Validation of the Lifetime Incidence of Traumatic Events (LITE-S/P) Questionnaires in Children and Adolescents in Slovenia

Katarina Uršič, Valentin Bucik, Simona Klemenčič, Nataša Bratina, Tadej Battelino, Klemen Dovč, Maja Drobnič Radobuljac, Katarina Uršič, Valentin Bucik, Simona Klemenčič, Nataša Bratina, Tadej Battelino, Klemen Dovč, Maja Drobnič Radobuljac

Abstract

Introduction: A traumatic event is an extremely threatening and frightening experience in an individual's life. Children who are exposed to traumatic events are twice as likely to develop a mental disorder. Screening can provide insight into the traumatic experience of children, identifying those eligible for further evaluation, and support. With this aim, we evaluated the psychometric properties of the Lifetime Incidence of Traumatic Events questionnaire (LITE) in Slovene by calculating retest reliabilty, construct validity (cross-informant agreement) and external validity, where we calculated the correlation of the number of differenet traumatic events with psychopathological symptoms. Methods: 280 child-parent pairs (children aged 11.3 ± 2.2 years) from various Slovenian primary schools participated in the study. They were divided into two groups: 180 healthy primary school students and 100 children with Type 1 Diabetes (our study was a part of a larger study The Influence of Psychobiological Adversity on Children and Adolescents with Type 1 Diabetes Study). Two versions of the LITE questionnaire were used. Children completed the child report (LITE-S) and parents the parent report (LITE-P) version. After 4 weeks, 117 children, and 114 parents filled out the LITEs again. External validity was assessed using the Youth Self Report and Child Behaviour Checklist syndrome-oriented scales. Results: Retest reliability for individual scales was r = 0.469-0.639 (ρ = 0.443-0.636; p < 0.001), but higher for individual items (κ = 0.263-0.821; p < 0.001). Correlations between reports from parents and children were r = 0.313-0.345 (ρ = 0.317-0.348; p < 0.001). The number of different events experienced by children correlated significantly with the measured depressive-anxiety, and posttraumatic stress disorder symptoms. Conclusions: Based on our results, the LITE-S and LITE-P "All events" scale have acceptable psychometric properties for use in research and in clinical practise screening. We recommend looking at single items, taking into consideration the responses from both the child and the parent for more precise information. To improve the precision of the psychodiagnostic capacity of the questionnaire, further research on various populations should be performed.

Keywords: children; lifetime incidence of traumatic events; scale translation; scale validation; traumatic events.

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Copyright © 2021 Uršič, Bucik, Klemenčič, Bratina, Battelino, Dovč and Drobnič Radobuljac.

