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Journal of Traumatic Stress.

2005 Dic;18(6) El comportamiento infantil como indicador de trastornos de estrs postraumticos y la disociacin en normatividad, psiquiatra, y nios abusados sexualmente. (The Child Behavior Checklist as an indicator of posttraumatic stress disorder and dissociation in normative, psychiatric, and sexually abused children) Leslie Sim, William N. Friedrich , W. Hobart Davies , Bart Trentham , Liliana Lengua , William Pithers VERSIN WEB: http://www.psiquiatria.com/articulos/trastornos_infantiles/26378/ [5/04/2006]

Resumen[texto completo en ingls] [traducir]Se utilizaron clasificaciones de expertos y anlisis de factores para derivar una escala de trastorno de estrs postraumtico (TEP), disociacin, y una combinacin de TEP/disociacin del "Child Behavior Checklist (CBCL)" (Lista de comportamiento infantil). Se estableci la validez a travs de la examinacin de las relaciones de estas escalas a las caractersticas de la idea de abuso sexual, para relacionar la severidad y cronicidad, as como tambin las escalas de autoinformes de TEP y disociacin. Adems, este estudio examin diferencias entre normatividad, psiquiatra, y nios abusados sexualmente bajo las nuevas escalas. Ambas muestras de abuso sexual y psiquitrico diferenciaron significativamente de la muestra normativa en todas las escalas, pero no en cada una de ellas. A pesar de las correlaciones de las escalas combinadas de disociacin y TEP/disociacin con caractersticas del trauma y auto-informes de nios de TEP y disociacin, la ausencia de diferencias entre los grupos clnicos en las escalas derivadas sugiere que las escalas miden angustia genrica, como contraposicin a aspectos relacionados al trauma. Para acceder al texto completo es necesario suscribirse en la fuente original: www3.interscience.wiley.com/cgi-bin/jhome/109882595 Abstract Expert ratings and confirmatory factor analyses were used to derive a posttraumatic stress disorder (PTSD), dissociation, and a combined PTSD/dissociation scale from the Child Behavior Checklist (CBCL). Validity was established by examining the relationship of these scales to features of sexual abuse thought to relate to severity and chronicity, as well as to self-report scales of PTSD and dissociation. In addition, this study examined differences between normative, psychiatric, and sexually abused children on the new scales. Both the sexual abuse and psychiatric sample differed significantly from the normative sample on all scales, but not from each other. Despite correlations of the dissociation and PTSD/dissociation combined scale with features of trauma and child self-report of PTSD and dissociation, the absence of differences between the clinical groups on the derived scales suggests that the scales measure generic, as opposed to trauma-related, distress.

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