Skip to main content

Advertisement

Log in

Measuring Traumatic Reactions in Palestinian Children: A Psychometric Assessment of the Children Revised Impact of Event Scale-Arabic Version (CRIES-13A)

  • Original Article
  • Published:
Child Psychiatry & Human Development Aims and scope Submit manuscript

Abstract

The aim of the present study was to test the measurement model and measurement invariance of the Impact of Event Scale (Arabic version) in a large sample of Palestinian children. We estimated (Study 1; n = 610) the measurement model using confirmatory factor analysis. In Study 2 (n = 864), we conducted multigroup (girls and boys) tests of measurement invariance. We pooled the data collected from the participants in the first two studies (Study 3, N = 1474) to assess overall score reliability, as well as the IES’ convergent and divergent validity vis-à-vis other measures of child wellbeing and mental health. The outcomes of the statistical analyses supported an invariant 13-item measurement model (intrusion, avoidance, and hyperarousal) for CRIES-13A. Intrusion and hyper-arousal together made up a first-order domain of symptoms (re-experiencing). The combined findings of these studies suggest that the CRIES-13A displays robust psychometric properties and may be used in contexts of military violence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data Availability

The data that support the findings of this study are available on request from the corresponding author.

Code Availability

The code used in this study is available on request from the corresponding author.

References

  1. Karam EG, Fayyad JA, Farhat C, Pluess M, Haddad YC, Tabet CC, Kessler RC (2019) Role of childhood adversities and environmental sensitivity in the development of posttraumatic stress disorder in war-exposed Syrian refugee children and adolescents. Br J Psychiatry 214:354–360

    PubMed  Google Scholar 

  2. Deeba F, Rapee RM, Prvan T (2014) Psychometric properties of the Children’s Revised Impact of Events Scale (CRIES) with Bangladeshi children and adolescents. PeerJ 2:e536

    PubMed  PubMed Central  Google Scholar 

  3. El-Khodary B, Samara M (2019) The relationship between multiple exposures to violence and war trauma, and mental health and behavioural problems among Palestinian children and adolescents. Eur Child Adolesc Psychiatry. https://doi.org/10.1007/s00787-019-01376-8

    Article  PubMed  Google Scholar 

  4. El-Khodary B, Samara M, Askew C (2020) Traumatic events and PTSD among Palestinian children and adolescents: the effect of demographic and socioeconomic factors. Front Psychiatry 11

  5. Roberts A (1990) Prolonged military occupation: the Israeli-occupied territories since 1967. Am J Intern Law 84:44–103

    Google Scholar 

  6. Thabet AM, Vostanis P (2000) Posttraumatic stress disorder reactions in children of war: a longitudinal study. Child Abuse Negl 24:460–469

    Google Scholar 

  7. Thabet AM, Vostanis P (1999) Posttraumatic stress reactions in children of war. J Child Psychol Psychiatry 40:385–391

    PubMed  Google Scholar 

  8. Massad S, Javier Nieto F, Palta M, Smith M, Clark R, Thabet AA (2009) Mental health of children in Palestinian kindergartens: resilience and vulnerability. Child Adolesc Ment Health 14(2):89–96

    Google Scholar 

  9. Manzanero AL, Crespo M, Barón S, Scott T, El-Astal S, Hemaid F (2017) Traumatic events exposure and psychological trauma in children victims of war in the Gaza Strip. J Interpers Violence 0886260517742911.

  10. Shehadeh A, Loots G, Vanderfaeillie J, Derluyn I (2015) The impact of parental detention on the psychological wellbeing of Palestinian children. PLoS ONE 10(7):e0133347

    PubMed  PubMed Central  Google Scholar 

  11. Horowitz M, Wilner N, Alvarez W (1979) Impact of Event Scale: a measure of subjective stress. Psychosom Med 41:209–218

    PubMed  Google Scholar 

  12. McKinnon A, Scheeringa MS, Meiser-Stedman R, Watson P, De Young A, Dalgleish T (2019) The dimensionality of proposed DSM-5 PTSD symptoms in trauma-exposed young children. J Abnorm Child Psychol 47:1799–1809

