UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries
Background: Children and adolescents are often exposed to traumatic events, which may lead to the development of posttraumatic stress disorder (PTSD). It is therefore important for clinicians to screen for potential symptoms that can be signs of PTSD onset. PTSD in youth is a worldwide problem, thus...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-12-01
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| Series: | European Journal of Psychotraumatology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20008198.2019.1605282 |
| _version_ | 1797954550869524480 |
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| author | Ana Doric Dejan Stevanovic Dusko Stupar Panos Vostanis Olayinka Atilola Paulo Moreira Katarina Dodig-Curkovic Tomislav Franic Vrljicak Davidovic Mohamad Avicenna Multazam Noor Laura Nussbaum Abdelaziz Thabet Dino Ubalde Petar Petrov Azra Deljkovic Monteiro Luis Antonio Adriana Ribas Joana Oliveira Rajna Knez |
| author_facet | Ana Doric Dejan Stevanovic Dusko Stupar Panos Vostanis Olayinka Atilola Paulo Moreira Katarina Dodig-Curkovic Tomislav Franic Vrljicak Davidovic Mohamad Avicenna Multazam Noor Laura Nussbaum Abdelaziz Thabet Dino Ubalde Petar Petrov Azra Deljkovic Monteiro Luis Antonio Adriana Ribas Joana Oliveira Rajna Knez |
| author_sort | Ana Doric |
| collection | DOAJ |
| description | Background: Children and adolescents are often exposed to traumatic events, which may lead to the development of posttraumatic stress disorder (PTSD). It is therefore important for clinicians to screen for potential symptoms that can be signs of PTSD onset. PTSD in youth is a worldwide problem, thus congruent screening tools in various languages are needed. Objective: The aim of this study was to test the general psychometric properties of the Traumatic Stress Disorder Reaction Index for children and adolescents (UCLA PTSD) Reaction Index for DSM-5 (PTSD-RI-5) in adolescents, a self-report instrument intended to screen for trauma exposure and assess PTSD symptoms. Method: Data was collected from 4201 adolescents in communities within eleven countries worldwide (i.e. Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, Palestine-Gaza, Philippines, Portugal, Romania, and Serbia). Internal consistency, discriminant validity, and a confirmatory factor analysis of a four-factor model representing the main DSM-5 symptoms of the PTSD-RI-5 were evaluated. Results: The PTSD-RI-5 total score for the entire sample shows very good reliability (α = .92) as well as across all countries included (α ranged from .90 to .94). The correlations between anxiety/depressive symptoms and the PTSD-RI-5 scores were below .70 indicating on good discriminant validity. The four-factor structure of the scale was confirmed for the total sample and data from six countries. The standardized regression weights for all items varied markedly across the countries. The lack of a common acceptable model across all countries prevented us from direct testing of cross-cultural measurement invariance. Conclusions: The four-factor structure of the PTSD-RI-5 likely represents the core PTSD symptoms as proposed by the DSM-5 criteria, but there could be items interpreted in a conceptually different manner by adolescents from different cultural/regional backgrounds and future cross-cultural evaluations need to consider this finding. |
| first_indexed | 2024-04-10T23:20:23Z |
| format | Article |
| id | doaj.art-e1127229d80041828f1deb81d529035d |
| institution | Directory Open Access Journal |
| issn | 2000-8066 |
| language | English |
| last_indexed | 2024-04-10T23:20:23Z |
| publishDate | 2019-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj.art-e1127229d80041828f1deb81d529035d2023-01-12T15:31:30ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662019-12-0110110.1080/20008198.2019.16052821605282UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countriesAna Doric0Dejan Stevanovic1Dusko Stupar2Panos Vostanis3Olayinka Atilola4Paulo Moreira5Katarina Dodig-Curkovic6Tomislav Franic7Vrljicak Davidovic8Mohamad Avicenna9Multazam Noor10Laura Nussbaum11Abdelaziz Thabet12Dino Ubalde13Petar Petrov14Azra Deljkovic15Monteiro Luis Antonio16Adriana Ribas17Joana Oliveira18Rajna Knez19University of RijekaClinic for Neurology and Psychiatry for Children and YouthClinic for Neurology and Psychiatry for Children and YouthLeicester UniversityLagos State University College of Medicine IkejaPorto Lusíada UniversityUniversity Health Center OsijekSchool of Medicine, University of SplitClinical Hospital Centre SplitState Islamic University Syarif HidayatullahDr Soeharto Heerdjan Mental Hospital JakartaUniversity of Medicine and Pharmacy “Victor Babes”Al Quds UniversitySt. Dominic College of AsiaUniversity Hospital St. MarinaMental Health CenterUniversidade Estacio de Sá in Rio de JaneiroFederal University of Rio de JaneiroLusíada UniversitySkaraborgs HospitalBackground: Children and adolescents are often exposed to traumatic events, which may lead to the development of posttraumatic stress disorder (PTSD). It is therefore important for clinicians to screen for potential symptoms that can be signs of PTSD onset. PTSD in youth is a worldwide problem, thus congruent screening tools in various languages are needed. Objective: The aim of this study was to test the general psychometric properties of the Traumatic Stress Disorder Reaction Index for children and adolescents (UCLA PTSD) Reaction Index for DSM-5 (PTSD-RI-5) in adolescents, a self-report instrument intended to screen for trauma exposure and assess PTSD symptoms. Method: Data was collected from 4201 adolescents in communities within eleven countries worldwide (i.e. Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, Palestine-Gaza, Philippines, Portugal, Romania, and Serbia). Internal consistency, discriminant validity, and a confirmatory factor analysis of a four-factor model representing the main DSM-5 symptoms of the PTSD-RI-5 were evaluated. Results: The PTSD-RI-5 total score for the entire sample shows very good reliability (α = .92) as well as across all countries included (α ranged from .90 to .94). The correlations between anxiety/depressive symptoms and the PTSD-RI-5 scores were below .70 indicating on good discriminant validity. The four-factor structure of the scale was confirmed for the total sample and data from six countries. The standardized regression weights for all items varied markedly across the countries. The lack of a common acceptable model across all countries prevented us from direct testing of cross-cultural measurement invariance. Conclusions: The four-factor structure of the PTSD-RI-5 likely represents the core PTSD symptoms as proposed by the DSM-5 criteria, but there could be items interpreted in a conceptually different manner by adolescents from different cultural/regional backgrounds and future cross-cultural evaluations need to consider this finding.http://dx.doi.org/10.1080/20008198.2019.1605282instrumentpost-traumatic stress disorderdsm-5cross-cultural validationmeasurement invariance |
| spellingShingle | Ana Doric Dejan Stevanovic Dusko Stupar Panos Vostanis Olayinka Atilola Paulo Moreira Katarina Dodig-Curkovic Tomislav Franic Vrljicak Davidovic Mohamad Avicenna Multazam Noor Laura Nussbaum Abdelaziz Thabet Dino Ubalde Petar Petrov Azra Deljkovic Monteiro Luis Antonio Adriana Ribas Joana Oliveira Rajna Knez UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries European Journal of Psychotraumatology instrument post-traumatic stress disorder dsm-5 cross-cultural validation measurement invariance |
| title | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
| title_full | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
| title_fullStr | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
| title_full_unstemmed | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
| title_short | UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries |
| title_sort | ucla ptsd reaction index for dsm 5 ptsd ri 5 a psychometric study of adolescents sampled from communities in eleven countries |
| topic | instrument post-traumatic stress disorder dsm-5 cross-cultural validation measurement invariance |
| url | http://dx.doi.org/10.1080/20008198.2019.1605282 |
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