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Am J Psychiatry 1995; 152:1329-1335
Copyright © 1995 by American Psychiatric Association
Initial reliability and validity of the childhood trauma interview: a new multidimensional measure of childhood interpersonal trauma
LA Fink, D Bernstein, L Handelsman, J Foote and M Lovejoy
Department of Psychiatry, Bronx VA Medical Center, NY 10468, USA.
OBJECTIVE: The Childhood Trauma Interview, a new instrument for brief and
comprehensive retrospective assessment of childhood interpersonal trauma,
is presented with initial evidence of its reliability and validity. METHOD:
Drug- or alcohol-dependent patients (N = 220) were given the Childhood
Trauma Interview and a questionnaire measure of child abuse, the Childhood
Trauma Questionnaire. Convergent and discriminant validity for the
Childhood Trauma Interview were tested by comparing correlations between
analogous and nonanalogous trauma scales to those of the Childhood Trauma
Questionnaire. RESULTS: Interrater reliability for the majority of trauma
dimensions measured by the Childhood Trauma Interview was very high (63%
had intraclass correlations above 0.90). Principal-components analysis
yielded six rotated factors that accounted for 74% of the variance among
scores: separations and losses, physical neglect, emotional abuse or
assault, physical abuse or assault, witnessing violence, and sexual abuse
or assault. Since these six factors exactly represented the areas that the
interview was designed to assess, the construct validity of the Childhood
Trauma Interview was supported. Without exception, convergent correlations
were significantly higher than discriminant correlations, and convergence
was improved when multidimensional variables from the Childhood Trauma
Interview and their interactions were regressed onto Childhood Trauma
Questionnaire scores. CONCLUSIONS: These initial findings suggest that the
Childhood Trauma Interview is a reliable and valid method for brief
assessment of multiple dimensions of six types of childhood interpersonal
trauma.
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