Reliability of Retrospective Assessments of Childhood Experiences in Germany

Jochen Hardt · Anna Sidor · Ulrich Tiber Egle

95 citations0/0 files storedThe Journal of Nervous and Mental Disease

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Child Abuse and Trauma Psychological Testing and Assessment Reliability and Agreement in Measurement

Abstract

The retrospective assessment of adverse childhood experiences is a widely used technique. Few studies report heterogeneous results about the reliability and objectivity. A sample of 100 patients was independently interviewed by means of the Mainz Structured Biographical Interview by two different interviewers with mean time lag of 2.2 years. Reliability of reports of family situation, physical abuse, sexual abuse, and protective factors was assessed. The results show moderate to good reliability for most childhood experiences. Divorce/separation of parents had a kappa of .95, severe sexual abuse a kappa of .64, and regular harsh physical abuse a kappa of .56; protective factors were in the .50 range. The key features for obtaining good reliability seem to be the concreteness of the question and accuracy of the coding categories. There is some, but little, evidence that sensitive issues such as sexual abuse are more prone to errors in assessment than simple ones.

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References

1960A Coefficient of Agreement for Nominal Scales 1998Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults 1989The Practice of Social Research 1990Child abuse: Adolescent records vs. adult recall 1989A Concordance Correlation Coefficient to Evaluate Reproducibility 1990High agreement but low Kappa: I. the problems of two paradoxes 1990High agreement but low kappa: II. Resolving the paradoxes 2004Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic

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