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UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries
Background: Children and adolescents are often exposed to traumatic events, which may lead to the development of posttraumatic stress disorder (PTSD). It is therefore important for clinicians to screen for potential symptoms that can be signs of PTSD onset. PTSD in youth is a worldwide problem, thus...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6507911/ https://www.ncbi.nlm.nih.gov/pubmed/31105904 http://dx.doi.org/10.1080/20008198.2019.1605282 |
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author | Doric, Ana Stevanovic, Dejan Stupar, Dusko Vostanis, Panos Atilola, Olayinka Moreira, Paulo Dodig-Curkovic, Katarina Franic, Tomislav Davidovic, Vrljicak Avicenna, Mohamad Noor, Multazam Nussbaum, Laura Thabet, Abdelaziz Ubalde, Dino Petrov, Petar Deljkovic, Azra Antonio, Monteiro Luis Ribas, Adriana Oliveira, Joana Knez, Rajna |
author_facet | Doric, Ana Stevanovic, Dejan Stupar, Dusko Vostanis, Panos Atilola, Olayinka Moreira, Paulo Dodig-Curkovic, Katarina Franic, Tomislav Davidovic, Vrljicak Avicenna, Mohamad Noor, Multazam Nussbaum, Laura Thabet, Abdelaziz Ubalde, Dino Petrov, Petar Deljkovic, Azra Antonio, Monteiro Luis Ribas, Adriana Oliveira, Joana Knez, Rajna |
author_sort | Doric, Ana |
collection | PubMed |
description | Background: Children and adolescents are often exposed to traumatic events, which may lead to the development of posttraumatic stress disorder (PTSD). It is therefore important for clinicians to screen for potential symptoms that can be signs of PTSD onset. PTSD in youth is a worldwide problem, thus congruent screening tools in various languages are needed. Objective: The aim of this study was to test the general psychometric properties of the Traumatic Stress Disorder Reaction Index for children and adolescents (UCLA PTSD) Reaction Index for DSM-5 (PTSD-RI-5) in adolescents, a self-report instrument intended to screen for trauma exposure and assess PTSD symptoms. Method: Data was collected from 4201 adolescents in communities within eleven countries worldwide (i.e. Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, Palestine-Gaza, Philippines, Portugal, Romania, and Serbia). Internal consistency, discriminant validity, and a confirmatory factor analysis of a four-factor model representing the main DSM-5 symptoms of the PTSD-RI-5 were evaluated. Results: The PTSD-RI-5 total score for the entire sample shows very good reliability (α = .92) as well as across all countries included (α ranged from .90 to .94). The correlations between anxiety/depressive symptoms and the PTSD-RI-5 scores were below .70 indicating on good discriminant validity. The four-factor structure of the scale was confirmed for the total sample and data from six countries. The standardized regression weights for all items varied markedly across the countries. The lack of a common acceptable model across all countries prevented us from direct testing of cross-cultural measurement invariance. Conclusions: The four-factor structure of the PTSD-RI-5 likely represents the core PTSD symptoms as proposed by the DSM-5 criteria, but there could be items interpreted in a conceptually different manner by adolescents from different cultural/regional backgrounds and future cross-cultural evaluations need to consider this finding. |
format | Online Article Text |
id | pubmed-6507911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-65079112019-05-17 UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries Doric, Ana Stevanovic, Dejan Stupar, Dusko Vostanis, Panos Atilola, Olayinka Moreira, Paulo Dodig-Curkovic, Katarina Franic, Tomislav Davidovic, Vrljicak Avicenna, Mohamad Noor, Multazam Nussbaum, Laura Thabet, Abdelaziz Ubalde, Dino Petrov, Petar Deljkovic, Azra Antonio, Monteiro Luis Ribas, Adriana Oliveira, Joana Knez, Rajna Eur J Psychotraumatol Clinical Research Article Background: Children and adolescents are often exposed to traumatic events, which may lead to the development of posttraumatic stress disorder (PTSD). It is therefore important for clinicians to screen for potential symptoms that can be signs of PTSD onset. PTSD in youth is a worldwide problem, thus congruent screening tools in various languages are needed. Objective: The aim of this study was to test the general psychometric properties of the Traumatic Stress Disorder Reaction Index for children and adolescents (UCLA PTSD) Reaction Index for DSM-5 (PTSD-RI-5) in adolescents, a self-report instrument intended to screen for trauma exposure and assess PTSD symptoms. Method: Data was collected from 4201 adolescents in communities within eleven countries worldwide (i.e. Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, Palestine-Gaza, Philippines, Portugal, Romania, and Serbia). Internal consistency, discriminant validity, and a confirmatory factor analysis of a four-factor model representing the main DSM-5 symptoms of the PTSD-RI-5 were evaluated. Results: The PTSD-RI-5 total score for the entire sample shows very good reliability (α = .92) as well as across all countries included (α ranged from .90 to .94). The correlations between anxiety/depressive symptoms and the PTSD-RI-5 scores were below .70 indicating on good discriminant validity. The four-factor structure of the scale was confirmed for the total sample and data from six countries. The standardized regression weights for all items varied markedly across the countries. The lack of a common acceptable model across all countries prevented us from direct testing of cross-cultural measurement invariance. Conclusions: The four-factor structure of the PTSD-RI-5 likely represents the core PTSD symptoms as proposed by the DSM-5 criteria, but there could be items interpreted in a conceptually different manner by adolescents from different cultural/regional backgrounds and future cross-cultural evaluations need to consider this finding. Taylor & Francis 2019-05-07 /pmc/articles/PMC6507911/ /pubmed/31105904 http://dx.doi.org/10.1080/20008198.2019.1605282 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Article Doric, Ana Stevanovic, Dejan Stupar, Dusko Vostanis, Panos Atilola, Olayinka Moreira, Paulo Dodig-Curkovic, Katarina Franic, Tomislav Davidovic, Vrljicak Avicenna, Mohamad Noor, Multazam Nussbaum, Laura Thabet, Abdelaziz Ubalde, Dino Petrov, Petar Deljkovic, Azra Antonio, Monteiro Luis Ribas, Adriana Oliveira, Joana Knez, Rajna UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
title | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
title_full | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
title_fullStr | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
title_full_unstemmed | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
title_short | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
title_sort | ucla ptsd reaction index for dsm-5 (ptsd-ri-5): a psychometric study of adolescents sampled from communities in eleven countries |
topic | Clinical Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6507911/ https://www.ncbi.nlm.nih.gov/pubmed/31105904 http://dx.doi.org/10.1080/20008198.2019.1605282 |
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