childhood_trauma_ctq
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childhood_trauma_ctq [2019/10/10 12:28] trynke [Table] |
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| ====== Childhood Trauma (CTQ) ====== | ====== Childhood Trauma (CTQ) ====== | ||
| + | Adult [[start|Lifelines]] participants underwent the [[https://www.cdc.gov/me-cfs/pdfs/wichita-data-access/ctq-doc.pdf|Childhood Trauma Questionnaire]] (CTQ) short-form, a self-report instrument covering 28 items, to rate the severity of traumas experienced in their childhood ([[sections|section]]: [[mental health]]). | ||
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| + | ===== Background ===== | ||
| + | The physical health consequences of psychosocial adversities may be as substantial as the mental health consequences. A multinational study in 10 countries showed that childhood psychosocial adversities and early-onset mental disorders have independent, broad-spectrum effects that increase the risk of diverse chronic physical conditions in later life, including heart disease, asthma, diabetes mellitus, arthritis, chronic spinal pain, and chronic headache ((Scott KM et al. (2011). Association of childhood adversities and early-onset mental disorders with adult-onset chronic physical conditions. Arch Gen Psychiatry 68(8):838-44)).\\ | ||
| + | Another multinational study showed a higher effect on myocardial infarction for psychosocial stress (OR 2.67) than for hypertension (OR 1.91), diabetes (OR 2.37) or an unhealthy lifestyle ((Yusuf S et al. (2004) Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. INTERHEART Study Investigators. Lancet 364(9438):937-52)).\\ | ||
| + | Traumatic childhood events (TCEs) also constitute a key environmental exposure that should be studied in gene-environment interaction studies. It was recently shown that a variant in the MTHFR gene confers a higher risk for recurrence of depression in combination with exposure to TCEs ((Lok A et al. (2013). Interaction between the MTHFR C677T polymorphism and traumatic childhood events predicts depression. Transl Psychiatry. 30;3:e288)). | ||
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| + | ===== Scoring ===== | ||
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| + | The CTQ includes 5 domains with 5 questions each: | ||
| + | * emotional abuse (DCTQ 3, 8, 14, 18, 25) | ||
| + | * emotional neglect (DCTQ 5, 7, 13, 19, 28) | ||
| + | * physical abuse (DCTQ 9, 11, 12, 15, 17) | ||
| + | * physical neglect (DCTQ 1, 2, 4, 6, 26) | ||
| + | * sexual abuse (DCTQ 20, 21, 23, 24, 27) | ||
| + | Additionally there are 3 questions on a minimization/denial scale (DCTQ 10, 16, 22).\\ | ||
| + | Particiants are asked in how far the statements applies to their childhood on a 5-point [[https://en.wikipedia.org/wiki/Likert_scale|Likert scale]] with the following options: 1 Never true, 2 Rarely true, 3 Sometimes true, 4 Often true, 5 Very often true. | ||
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| + | The CTQ has been validated in terms of psychometric test properties in various populations ((Bernstein DP, Fink L, Handelsman L, Lovejoy M, Wenzel K, Sapareto E, Gurriero J. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 1994; 151: 1132-1136))((Roy CA, Perry JC (2004). Instruments for the assessment of childhood trauma in adults. J Nerv Ment Dis. 192(5):343-51))((Thombs BD et al. (2009). A validation study of the Dutch Childhood Trauma Questionnaire-Short Form: factor structure, reliability, and known-groups validity. Child Abuse Negl 33(8):518-23)).\\ | ||
| ===== Variables ===== | ===== Variables ===== | ||
childhood_trauma_ctq.txt ยท Last modified: 2024/01/12 09:38 by trynke
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