Validation of <scp>ICD</scp>‐11 <scp>PTSD</scp> and complex <scp>PTSD</scp> in foster children using the International Trauma Questionnaire

Haselgruber, Alexander; Sölva, Katharina; Lueger‐Schuster, Brigitte

doi:10.1111/acps.13100

Cited by 87 publications

(125 citation statements)

References 54 publications

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“…Hyland, Shevlin, Brewin et al, 2017 ). Recent studies in children reported the two-factor higher-order model as best fitting in foster children using the ITQ (Haselgruber et al, 2020b ) and the correlated six-factor model as best fitting in children from the general population using the ITQ-CA (Kazlauskas et al, 2020 ). As foster children have been shown to resemble more a clinical than a non-clinical population (Tarren-Sweeney, 2008 ), results in children seem to corroborate findings in adults, where the two-factor higher-order model was more often identified as best fitting in clinical populations (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…The BIC, however, clearly favoured Models 3 and 4, both fitting the data similarly well. This can be explained by the high correlation between PTSD and DSO in Model 4, which may be indicative of PTSD and DSO representing less distinctive factors in children as assessed by the ITQ-CA than by the ITQ (Haselgruber et al, 2020b ; Hyland, Shevlin, Brewin et al, 2017 ). This may be attributable to item formulations or due to age and associated developmental changes, warranting further research using the ITQ-CA.…”

Section: Discussionmentioning

confidence: 99%

“…Participants who provided answers with high levels of missing values (> 50% on the ITQ-CA), did not report any traumatic experiences or were older than 18 years were excluded, resulting in a final sample of 135 trauma-exposed foster children with sufficient data on the ITQ-CA. Of this final sample, 75.6% participated in the assessment of another study conducted in 2018, examining the ITQ in foster children (Haselgruber et al, 2020b ), while the current study is based on a different data set, including a differently composed sample at a different point in time, using different measures (e.g. the ITQ-CA).…”

Section: Methodsmentioning

confidence: 99%

“…Two studies have investigated this issue to date using precise descriptions of ICD-11 symptom content, reporting diverging results. One study, conducted in a sample of foster children, identified the two-factor higher-order model as best fitting (Haselgruber, Sölva, & Lueger-Schuster, 2020b ), while another study conducted in the general population identified the correlated six-factor model as best fitting (Kazlauskas et al, 2020 ), evidencing the need for further research.…”

Section: Introductionmentioning

confidence: 99%

“…The ITQ has also been identified as an applicable measure in children, with a recommendation for further optimization (Haselgruber et al, 2020b ). In line with this notion, the ITQ’s authors revised the validated version of the ITQ in consultation with child and adolescent trauma assessment experts to provide a child-adapted version, the International Trauma Questionnaire – Child and Adolescent Version (ITQ-CA) (Cloitre, Bisson et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Symptom structure of ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) in trauma-exposed foster children: examining the International Trauma Questionnaire – Child and Adolescent Version (ITQ-CA)

Haselgruber

Sölva

Lueger‐Schuster

2020

European Journal of Psychotraumatology

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Background: The 11th edition of the International Classification of Diseases (ICD-11) introduces Posttraumatic Stress Disorder (PTSD) and Complex Posttraumatic Stress Disorder (CPTSD) as two distinct trauma-related disorders. Numerous studies support the proposed symptom structure of ICD-11 CPTSD in adults, but only a few studies have examined CPTSD symptom structure in children, reporting diverging results. To assess ICD-11 CPTSD in children, the International Trauma Questionnaire (ITQ) was recently adapted for children and adolescents (ITQ-CA), with no validated German version available yet. Objective: This study aimed (1) to test the symptom structure of ICD-11 CPTSD in a sample of trauma-exposed foster children using the ITQ-CA, and (2) to examine the concurrent, convergent and discriminant validity of the German ITQ-CA. Method: Altogether, 161 Austrian foster children completed a set of standardized measures, resulting in a final sample of 135 trauma-exposed foster children meeting the inclusion criteria. Psychometric properties of the ITQ-CA were assessed using confirmatory factor analysis (CFA), bivariate correlations and multivariate regression. Results: CFA supported ICD-11 CPTSD symptom structure in children as a two-factor higherorder model with PTSD and Disturbances in Self-Organization (DSO) as correlated factors with very good model fit, while a one-factor higher-order model also fitted the data very well. High factor loadings and excellent levels of internal reliability evidenced the psychometric adequacy of the ITQ-CA. Concurrent and convergent validity were evidenced by high correlations between ITQ-CA scales and criterion variables (PTSD symptoms, depression, anxiety, dissociation, lifetime traumatization). Discriminant validity was partly supported by PTSD and DSO being differently predicted by exogenous criterion variables. Conclusions: CPTSD symptom structure in children is in support of the ICD-11 conceptualization. The reliability and validity of the German ITQ-CA are evidenced for the first time, identifying it as an easy-to-use screening instrument to assess ICD-11 PTSD and CPTSD in children. Further implications and areas for upcoming studies are discussed. Estructura de los síntomas del TEPT complejo de la CIE-11 en niños de crianza temporal expuestos a traumas: Revisión del Cuestionario Internacional sobre Traumatismos-Versión para niños y adolescentes (ITQ-CA)-Antecedentes: La CIE-11 recientemente publicada presenta el trastorno de estrés postraumático (TEPT) y el trastorno de estrés postraumático complejo (TEPT-C) como dos trastornos distintos relacionados con trauma. Numerosos estudios apoyaron la estructura de síntomas propuesta de TEPT-C en adultos de la CIE-11, pero solo unos pocos estudios examinaron la estructura de síntomas de TEPT-C en niños, reportando resultados divergentes. Para evaluar TEPT-C en niños según la CIE-11, el Cuestionario Internacional de Trauma (ITQ) fue adaptado recientemente para niños y adolescentes (ITQ-CA), sin una versión alemana validada disponible tod...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Symptom structure of ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) in trauma-exposed foster children: examining the International Trauma Questionnaire – Child and Adolescent Version (ITQ-CA)

