这项由21个项目组成的家长报告测量旨在快速评估和筛查儿童在暴露于压力和/或创伤性事件后的症状升高。它不是用来诊断的。它包括在文献中被确认为与经历创伤事件相关的行为包括17个一般行为项目和4个创伤特定项目。这种方法的评分标准如下:1)焦虑/孤僻,2)恐惧,3)表现过激。在4个创伤特定项目中,2个加载了单独的Talk/Play因素。
概述
ped
塞勒,c.f.,斯文森,c.c.,雷诺兹,s.s., &泰勒,M.(1999)。儿科情绪困扰量表:对暴露于创伤事件的幼儿的一个简短的筛查措施。临床儿童心理学杂志,28:1,70-81。塞勒严峻(2002)。儿童情绪困扰量表(PEDS)。康韦·塞勒博士,心理学系,城堡,171 Moultrie Avenue, Charleston, SC 29409 (conway.saylor@citadel.edu).
政府
4项李克特评分量表:1)几乎从不,2)有时,3)经常,4)非常经常
| 域 | 规模 | 示例项目 |
|---|---|---|
| 总计 | 表现出 | 发脾气。 |
| 焦虑/撤销 | 似乎悲伤而孤僻。 | |
| 可怕的 | 拒绝一个人睡。 |
平行或交替形式
作者指出,他们目前正在测试911事件后媒体研究中使用的一个版本,该版本要求父母对创伤前和创伤后的行为进行回顾性评分。如果你想了解更多信息,请联系作者。
心理测验学
Saylor(1999)给出了475名儿童(见“用于发展衡量的人口”)的全部样本的平均值和标准偏差,并按年龄(2- 5岁和6-10岁)和性别分别给出了创伤暴露和非创伤暴露儿童的平均值和标准偏差。规范样本,因为他们没有考虑这个示例并不代表这样的文章,因为,除了孩子们的评价中心,他们似乎从一个白人聚集,中上阶层样本,似乎没有一个真正的规范样本。方法分析表明,没有基于性别的差异。唯一的年龄差异是,年龄较小的孩子在行为因素上得分明显更高。年龄分析检查了2-5岁儿童和6-10岁儿童之间的年龄差异。
总体样本:Anxious/ withdraw = >9.5, Acting out = >13.5, dread = >8.5, Total = >27.5;Saylor等人(1999)建议根据母亲的教育程度使用不同的标准。
| 类型: | 评级 | 统计数据 | 最小值 | 马克斯 | Avg |
|---|---|---|---|---|---|
| Test-Retest- # days: 42 | 可接受的 | 皮尔森是r | 0.55 | 0.61 | 0.58 |
| 内部一致性 | 可接受的 | 克伦巴赫的α | 0.72 | 0.85 | 0.77 |
| 两分的 | 可接受的 | 皮尔森是r | 0.47 | 0.65 | 0.59 |
| 并行/替代形式 |
Saylor等人(1999)报告了下表和表中报告的数据。TEST-REST信度:6-8周间隔检查了来自犹他州的102个家庭(见人口用于发展测量)的儿科总(.56),焦虑/退缩(.58),恐惧(.55),行为(.61)内部一致性:(Cronbach’s alpha)儿科总(.85),焦虑/退缩(.74),恐惧(.72),行为(.78)。评估了犹他州样本中111名已婚母亲和父亲之间的相关性。ped总(主板),焦虑/撤回(58),恐惧(票价),表现出(.64点)其他研究研究29无家可归的孩子们(页& Nooe, 1999)年龄在2 - 10 (M = 68.6个月,59%的白人,32%的非裔美国人)使用ped测量表和报告以下阿尔法:总(点),焦虑/撤回(.62),恐惧(增长),表现出(.87点)。考虑到恐惧量表的内部一致性较低,他们将其排除在进一步的分析之外。
作者指出,他们最近收集了来自西班牙的800名儿童的标准样本。请联系作者了解更多信息。来自Saylor等人(1999)。通过与研究了南加州地震和南卡罗莱纳飓风影响的专家调查人员的讨论,确定了17个项目。从清单(儿童行为清单、反应指数、修订后的儿童明显焦虑量表、艾伯格清单)中确定的项目对暴露在自然灾害中的儿童是有用的。根据DSM-III-R标准和结果文献,添加了四个被认为是创伤儿童特征的项目。博士级别的心理学家也会阅读一些条目,并识别出那些多余的、不适合2-10岁儿童的、或者对于具有8年级阅读水平的父母来说太难理解的内容。
| 效度类型 | 不知道 | 没有找到 | Nonclincal样品 | 临床样本 | 不同的样品 |
|---|---|---|---|---|---|
| 收敛/并发 | 是的 | ||||
| 判别 | 是的 | 是的 | |||
| 敏感的改变 | 是的 | 是的 | |||
| 干预效果 | |||||
| 纵向/成熟的影响 | |||||
| 对理论上不同的群体敏感 | 是的 | 是的 | |||
| 阶乘的有效性 | 是的 | 是的 |
Saylor等。(1999):同时进行有效性分析,以50名儿童进行评估,以获得可能的性滥用受害。已发现PED分数与相关措施的分数相关联。总Peds和作用出分数与ECBI(r = .62,p <.001和r = .86,p <.001)相关。用Peds焦虑/撤回和恐惧因素和ecbi(r = .42,p <.32,p <.32,p <.32,p <.04,分别是较小的相关性的相关性。这将是预期的,鉴于ecbi不衡量内部化/焦虑症状。总计pedwas significantly correlated with PTSD symptoms assessed using the parents’ report on the Reaction Index (r=.62, p<.001) as was the Fearful factor (r=.59, p<.001), and the Anxious/Withdrawn Factor (r=.62, p<.001). The Talk/Play factor, however, was not related to the Reaction Index scores or to the ECBI. 1. In a study examining the effects of indirect exposure to the 9-11 attacks (Saylor, Cowart, Lipovsky, Jackson, & Finch (2003), PEDS total scores were related to exposure to negative media images (r=.23 p<.002) and positive media images (r=.22, p<.002). The PTSD subscale of the PEDS was also related to exposure to negative and positive media images (r=.24, p<.001 and r=.29, p<.001, respectively). 