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Psychometric Evaluation of the Child PTSD Symptom Scale in Spanish and English

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Abstract

Given the consistent growth of the Latino population in the United States, there is a critical need for validated Spanish measures to assess posttraumatic stress disorder (PTSD) symptoms in children. The current study examines the psychometric properties of the Child PTSD Symptom Scale (CPSS). We examined 259 children (8–17 years) who had experienced a recent traumatic event. Study measures were completed in Spanish (n = 106; boys = 58, girls = 48) or in English (n = 153; boys = 96, girls = 57). In addition to internal consistency, confirmatory factor analyses were conducted by testing four models to examine construct validity: (1) PTS single-factor, (2) DSM-IV three-factor, (3) Numbing four-factor, and (4) Dysphoria four-factor models. Findings demonstrated good internal consistency for both the English and Spanish versions of the CPSS. The English version revealed superior fit to the data for several models of PTS symptoms structure compared to the Spanish version. The current study demonstrated construct validity for the English CPSS, but not for the Spanish CPSS. Future studies will examine additional alternative models as well as convergent and discriminant validity of the Spanish CPSS.

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References

  1. Humes KR, Jones NA, Ramirez RR (2011) Overview of race and Hispanic origin: 2010. 2010 Census Briefs. U.S. Census Bureau. http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf

  2. Velasco G, Dockterman D (2010) Statistical portrait of Hispanics in the United States, 2008. Pew Hispanic Center. http://www.pewhispanic.org/2010/01/21/statistical-portrait-of-hispanics-in-the-united-states-2008/

  3. Bridges AJ, de Arellano MA, Rheingold AA, Danielson CK, Silcott L (2010) Trauma exposure, mental health, and service utilization rates among immigrant and united states-born Hispanic youth: results from the Hispanic family study. Psychol Trauma Theory Res Pract Policy 2(1):40–48. doi:10.1037/a0019021

    Article  Google Scholar 

  4. Crouch JL, Hanson RF, Saunders BE, Kilpatrick DG, Resnick HS (2000) Income, race/ethnicity, and exposure to violence in youth: results from the national survey of adolescents. J Community Psychol 28(6):625–641. doi:10.1002/1520-6629(200011)28:6<625:AID-JCOP6>3.0.CO;2-R

    Article  Google Scholar 

  5. Pole N, Gone JP, Kulkarni M (2008) Posttraumatic stress disorder among ethno racial minorities in the United States. Clin Psychol Sci Pract 15(1):35–61. doi:10.1111/j.1468-2850.2008.00109.x

    Article  Google Scholar 

  6. Kataoka SH, Zhang L, Wells KB (2002) Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry 159(9):1548–1555. doi:10.1176/appi.ajp.159.9.1548

    Article  PubMed  Google Scholar 

  7. Gudiño OG, Nadeem E, Kataoka SH, Lau AS (2011) Relative impact of violence exposure and immigrant stressors on Latino youth psychopathology. J Community Psychol 39(3):316–335. doi:10.1002/jcop.20435

    Article  PubMed Central  PubMed  Google Scholar 

  8. Kilpatrick DG, Ruggiero KJ, Acierno R, Saunders BE, Resnick HS, Best CL (2003) Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: results from the national survey of adolescents. J Consult Clin Psychol 71(4):692–700. doi:10.1037/0022-006X.71.4.692

    Article  PubMed  Google Scholar 

  9. Kilpatrick DG, Acierno R, Saunders B, Resnick HS, Best CL, Schnurr PP (2000) Risk factors for adolescent substance abuse and dependence: data from a national sample. J Consult Clin Psychol 68(1):19–30. doi:10.1037/0022-006X.68.1.19

    Article  PubMed  Google Scholar 

  10. Foa EB, Johnson KM, Feeny NC, Treadwell KRH (2001) The child PTSD symptom scale: a preliminary examination of its psychometric properties. J Clin Child Psychol 30(3):376–384. doi:10.1207/S15374424JCCP3003_9

    Article  PubMed  Google Scholar 

  11. Kohrt BA, Jordans MJD, Tol WA, Luitel NP, Maharjan SM, Upadhaya N (2011) Validation of cross-cultural child mental health and psychosocial research instruments: adapting the depression self-rating scale and child PTSD symptom scale in Nepal. BMC Psychiatry 11. doi:10.1186/1471-244X-11-127

