Validation of the PTSD screening cartoon test “Darryl” in a Danish clinical sample of children and adolescents

Løkkegaard, Sille Schandorph; Rønholt, Stine; Karsberg, Sidsel; Elklit, Ask

doi:10.1002/mpr.1514

Cited by 8 publications

(5 citation statements)

References 28 publications

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“…The text alongside each cartoon asks about the psychological responses specific to the traumatic experience, in this case, stalking. In a validation study of the Danish version of Darryl, it showed good internal consistency for the overall scale (α = 0.88) [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

Post-Traumatic Stress Disorder (PTSD) Symptoms in Secondary Stalked Children of Danish Stalking Survivors—A Pilot Study

Elklit

Vangsgaard

Olsen

et al. 2019

IJERPH

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There is a lack of research examining secondary stalking and its effect on children who, in many cases, can be direct targets, or secondary survivors, of the stalking of their parent. The present study examines trauma reactions in children of stalking survivors in a Danish sample. It investigates the differences and similarities of such reactions across three age groups. Fifty-seven children were divided into groups depending on their age. The symptoms of the youngest group, 0–6-year-olds, were investigated by way of a maternal diagnostic interview. The two older groups, 7–11- and 12–19-year-olds completed the age-appropriate questionnaires, “Darryl” and “HTQ”, respectively, online. Twenty-two percent of the youngest group met the criteria for Post-Traumatic Stress Disorder (PTSD). Eighty-five percent of the middle age group and 58% of the older age group met PTSD diagnostic criteria. The findings illustrate that reactions to secondary stalking were predominantly within the arousal cluster of PTSD symptomology, with sleep disturbances and irritability commonly reported. The overall prevalence of children meeting PTSD diagnostic criteria in the sample was 56%. Future studies will benefit from larger samples and from knowledge of any pre-existing relationship between parent and stalker.

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Section: Methodsmentioning

confidence: 99%

Post-Traumatic Stress Disorder (PTSD) Symptoms in Secondary Stalked Children of Danish Stalking Survivors—A Pilot Study

Elklit

Vangsgaard

Olsen

et al. 2019

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…A cartoon-based measure of symptoms of posttraumatic stress disorder (PTSD) as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed, when self-administered among Danish children and adolescents in high-risk settings correlated with a clinicianadministered PTSD scale for children and adolescents. A receiver operating characteristic analysis suggested that the cartoon-based measure significantly predicted PTSD in this population [39]. The use of an educational comic book on epilepsy resulted in increased knowledge about the cause, treatment, and first response during a seizure among rural and urban Ethiopian high school students [40].…”

Section: Graphic Medicine As a Teaching Toolmentioning

confidence: 93%

Difficult Doctors, Difficult Patients: Building Empathy

Anderson

Wescom

Carlos

2016

Journal of the American College of Radiology

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Effective doctor-patient communication facilitates the therapeutic relationship, promotes patient physical and mental health, and improves physician satisfaction. Methods of teaching effective communication use a range of techniques, typically combining didactic instruction with simulated communication encounters and reflective discussion. Rarely are patients and physicians exposed to these instructions as colearners. The evidence for the utility of graphic stories, comics, and cartoons to improve patient comprehension and self-regulation is small but encouraging. The authors describe the use of graphic medicine as a teaching tool for engendering empathy from both the physician and the patient for the other during a shared clinical encounter. This use of educational comics in a colearning experience represents a new use of the medium as a teaching tool.

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“…These data are entered into the DCC system according to whether a given mental health symptom is present (coded as 1) or absent (coded as 0). Depending on the age of the child, different validated and age-appropriate mental health screening and assessment tools are used during the sessions including the Beck Youth Inventories-II of Emotional and Social Impairment (BYI-II; Beck, 2001), the Trauma Symptom Checklist for Children (TSCC; Briere, 1996), the Havard Trauma Questionnaire (HTQ; Mollica et al, 1992), the Diagnostic Infant Preschool Assessment (DIPA; Scheeringa & Haslett, 2010), and a Danish adaptation of the Darryl PTSD screening cartoon test (Løkkegaard et al, 2017;Neugebauer et al, 1999) (The Danish National Board for Social Services, 2019).…”

Section: Methodsmentioning

confidence: 99%

Evidence of a traumatic stress dimension of psychopathology among at-risk children living in Denmark

et al. 2023

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The Hierarchical Taxonomy of Psychopathology (HiTOP) is a quantitative model of psychopathology. HiTOP proposes that trauma-related distress is a facet of Internalizing psychopathology, but recent evidence with young people suggests that it may reflect a unique dimension of psychopathology. This study assessed the latent structure of child and adolescent psychopathology to determine whether there is evidence of a unique ‘Traumatic Stress’ dimension, and how dimensions of psychopathology are associated with specific types of childhood adversity and trauma, and suicidal ideation and self-injurious behavior. Participants were children and adolescents aged 1–17 years (N = 1,800) who were in contact with the Danish child protection system due to suspected child abuse. Confirmatory factor analysis was used to determine the optimal latent structure of psychopathology, and structural equation modelling was used to determine how the dimensions of psychopathology were associated with different forms of trauma and adversity and suicidality/self-harm. The best fitting model included three factors of Internalizing, Externalizing, and Traumatic Stress. The Traumatic Stress dimensions was associated with older age, living outside of the family home, parental mental illness, higher levels of parental conflict, and the presence of domestic violence in the child’s home. The Traumatic Stress dimension was not associated with suicidality/self-harm. This study provides additional evidence of a distinct dimension of Traumatic Stress among young people. Further studies are needed to determine if these findings are replicable, particularly in older participants.

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Validation of the PTSD screening cartoon test “Darryl” in a Danish clinical sample of children and adolescents

Cited by 8 publications

References 28 publications

Post-Traumatic Stress Disorder (PTSD) Symptoms in Secondary Stalked Children of Danish Stalking Survivors—A Pilot Study

Post-Traumatic Stress Disorder (PTSD) Symptoms in Secondary Stalked Children of Danish Stalking Survivors—A Pilot Study

Difficult Doctors, Difficult Patients: Building Empathy

Evidence of a traumatic stress dimension of psychopathology among at-risk children living in Denmark

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