Assessment of the complex effects of trauma across child serving settings: Measurement properties of the CANS-Trauma Comprehensive

Kisiel, Cassandra; Patterson, Nicole; Torgersen, Elizabeth; Dunnen, Wendy den; Villa, Christopher; Fehrenbach, Tracy

doi:10.1016/j.childyouth.2017.12.032

Cited by 23 publications

(17 citation statements)

References 21 publications

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“…However, the acculturation domain and the child risk behaviours domain did not have satisfactory item distributions, owing to a narrow item difficulty range in these two domains. With reference to a similar validation study, 17 the category probability curve of the acculturation domain revealed a lack of endorsement of 3 (ie, severe need) by raters, whereas scores of 0, 1, and 2 were clearly…”

Section: Resultsmentioning

confidence: 87%

“…Although the item separation value of the acculturation domain was not satisfactory, this may be due to an absence of such needs in the sample. 17,20 For the inadequate item separation in the child risk behaviour domain, the less distinctiveness of the score of 2 (ie, moderate need) might indicate that a 3-point scale rather than the current 4-point scale is more adequate for this domain. However, to maintain a consistent scoring system for the TC-CANS-Trauma, the 4-point scale is still recommended for the child risk behaviours domain.…”

Section: Discussionmentioning

confidence: 99%

“…A previous psychometric study of the CANS-Trauma assessed the convergent and divergent validity of only four domains (trauma exposure, traumatic stress symptoms, child emotional/behavioural needs, and child risk behaviours) based on their expected correlations with other validated tools. 17 The present study thus assessed convergent and divergent validity of these domains plus the caregiver needs and strengths domain with the LEC, the CHIES-R, the SDQ-Impact, and the PSOC. A Pearson correlation coefficient of ≥0.3 with p < 0.05 was considered moderate to strong validity.…”

Section: Methodsmentioning

confidence: 99%

“…16 The original CANS-Trauma has acceptable internal consistency and good inter-rater reliability, convergent validity, and scaling properties. 17 With reference to previous studies, [18][19][20] the TC-CANS-Trauma is expected to demonstrate at least acceptable internal consistency and convergent validity.…”

Section: Introductionmentioning

confidence: 93%

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Psychometric Properties of the Traditional Chinese Version of the Child and Adolescent Needs and Strengths-Trauma Comprehensive

Yau

Chan

2021

East Asian Arch Psychiatry

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Objective: To determine the internal consistency, construct validity, and scaling properties of the traditional Chinese version of the Child and Adolescent Needs and Strengths-Trauma Comprehensive (TC-CANS-Trauma). Methods: 66 male and 62 female children, adolescents, and young adults aged 3 to 22 years who were referred to trauma treatment service were selected by convenience sampling. The original English version of the CANS-Trauma was translated to traditional Chinese by a medical professional, back-translated to English by a clinical psychologist, and then cross-checked by another psychologist to ensure consistency. Chinese wordings were adjusted to maintain the conceptual rather than literal meaning. Participants were assessed using the TC-CANS-Trauma as well as the traditional Chinese version of the Life Events Checklist (LEC), the Children's Impact of Event Scale-Revised (CHIES-R), the Strengths and Difficulties Questionnaire-Impact Component (SDQ-Impact), and the Parenting Sense of Competence (PSOC). Internal consistency of eight primary domains of the TC-CANS-Trauma was evaluated by Cronbach's alpha. Construct (convergent and divergent) validity of five of these domains with the LEC, the CHIES-R, the SDQ-Impact, and the PSOC was assessed. Rasch modelling was used to evaluate the scaling properties of the eight primary domains of the TC-CANS-Trauma. Results: Internal consistency of the eight primary domains of the TC-CANS-Trauma was satisfactory, with Cronbach's alpha ranging from 0.63 to 0.90. Construct (convergent and divergent) validity of five of these domains with the LEC, the CHIES-R, the SDQ-Impact, and the PSOC was good. In Rasch modelling, most TC-CANS-Trauma domains showed good item separation values. Infit and outfit statistics of most domain items were <2 indicating good item fitness in their respective domains. For person separation, all domains of the TC-CANS-Trauma did not have a sufficient discriminability to identify high and low performers. Conclusions:The TC-CANS-Trauma is valid for comprehensive assessment of trauma-related domains among Hong Kong children and adolescents. Its ratings can be used to guide the levels of clinical intervention required. Clinicians are recommended to implement the TC-CANS-Trauma to facilitate trauma-informed practice in Hong Kong.

