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Validation of the Spanish Childhood Trauma Questionnaire-Short Form in adolescents with suicide attempts.

Publicado en:Frontiers in Psychology. 15 1378486- - 2024-01-01 15(), DOI: 10.3389/fpsyg.2024.1378486

Autores: García-Fernández A; Martínez-Cao C; Sánchez-Fernández-Quejo A; Bobes-Bascarán T; Andreo-Jover J; Ayad-Ahmed W; Cebriá AI; Díaz-Marsá M; Garrido-Torres N; Gómez S; González-Pinto A; Grande I; Iglesias N; March KB; Palao DJ; Pérez-Díez I; Roberto N; Ruiz-Veguilla M; de la Torre-Luque A; Zorrilla I; Pérez V; ; Sáiz PA; García-Portilla MP

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Resumen

Child maltreatment is associated with a higher probability of mental disorders and suicidal behavior in adolescence. Therefore, accurate psychometric instruments are essential to assess this. To validate the Spanish version of the Childhood Trauma Questionnaire-Short Form (CTQ-SF) in adolescents with suicide attempts. Multisite cohort study of 208 adolescents with suicide attempts using data from the following scales: Mini International Neuropsychiatric Interview (MINI), Columbia Suicide Severity Rating Scale (C-SSRS), Patient Health Questionnaire (PHQ-9), and CTQ-SF. Statistical analysis: CTQ-SF scores analyzed by descriptive statistics. Internal consistency: McDonald's omega and Cronbach's alpha. Concurrent validity with PHQ-9 and C-SSRS scores: Spearman correlation coefficient. Structural validity: Confirmatory factor analysis. Floor and ceiling effects: Physical abuse and neglect as well as sexual abuse demonstrated high floor effects (50.0, 35.1, and 61.1% of adolescents, respectively). No ceiling effects were found. The CTQ-SF had excellent internal consistency (McDonald's omega = 0.94), as did the majority of its subscales (Cronbach's alpha 0.925-0.831) except for physical neglect (0.624). Its concurrent validity was modest, and the emotional neglect subscale had the lowest Spearman correlation coefficients (0.067-0.244). Confirmatory factor analysis: Compared with alternative factor structures, the original CTQ-SF model (correlated 5-factor) exhibited a better fit [S-B χ 2 = 676.653, p < 0; RMSEA (90% CI = 0.076-0.097) = 0.087; SRMR = 0.078; CFI = 0.980; TLI = 0.978]. The Spanish CTQ-SF is a reliable, valid instrument for assessing traumatic experiences in adolescents at high risk of suicide. It appears appropriate for use in routine clinical practice to monitor maltreatment in this group.

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