Abstract

Identification of possible cases suffering post-traumatic stress disorder (PTSD) is important, especially in developing countries where traumatic events are typically prevalent. The Children’s Revised Impact of Events Scale is a reliable and valid measure that has two brief versions (13 items and 8 items) to assess reactions to traumatic events among young people. The current study evaluated the psychometric properties of both versions of the CRIES in a sample of 1,342 children and adolescents aged 9–17 years (M = 12.3 years, SD = 2.12) recruited from six districts of Bangladesh. A sub-group of 120 children from four schools was re-tested on the measures within 3.5 weeks. Confirmatory factor analysis supported factor structures similar to those found in other studies for both versions of the CRIES. Multiple group confirmatory factor analysis showed gender and age-group differences within the sample, supporting established age and gender differences in prevalence of PTSD symptoms. Analyses also indicated moderate to excellent internal consistency and test-retest reliability and clear discriminant and convergent validity. These data support use of both the CRIES-13 and CRIES-8 to provide quick and psychometrically sound assessment of symptoms of PTSD among children and adolescents from Bangla-speaking communities.

Highlights

  • In the aftermath of exposure to traumatic events, about 70% of children develop symptoms of Post-Traumatic Stress Disorder (PTSD) within the first month after the incident (Aaron, Zaglul & Emery, 1999) and almost 20–30% will meet full diagnostic criteria for PTSD within the first 12 months (Dyregrov & Yule, 2006; Schnurr et al, 2007)

  • Based on the covariance matrices, a free parameter was needed between the error terms of Item 3 (Do you have difficulties paying attention or concentrating?) and Item 13 (Do you have sleep problems?). When these error terms were permitted to vary together improvements were shown in the fit for Model 3: CMIN = 132.33, DF = 61, goodness-of-fit index (GFI) = .98, comparative fit index (CFI) = .96, Tucker-Lewis index (TLI) = .95, Root Mean Square Error of Approximation (RMSEA) = .03, Akaike Information Criterion (AIC) = 192.22, Bayes Information Criterion (BIC) = 348.28

  • The current study reported on the psychometric properties of a Bangla language translation of the Children’s Revised Impact of Events Scale (CRIES) among a large sample of children and adolescents from community and social support centres in Bangladesh

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Summary

Introduction

In the aftermath of exposure to traumatic events, about 70% of children develop symptoms of Post-Traumatic Stress Disorder (PTSD) within the first month after the incident (Aaron, Zaglul & Emery, 1999) and almost 20–30% will meet full diagnostic criteria for PTSD within the first 12 months (Dyregrov & Yule, 2006; Schnurr et al, 2007). The impact on individual levels of productivity across the life-span increases burden on the whole society. To help reduce this long-term impact, early identification of post-traumatic stress reactions is very important (Cohen et al, 2010)

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