Haselgruber

Sölva

Lueger‐Schuster

2020

European Journal of Psychotraumatology

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Assessment Tools in Child Protection Practice and Research

Charak

Hamilton‐Giachritsis

2021

Child Abuse Review

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Decision-making in child protection is a challenging process, with practitioners endeavouring to evaluate and assess factors that inform planning and improve performance. In this regard, assessment tools play a vital role in child protection practices as they facilitate identification of child maltreatment, related risk/protective factors and child outcomes (such as traumatic stress reactions). Over the years, a wide range of assessment tools have become available for use in day-to-day practice and research. Parent-focused examples include the Child Abuse Potential Inventory (Milner, 1990), Child Behavior Checklist (parent and child report;Achenbach & Rescorla, 2001), Difficulties in Emotion Regulation Scale (Charak et al., 2019a) and the Adult Adolescent Parenting Inventory 2.1 (AAPI 2.1; Bavolek & Keene, 2010). There are also numerous outcome measures for children, such as the Trauma Symptom Checklist for Children (Briere, 1996) and the International Trauma Questionnaire (Cloitre et al., 2018;Haselgruber et al., 2020) specifically for ICD-11 post-traumatic stress disorder (PTSD) and complex PTSD in children and adolescents. Such tools can assist in providing additional routes to assessment and intervention planning through triangulation with other sources of data, such as interviews or observations. Thus, ensuring that the use of child protection assessment tools is current and evidence-based is crucial for the protection and wellbeing of our children and families. However, it can prove challenging to keep up with this constantly evolving development of assessments.Therefore, as guest editors, our aim for this special issue is to provide an introduction to the current debates about assessment tools and highlight new developments in this field with an international perspective. With authors and data drawn from Iceland, Northern Ireland, Italy, Switzerland, the USA and the UK, the seven selected articles (i) reflect the importance of conceptualisation of internal and ecological validity of assessment tools, (ii) put forth tools that can be used for examining instances of maltreatment or (iii) present measurement tools that can be useful for clinical interventions and services for child survivors of maltreatment. Also included is a review of an e-learning tool and how effective it was found to be by a practitioner. Several of the papers present promising initial evidence for new psychometric measures or application of an existing tool, which will benefit from later replication or extension studies. Overall, however, we hope that the range of

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A Systematic Review of the Assessment of ICD‐11 Complex Post‐Traumatic Stress Disorder (CPTSD) in Young People and Adults

Sarr,

Quinton,

Spain

et al. 2024

Clin Psychology and Psychoth

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Complex post‐traumatic stress disorder (CPTSD) was introduced in the International Classification of Diseases (ICD) 11 in 2013 to simplify diagnosis and increase clinical utility. Given the recent ICD‐11 conceptualisation, there is no standard approach for its assessment, and a review of research is necessary. This systematic review focuses on ICD‐11 CPTSD assessment in young people aged 7 to 17 and adults aged 18 and above, examining measures, differentiating features and clinical considerations. Data from five databases are reviewed using a narrative synthesis approach and the quality of evidence is assessed and discussed. A total of 36 studies involving 5901 participants recruited from clinical settings and 1458 professionals with CPTSD assessment experience were included. Studies predominantly focused on adults, and the most used measure for assessment was the International Trauma Questionnaire. Papers focusing on differentiating features highlighted increased symptom severity, impairment and difficulties in individuals with CPTSD, compared to those with PTSD across various characteristics in both young people and adults. This review also identified the importance of a sensitive clinical approach with adaptations based on culture and age. Although gold‐standard recommendations cannot be made, this paper offers tentative clinical practice recommendations and considerations regarding ICD‐11 CPTSD assessment.

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Validation of ICD‐11 PTSD and complex PTSD in foster children using the International Trauma Questionnaire

Cited by 87 publications

References 54 publications

Symptom structure of ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) in trauma-exposed foster children: examining the International Trauma Questionnaire – Child and Adolescent Version (ITQ-CA)

Symptom structure of ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) in trauma-exposed foster children: examining the International Trauma Questionnaire – Child and Adolescent Version (ITQ-CA)

Assessment Tools in Child Protection Practice and Research

A Systematic Review of the Assessment of ICD‐11 Complex Post‐Traumatic Stress Disorder (CPTSD) in Young People and Adults

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