    PubMed  PubMed Central  Google Scholar 

  13. Perrin S, Meiser-Stedman R, Smith P (2005) The Children’s Revised Impact of Event Scale (CRIES): validity as a screening instrument for PTSD. Behav Cogn Psychother 33:487–498

    Google Scholar 

  14. Beck JG, Grant DM, Read JP, Clapp JD, Coffey SF, Miller LM et al (2008) The impact of event scale-revised: psychometric properties in a sample of motor vehicle accident survivors. J Anxiety Disord 22(2):187–198

    PubMed  Google Scholar 

  15. Qeshta H, Hawajri AMA, Thabet AM (2019) The relationship between war trauma, PTSD, anxiety and depression among adolescents in the Gaza Strip. Health Sci J 13(1):621

    Google Scholar 

  16. al-Ammar FK, Attal BA, Ismail K (2020) The child PTSD symptom scale among yemeni schoolchildren: factorial validity. Soc Sci 3(1):119–132

    Google Scholar 

  17. Kangaslampi, S, Peltonen, (2019) Changes in traumatic memories and posttraumatic cognitions associate with PTSD symptom improvement in treatment of multiply traumatized children and adolescents. J Child Adolesc Trauma 1–10

  18. Perrin S, Meiser-Stedman R, Smith P (2005) The Children’s Revised Impact of Event Scale (CRIES): validity as a screening instrument for PTSD. Behav Cogn Psychother 33(4):487–498

    Google Scholar 

  19. Lenferink LI, Egberts MR, Kullberg ML, Meentken MG, Zimmermann SL, Mertens Y, Krause-Utz A (2020) Latent classes of DSM-5 acute stress disorder symptoms in children after single-incident trauma: findings from an international data archive. Eur J Psychotraum 11(1):1717156

    Google Scholar 

  20. Brislin RW (1970) Back-translation for cross-cultural research. J Cross-Cult Psychol 1:185–216

    Google Scholar 

  21. Chen HY, Boore JR (2010) Translation and back-translation in qualitative nursing research: methodological review. J Clin Nurs 19:234–239

    PubMed  Google Scholar 

  22. Pepe A, Addimando L, Veronese G (2017) Measuring teacher job satisfaction: assessing invariance in the Teacher Job Satisfaction Scale (TJSS) across six countries. Eur J Psychol 13:396

    PubMed  PubMed Central  Google Scholar 

  23. Veronese G, Pepe A (2019) Using the posttraumatic growth inventory–short form with Palestinian helpers living in conflict areas. Meas Eval Couns Dev 52(3):207–221

    Google Scholar 

  24. Satcher D (2005) Methods in community-based participatory research for health. Wiley, New York

    Google Scholar 

  25. Veronese G, Castiglioni M, Barola G, Said M (2012) Living in the shadow of occupation: life satisfaction and positive emotion as protective factors in a group of Palestinian school children. Child Youth Serv Rev 34:225–233

    Google Scholar 

  26. Veronese G, Pepe A (2018) Psychometric proprieties of the Child Health Questionnaire in an Arabic-speaking context: a multi-trait and multisample study. J Child Health Care 22:503–519

    PubMed  Google Scholar 

  27. Teddlie C, Yu F (2007) Mixed methods sampling: a typology with examples. J Mixed Methods Res 1:77–100

    Google Scholar 

  28. Hydén M (2014) The teller-focused interview: interviewing as a relational practice. Qual Soc Work 13:795–812

    Google Scholar 

  29. Veronese G, Pepe A, Afana A (2016) Conceptualizing the wellbeing of helper operating in war-like condition: a mixed-method approach. Int Soc Work 59:938–952

    Google Scholar 

  30. American Psychological Association (2010) Publication manual of the APA, 6th edn. American Psychological Association, Washington

    Google Scholar 

  31. World Medical Association (2013) WMA Declaration of Helsinki-Ethical principles for medical research involving human subjects

  32. Dyregrov A, Kuterovac G, Barath A (1996) Factor analysis of the impact of event scale with children in war. Scand J Psychol 37:339–350

