Abstract
Aims
To obtain a conceptually and psychometrically equivalent Spanish version of the Coddington Life Events Scales (CLES) for children and adolescents and to test their psychometric properties.
Methods
Forward and backward translations were performed. Comprehension, acceptability, and alternative translations were tested in focus groups and semi-structured interviews. An expert panel and the copyright holders of the original version were actively involved. Test–retest reliability [Intraclass Correlation Coefficient (ICC)] was assessed by administering the questionnaire on two occasions 3 months apart to children aged 12–14 years (n = 30). Construct validity was assessed by comparing children’s responses with those of their parents (n = 19). The methods replicated those of the validation of the original version.
Results
Of the 53 CLES items translated, ten were found to be difficult to understand. Following back-translation, seven items were modified and a final version was obtained. Test–retest ICC reliability for total scores was 0.63. The ICC between children and parents was 0.42. Both results were very similar to those reported for the original version.
Conclusions
These preliminary findings suggest that the Spanish version of the CLES is understandable and acceptable and that it is similar to the original in terms of validity and reliability. Although further validation is needed, it is recommended for use in research settings in Spain.
References
Coddington, R. D. (1972). The significance of life events as etiologic factors in the diseases of children. II. A study of a normal population. Journal of Psychosomatic Research, 16(3), 205–213.
Coddington, R. D. (1972). The significance of life events as etiologic factors in the diseases of children. I. A survey of professional workers. Journal of Psychosomatic Research, 16(1), 7–18.
Coddington, R. D. (1999). Coddington Life Events Scales (CLES) Technical Manual. Toronto: Multi-Health Systems.
Rozario, P. A., Morrow-Howell, N. L., & Proctor, E. K. (2006). Changes in the SF-12 among depressed elders six months after discharge from an inpatient geropsychiatric unit. Quality of Life Research, 15(4), 755–759.
Nystedt, P. (2006). Marital life course events and smoking behaviour in Sweden 1980–2000. Social Science & Medicine, 62(6), 1427–1442.
Ville, I., & Khlat, M. (2007). Meaning and coherence of self and health: An approach based on narratives of life events. Social Science & Medicine, 64(4), 1001–1014.
Kolves, K., Varnik, A., Schneider, B., Fritze, J., & Allik, J. (2006). Recent life events and suicide: A case-control study in Tallinn and Frankfurt. Social Science & Medicine, 62(11), 2887–2896.
Aro, H., Hanninen, V., & Paronen, O. (1989). Social support, life events and psychosomatic symptoms among 14–16-year-old adolescents. Social Science & Medicine, 29(9), 1051–1056.
Araya, M., Chotai, J., Komproe, I. H., & de Jong, J. T. (2007). Effect of trauma on quality of life as mediated by mental distress and moderated by coping and social support among postconflict displaced Ethiopians. Quality of Life Research, 16(6), 915–927.
Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11(2), 213–218.
Lewinsohn, P. M., Rohde, P., & Gau, J. M. (2003). Comparability of self-report checklist and interview data in the assessment of stressful life events in young adults. Psychological Report, 93(2), 459–471.
Gonzalez de Rivera, J. L. (1991). Stress factors and disease. Actas Luso-españolas de Neurología, Psiquiatría y Ciencias Afines, 19(6), 290–297.
Arias, I., Rodriguez, E., Padilla, J., Gonzalez, N., & Rodriguez, M. A. (1999). Translation to Spanish, reproducibility, and cross-cultural adaptation of the Miller-Rahe Recent Life Change Questionnaire in Venezuela. Arthritis Care and Research, 12(4), 287–293.
Beck, A., Weissman, A., Lester, D., et al. (2000). Beck Hopelessness Scale (BHS). Handbook of psychiatric measures. Washington DC: American Psychiatric Association.
Bullinger, M., Alonso, J., Apolone, G., Leplege, A., Sullivan, M., Wood-Dauphinee, S., et al. (1998). Translating health status questionnaires and evaluating their quality: The IQOLA Project approach. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 913–923.
Coddington, R. D. (2007). Measuring the stressfulness of a child’s environment. In: J. H Humphrey (Ed.), In: Stress in childhood (pp. 97–126). New York: AMS Press.
Ville, I., & Khlat, M. (2007). Meaning and coherence of self and health: An approach based on narratives of life events. Social Science & Medicine, 64(4), 1001–1014.
McGraw, K. O., & Wong, S. P. (1996). Forming inferences about some intraclass correlation coefficients. Psychological Methods, 1(1), 30–46.
Prieto, L., Lamarca, R., & Casado, A. (1998). Assessment of the reliability of clinical findings: the intraclass correlation coefficient. Medicina Clinica (Barc), 110(4), 142–145.
Williamson, D. E., Birmaher, B., Ryan, N. D., Shiffrin, T. P., Lusky, J. A., Protopapa, J., et al. (2003). The stressful life events schedule for children and adolescents: development and validation. Psychiatry Research, 119(3), 225–241.
Lohr KN, Aaronson N, Alonso J, Burnam A, Patrick D, Perrin E, Stein R (2002). Assessing health status and quality-of-life instruments: Attributes and review criteria. Quality of Life Research, 11(3), 193–205.
Eiser, C., & Morse, R. (2001). Can parents rate their child’s health-related quality of life? Results of a systematic review. Quality of Life Research, 10(4), 347–357.
Keller, S. D., Ware, J. E. Jr., Gandek, B., Aaronson, N. K., Alonso, J., Apolone, G., et al. (1998). Testing the equivalence of translations of widely used response choice labels: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 933–944.
Herdman, M., Fox-Rushby, J., & Badia, X. (1997). ‘Equivalence’ and the translation and adaptation of health-related quality of life questionnaires. Quality of Life Research, 6(3), 237–247.
Theunissen, N. C., Vogels, T. G., Koopman, H. M., Verrips, G. H., Zwinderman, K. A., Verloove-Vanhorick, S. P., et al. (1998). The proxy problem: Child report versus parent report in health-related quality of life research. Quality of Life Research, 7(5), 387–397.
Acknowledgements
The authors would like to acknowledge Montserrat Ferrer, Silvina Berra, Olatz Garin, Maite Solans, and Cristian Tebé for their participation as part of the Expert Panel, and Josué Almansa for his help with the data analysis. They also thank Paco Codina, Oriol Vall, Rosana Puyol, Isabel Serrate, and Rosa Garrigó for their help in recruiting the study participants. Funding: Fondo de Investigación Sanitaria (PI042504 y PI042315) and DURSI-GENCAT Exp. 2005 SGR 00491.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Villalonga-Olives, E., Valderas, J.M., Palacio-Vieira, J.A. et al. The adaptation into Spanish of the Coddington Life Events Scales (CLES). Qual Life Res 17, 447–452 (2008). https://doi.org/10.1007/s11136-008-9320-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11136-008-9320-y