The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East

Background In populations affected by mass disaster such as armed conflict and displacement, children are at risk of developing mental ill-health, in particular post-traumatic stress disorder (PTSD). Valid and reliable screening instruments are needed to assess the severity of PTSD symptoms among ch...

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Main Authors: Hawkar Ibrahim, Claudia Catani, Frank Neuner
Format: Article
Language:English
Published: PeerJ Inc. 2021-12-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/12403.pdf
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author Hawkar Ibrahim
Claudia Catani
Frank Neuner
author_facet Hawkar Ibrahim
Claudia Catani
Frank Neuner
author_sort Hawkar Ibrahim
collection DOAJ
description Background In populations affected by mass disaster such as armed conflict and displacement, children are at risk of developing mental ill-health, in particular post-traumatic stress disorder (PTSD). Valid and reliable screening instruments are needed to assess the severity of PTSD symptoms among children and to identify individuals in need of treatment. Method In the context of an ongoing war in the Middle East, we developed the KID-PIN as a semi-structured interview for PTSD symptoms that can be administered by trained paraprofessionals. To achieve a culturally and contextually appropriate instrument, the development was based on open-ended interviews with affected children and involved both local and international experts. Using the KID-PIN and instruments for constructs associated with PTSD, 332 Iraqi and Syrian displaced children were interviewed. A subset of the sample (n = 86) participated in validation interviews based on experts applying the Clinician-Administered PTSD Scale for DSM-5—Child/Adolescent Version (CAPS-CA-5). Results The KID-PIN demonstrated excellent internal consistency (Cronbach’s alpha = 0.94) with good convergent validity. Confirmatory factor analyses of the KID-PIN showed an acceptable fit with the DSM-5 and other common models; the best fit was reached with the Hybrid model. Receiver operating characteristic analyses indicated that the cut-off score of 28 or higher on the KID-PIN is the optimum cut-off for a probable PTSD diagnosis. Conclusion The utility of the newly developed KID-PIN as a screening instrument for PTSD in children is supported by the measure’s high internal consistency and good convergent and structural validity, as well as its diagnostic accuracy.
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spelling doaj.art-0bef0036daa74433b63b2b4ffc0c4bc12023-12-03T10:53:47ZengPeerJ Inc.PeerJ2167-83592021-12-019e1240310.7717/peerj.12403The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle EastHawkar Ibrahim0Claudia Catani1Frank Neuner2Department of Psychology, Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, North Rhine-Westphalia, GermanyDepartment of Psychology, Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, North Rhine-Westphalia, GermanyDepartment of Psychology, Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, North Rhine-Westphalia, GermanyBackground In populations affected by mass disaster such as armed conflict and displacement, children are at risk of developing mental ill-health, in particular post-traumatic stress disorder (PTSD). Valid and reliable screening instruments are needed to assess the severity of PTSD symptoms among children and to identify individuals in need of treatment. Method In the context of an ongoing war in the Middle East, we developed the KID-PIN as a semi-structured interview for PTSD symptoms that can be administered by trained paraprofessionals. To achieve a culturally and contextually appropriate instrument, the development was based on open-ended interviews with affected children and involved both local and international experts. Using the KID-PIN and instruments for constructs associated with PTSD, 332 Iraqi and Syrian displaced children were interviewed. A subset of the sample (n = 86) participated in validation interviews based on experts applying the Clinician-Administered PTSD Scale for DSM-5—Child/Adolescent Version (CAPS-CA-5). Results The KID-PIN demonstrated excellent internal consistency (Cronbach’s alpha = 0.94) with good convergent validity. Confirmatory factor analyses of the KID-PIN showed an acceptable fit with the DSM-5 and other common models; the best fit was reached with the Hybrid model. Receiver operating characteristic analyses indicated that the cut-off score of 28 or higher on the KID-PIN is the optimum cut-off for a probable PTSD diagnosis. Conclusion The utility of the newly developed KID-PIN as a screening instrument for PTSD in children is supported by the measure’s high internal consistency and good convergent and structural validity, as well as its diagnostic accuracy.https://peerj.com/articles/12403.pdfPTSDChildrenAssessmentArab springKurdArab
spellingShingle Hawkar Ibrahim
Claudia Catani
Frank Neuner
The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East
PeerJ
PTSD
Children
Assessment
Arab spring
Kurd
Arab
title The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East
title_full The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East
title_fullStr The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East
title_full_unstemmed The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East
title_short The posttraumatic stress interview for children (KID-PIN): development and validation of a semi-structured interview of PTSD symptoms among displaced children in the Middle East
title_sort posttraumatic stress interview for children kid pin development and validation of a semi structured interview of ptsd symptoms among displaced children in the middle east
topic PTSD
Children
Assessment
Arab spring
Kurd
Arab
url https://peerj.com/articles/12403.pdf
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