    PubMed  Google Scholar 

  33. Everitt B, Skrondal A (2002) The Cambridge dictionary of statistics, vol 106. Cambridge University Press, Cambridge

    Google Scholar 

  34. Kline RB (2013) Exploratory and confirmatory factor analysis. In: Petscher Y, Schatsschneider C (eds) Applied quantitative analysis in the social sciences. Routledge, New York, pp 171–207

    Google Scholar 

  35. Ruscio J, Roche B (2012) Determining the number of factors to retain in an exploratory factor analysis using comparison data of known factorial structure. Psycho Assess 24:282

    Google Scholar 

  36. Byrne BM, Shavelson RJ, Muthén B (1989) Testing for the equivalence of factor covariance and mean structures: the issue of partial measurement invariance. Psychol Bull 105:456

    Google Scholar 

  37. Chen F, Curran PJ, Bollen KA, Kirby J, Paxton P (2008) An empirical evaluation of the use of fixed cutoff points in RMSEA test statistic in structural equation models. Sociolog Methods Res 36(4):462–494

    Google Scholar 

  38. Hooper D, Coughlan J, Mullen M (2008) Structural equation modelling: guidelines for determining model fit

  39. Hu LT, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equa Model 6:1–55

    Google Scholar 

  40. Marsh H, Hau K (1996) Assessing goodness of fit: is parsimony always desirable? J Exp Educ 64:364–390

    Google Scholar 

  41. Morin AJS, Marsh HW, Nagengast B (2013) Chapter 10. Exploratory structural equation modelling. Structural equation modeling: a second course, 2nd edn. Information Age Publishing Inc, Charlotte

    Google Scholar 

  42. Sakamoto Y, Ishiguro M, Kitagawa G (1986) Akaike information criterion statistics. D. Reidel, 81, Dordrecht, The Netherlands

  43. Arbuckle JL (2014) Amos (version 23.0) (computer program). IBM SpSS, Chicago

    Google Scholar 

  44. Arbuckle JL (2011) IBM SPSS Amos 20 user’s guide. Amos Development Corporation, SPSS Inc, Chicago

    Google Scholar 

  45. Veronese G, Pepe A (2013) Psychometric proprieties of the Impact of Event Scale (short version) in contexts of military violence. Res Soc Work Pract 23:710–718

    Google Scholar 

  46. Harrington D (2008) Confirmatory factor analysis (Illustrated ed.) Oxford University Press

  47. Landis R, Edwards BD, Cortina J (2009) Correlated residuals among items in the estimation of measurement models. Statistical and methodological myths and urban legends: doctrine, verity, and fable in the organizational and social sciences 195–214

  48. Bagozzi RP (1983) A holistic methodology for modeling consumer response to innovation. Oper Res 31:128–176

    PubMed  Google Scholar 

  49. Yates TM, Dodds MF, Sroufe LA, Egeland B (2003) Exposure to partner violence and child behavior problems: a prospective study controlling for child physical abuse and neglect, child cognitive ability, socioeconomic status, and life stress. Dev Psychopathol 15:199–218

    PubMed  Google Scholar 

  50. Veronese G, Pepe A (2018) Cross-cultural adaptation, psychometric proprieties and factor structure of the Multidimensional Student Life Satisfaction Scale (MSLSS): a study with Palestinian children living in refugee camps. Curr Psychol 1–10

  51. Tolin DF, Foa EB (2006) Sex differences in trauma and posttraumatic stress disorder: a quantitative review of 25 years of research. Psychol Bull 132:959–992

    PubMed  Google Scholar 

  52. Khamis V (2015) Coping with war trauma and psychological distress among school-age Palestinian children. Am J Orthopsy 85(1):72–79

    Google Scholar 

  53. Byrne BM (1998) Structural equation modeling with LISREL, PRELIS, and SIMPLIS, London

  54. Bonanno GA (2012) Uses and abuses of the resilience construct: loss, trauma, and health-related adversities. Soc Sci Med 74:753

