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- Title
Validation of the Spanish Childhood Trauma Questionnaire-Short Form in adolescents with suicide attempts.
- Authors
García-Fernández, Ainoa; Martínez-Cao, Clara; Sánchez-Fernández-Quejo, Alberto; Bobes-Bascarán, Teresa; Andreo-Jover, Jorge; Ayad-Ahmed, Wala; Isabel Cebriá, Ana; Díaz-Marsá, Marina; Garrido-Torres, Nathalia; Gómez, Sandra; González-Pinto, Ana; Grande, Iria; Iglesias, Noelia; March, Katya B.; Palao, Diego J.; Pérez-Díez, Iván; Roberto, Natalia; Ruiz-Veguilla, Miguel; de la Torre-Luque, Alejandro; Zorrilla, Iñaki
- Abstract
Background: Child maltreatment is associated with a higher probability of mental disorders and suicidal behavior in adolescence. Therefore, accurate psychometric instruments are essential to assess this. Objective: To validate the Spanish version of the Childhood Trauma Questionnaire-Short Form (CTQ-SF) in adolescents with suicide attempts. Methods: Multisite cohort study of 208 adolescents with suicide attempts using data from the following scales: Mini International Neuropsychiatric Interview (MINI), Columbia Suicide Severity Rating Scale (C-SSRS), Patient Health Questionnaire (PHQ-9), and CTQ-SF. Statistical analysis: CTQ-SF scores analyzed by descriptive statistics. Internal consistency: McDonald's omega and Cronbach's alpha. Concurrent validity with PHQ-9 and C-SSRS scores: Spearman correlation coefficient. Structural validity: Confirmatory factor analysis. Results: Floor and ceiling effects: Physical abuse and neglect as well as sexual abuse demonstrated high floor effects (50.0, 35.1, and 61.1% of adolescents, respectively). No ceiling effects were found. The CTQ-SF had excellent internal consistency (McDonald's omega = 0.94), as did the majority of its subscales (Cronbach's alpha 0.925-0.831) except for physical neglect (0.624). Its concurrent validity was modest, and the emotional neglect subscale had the lowest Spearman correlation coefficients (0.067-0.244). Confirmatory factor analysis: Compared with alternative factor structures, the original CTQ-SF model (correlated 5-factor) exhibited a better fit [S-B χ² = 676.653, p < 0; RMSEA (90% CI = 0.076-0.097) = 0.087; SRMR = 0.078; CFI = 0.980; TLI = 0.978]. Conclusion: The Spanish CTQ-SF is a reliable, valid instrument for assessing traumatic experiences in adolescents at high risk of suicide. It appears appropriate for use in routine clinical practice to monitor maltreatment in this group.
- Subjects
MCDONALD'S Corp.; ATTEMPTED suicide; ADVERSE childhood experiences; SUICIDAL behavior; CHILD abuse; TEENAGERS; CONFIRMATORY factor analysis; SUICIDE risk factors; ABUSE of older people
- Publication
Frontiers in Psychology, 2024, p1
- ISSN
1664-1078
- Publication type
Article
- DOI
10.3389/fpsyg.2024.1378486