Assessing Reliability and Validity of the Child PTSD Symptom Scale in Portuguese Adolescents

Pinto, Ricardo J.; Correia-Santos, Patrícia; Castro, Maria; Jongenelen, Inês; Levendosky, Alytia A.; Maia, Ângela

doi:10.1016/j.ejtd.2019.100127

Cited by 7 publications

(6 citation statements)

References 49 publications

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“…The Child PTSD Symptom Scale–V (CPSS-V; Gillihan et al, 2013; Portuguese version, Pinto et al, 2019) is a self-report measure that aims to assess the severity of PTSD symptoms presented in the past month by children and adolescents after having being exposed to a traumatic event. The inventory comprises 20 items corresponding to PTSD symptoms according to the criteria of the DSM–5 .…”

Section: Methodsmentioning

confidence: 99%

The mediating role of posttraumatic stress symptoms on somatization in adolescents: A two-wave longitudinal study.

Pinto¹,

Castro²,

Correia-Santos³

et al. 2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Trauma as well as adverse childhood experiences (ACEs) have been associated with increased rates of later somatization symptoms. Some evidence has proposed that posttraumatic stress symptoms (PTSS) can mediate this relationship. However, most data come from adult samples. This two-wave longitudinal study aimed to investigate the relationship between cumulative adversity (total amount of adverse and traumatic experiences), PTSS and somatization symptoms in adolescents. Method: The sample included 150 adolescents, mean age of 16 years old (M = 15.99, SD = 1.25) with 67 (44.7%) males and 83 (55.3%) females. All were exposed to at least one traumatic event or one childhood adversity. The interval time between the two assessments was about 1 year. Results: The results showed that the PTSS Cluster E, alterations in arousal and reactivity, partially mediated the relationship between cumulative adversity and somatization symptoms (B = .09, BSE = .03, CI [.01, .15]). However, the effect size of the mediation was medium, while the direct effect was large (B = .34, BSE = .08, CI [.18, .50]). Conclusions: While arousal and reactivity symptoms seem to play a key role in adolescents suffering from somatization symptoms, cumulative adversity have their own direct and strong contribution. Clinicians should consider assessing PTSS and cumulative adversity when caring for adolescents suffering with somatic symptoms to better deliver intervention plans. Clinical Impact StatementThis study advances the idea that, with adolescents, when somatization does not seem to have a physical explanation, a history of childhood adversities and trauma, as well as PTSS symptoms, may explain those complaints. Therefore, the assessment of ACEs, trauma, and PTSS may help primary care and hospital physicians to deliver more accurate treatment plans to help these youth.

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Section: Methodsmentioning

confidence: 99%

The mediating role of posttraumatic stress symptoms on somatization in adolescents: A two-wave longitudinal study.

Pinto¹,

Castro²,

Correia-Santos³

et al. 2023

Psychological Trauma: Theory, Research, Practice, and Policy

Self Cite

View full text Add to dashboard Cite

show abstract

“…The Child PTSD Symptom Scale-V (Gillihan et al, 2013; Portuguese version: Pinto et al, 2019) assesses the severity of PTSD symptoms in children and adolescents, aged between 8 and 18 years old, who were exposed to potentially traumatic events, according to the diagnostic criteria of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders . PTSD symptoms are assessed through 20 items on a 5-point Likert scale (0 = never to 4 = 6 or more times per week ), ranging from 0 to 80 possible points.…”

Section: Methodsmentioning

confidence: 99%

Posttraumatic stress disorder symptoms and dissociation as serial mediators of the relationship between cumulative victimization and adjustment problems among poly-victimized at-risk youth.

Correia-Santos¹,

Ford²,

Maia³

et al. 2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Introduction: Poly-victimization (PV) has a greater adverse impact on adolescents’ lives than any single victimization type, even when repeatedly experienced. Adolescents who experience PV tend to present with an array of adjustment problems, and research has begun to identify mechanisms linking PV to adjustment problems. Both posttraumatic stress disorder (PTSD) and dissociation are linked to PV and adjustment problems; however, it is unclear how these variables play a role in the pathways from PV to adjustment problems. This study assessed PTSD and dissociation as serial mediators in the PV-adjustment problems link. Method: Two hundred eighteen Portuguese youth identified as poly-victims (56% girls) and aged between 12 and 17 years old (M = 15.63; SD = 1.26) were recruited from three at-risk contexts’ cohorts. Participants completed self-report measures of trauma exposure, posttraumatic symptoms, dissociative symptoms, and emotional and social adjustment problems. Results: The study results suggest that, among poly-victim adolescents, PTSD and dissociation may be mediators of the relationship between the cumulative extent of victimization and adjustment problems. Conclusion: The current study’s findings highlight the importance of careful assessment of both PTSD and dissociative symptoms and indicate that targeted interventions are essential when working with poly-victimized youth with the highest scores of cumulative victimization.

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“…The present study is part of a larger longitudinal research project on the impact of traumatic events on adolescents in the North of Portugal (27)(28)(29). All procedures performed in this study were in accordance with the APA ethical standards.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Psychopathology Associated With Childhood Trauma on Quality of Life in Portuguese Adolescents: A Two-Wave Longitudinal Study

et al. 2021

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Introduction: The aim of this study was to explore the mediating effect of psychopathology between childhood adversity and trauma and quality of life (QOL) in adolescents. The second aim of the study was testing the moderation by social support of this mediation effect.Methods: Self-reports of childhood adversity and trauma, QOL, social support, and psychopathology were collected from 150 Portuguese adolescents' who had been exposed to at least one traumatic event or one childhood adversity (Mage = 16.89, SD = 1.32). The surveys were administered at two time points with an approximate time interval of 1 year.Results: Indirect effects were observed for depression (B = −0.33, CI [−0.62, −0.11]), somatization (B = −0.52, CI [−0.82, −0.23]), and post-traumatic stress symptoms (PTSS) (B = −0.23, CI [−0.45, −0.01]), but not for anxiety (B = 0.20, CI [−0.08, 0.50]). A moderated mediation was found between social support and depression (B = −0.10, CI [−16, −0.04]), and PTSS (B = 0.03, CI [−0.1, −0.05]), but not for somatization (B = −0.02, CI [−0.8, 0.05]).Conclusions: We found that depression and somatization were strong mediators of the relationship between adversity/trauma and QOL, whereas PTSS was moderately mediated this relationship. Anxiety did not mediate this relationship. The moderated-mediation effect of social support was only found for depression and PTSS. The improvement of QOL in adolescents exposed to childhood adversity and trauma should include the assessment of psychopathology symptoms and social support, with the aim of identifying risk and protective factors.

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Assessing Reliability and Validity of the Child PTSD Symptom Scale in Portuguese Adolescents

Cited by 7 publications

References 49 publications

The mediating role of posttraumatic stress symptoms on somatization in adolescents: A two-wave longitudinal study.

The mediating role of posttraumatic stress symptoms on somatization in adolescents: A two-wave longitudinal study.

Posttraumatic stress disorder symptoms and dissociation as serial mediators of the relationship between cumulative victimization and adjustment problems among poly-victimized at-risk youth.

The Impact of Psychopathology Associated With Childhood Trauma on Quality of Life in Portuguese Adolescents: A Two-Wave Longitudinal Study

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