International development and psychometric properties of the Child and Adolescent Trauma Screen (CATS)

Sachser, Cedric; Berliner, Lucy; Holt, Tonje; Jensen, Tine K.; Jungbluth, Nathaniel; Risch, Elizabeth; Rosner, Rita; Goldbeck, Lutz

doi:10.1016/j.jad.2016.12.040

Cited by 204 publications

(230 citation statements)

References 23 publications

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“…Data on the index event were available for 290 caregiver‐reports with caregivers reporting sexual abuse (38.6%), experiencing or witnessing physical violence or abuse (17.6%), accidental trauma including natural disaster, accidents, or medical procedures (8.3%), traumatic loss (9.0%), war (1%), and other not specified stressful or scary event (22.1%). A detailed description of the samples can be seen elsewhere (Sachser et al., ). The study was approved by ethics committees at all participating sites.…”

Section: Methodsmentioning

confidence: 99%

“…Children and adolescents and caregivers were administered the Child and Adolescent Trauma Screen (CATS; Sachser et al., ), which was used to screen for PTEs and PTSS following the DSM‐5 conceptualization. When they endorsed at least one PTE, children, adolescents, and caregivers were presented with the symptom list and asked to rate how often the problem had bothered them in the last 2 weeks on a 4‐point Likert scale with 0 = ‘Never’, 1 = ‘Once in a while’, 2 = ‘Half of the time’ and 3 = ‘Almost always’.…”

Section: Methodsmentioning

confidence: 99%

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The importance of the DSM‐5 posttraumatic stress disorder symptoms of cognitions and mood in traumatized children and adolescents: two network approaches

Bartels

Berliner²,

Holt

et al. 2019

Child Psychology Psychiatry

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Background The aim of this study is to provide a better understanding of the central symptoms of DSM‐5 posttraumatic stress disorder (PTSD) in children and adolescents from the perspective of the child and its caregiver. Identifying core symptoms of PTSD can help clinicians to understand what may be relevant targets for treatment. PTSD may present itself differently in children and adolescents compared to adults, and no study so far has investigated the DSM‐5 PTSD conceptualization using network analysis. Methods The network structure of DSM‐5 PTSD was investigated in a clinical sample of n = 475 self‐reports of children and adolescents and n = 424 caregiver‐reports using (a) regularized partial correlation models and (b) a Bayesian approach computing directed acyclic graphs (DAGs). Results (a) The 20 DSM‐5 PTSD symptoms were positively connected within the self‐report and the caregiver‐report sample. The most central symptoms were negative trauma‐related cognitions and persistent negative emotional state for the self‐report and negative trauma‐related cognitions, intrusive thoughts or memories and exaggerated startle response for the caregiver‐report. (b) Similarly, symptoms in the negative alterations in cognitions and mood cluster (NACM) have emerged as key drivers of other symptoms in traumatized children and adolescents. Conclusions As the symptoms in the DSM‐5 NACM cluster were central in our regularized partial correlation networks and also appeared to be the driving forces in the DAGs, these might represent important symptoms within PTSD symptomatology and may offer key targets in PTSD treatment for children and adolescents.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The importance of the DSM‐5 posttraumatic stress disorder symptoms of cognitions and mood in traumatized children and adolescents: two network approaches

Bartels

Berliner²,

Holt

et al. 2019

Child Psychology Psychiatry

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“…PTSS, as a proxy measure, was also measured by the CATS caregiver version (CATS‐C; Sachser et al., ). The internal consistency for the caregiver report in this study was α = .91.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a trauma‐focused group intervention for young refugees: a randomized controlled trial

Pfeiffer

Sachser

Rohlmann

et al. 2018

Child Psychology Psychiatry

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Background As access to evidence‐based treatments for young refugees with posttraumatic stress symptoms (PTSS) is limited, we developed the trauma‐focused group intervention Mein Weg to be delivered by trained social workers. A recently published pilot study delivered preliminary evidence of the intervention with regard to symptom reduction and its feasibility. The aim of this study was, therefore, to determine whether the intervention, in addition to usual care (UC), is more effective in reducing PTSS (primary outcome) compared to UC alone. Methods A parallel group randomized controlled trial was conducted in seven German child and adolescent welfare agencies. Participants were randomly assigned to either six sessions Mein Weg (n = 50; Mage = 17.00, 94% male) or UC (n = 49; Mage = 16.92, 92% male). Mixed effect models, with fixed effects of group and time as well as their interaction, were performed on the relevant outcome measures. This trial was registered in the German Clinical Trials Registry (#DRKS00010915, https://www.drks.de/drks_web/). Results Intention‐to‐treat analyses showed that Mein Weg was significantly superior to UC regarding symptom improvement of self‐reported PTSS (Mein Weg: d = .61, UC: d = .15) and depression (Mein Weg: d = .63, UC: d = −.06), but not regarding caregiver‐reported symptoms and self‐reported dysfunctional posttraumatic cognitions. Conclusions Mein Weg is effective for young refugees according to self‐reports and can be viewed as a valuable component in a stepped care approach for this vulnerable population. The findings need to be replicated with independent clinical assessments.

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“…The primary outcome measure was the total PTSS score at posttreatment. In addition, we took a closer look at the DSM‐5 –based symptom domains, assessed using the CATS (Sachser et al., ; https://ulmer-onlineklinik.de/course/view.php?id=1701). The CATS explored individual trauma history using a checklist of 15 potentially traumatic events and frequency of each of 20 PTSS, using a 4‐point response scale ranging from 0 = never to 3 = almost always .…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a Trauma‐Focused Group Intervention for Unaccompanied Young Refugees: A Pilot Study

Pfeiffer

Goldbeck

2017

Journal of Traumatic Stress

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Recent research has shown that unaccompanied young refugees (UYR) encounter a wide range of traumatic events during preflight, flight, and resettlement. Although many UYR are resourceful, many develop posttraumatic stress symptoms (PTSS). However, only a small number of vulnerable UYR have access to trauma-focused interventions. Trauma-focused group interventions, adapted to the needs of UYR, may be one way of improving their mental health. A total of 29 male UYR between 14 and 18 years of age, mainly from Afghanistan, participated in the evaluation study of a trauma-focused group intervention entitled Mein Weg (My Way). The intervention included six sessions of psychoeducation, relaxation, trauma narrative, and cognitive restructuring. Pre-post comparisons of PTSS assessed by the Child and Adolescent Trauma Screen (CATS) were used. At study entry, participants endorsed, on average, eight traumatic events. After the group intervention, the participants reported significantly fewer overall PTSS preintervention mean = 27.6, SD = 7.9; postintervention mean = 20.7, SD = 6.3; t(28) = 4.2, p = .001, Cohen's d = 0.97. Improvement was especially pronounced in the domains of reexperiencing and avoidance, as well as negative alterations in cognitions and mood. There were 14 participants preintervention and 7 postintervention who fulfilled the PTSD criteria. This pilot study presented initial evidence of the efficacy of the trauma-focused group intervention with regard to PTSS reduction.

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International development and psychometric properties of the Child and Adolescent Trauma Screen (CATS)

Cited by 204 publications

References 23 publications

The importance of the DSM‐5 posttraumatic stress disorder symptoms of cognitions and mood in traumatized children and adolescents: two network approaches

The importance of the DSM‐5 posttraumatic stress disorder symptoms of cognitions and mood in traumatized children and adolescents: two network approaches

Effectiveness of a trauma‐focused group intervention for young refugees: a randomized controlled trial

Evaluation of a Trauma‐Focused Group Intervention for Unaccompanied Young Refugees: A Pilot Study

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