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Section: Resultsmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

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Psychometric Properties of the Traditional Chinese Version of the Child and Adolescent Needs and Strengths-Trauma Comprehensive

Yau

Chan

2021

East Asian Arch Psychiatry

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“…A measure of children's adverse experiences was created for the purposes of the larger study (ie, the Childhood Experiences Measure), by accumulating a comprehensive list of adverse life events that have been used in previously validated measures and synthesizing the items for complete coverage of possible events and to eliminate overlap of items. The majority of the items in the current measure were collected from the Preschool Age Psychiatric Assessment (PAPA), 28 Life Events Checklist (LEC), 29 Trauma History Questionnaire (THQ), 30 Juvenile Victimization Questionnaire (JVQ) 31 and Child and Adolescent Needs and Strengths (CANS) 32 . The items include several kinds of adversities, including those associated with violence exposure, natural disaster, maltreatment, difficulty based on current income, household dysfunction, family or community involvement with the law, death or separation from close others and physical or psychological difficulties.…”

Section: Methodsmentioning

confidence: 99%

Adversity exposure and obesogenic food consumption in young children: The transgenerational role of emotion dysregulation

2020

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Background: Childhood adversity is linked with unhealthy eating behaviours and obesity, but the mechanisms underlying this association are unclear, specifically the transgenerational behavioural precursors that develop in early childhood. Objective: To determine whether adversity predicts change in obesogenic food consumption through child emotion dysregulation, and whether caregiver emotion dysregulation modifies this association. Methods: Participants included 190 low-income caregiver-child dyads (mean child age = 4.31 years [SD = 0.85]). Cumulative lifetime adversity exposure was assessed via study-created measure. The Difficulties with Emotion Regulation Scale and Emotion Regulation Checklist assessed caregiver and child emotion dysregulation, respectively. Children's obesogenic food consumption was assessed at two time points 6 months apart using a caregiver-report measure: the Children's Eating Habits Questionnaire. Moderated mediation models were tested using autoregressive structural equation modelling. Results: Cumulative lifetime adversity was associated with child emotion dysregulation only when caregiver emotion dysregulation was high. Child emotion dysregulation in turn was associated with greater obesogenic food consumption 6 months later. Conclusions: Among young children with caregivers high in emotion dysregulation, cumulative lifetime adversity was linked to an increase in obesogenic food consumption through child emotion dysregulation.

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Evaluating the Use of Trauma‐Informed Mental Health Assessment Measures in Care Planning for Children and Adolescents in Out‐of‐Home Residential Care in Singapore

et al. 2021

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Children and young people (CYP) within the Child Welfare System (CWS) often experience a range of trauma‐related difficulties. However, systematic use of evidence‐based measures to support mental health assessment and care planning appeared to be lacking within CWS in Singapore. This study evaluated the use of evidence‐based measures to inform care planning in out‐of‐home residential care in Singapore. Participants were 65 CYP in care. Measures consisted of the Child PTSD Symptom Scale for DSM‐5 (CPSS‐5), Assessment Checklist for Children (ACC) and Adolescents (ACA), Child Behavior Checklist (CBCL) and Youth Self‐Report (YSR). Care plans were identified based on the measures' clinical criteria and validated against the Child and Adolescent Needs and Strengths (CANS) and Adverse Childhood Experience (ACE) questionnaire. More intensive measurement‐based care plans were associated with higher service needs and lower strengths on the CANS, and higher ACE exposure. However, there was limited support for the validity of care plans when evaluated against the CANS and ACE questionnaire. Methodological implications for mental health assessment are discussed. Compared to service‐allocation‐as‐usual, measurement‐based care plans identified more cases that may require intensive psychological intervention. Overall, study findings provided some support for the use of assessment measures to supplement care planning in residential care. Key Practitioner Messages A comprehensive approach to care planning for CYP in out‐of‐home residential care should include the use of multi‐informant evidence‐based mental health assessment measures. The use of mental health assessment measures may reduce information gaps and complement the use of service needs assessment tools. Measurement‐based care planning may provide added value to supplement existing standard psychological care planning practices in out‐of‐home residential care.

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Assessment of the complex effects of trauma across child serving settings: Measurement properties of the CANS-Trauma Comprehensive

Cited by 23 publications

References 21 publications

Psychometric Properties of the Traditional Chinese Version of the Child and Adolescent Needs and Strengths-Trauma Comprehensive

Psychometric Properties of the Traditional Chinese Version of the Child and Adolescent Needs and Strengths-Trauma Comprehensive

Adversity exposure and obesogenic food consumption in young children: The transgenerational role of emotion dysregulation

Evaluating the Use of Trauma‐Informed Mental Health Assessment Measures in Care Planning for Children and Adolescents in Out‐of‐Home Residential Care in Singapore

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