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Psychometric Properties of the German Version of the Child Post-Traumatic Cognitions Inventory (CPTCI-GER)

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Abstract

Dysfunctional trauma-related cognitions are associated with posttraumatic stress disorder (PTSD). The psychometric properties of the German version of the Child Post-Traumatic Cognitions Inventory (CPTCI-GER) were assessed in a sample of 223 children and adolescents (7–16 years) with a history of different traumatic events. Confirmatory factor analyses supported the original two-factor structure—permanent and disturbing change (CPTCI-PC) and fragile person in a scary world (CPTCI-SW). The total scale and both subscales showed good internal consistency. Participants with PTSD had significantly more dysfunctional trauma-related cognitions than those without PTSD. Dysfunctional posttraumatic cognitions correlated significantly with posttraumatic stress symptoms (PTSS; r = .62), depression (r = .71), and anxiety (r = .67). The CPTCI-GER has good psychometric properties and may facilitate evaluation of treatments and further research on the function of trauma-related cognitions in children and adolescents. (Partial) correlations provide empirical support for the combined DSM-5 symptom cluster negative alterations in cognitions and mood.

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References

  1. Copeland WE, Keeler G, Angold A, Costello EJ (2007) Traumatic events and posttraumatic stress in childhood. Arch Gen Psychiatry 64:577–584

    Article  PubMed  Google Scholar 

  2. Maercker A (2013) Symptomatik, Klassifikation und Epidemiologie [Symptomatology, classification, and epidemiology]. In: Maercker A (ed) Posttraumatische Belastungsstoerungen [Posttraumatic stress disorders], 4th edn. Springer, Berlin, pp 13–34

    Chapter  Google Scholar 

  3. Klein S, Alexander DA (2009) Epidemiology and presentation of post-traumatic disorders. Psychiatry 8:282–287

    Article  Google Scholar 

  4. Essau CA, Conradt J, Petermann F (1999) Haeufigkeit der Posttraumatischen Belastungsstoerung bei Jugendlichen: Ergebnisse der Bremer Jugendstudie [Frequency of posttraumatic stress disorder in adolescents: results of the Bremen adolescent study]. Z Kinder Jugendpsychiatr Psychother 27:37–45

    Article  PubMed  Google Scholar 

  5. Perkonigg A, Kessler RC, Storz S, Wittchen HU (2000) Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatr Scand 101:46–59

    Article  PubMed  Google Scholar 

  6. Giaconia RM, Reinherz HZ, Silverman AB, Pakiz B, Frost AK, Cohen E (1995) Traumas and posttraumatic stress disorder in a community population of older adolescents. J Am Acad Child Psychiatry 34:1369–1380

    Article  Google Scholar 

  7. Goldbeck L, Petermann F (2013) Posttraumatische Belastungsstoerungen [Posttraumatic stress disorders]. Kindh Entwickl 22:57–60

    Article  Google Scholar 

  8. Landolt M (2012) Psychotraumatologie des Kindesalters: Grundlagen, Diagnostik und Interventionen [Psychotraumatology of childhood: basics, diagnostics, and interventions], 2nd edn. Hogrefe, Goettingen

    Google Scholar 

  9. American Psychological Association (2013) Diagnostic and statistical manual of mental disorders: DSM-5, 5th edn. American Psychiatric Publishing, Arlington

    Google Scholar 

  10. Ehlers A, Clark DM (2000) A cognitive model of posttraumatic stress disorder. Behav Res Ther 38:319–345

    Article  PubMed  Google Scholar 

  11. Ehlers A, Mayou RA, Bryant B (2003) Cognitive predictors of posttraumatic stress disorder in children: results of a prospective longitudinal study. Behav Res Ther 41:1–10

    Article  PubMed  Google Scholar 

  12. Meiser-Stedman R (2002) Towards a cognitive-behavioral model of PTSD in children and adolescents. Clin Child Fam Psychol 5(4):217–232

    Article  Google Scholar 

  13. Stallard P (2003) A retrospective analysis to explore the applicability of the Ehlers and Clark (2000) cognitive model to explain PTSD in children. Behav Cogn Psychother 31:337–345

    Article  Google Scholar 

  14. Salmon K, Bryant RA (2002) Posttraumatic stress disorder in children: the influence of developmental factors. Clin Psychol Rev 22(2):163–188

    Article  PubMed  Google Scholar 

  15. Diehle J, de Roos C, Meiser-Stedman R, Boer F, Lindauer RJL (2015) The Dutch version of the Child Posttraumatic Cognitions Inventory: validation in a clinical sample and a school sample. Eur J Psychotraumatol 6:26362. doi:10.3402/ejpt.v6.26362

    Article  PubMed  Google Scholar 

  16. Meiser-Stedman R, Smith P, Bryant R, Salmon K, Yule W, Dalgleish T et al (2009) Development and validation of the Child Post-Traumatic Cognitions Inventory (CPTCI). J Child Psychol Psychiatry 50:432–440

    Article  PubMed  Google Scholar 

  17. Foa EB, Ehlers A, Clark DM, Tolin DF, Orsillo SM (1999) The Posttraumatic Cognitions Inventory (PTCI): development and validation. Psychol Assess 11:303–314

    Article  Google Scholar 

  18. Foa EB, Rothbaum BO (1998) Treating the trauma of rape: cognitive-behavioral therapy for PTSD. Treatment manuals for practitioners. The Guilford Press, New York