    PubMed  Google Scholar 

  55. Veronese G, Pepe A, Dagdouke J, Addimando L, Yagi S (2017) Measuring well-being in Israel and Palestine: the subjective well-being assessment scale. Psychol Rep 120(6):1160–1177

    PubMed  Google Scholar 

  56. Milfont TL, Fischer R (2010) Testing measurement invariance across groups: applications in cross-cultural research. Int J Psychol Res 3:111–130

    Google Scholar 

  57. Cheung GW, Rensvold RB (2002) Evaluating goodness-of-fit indexes for testing measurement invariance. Struct Equat Mod 9:233–255

    Google Scholar 

  58. Raykov T (1998) Coefficient alpha and composite reliability with interrelated nonhomogeneous items. App Psychol Meas 22:375–385

    Google Scholar 

  59. Putnick DL, Bornstein MH (2016) Measurement invariance conventions and reporting: the state of the art and future directions for psychological research. Dev Rev 41:71–90

    PubMed  PubMed Central  Google Scholar 

  60. Jung E, Yoon M (2016) Comparisons of three empirical methods for partial factorial invariance: forward, backward, and factor-ratio tests. Struct Equ Mod 23:567–584

    Google Scholar 

  61. Lee ST (2018) Testing for measurement invariance: does your measure mean the same thing for different participants? APS Obs 31(8)

  62. Veronese G, Pepe A (2017) Positive and negative affect in children living in refugee camps: assessing the psychometric proprieties and factorial invariance of the PANAS-C in the Gaza Strip. Eval Health Prof 40(1):3–32

    PubMed  Google Scholar 

  63. Watson D, Clark LA, Tellegen A (1988) Development and validation of brief measures of positive and negative affect: the PANAS scales. J Person Soc Psychol 54:1063

    Google Scholar 

  64. Ebesutani C, Okamura K, Higa-McMillan C, Chorpita BF (2011) A psychometric analysis of the Positive and Negative Affect Schedule for Children-Parent Version in a school sample. Psychol Assess 23(2):406–416

    PubMed  Google Scholar 

  65. Huebner ES, Gilman R (2002) An introduction to the multidimensional students’ life satisfaction scale. Soc Ind Res 60(1–3):115–122

    Google Scholar 

  66. Tavakol M, Dennick R (2011) Making sense of Cronbach’s alpha. Int J Med Educ 2:2042–6372

    Google Scholar 

  67. Sedgwick P (2012) Multiple significance tests: the Bonferroni correction. BMJ 344:e509

    Google Scholar 

  68. Podsakoff PM, MacKenzie SB, Lee J, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88:879–903

    PubMed  Google Scholar 

  69. Berry K, Fleming P, Wong S, Bucci S (2018) Associations between trauma, dissociation, adult attachment and proneness to hallucinations. Behav Cogn Psychother 46(3):292

    PubMed  Google Scholar 

  70. Veronese G, Pepe A, Obaid H, Cavazzoni F, Perez J (2020) Agency and life satisfaction in Bedouin children exposed to conditions of chronic stress and military violence: a two-wave longitudinal study in Palestine. Clin Child Psychol Psychiatry 25:242–259

    PubMed  Google Scholar 

  71. Veronese G, Pepe A, Addimando L, Sala G, Vigliaroni M (2019) It’s paradise there, I saw it on TV: psychological wellbeing, migratory motivators, and expectations of return among West African migrants. Nordic Psychol 1–18

Download references

Funding

The authors received no funding for this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Guido Veronese.

Ethics declarations

Conflict of interest

The authors declare no conflicting or competing interests.

Ethical Approval

The research was conducted in accordance with the ethical standards defined by APA and the principles outlined in the Declaration of Helsinki. The research protocol was approved by the Institutional Review Board of the University of Milano-Bicocca (Prot. 368).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Veronese, G., Pepe, A. Measuring Traumatic Reactions in Palestinian Children: A Psychometric Assessment of the Children Revised Impact of Event Scale-Arabic Version (CRIES-13A). Child Psychiatry Hum Dev 53, 16–26 (2022). https://doi.org/10.1007/s10578-020-01113-2

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10578-020-01113-2

Keywords

Navigation