Adaptation of the Post-Traumatic Cognitions Inventory for Children and Adolescents to Turkish Culture: Validity and Reliability Study
PDF

Original Article

Adaptation of the Post-Traumatic Cognitions Inventory for Children and Adolescents to Turkish Culture: Validity and Reliability Study

Turk J Child Adolesc Ment Health 2025;32(3):138-146 DOI: 10.4274/tjcamh.galenos.2024.02997
,
PDF
Permissions

Abstract

Objectives

This study aims to adapt the Child Post-Traumatic Cognitions Inventory for assessing post-traumatic cognitive levels of children and adolescents to Turkish culture and test its reliability and validity.

Materials and Methods

The study sample consists of a total of 596 children and adolescents (age; =14.9, standard deviation=1.6 years), including 332 girls (55.7%) and 264 boys (44.3%). Data analysis was conducted using IBM SPSS Statistics (v.26, IBM Corp., Armonk, NY, USA), Jamovi (v.2.3.21, The Jamovi Project, Sydney, Australia), and IBM AMOS (v.24, IBM Corp., Armonk, NY, USA) software packages. The following analyses were employed: descriptive statistics, explosratory factor analysis, confirmatory factor analysis, reliability analysis, and Pearson correlation coefficient. Construct validity was assessed through Pearson correlation coefficient analysis using data obtained from the Child Post-Traumatic Stress Symptoms Severity Scale and the Depression, Anxiety, and Stress Scale.

Results

The scale was found to consist of two sub-dimensions and 23 items. The McDonald’s omega and Cronbach alpha coefficients for the sub-dimensions and the total score of the scale range from 0.82 to 0.91. The item loadings of the scale vary between 0.39 and 0.74. The construct validity of the scale was tested using the Child Post-Traumatic Stress Symptoms Severity Scale and the Depression, Anxiety, and Stress Scale, which yielded significant results.

Conclusion

This study has established that the Turkish-adapted version of the Child-Adolescent Post-Traumatic Cognitions Inventory is a valid and reliable measurement tool. It is believed that this scale will be valuable to clinicians and experts in the field, and will contribute to the existing literature.

Keywords: Post-traumatic cognitions, child, adolescent, validity, reliability

References

1

Black PJ, Woodworth M, Tremblay M, Carpenter T. A review of trauma-informed treatment for adolescents. Can Psychol. 2012;53:192.

2

Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995;52:1048-1060.

3

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association; 2013.

4

Daviss WB, Racusin R, Fleischer A, Mooney D, Ford JD, McHugo GJ. Acute stress disorder symptomatology during hospitalization for pediatric injury. J Am Acad Child Adolesc Psychiatry. 2000;39:569-575.

5

Brewin CR, Holmes EA. Psychological theories of posttraumatic stress disorder. Clin Psychol Rev. 2003;23:339-376.

6

Kooistra MJ, Hoeboer CM, Oprel DAC, Schoorl M, van der Does W, Ter Heide JJ, van Minnen A, de Kleine RA. Changes in trauma-related cognitions predict subsequent symptom improvement during prolonged exposure in patients with childhood abuse-related PTSD. Behav Res Ther. 2023;163:104284.

7

Williams RM, Davis MC, Millsap RE. Development of the cognitive processing of trauma scale. Clin Psychol Psychother. 2002;9:349-360.

8

Beck JG, Coffey SF, Palyo SA, Gudmundsdottir B, Miller LM, Colder CR. Psychometric properties of the Posttraumatic Cognitions Inventory (PTCI): a replication with motor vehicle accident survivors. Psychol Assess. 2004;16:289-298.

9

Yakıcı HB. Genç yetişkinlerde kompulsif çevrimiçi satın alma davranışı ile travma sonrası bilişler ve ölüm kaygısının incelenmesi [Yayımlanmamış yüksek lisans tezi]. Konya: Necmettin Erbakan Üniversitesi, Eğitim Bilimleri Enstitüsü; 2023.

10

Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38:319-345.

