Development and validation of a brief screening version of the Childhood Trauma Questionnaire

Bernstein, David P.; Stein, Judith A.; Newcomb, Michael D.; Walker, Edward A.; Pogge, David L.; Ahluvalia, Taruna; Stokes, John; Handelsman, Leonard; Medrano, Martha A.; Desmond, David P.; Zule, William

doi:10.1016/s0145-2134(02)00541-0

Cited by 4,794 publications

(3,985 citation statements)

References 46 publications

Supporting

Mentioning

3,786

Contrasting

Unclassified

133

Order By: Relevance

“…The prevalence of five types of child maltreatment was assessed using the 28-item version of the Childhood Trauma Questionnaire (CTQ) (Bernstein et al, 2003; Klinitzke, Romppel, Hauser, Brahler, & Glaesmer, 2012; Wingenfeld et al, 2010). The CTQ is a screening measure for the assessment of child maltreatment.…”

Section: Methodsmentioning

confidence: 99%

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Clemens

Huber‐Lang

Plener

et al. 2018

European Journal of Psychotraumatology

100

View full text Add to dashboard Cite

Background: Child maltreatment is a major public problem, associated with enormous consequences on the individual and socioeconomic level. Studies show a clear impact of child maltreatment on long-term physical health. However, there is a lack of analyses comprising a wide variety of subtypes of maltreatment and addressing cumulative effects of different maltreatment subtypes experienced during childhood on physical health. Objective: The objective of this analysis was to assess the association of different subtypes and the intensity of child maltreatment with long-term physical health outcomes. Methods: In a cross-sectional observational approach, a representative sample of the German population (N=2510) was assessed regarding socioeconomic information, their current health status, and their experiences of child maltreatment using the Childhood Trauma Questionnaire (CTQ). Chi2-Tests were performed to compare differences of physical health conditions in adulthood in association with child maltreatment and binary regression analyses to assess the relationship of physical health and number of different subtypes of maltreatment experienced during childhood. Results: Odds increased significantly for obesity (1.8), diabetes (1.26), cancer (1.28), hypertension (1.16), chronic obstructive pulmonary disease (1.51), history of myocardial infarction (1.29) and stroke (1.31) with increasingenhancing number of experienced subtypes of child maltreatment. Growing intensity of each subtype of maltreatment was associated with higher rates of all assessed physical health conditions, which could point towards a dose-dependency of the relationship between maltreatment and long-term physical health. Conclusions: Child maltreatment is associated with increased odds for the leading morbidity and mortality causes in Germany. Interventions encompassing secondary and primary preventive strategies are critical to target this major public health problem and its devastating consequences.

show abstract

Section: Methodsmentioning

confidence: 99%

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Clemens

Huber‐Lang

Plener

et al. 2018

European Journal of Psychotraumatology

100

View full text Add to dashboard Cite

show abstract

“…Traumatic childhood adversity was assessed using the Childhood Trauma Questionnaire (CTQ; Bernstein et al, 2003). …”

Section: Methodsmentioning

confidence: 99%

Trauma-related memories in PTSD after interpersonal violence: an ambulatory assessment study

Kleindienst

Priebe

Petri

et al. 2017

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Ambulatory assessment (AA) is increasingly recommended for assessing symptoms of posttraumatic stress disorder (PTSD). Previous AA studies provided new insights into the phenomenology of trauma-related memories, but also divergent findings. Notably, the range of trauma-related memories (a major target of psychotherapeutic interventions) reported in AA studies was as wide as 7.3 to 74.5 per week which might result from different methods used in these studies. Objective: We aimed at assessing the frequency of trauma-related memories in PTSD related to interpersonal violence and investigated whether this frequency is dependent upon the method. Method: For each patient trauma-related memories were assessed using two variants of smartphone-based AA: (1) Event-based sampling (EBS), i.e. participants entered data on each intrusive memory as it occurred; (2) Time-based sampling (TBS), i.e. participants reported the number of trauma-related memories they had experienced during the last two hours after they had been alerted by the smartphone. The numbers reported during the TBS-block were either analysed as reported by the participants or restricted to one per hour (rTBS). The impact of smartphone-assessments on trauma-related memories was assessed during a post-monitoring questionnaire. Results: While trauma-related memories were frequent across assessments, the methodology had a huge impact on the numbers: EBS (median = 7) and rTBS (median = 6) yielded significantly lower weekly numbers of intrusive trauma-related memories than TBS (median = 49). Accordingly, the possibility to report unrestricted numbers of trauma-related memories clearly impacted the results. The post-monitoring questionnaire identified another source for the divergent findings: while feeling disrupted by the smartphone-assessments was unrelated to the numbers reported during EBS, feeling disrupted was related to an increase of trauma-related memories during TBS and rTBS. Conclusions: The method clearly impacts the recorded number of trauma-related memories. Future research should clarify whether other variables (e.g. the subjective stress related to intrusive memories) are less dependent on the methodology.