2. Page, & Nooe (1999) reported that homeless children scored higher compared to norms (with numbers >1 SD above mean). In this sample, they reported significant correlations among scales (with the exception of the Fearful scale, which did not have good internal consistency and was not used)?????: Anxiety and Acting Out (r=.58, p<.01), Acting Out and Total (r=.92, p<.01), and Total and Anxiety (r=.78, p<.01). A composite risk index was significantly related to PEDS Anxiety (r=.51, p<.01) and Total (r=.40, p<.05) scores, with demographic variables controlled. PEDS scores were significantly related to variables associated with being homeless, with all scores related to the number of cities in which the family had lived, and the Anxiety scale significantly correlated with the number of schools the child had attended (r=.49, p<.01). The measure has been used in a large study examining 1,739 children’s exposure to community violence. Of the 565 children for whom demographics were available: 35% African American, 23.6% Caucasian, 34% unknown. Age: 32.2% age 5 or under. Children were referred to the Children Who Witness Violence Program of Cuyahoga County, Ohio, for evaluation and services following exposure to violence. Violence included domestic violence (87%) and much smaller numbers for other violence including homicide, shooting, completed suicide, and sexual assault. Clinicians and caregivers completed the PEDS and both groups reported that high percentages of children aged 2-7 were experiencing clinically significant levels of anxiety (92% of clinicians and 85% of caregivers). In addition, both rated “8 of every 10 children to have clinically significant problems with acting out behavior.” 3. The PEDS has been shown to differentiate between different groups of children including trauma-exposed and non-trauma-exposed children (Saylor et al., 1999) and children with different types of trauma (Stokes et al., 1995). Swenson et al., (1996) compared preschoolers who experienced a Class IV hurricane 14 months earlier to peers with no history of exposure to natural disaster. Hurricane-exposed children showed significantly higher behavior problems, anxiety, and withdrawal. Stokes et al. (1995) compared PEDS scores for children who had experienced possible sexual abuse, a Class IV hurricane, severe negative life events, or no trauma. Children with possible sexual abuse had the highest scores on all PEDS subscales. Those with negative life events or exposure to a hurricane had higher scores than those with no known trauma. 4. Swenson, Brown, & Sheidow (2003) studied 37 children aged 6-13 (M=9.5, SD=2.1) with substantiated cases of physical abuse. 54% were female, 46% male; 62% were African American, 32% were Caucasian. Over time, significant reductions were found for PEDS scores and for scores on the Children’s Depression Inventory and Child Behavior Checklist, regardless of whether the child had received treatment. FACTOR ANALYSES (Saylor et al., 1999) Principal components analysis with an oblique rotation of the first 17 items of the scale suggested three factors based on the interpretability and simplicity of the structure. All factors had eigen values >1.5. The factors were labeled: 1) Acting Out, 2) Fearful, and 3) Anxious/Withdrawn. The full scale (all 21 items) was factor analyzed using data from trauma-exposed children (the Hurricane and Children’s Evaluation Center samples described under “Population Used to Develop Measure”). The authors report that for nontrauma- exposed children, parents did not complete the additional 4 trauma items and so were not included in this analysis. The factor analysis yielded identical factors for the 17 items. Two of the trauma items loaded on a fourth factor, labeled Talk/Play. One trauma item (“Avoids talking about the traumatic event when asked”) loaded on the Anxious/Withdrawn factor, and the other (“Seems fearful of things that are reminders of the trauma”) loaded on the Fearful factor.
