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Semantic adaptation of the Global Psychotrauma Screen for children and adolescents in the United States
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-05-27 , DOI: 10.1080/20008198.2021.1911080
Emma Grace 1 , Shanelle Sotilleo 2 , Rosalind Rogers 2 , Renee Doe 2 , Miranda Olff 3, 4
Affiliation  

ABSTRACT

Background: The review of trauma screening tools for children and adolescents indicates a need for developmentally and linguistically appropriate, globally applicable, free, and easily accessible trauma screening instruments.

Objective: The aim of this study is to adapt the Global Psychotrauma Screen (GPS) for children and adolescents in the United States.

Method: Using the modified Delphi method, this study included the GPS Expert Consensus (GPS-EC) and the GPS Stakeholder Consensus (GPS-SC) substudies. In the GPS-EC, ten reviewers who specialize in trauma services independently revised the GPS child and adolescent versions in four rounds. In the GPS-SC, a stratified minimum sample of children and adolescents (n = 24) and their parents (n = 24) were interviewed to collect feedback on the revised GPS versions.

Results: In the GPS-EC Round 1, a low level of consensus was observed on the anxiety (restlessness) and depression (loss of interest) items. In Round 2, a high level of consensus was achieved on all but PTSD hypervigilance and detachment, and CPTSD self-concept items. Round 3 indicated a low level of consensus on the exposure and functioning items. Full consensus was achieved in Round 4 on all items. In the GPS-SC, children had more difficulties than adolescents with the exposure, dissociation, and risk-protection items.

Conclusions: Based on the results of this study, the semantic adaptation process concluded with implementation of six decisions on the final GPS versions for children and adolescents: adding a non-binary gender choice for adolescents; removing the exposure section; using a full-sentence structure for children and a phrase structure for adolescents; retaining the two-part items on PTSD intrusion and avoidance, retaining self-blame but removing other-blame in the PTSD-blame item; providing specific descriptions of depersonalization and derealization in the dissociation items; and removing risk-protection and functioning items for children.



中文翻译:

美国儿童和青少年全球心理创伤筛查的语义适应

摘要

背景:对儿童和青少年创伤筛查工具的审查表明需要发展和语言上适当、全球适用、免费且易于获取的创伤筛查工具。

目的:本研究的目的是为美国儿童和青少年采用全球心理创伤筛查 (GPS)。

方法:使用改进的德尔菲法,本研究包括 GPS 专家共识 (GPS-EC) 和 GPS 利益相关者共识 (GPS-SC) 子研究。在 GPS-EC 中,十名专门从事创伤服务的审稿人分四轮独立修订了 GPS 儿童和青少年版本。在 GPS-SC 中,对儿童和青少年 ( n = 24) 及其父母 ( n = 24)的分层最小样本进行了采访,以收集对修订后的 GPS 版本的反馈。

结果:在 GPS-EC 第 1 轮中,在焦虑(烦躁)和抑郁(失去兴趣)项目上观察到低水平的共识。在第 2 轮中,除了 PTSD 过度警觉和超然以及 CPTSD 自我概念项目外,所有项目都达成了高度共识。第 3 轮表明对暴露和功能项目的共识程度较低。第 4 轮就所有项目达成了完全共识。在 GPS-SC 中,儿童比青少年在暴露、分离和风险保护项目方面遇到更多困难。

结论:根据这项研究的结果,语义适应过程以对儿童和青少年的最终 GPS 版本实施六项决定而告终:为青少年添加非二元性别选择;移除曝光部分;对儿童使用完整的句子结构,对青少年使用短语结构;保留PTSD闯入和回避两部分题项,PTSD责备题项中保留自责但去掉他人责备;在解离项目中提供人格解体和现实解体的具体描述;为儿童移除风险保护和功能性物品。

更新日期:2021-05-27
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