    Google Scholar 

  19. Nixon RDV, Sterk J, Pearce A (2012) A randomized trial of cognitive behaviour therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma. J Abnorm Child Psychol 40:327–337

    Article  PubMed  Google Scholar 

  20. Salmond CH, Meiser-Stedman R, Glucksman E, Thompson P, Dalgleish T, Smith P (2011) The nature of trauma memories in acute stress disorder in children and adolescents. J Child Psychol Psychiatry 52:560–570

    Article  PubMed  Google Scholar 

  21. Palosaari E, Punamaki R-L, Diab M, Qouta S (2013) Posttraumatic cognitions and posttraumatic stress symptoms among war-affected children: a cross-lagged analysis. J Abnorm Psychol 122:656–661

    Article  PubMed  Google Scholar 

  22. Cohen JA, Mannarino AP, Deblinger E (2009) Traumafokussierte kognitive Verhaltenstherapie bei Kindern und Jugendlichen [Trauma-focused cognitive behavioral therapy for children and adolescents]. Springer, Heidelberg

    Book  Google Scholar 

  23. Saß H, Wittchen H-U, Zaudig M, Houben I (2003) Diagnostisches und statistisches Manual psychischer Stoerungen-Textrevision (DSM-IV-TR) [Diagnostic and statistical manual of mental disorders-text revision]. Hogrefe, Goettingen

    Google Scholar 

  24. Fuechsel G, Steil R (2006) Interviews zu Belastungsstoerungen bei Kindern und Jugendlichen: IBS-KJ [Interviews regarding stress disorders in children and adolescents]. Hogrefe, Goettingen

    Google Scholar 

  25. Nader K, Kriegler JA, Blake DD, Pynoos RS, Newman E, Weathers FW (1996) Clinician-administered PTSD scale-child and adolescent version. National Center for PTSD, White River Junction

    Google Scholar 

  26. Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P et al (1997) Schedule for Affective Disorders and Schizophrenia for school-age children-Present and Lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Psychiatry 36:980–988

    Article  Google Scholar 

  27. Steinberg AM, Brymer MJ, Decker KB, Pynoos RS (2004) The University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index. Curr Psychiatry Rep 6:96–100

    Article  PubMed  Google Scholar 

  28. Steinberg AM, Brymer MJ, Kim S, Briggs EC, Ippen CG, Ostrowski SA et al (2013) Psychometric properties of the UCLA PTSD Reaction Index: part I. J Trauma Stress 26:1–9

    Article  PubMed  Google Scholar 

  29. Stiensmeier-Pelster J, Schuermann M, Duda K (2000) Depressionsinventar für Kinder und Jugendliche [Depression inventory for children and adolescents]. Hogrefe, Goettingen

    Google Scholar 

  30. Kovacs M (1985) The children’s depression inventory (CDI). Psychopharmacol Bull 21:995–998

    PubMed  Google Scholar 

  31. Birmaher B, Brent D, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED): a replication study. J Am Acad Child Psychiatry 38:1230–1236

    Article  Google Scholar 

  32. Essau CA, Muris P, Ederer EM (2002) Reliability and validity of the Spence Children’s Anxiety Scale and the Screen for Child Anxiety Related Emotional Disorders in German children. J Behav Ther Exp Psychiatry 33:1–18

    Article  PubMed  Google Scholar 

  33. Bollen KA, Stine RA (1992) Bootstrapping goodness-of-fit measures in structural equation models. Sociol Method Res 21:205–229

    Article  Google Scholar 

  34. Mueller J, Wessa M, Rabe S, Doerfel D, Knaevelsrud C, Flor H et al (2010) Psychometric properties of the Posttraumatic Cognitions Inventory (PTCI) in a German sample of individuals with a history of trauma. Psychol Trauma 2:116–125

    Article  Google Scholar 

  35. Buehner M (2011) Einfuehrung in die Test- und Fragebogenkonstruktion [Introduction to test and questionnaire construction], 3rd edn. Pearson Studium, Muenchen

    Google Scholar 

  36. Beck JG, Coffey SF, Palyo SA, Gudmundsdottir B, Miller LM, Colder CR (2004) Psychometric properties of the Posttraumatic Cognitions Inventory (PTCI): a replication with motor vehicle accident survivors. Psychol Assess 16:289–298

    Article  PubMed  PubMed Central  Google Scholar 

  37. Rosen GM, Spitzer RL, McHugh PR (2008) Problems with the post-traumatic stress disorder diagnosis and its future in DSM-V. Brit J Psychiatry 192:3–4

    Article  Google Scholar 

  38. Hoffmann F, Petermann F, Glaeske G, Bachmann CJ (2012) Prevalence and comorbidities of adolescent depression in Germany. Z Kinder Jugendpsychiatr Psychother 40:399–404

    Article  PubMed  Google Scholar 

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The authors declare that they have no conflict of interest.

Ethical standard

This study has been approved by the Institutional Review Board at the University of Ulm and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All caregivers or legal guardians provided their informed consent, and children and adolescents provided their informed assent prior to their inclusion in the study.

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Correspondence to Anke de Haan.

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de Haan, A., Petermann, F., Meiser-Stedman, R. et al. Psychometric Properties of the German Version of the Child Post-Traumatic Cognitions Inventory (CPTCI-GER). Child Psychiatry Hum Dev 47, 151–158 (2016). https://doi.org/10.1007/s10578-015-0552-0

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