Validation of the UCLA PTSD Reaction Index for DSM-5: A Developmentally Informed Assessment Tool for Youth

Kaplow, Julie B.; Rolon-Arroyo, Benjamin; Layne, Christopher; Rooney, Evan Edward; Oosterhoff, Benjamin; Hill, Ryan M.; Steinberg, Alan M.; Lotterman, Jennifer; Gallagher, Katherine A.; Pynoos, Robert S.

doi:10.1016/j.jaac.2018.10.019

Cited by 118 publications

(113 citation statements)

References 35 publications

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“…the median, can lead to more accurate results in LCA than selecting cut points indicating the presence or absence of a certain symptom or disorder (Macia & Wickham, 2019). This also had the advantage that we did not need to use existing cut-off values for dichotomization (Kaplow et al, 2019;Weathers et al, 2013) which had been determined based on US-American samples and are most likely not applicable to our both culturally and socioeconomically very different refugee sample. We calculated all models ranging from two to seven classes.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and co-existence of morbidity of posttraumatic stress and functional impairment among Burundian refugee children and their parents

Scharpf

Kyaruzi

Landolt

et al. 2019

European Journal of Psychotraumatology

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Background: Although the family constitutes the prime source of risk and resilience for the well-being of children growing up in adverse conditions, the mental health of children living in refugee camps has rarely been investigated in conjunction with their parents' mental health. Objectives: To examine the prevalence of posttraumatic stress disorder (PTSD) and other mental health problems among Burundian refugee children and their parents living in Tanzanian refugee camps and to identify patterns of comorbidity among children and their parents based on PTSD symptom levels and functional impairment. Methods: We recruited a representative sample of 230 children aged 7-15 years and both of their parents (n = 690) and conducted separate structured clinical interviews. Latent Class Analysis was applied to identify patterns of comorbidity. Results: Children and parents were exposed to multiple traumatic event types. In total, 5.7% of children fulfilled DSM-5 criteria for PTSD in the past month and 10.9% reported enhanced levels of other mental health problems. 42.6% indicated clinically significant functional impairment due to PTSD symptoms. PTSD prevalence was higher among mothers (32.6%) and fathers (29.1%). Latent Class Analysis (LCA) revealed a familial accumulation of PTSD symptoms as children with high symptom levels and impairment were likely to live in families with two traumatized parents. Conclusions: Although the number of children who need support for trauma-related mental health problems was relatively low, taking into account parental trauma could aid to identify at-risk children with elevated PTSD symptom levels and impairment even in the face of existing barriers to mental health care access for children in refugee camp settings (e.g. lack of targeted services, prioritization of managing daily stressors).

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Section: Discussionmentioning

confidence: 99%

Prevalence and co-existence of morbidity of posttraumatic stress and functional impairment among Burundian refugee children and their parents

Scharpf

Kyaruzi

Landolt

et al. 2019

European Journal of Psychotraumatology

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“…The University of California at Los Angeles (UCLA) Child/Adolescent Reaction Index for post‐traumatic stress is a semi‐structured interview that assesses a child's trauma history and the full range of Diagnostic and Statistical Manual of Mental Disorders (DSM) PTSD diagnostic criteria on school‐age children and adolescents (Elhai et al, 2013; Kaplow et al, 2019; Steinberg et al, 2004; Steinberg et al, 2013).…”

Section: Methodsmentioning

confidence: 99%

The relationship between trauma symptoms and immediate and delayed suggestibility in children who have been sexually abused

Gudjónsson

Vagni

Maiorano

et al. 2020

Journal Invest Psychology

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There is general absence of research about the relationship between trauma symptoms and immediate and delayed suggestibility in children who have been sexually abused. The participants were 134 children aged between 7 and 17 years with a history of reported sexual abuse. All children completed the Gudjonsson Suggestibility Scale (2), a non-verbal IQ test, and The University of California at Los Angeles Child/Adolescent Reaction Index for posttraumatic stress (UCLA-PTSD-RI-5). Delayed suggestibility was measured after a 1 week delay. A Hierarchical Regression showed that trauma symptoms accounted overall for 43.4% of the variance in delayed suggestibility after controlling for age, sex, IQ, and immediate recall (a large effect size). There was a small shared variance between trauma and immediate suggestibility (low effect size). The findings strongly suggest that the severity of trauma symptoms impact more on delayed than immediate suggestibility. The theoretical and forensic implications are discussed.

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“…In addition to a total score, the RI‐5 produces scores for each of the four DSM‐5 PTSD symptom clusters. Items on the RI‐5 have shown good internal consistency and have demonstrated convergent validity with other measures of PTSD and depressive symptoms (Kaplow et al., 2020). In the present study, the Cronbach's alpha value for the RI‐5 total score was .94.…”

Section: Methodsmentioning

confidence: 99%

Initial Validation and Measurement Invariance of the Active Inhibition Scale Among Traumatized and Grieving Youth

Dodd

Hill

Alvis

et al. 2020

Journal of Traumatic Stress

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The Active Inhibition Scale (AIS; Ayers, Sandler, & Twohey, 1998) is an 11-item, self-report measure of emotional suppression among children and adolescents. Previous research with the AIS has linked emotional suppression to several clinically significant outcomes, such as posttraumatic stress symptoms (PTSS) and suicide, among trauma-exposed and bereaved youth; however, there are no published evaluations of its psychometric properties. We examined the factor structure and criterion validity of the AIS in two samples. Sample 1 included youth (M = 12.22 years, SD = 2.96, range: 6-18 years; 55.4% female) referred to an outpatient psychology clinic specializing in childhood trauma and grief. Sample 2 included youth (M = 13.18 years, SD = 2.58, range: 8-18 years; 61.8% female) referred to a community grief counseling center. Confirmatory factor analytic results supported a one-factor solution, Cronbach's α = .94. Additionally, AIS scores correlated positively with PTSS, depression, and maladaptive grief, rs = .43-.64. Evidence of factorial invariance was found across gender, race/ethnicity, and age group. Emotional suppression scores were higher among girls compared to boys, Black and Hispanic youth compared to White youth, and older compared to younger age groups. The magnitude of correlations between AIS and symptom measure scores was comparable across groups. These results support the reliability and criterion validity of the AIS with diverse youth populations and underscore the role that emotional suppression may play in explaining group differences in mental health symptoms. Although experiencing serious adverse events may increase young people's risk for developing negative psychosocial outcomes, such as posttraumatic stress disorder (PTSD; Edwards,

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Validation of the UCLA PTSD Reaction Index for DSM-5: A Developmentally Informed Assessment Tool for Youth

Cited by 118 publications

References 35 publications

Prevalence and co-existence of morbidity of posttraumatic stress and functional impairment among Burundian refugee children and their parents

Prevalence and co-existence of morbidity of posttraumatic stress and functional impairment among Burundian refugee children and their parents

The relationship between trauma symptoms and immediate and delayed suggestibility in children who have been sexually abused

Initial Validation and Measurement Invariance of the Active Inhibition Scale Among Traumatized and Grieving Youth

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