11

Foa EB, Ehlers A, Clark DM, Tolin DF, Orsillo SM. The Posttraumatic Cognitions Inventory (PTCI): development and validation. Psychol Assess. 1999;11:303-314.

12

Yağcı-Yetkiner D. Travma Sonrası Bilişler Ölçeği Türkçe uyarlama ve üniversite öğrencileri üzerinde geçerlik güvenirlik çalışması [Yayımlanmamış yüksek lisans tezi]. Kocaeli: Kocaeli Üniversitesi, Sağlık Bilimleri Enstitüsü; 2010.

13

Meiser-Stedman, R. Towards a cognitive behavioral model of PTSD in children and adolescents. Clin Child Fam Psychol Rev. 2002;5:217-232

14

Meiser‐Stedman R, Smith P, Bryant R, Salmon K, Yule W, Dalgleish T, Nixon RD. Development and validation of the child post‐traumatic cognitions inventory (CPTCI). J Child Psychol Psychiatry. 2009;50:432-440.

15

Mannarino AP, Cohen JA, Berman SR. The Children’s Attributions and Perceptions Scale - a new measure of sexual abuse-related factors. J Clin Child Psychol. 1994;23:204-211.

16

Tabachnick BG, Fidell LS. Using multivariate statistics. 6th ed. Boston: Pearson Education Limited; 2013.

17

Yalın-Sapmaz Ş, Ergin D, Özek Erkuran H, Şen Celasin N, Öztürk M, Karaarslan D, Köroğlu E, Ömer Aydemir Ö. Validity and reliability of the Turkish version of the DSM-5 Posttraumatic Stress Symptom Severity Scale-Child Form. Arch Neuropsychiatry. 2017;54:205-208.

18

Bilgel N, Bayram N. Turkish version of the depression anxiety stress scale (DASS- 42): psychometric properties. Arch Neuropsychiatry. 2010;47:118-126.

19

Akkuş-Çutuk Z, Kaya M. Depresyon, Anksiyete ve Stres Ölçeği (DASS-42) lise formu: Türkçe geçerlik ve güvenirliği. Electron J Soc Sci. 2018;17:1327-1336.

20

Hair JF Jr, Hult GTM, Ringle CM, Sarstedt M. A primer on partial least squares structural equation modeling (PLS-SEM). 2nd ed. Thousand Oaks, CA: Sage Publications; 2021.

21

Sofroniou N, Hutcheson GD. The multivariate social scientist: introductory statistics using generalized linear models. Multivariate Soc Sci. 1999;1-288.

22

Karagöz Y. SPSS 23 ve AMOS 23 uygulamalı istatistiksel analizler. 1. baskı. Ankara: Nobel Yayıncılık; 2016.

23

Meydan CM, Şeşen H. Yapısal eşitlik modellemesi AMOS uygulamaları. 2. baskı. Ankara: Detay Yayıncılık; 2015.

24

Büyüköztürk Ş. Sosyal bilimler için veri analizi el kitabı. 5. baskı. Ankara: Pegem Akademi; 2011:44.

25

Özdamar K. Paket programlar ile istatistiksel veri analizi. 2. baskı. Eskişehir: Kaan Kitabevi; 1999.

26

Saltzman WR, Pynoos RS, Layne CM, Steinberg AM, Aisenberg E. Trauma-and grief-focused intervention for adolescents exposed to community violence: results of a school-based screening and group treatment protocol. Group Dyn Theory Res Pract. 2001;5:291.

27

Karakaya I, Memik NÇ, Ağaoğlu B, Aker T, Şişmanlar Ş, Öç ÖY, Coşkun A. Çocuk ve gençler için araştırmacı tarafından uygulanan Travma Sonrası Stres Bozukluğu Ölçeği geçerlik güvenirlilik çalışması. Turk J Child Adolesc Ment Health. 2007;14:125-132.

28

Erden G, Kılıç EZ, Uslu İU, Kerimoğlu E. Çocuklar için travma sonrası stres tepki ölçeği: Türkçe geçerlik, güvenirlik çalışması. Turk J Child Adolesc Ment Health. 1999;6:143-149.