| 不知道 | 没有找到 | 临床前的样品 | 临床样本 | 不同的样品 | |
|---|---|---|---|---|---|
| 预测效度: | |||||
| Postdictive有效性: |
Saylor等人(1999)报告说,单凭儿科疾病评分似乎不能预测创伤暴露与非创伤暴露状态,但由于母亲教育而被阻塞的儿科疾病评分正确分类了78%的病例;9.5%假阳性率,12.5%假阴性。
1.Ohan, Myers, & Collett(2002)建议,分数不应该用来确定儿童是否受到虐待或暴露于创伤,因为敏感性和特异性研究比较了创伤和非临床、非创伤样本,但没有比较创伤儿童和其他临床样本。2.此外,应该注意的是,分类率不仅基于儿科疾病评分,而且还基于基于母亲教育的儿科疾病评分分数线。3.大多数研究似乎都使用了17项儿科检查。添加了4个特定的项目。因素分析显示,2个项目负载第4个因素,但研究似乎没有使用这个第4个因素。此外,数据似乎不支持该因素的有效性(缺乏与反应指数或ECBI的相关性)。然而,这可能是因为它只有两个项目。 4. While Saylor et al. (1999) report means and standard deviations for 475 children, the sample does not appear to be a representative sample, and caution should be used if these data are used for normative purposes.
翻译
| 语言: | 翻译 | 重新翻译 | 可靠的 | 良好的心理测验学 | 类似的因子结构 | 规范可用 | 为本集团制定的措施 |
|---|---|---|---|---|---|---|---|
| 1.西班牙语 | 是的 | 是的 | 是的 |
人口信息
来自Saylor等人(1999)在心理测量研究中使用了四个儿童样本:1。犹他州样本:182名2-10岁儿童(M=7);50%的女性;91%白人,1%非洲裔美国人,8%其他;97%的母亲上过或完成了大学;91%的母亲已婚。孩子们在犹他州洛根的一所大学赞助的学校上学。波士顿样本:64名儿童在一所大学附属的发展幼儿园注册。儿童年龄在2-10岁(M=7.9);50%的女性; 95% White, 5% African American; 93% of mothers attended or completed college; 92% of mothers were married. 3. HURRICANE SAMPLE: 179 children (mean age=3.6), recruited from two large private schools, who had been directly exposed to Hurricane Hugo (in Charleston, South Carolina); 47% female, 53& male; 99% White, 1% Other; 75% of mothers attended or completed college, 15% attended vocational school, and 10% attended or completed high school; 96% of mothers were married. 4. CHILDREN’S EVALUATION CENTER: 50 children (mean age=7.9), recruited from an outpatient evaluation center for children and adolescents, who may have been sexually abused. 59% female, 41% male; 91% Caucasian, 9% African American; 52% of mothers attended or completed high school, 17% attended vocational school, and 31% attended or completed college; 65% were married, 8% were divorced, and 21% had another marital status.