References

    1. Gustafsson PE, Nilsson D, Svedin CG. Polytraumatization and psychological symptoms in children and adolescents. Eur Child Adolesc Psychiatry. (2009) 18:274–83. 10.1007/s00787-008-0728-2
    1. Nilsson D, Gustafsson PE, Svedin C-G. The psychometric properties of the trauma symptom checklist for young children in a sample of Swedish children. Eur J Psychotraumatol. (2012) 3:18505. 10.3402/ejpt.v3i0.18505
    1. La Greca A, Boyd BA, Jajcox LH, Kassam-Adams N, Mannarino AP, Silverman WK, et al. . Children and Trauma – Update for Mental Health Professionals. (2008). Available online at: (accessed February 1, 2021).
    1. Copeland WE, Keeler G, Angold A, Costello EJ. Traumatic events and posttraumatic stress in childhood. Arch Gen Psychiatry. (2007) 64:577–84. 10.1001/archpsyc.64.5.577
    1. Negriff S. Childhood adversities and mental health outcomes: does the perception or age of the event matter? Dev Psychopathol. (2020) 1–14. 10.1017/S0954579420000048
    1. Cox C, Kenardy J, Hendrikz J A. Meta-analysis of risk factors that predict psychopathology following accidental trauma. J Spec Pediatr Nurs. (2008) 13:98–110. 10.1111/j.1744-6155.2008.00141.x
    1. Suliman S, Mkabile S, Fincham D, Ahmed R, Stein D, Seedat S. Cumulative effect of multiple trauma on symptoms of posttraumatic stress disorder, anxiety, and depression in adolescents. Compr Psychiatry. (2009) 50:121–7. 10.1016/j.comppsych.2008.06.006
    1. Li X, Barnett D, Fang X, Lin X, Zhao G, Zhao J, et al. . Lifetime incidences of traumatic events and mental health among children affected by HIV/AIDS in rural China. J Clin Child Adolesc Psychol. (2009) 38:731–44. 10.1080/15374410903103601
    1. Tedeschi R, Calhoun L. The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress. (1996) 9:455–71. 10.1002/jts.2490090305
    1. Meyerson D, Grant K, Carter J, Kilmer R. Posttraumatic growth among children and adolescents: a systematic review. Clin Psychol Rev. (2011) 31:949–64. 10.1016/j.cpr.2011.06.003
    1. Kramer D, Landolt M. Characteristics and efficacy of early psychological interventions in children and adolescents after single trauma: a meta-analysis. Euro J Psychotraumatol. (2011) 2:7858. 10.3402/ejpt.v2i0.7858
    1. Greenwald R, Rubin A. Assessment of posttraumatic symptoms in children: development and preliminary validation of parent and child scales. Res Soc Work Pract. (1999) 9:61–75. 10.1177/104973159900900105
    1. Finkelhor D, Hamby SL, Ormrod R, Turner H. The Juvenile victimization questionnaire: reliability, validity, and national norms. Child Abuse Negl. (2005) 29:383–412. 10.1016/j.chiabu.2004.11.001
    1. Goodman LA, Corcoran C, Turner K, Yuan N, Green BL. Assessing traumatic event exposure: general issues and preliminary findings for the stressful life events screening questionnaire. J Traum Stress. (1998) 11:521–42. 10.1023/A:1024456713321
    1. Ribbe D. Psychometric review of traumatic events screening inventory for children (TESI-C). In: Stamm BH, editor. Measurement of Stress, Trauma, and Adapta-tion. Lutherville, MD: Sidran. (1996) p. 386–387.
    1. Strand VC, Sarmiento TL, Pasquale LE. Assessment and screening tools for trauma in children and adolescents: a review. Trauma Violence Abuse. (2005) 6:55–78. 10.1177/1524838004272559
    1. Radobuljac MD, Bratina NU, Battelino T, Tomori M. Lifetime prevalence of suicidal and self-injurious behaviors in a representative cohort of Slovenian adolescents with type 1 diabetes. Pediatr Diabetes. (2009) 10:424–31. 10.1111/j.1399-5448.2009.00501.x
    1. Nilsson D, Gustafsson PE, Svedin CG. Self-reported potentially traumatic life events and symptoms of post-traumatic stress and dissociation. Nord J Psychiatry. (2010) 64:19–26. 10.3109/08039480903264846
    1. Lee YJ, Lee SH, Han W, Lee M-S, Um DH, Chung EH, et al. . Internalizing symptoms as mediators of lifetime incidence of trauma and quality of life among out-of-school youths. J Korean Acad Child Adolesc Psychiatry. (2018) 29:137–43. 10.5765/jkacap.180012
    1. Lee J-Y, Ban D, Kim S-Y, Kim J-M, Shin I-S, Yoon J-S, et al. . Negative Life Events and Problematic Internet Use as Factors Associated With Psychotic-Like Experiences in Adolescents. Front Psychiatry. (2019) 10:369–369. 10.3389/fpsyt.2019.00369
    1. Han DH, Lee JJ, Moon D-S, Cha M-J, Kim MA, Min S, et al. . Korean version of inventory of complicated grief scale: psychometric properties in korean adolescents. J Korean Med Sci. (2016) 31:114–9. 10.3346/jkms.2016.31.1.114
    1. Achenbach TM, Rescorla RA. Manual for the ASEBA School-age Forms and Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families; (2001).
    1. Achenbach TM, Rescorla LA. Navodila za uporabo Achenbachovega sistema empirično utemeljenega ocenjevanja : integriran sistem ocenjevanja na osnovi ocen več ocenjevalcev. Ljubljana: Znanstvena zaloŽba Filozofske faklutete; (2017).
    1. Achenbach T, Mcconaughy S, Howell C. Child/Adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull. (1987) 101:213–32. 10.1037/0033-2909.101.2.213
    1. Gugliandolo MC, Costa S, Cuzzocrea F, Larcan R, Petrides KV. Trait emotional intelligence and behavioral problems among adolescents: A cross-informant design. Pers Individ Dif. (2015) 74:16–21. 10.1016/j.paid.2014.09.032
    1. Rescorla LA, Ewing G, Ivanova MY, Aebi M, Bilenberg N, Dieleman GC, et al. . Parent–adolescent cross-informant agreement in clinically referred samples: findings from seven societies. J Clin Child Adolesc Psychol. (2017) 46:74–87. 10.1080/15374416.2016.1266642
    1. Ceballo R, Dahl T, Aretakis M, Ramirez C. Inner-city children's exposure to community violence: how much do parents know? J Marriage Fam. (2001) 63:927–40. 10.1111/j.1741-3737.2001.00927.x
    1. Johnson SD. Comparing factors associated with maternal and adolescent reports of adolescent traumatic event exposure. Fam Process. (2014) 53:214–24. 10.1111/famp.12050
    1. McDonald CC, Richmond TR. The relationship between community violence exposure and mental health symptoms in urban adolescents. J Psychiatr Ment Health Nurs. (2008) 15:833–49. 10.1111/j.1365-2850.2008.01321.x
    1. Simmons JG, Badcock PB, Whittle SL, Byrne ML, Mundy L, Patton GC, et al. . The lifetime experience of traumatic events is associated with hair cortisol concentrations in community-based children. Psychoneuroendocrinology. (2016) 63:276–81. 10.1016/j.psyneuen.2015.10.004

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