Article2005

Screening for Preschool Posttraumatic Stress Disorder with the Child Behavior Checklist

Christopher Dehon · Michael S. Scheeringa

99 citations0/0 files storedJournal of Pediatric Psychology

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Posttraumatic Stress Disorder Research Child and Adolescent Psychosocial and Emotional Development Child Abuse and Trauma

Abstract

OBJECTIVE: To examine the psychometric properties and utility of a Child Behavior Checklist-Posttraumatic Stress Disorder (CBCL-PTSD) Scale to screen for posttraumatic stress disorder (PTSD) in traumatized preschool children. METHOD: Data for this study were drawn from a study of young child trauma and consisted of 62 traumatized children, 23 months through 6 years of age. The children's mothers were interviewed about PTSD symptoms and then completed the Child Behavior Checklist (CBCL). RESULTS: The modified CBCL-PTSD correlated highly with the number of PTSD symptoms from the interview (r = 0.66). The CBCL-PTSD scale predicted PTSD symptoms above and beyond the internalizing and externalizing scales of the CBCL. A cutoff score of nine on this scale possessed the best sensitivity and specificity in classifying those traumatized children who met diagnostic criteria for PTSD. CONCLUSION: The modified CBCL-PTSD scale could be a useful cost-effective tool to screen for PTSD in traumatized, preschool-age children.

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References

1983Manual for the Child: Behavior Checklist and Revised Child Behavior Profile 1987Life Threat and Posttraumatic Stress in School-age Children 2000Treating Sexually Abused Children With Posttraumatic Stress Symptoms: A Randomized Clinical Trial 2003New Findings on Alternative Criteria for PTSD in Preschool Children 2001Toward Establishing Procedural, Criterion, and Discriminant Validity for PTSD in Early Childhood 1991The Children's Impact of Traumatic Events Scale: A measure of post-sexual-abuse PTSD symptoms.1997Symptomatology and Adaptive Functioning for Children Exposed to Normative Stressors, Dog Attack, and Parental Violence

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