| 人口类型: | 测量与本组成员一起使用 | 这个小组的成员在同行评议的期刊上进行了研究 | 可靠的 | 良好的心理测验学 | 规范可用 | 为本集团制定的措施 |
|---|---|---|---|---|---|---|
| 1.发育障碍 | 是的 | |||||
| 2.Disabilites | 是的 | |||||
| 3.较低的社会经济地位 | 是的 | 是的 | 是的 | |||
| 4.Spicial需求 | 是的 | 是的 | ||||
| 5.农村人口 | 是的 | 是的 |
优点和缺点/引用
1.它筛查暴露在创伤中的儿童常见的症状。2.它是短暂的。3.个人项目写得很清楚,易于理解。4.项目源自广泛接受的措施。5.该措施是免费的。
1.正如Feeney, Foa, Treadwell, & March(2004)所指出的,该测量方法并没有评估所有的PTSD症状(它不是为此目的而设计的),因此不能提供真正的PTSD症状学测量。此外,再体验因素可能存在问题,因为它包含2项内容。2.虽然心理测量学很有前途,但还需要进行更多的研究。同时效度仅通过临床样本进行检验。此外,正如Ohan, Myers, & Collett(2002)所建议的,还需要更多的研究来确定儿科是否可以区分受创伤的儿童和其他临床样本。3.很少有针对不同样本的研究。4. While Saylor et al. (1999) report means and standard deviations for 475 children, the sample does not appear to be a representative sample, and caution should be used if these data are used for normative purposes. 5. Although Saylor et al. (1999) found good internal consistency for all scales, Page & Nooe (1999) found low internal consistency for the Fearful subscale (alpha=.21). 6. The measure was developed for children aged 2-10; however, examination of the mean age of the children in the different studies suggests that few studies have used the measure with younger children. More research is needed with younger children.
PsychInfo对“儿童情绪困扰量表”或“pedds”的文献检索(7/05)显示,该量表已被10篇同行评议的期刊文章引用。在进行审查时,确定了另外两个参考文献。下面是这些文章的一个样本。1.Drotar, D., Flannery, D., Day, E., Friedman, S., Creeden, R., Gartland, H.等(2003)。确定和应对经历过暴力的儿童的心理健康服务需求:以社区为基础的方法。新利18博彩临床儿童心理与精神病学,8(2),187-203。2.(2004)。青少年创伤后应激障碍:认知和行为治疗结果文献的评论。 Professional Psychology: Research & Practice, 35(5), 466-476. 3. Ohan, J. L., Myers, K., & Collett, B. R. (2002). Ten-year review of rating scales. IV: Scales assessing trauma and its effects. Journal of the American Academy of Child & Adolescent Psychiatry, 41(12), 1401-1422. 4. Page, T. F., & Nooe, R. M. (1999). Relationships between psychosocial risks and stress in homeless children. Journal of Social Distress & the Homeless, 8(4), 255-267. 5. Saylor, C. F., Cowart, B. L., Lipovsky, J. A., Jackson, C., & Finch, A. J. J. (2003). Media exposure to September 11: Elementary school students' experiences and posttraumatic symptoms. American Behavioral Scientist, 46(12), 1622-1642. 6. Saylor, C. F., Swenson, C. C., Reynolds, S. S., & Taylor, M. (1999). The pediatric emotional distress scale: A brief screening measure for young children exposed to traumatic events. Journal of Clinical Child Psychology, 28(1), 70-81. 7. Stokes, S., Saylor, C. F., Swenson, C. C., & Daugherty, T. (1995). Comparison of children’s behaviors following three types of stressors. Child Psychiatry and Human Development, 26, 113-123. 8. Strand, V. C., Sarmiento, T. L., & Pasquale, L. E. (2005). Assessment and screening tools for trauma in children and adolescents: A review. Trauma, Violence, & Abuse, 6(1), 55- 78. 9. Swenson, C. C., Brown, E. J., & Sheidow, A. (2003). Medical, legal, and mental health service utilization by physically abused children and their caregivers. Child Maltreatment: Journal of the American Professional Society on the Abuse of Children, 8(2), 138-144. 10. Swenson, C. C., Saylor, C. F., Powell, M. P., Stokes, S. J., Foster, K. Y., & Belter, R. W. (1996). Impact of a natural disaster on preschool children: Adjustment 14 months after a hurricane. American Journal of Orthopsychiatry, 66(1), 122-130.
作者阅读了这篇综述并提供了评论,这些评论是综合的。他还允许在nctsn.org上发布该措施的西班牙语和英语版本