  12. Tol WA, Komproe IH, Susanty D, Jordans MJD, Macy RD, De Jong JTVM (2008) School-based mental health intervention for children affected by political violence in Indonesia: a cluster randomized trial. J Am Med Assoc 300(6):655–662. doi:10.1001/jama.300.6.655

    Article  Google Scholar 

  13. Rachamim L, Helpman L, Foa EB, Aderka IM, Gilboa-Schechtman E (2011) Validation of the child posttraumatic symptom scale in a sample of treatment-seeking Israeli youth. J Trauma Stress 24(3):356–360. doi:10.1002/jts.20639

    Article  PubMed  Google Scholar 

  14. Kataoka SH, Stein BD, Jaycox LH et al (2003) A school-based mental health program for traumatized Latino immigrant children. J Am Acad Child Adolesc Psychiatry 42(3):311–318. doi:10.1097/00004583-200303000-00011

    Article  PubMed  Google Scholar 

  15. Nixon RDV, Meiser-Stedman R, Dalgleish T et al (2013) The child PTSD symptom scale: an update and replication of its psychometric properties. Psychol Assess 25(3):1025–1031. doi:10.1037/a0033324

    Article  PubMed  Google Scholar 

  16. Giannopoulou I, Smith P, Ecker C, Strouthos M, Dikaiakou A, Yule W (2006) Factor structure of the children’s revised impact of event scale (CRIES) with children exposed to earthquake. Personal Individ Differ 40(5):1027–1037. doi:10.1016/j.paid.2005.11.002

    Article  Google Scholar 

  17. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, Revised 4th edn. American Psychiatric Association, Washington, DC

  18. Laufer RS, Brett E, Gallops MS (1985) Dimensions of posttraumatic stress disorder among Vietnam veterans. J Nerv Ment Dis 173(9):538–545. doi:10.1097/00005053-198509000-00004

    Article  PubMed  Google Scholar 

  19. Kassam-Adams N, Marsac ML, Cirilli C (2010) Posttraumatic stress disorder symptom structure in injured children: functional impairment and depression symptoms in a confirmatory factor analysis. J Am Acad Child Adolesc Psychiatry 49(6):616–625. doi:10.1097/00004583-201006000-00010

    PubMed  Google Scholar 

  20. Kassam-Adams N, Gold JI, Montaño Z et al (2013) Development and psychometric evaluation of child acute stress measures in Spanish and English. J Trauma Stress 26(1):19–27. doi:10.1002/jts.21782

    Article  PubMed  Google Scholar 

  21. Foa EEB (2001) The child PTSD symptom scale: a preliminary examination of its psychometric properties. J Clin Child Adolesc Psychol 30(3):376–384

    Article  Google Scholar 

  22. Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 25(24):3186–3191

    Article  Google Scholar 

  23. Asmundson GJG, Stapleton JA, Taylor S (2004) Are avoidance and numbing distinct PTSD symptom clusters? J Trauma Stress 17(6):467–475. doi:10.1007/s10960-004-5795-7

    Article  PubMed  Google Scholar 

  24. Ryan C (2013) Language use in the United States: 2011. American Community Survey Reports. U.S. Census Bureau. http://www.census.gov/prod/2013pubs/acs-22.pdf

  25. Bokszczanin A (2007) PTSD symptoms in children and adolescents 28 months after a flood: age and gender differences. J Trauma Stress 20(3):347–351. doi:10.1002/jts.20220

    Article  PubMed  Google Scholar 

  26. Springer C, Padgett DK (2000) Gender differences in young adolescents’ exposure to violence and rates of PTSD symptomatology. Am J Orthopsychiatry 70(3):370–379. doi:10.1037/h0087637

    Article  PubMed  Google Scholar 

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Correspondence to Rika M. L. Meyer.

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Meyer, R.M.L., Gold, J.I., Beas, V.N. et al. Psychometric Evaluation of the Child PTSD Symptom Scale in Spanish and English. Child Psychiatry Hum Dev 46, 438–444 (2015). https://doi.org/10.1007/s10578-014-0482-2

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