show abstract

“…Twenty‐one right‐handed patients (mean age: 40.2 (14.9), 10 males, 11 females) who met DSM‐IV diagnostic criteria for a primary diagnosis of recurrent (i.e., ≥3 episodes) MDD on the Structured Clinical Interview for DSM‐IV‐TR Axis I Disorders (SCID‐1; First, Spitzer, Gibbon, & Williams, 1997) and who had a history of trauma exposure, according to responses on the Clinician‐Administered PTSD Scale (CAPS; Blake et al., 1995) and/or Childhood Trauma Questionnaire (CTQ; Bernstein et al., 2003) were recruited. Among patients with MDD, five met criteria for moderate‐to‐severe childhood abuse on the CTQ only, nine met criteria for lifetime PTSD or trauma exposure on the CAPS only, and seven met criteria for childhood trauma exposure on the CTQ and a diagnosis of PTSD or trauma exposure on the CAPS.…”

Section: Methodsmentioning

confidence: 99%

“…The CAPS (Blake et al., 1995) was also administered to assess current (i.e., past month) and past PTSD diagnostic status and symptom severity and to confirm a history of trauma exposure. Participants completed the CTQ (Bernstein et al., 2003), a 28‐item self‐report questionnaire that measures history of: (1) emotional abuse, (2) physical abuse, (3) sexual abuse, (4) emotional neglect, and (5) physical neglect. The CTQ has good internal consistency and convergent reliability with therapists' assessments of history of trauma is high (Bernstein et al., 2003).…”

Section: Methodsmentioning

confidence: 99%

“…Participants completed the CTQ (Bernstein et al., 2003), a 28‐item self‐report questionnaire that measures history of: (1) emotional abuse, (2) physical abuse, (3) sexual abuse, (4) emotional neglect, and (5) physical neglect. The CTQ has good internal consistency and convergent reliability with therapists' assessments of history of trauma is high (Bernstein et al., 2003). Participants also completed the Multiscale Dissociation Inventory (MDI; Briere, 2002) a 30‐item self‐report questionnaire that assesses dissociative responses.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Relation between patterns of intrinsic network connectivity, cognitive functioning, and symptom presentation in trauma‐exposed patients with major depressive disorder

et al. 2017

View full text Add to dashboard Cite

ObjectiveThe present study investigated resting fMRI connectivity within the default mode (DMN), salience (SN), and central executive (CEN) networks in relation to neurocognitive performance and symptom severity in trauma‐exposed patients with major depressive disorder (MDD).MethodGroup independent component analysis was conducted among patients with MDD (n = 21), examining DMN, SN, and CEN connectivity in relation to neurocognitive performance and symptom severity. Activation in these networks was also compared between the patient group and healthy controls (n = 20).ResultsAmong the patient group, higher levels of performance on measures of verbal memory and executive functioning were related to increased connectivity within the DMN (i.e., inferior parietal lobe; precuneus). Greater depression severity was related to reduced connectivity between the SN and a node of the DMN (i.e., posterior cingulate cortex) and higher depersonalization symptoms were related to enhanced connectivity between the SN and a node of the DMN (i.e., middle temporal gyrus). Higher symptoms of depersonalization were also associated with reduced integration of the DMN with the medial frontal gyrus. Relative to controls, patients with MDD showed greater connectivity of the ventromedial prefrontal cortex within the DMN.ConclusionIntrinsic connectivity network patterns are related to cognitive performance and symptom presentation among trauma‐exposed patients with MDD.

show abstract

Development and validation of a brief screening version of the Childhood Trauma Questionnaire

Cited by 4,794 publications

References 46 publications

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Association of child maltreatment subtypes and long-term physical health in a German representative sample

Trauma-related memories in PTSD after interpersonal violence: an ambulatory assessment study

Relation between patterns of intrinsic network connectivity, cognitive functioning, and symptom presentation in trauma‐exposed patients with major depressive disorder

Contact Info

Product

Resources

About