauma through a Child’s Eyes: Awakening the Ordinary Miracle of Healing" (2007), North Atlantic Books
- Akyuz G, "Reported childhood trauma, attempted suicide and self-mutilative behavior among women in the general population", Eur Psychiatry, 20, pp.268~273 (2005)
- Spertus IL, "Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice", Child Abuse Negl, 27, pp.1247~1258 (2003)