儿童逆境和社会压力问卷,家长报告(CASSQ-PR)的心理测量特性,一种专门评估自闭症青少年的压力经历和创伤性压力症状的措施。

IF 2.3 2区 心理学 Q2 PSYCHIATRY
Connor M Kerns, Anat Zaidman-Zait, Diana L Robins, Paul T Shattuck, Carla A Mazefsky, Craig J Newschaffer, Steven J Berkowitz
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引用次数: 0

摘要

目的:创伤应激的来源和症状可能在自闭症和非自闭症青年中有所不同,并具有挑战性的评估给定的表型重叠;尽管如此,针对自闭症的措施仍然缺乏。方法:开发《童年逆境与社会压力问卷-父母报告》(CASSQ-PR),评估自闭症背景下的压力经历(SE)和随后的创伤性应激症状(TSS),并在在线社区样本中对自闭症青少年(N = 729, 8-17岁,80%男性,2018年2月- 12月招募)的父母进行测试。结果:根据家长报告,自闭症青少年在传统评估(52.7%)和自闭症提名类别(即来自自闭症个体和照顾者的混合方法研究,58.3%)中经历≥2 SE;39.5% (n = 288)的家长完成了CASSQ-TSS子量表。欺凌、耻辱、感觉、改变和互动相关的压力是最常见的SE。CASSQ-SE子量表与儿童行为总问题表正相关,传统和自闭症提名的SE都有助于方差解释(支持并发效度和增量效度)。双变量相关结果表明,CASSQ-PR-TSS与家长报告儿童创伤后应激障碍症状量表的趋同性强于儿童行为检查表外化子量表,支持收敛效度和判别效度。因子结构支持二级、四因子、第五版《精神障碍诊断与统计手册》创伤后应激障碍模型的验证性因子分析;然而,探索性结构方程模型提出了一些调整,以去除低负荷项目,减少项目交叉负荷,提高模型拟合。结论:CASSQ-PR量表对言语交际的学龄期自闭症青少年家长的SE和TSS进行了有效的估计;然而,进一步的研究与更多的社会人口多样性和临床样本是必要的。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychometric properties of the Childhood Adversity and Social Stress Questionnaire, Parent Report (CASSQ-PR), a measure tailored to assess stressful experiences and traumatic stress symptoms in autistic youth.

Objective: Sources and symptoms of traumatic stress may vary in autistic versus nonautistic youth and be challenging to assess given phenotypic overlap; nonetheless, there is a dearth of autism-tailored measures.

Method: The Childhood Adversity and Social Stress Questionnaire-Parent Report (CASSQ-PR) was developed to assess stressful experiences (SE) and subsequent traumatic stress symptom (TSS) within the context of autism and tested in an online community sample of parents of autistic youth (N = 729; 8-17 years; 80% male; recruited February-December 2018) with communicative speech.

Results: Per parent report, autistic youth experienced ≥ 2 SE in traditionally assessed (52.7%) and autism-nominated categories (i.e., derived from mixed method research with autistic individuals and caregivers; 58.3%); 39.5% (n = 288) of parents completed the CASSQ-TSS subscale. Bullying, stigma, sensory, change, and interaction-related stress were the most commonly endorsed SE. The CASSQ-SE subscale correlated positively with Child Behavior Checklist Total Problems, with both traditional and autism-nominated SE contributing to variance explained (supporting concurrent and incremental validity). Bivariate correlations demonstrated stronger convergence between the CASSQ-PR-TSS and parent-report Child Posttraumatic Stress Disorder Symptom Scale, than the Child Behavior Checklist externalizing subscale, supporting convergent and discriminant validity. Factor structure supported a second-order, four-factor, Diagnostic and Statistical Manual of Mental Disorders, fifth edition posttraumatic stress disorder model per confirmatory factor analysis; however, exploratory structural equation modeling suggested some adaptations to remove low-loading items, reduce item cross-loading, and enhance model fit.

Conclusions: The CASSQ-PR offers a valid estimate of SE and TSS as observed by parents in verbally communicative, school-age autistic youth; however, further research with more sociodemographically diverse and clinical samples is warranted. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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