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OToPS/Item Overlap Methodology/Pediatric PTSD Scales

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Poster Citation

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Deericks, H. A., Baggs, J. J., & Youngstrom, E. A. (2024, August 5). Assessing Content Overlap in Pediatric PTSD Scales: A Comparative Analysis. [Poster Presentation]. Summer Student Poster Session 2024, Columbus, OH, United States. https://doi.org/10.17605/OSF.IO/PU6ZK

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Item Overlap for Pediatric PTSD Severity

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PTSD Scales Content Overlap
Symptoms CATS[1] CBCL[2] CPSS[3] DIPA[4] IES-R[5] KSADS[6] LASC[7] PSS-SR[8] UCLA PTSD-RI[9] YCPC[10]
Aches/Pains 1 2 1 2 2 0 2 2 2 2
Anger 2 0 0 2 0 0 0 0 0 0
Anxiety 0 2 0 2 0 0 1 0 0 0
Argumentative Behavior 0 2 0 0 0 0 0 0 2 0
Avoidance of Emotions 0 0 0 1 2 0 0 2 2 0
Avoidance of External Reminders 2 0 2 2 2 2 2 2 2 2
Avoidance of Thoughts 2 0 2 0 2 0 0 2 2 0
Blackouts 0 0 0 0 0 0 2 0 0 0
Blaming Others 2 0 0 0 0 0 0 2 1 0
Clinginess 0 2 0 2 0 0 0 0 0 2
Depression 0 2 0 0 0 0 2 0 0 0
Desire for Solitude 0 2 0 0 0 2 0 0 0 0
Difficulty Concentrating 2 2 2 2 2 0 2 2 2 2
Difficulty in Public Settings 0 0 0 2 0 0 0 0 0 2
Diminshed Interests in Activities 2 0 2 2 0 0 2 2 2 2
Disturbing Thoughts 2 0 2 0 1 0 0 2 2 1
Dream-like State 0 2 0 0 0 0 0 0 2 0
Engaging in Unsafe Behaviors 2 0 0 0 0 0 1 2 2 0
Estrangement from Others 2 0 2 2 0 1 1 2 1 1
Excessive Sleepiness 0 1 0 0 0 0 2 0 0 0
Extreme Feelings (ex: Angry) 1 0 0 2 2 0 0 0 0 0
Fear 0 2 0 2 0 0 2 2 2 2
Feelings of Disgust 0 0 0 0 0 0 2 0 2 0
Feelings of Loneliness 0 2 0 0 0 1 1 1 2 0
Feelings of Shame 0 0 0 0 0 0 0 2 2 0
Flashbacks 1 0 2 2 2 1 0 1 2 1
Foggy Thinking 0 2 0 0 0 0 0 0 2 0
Freezing Response 0 0 0 2 0 0 0 0 0 2
General Discomfort 0 0 0 0 0 0 2 0 0 0
Hopeless 0 0 2 0 0 0 0 0 0 0
Hostility 0 0 0 0 0 0 2 0 0 0
Hyperalertness 0 0 0 2 1 2 0 2 1 2
Inability to Experience Positive Emotions 0 0 1 2 0 0 0 2 2 2
Inability to Express Emotions 0 0 0 0 0 0 2 0 0 0
Increased Caution 2 0 2 2 0 2 0 0 0 0
Irritability 0 2 2 2 2 0 1 2 1 2
Issues with Authority 0 0 0 0 0 0 2 0 0 0
Jumpiness 2 0 2 2 2 0 2 2 2 1
Lack of Enjoyment 1 2 0 1 0 1 0 0 0 1
Lightheaded 0 2 0 0 0 0 2 0 0 0
Loss of Strong Feelings 0 0 2 0 0 0 0 0 0 0
Memory Loss 2 0 2 0 0 0 2 2 2 0
Night Terrors 0 0 0 2 0 0 0 0 0 2
Nightmares 2 2 2 2 2 2 2 2 2 2
Numbness 0 0 0 0 2 0 2 0 0 0
Out of Body Experiences 0 0 0 0 0 0 0 0 2 0
Persistent Negative Emotions 0 0 0 2 1 0 0 1 0 2
Physical Aggression 0 0 0 0 0 0 0 0 0 2
Poor Financial Management 0 0 0 0 0 0 2 0 0 0
Problems at School 2 2 2 2 0 0 2 0 0 2
Reenacting Trauma 0 0 0 2 0 0 0 0 0 2
Regression to Earlier Behaviors 0 0 0 2 0 0 0 0 0 2
Relationship Problems 2 2 2 2 0 1 2 1 0 2
Restlessness 0 2 0 0 0 0 2 0 0 0
Revenge Fantasies 0 0 0 0 0 0 0 0 2 0
Saying Prayers 0 0 2 0 0 0 0 0 0 0
Self-Consciousness 1 2 0 1 0 0 2 0 2 0
Social Withdrawal 0 2 0 2 0 1 0 0 0 2
Strong Memories 0 0 0 1 1 0 2 0 0 1
Substance Abuse 0 2 0 0 0 0 2 2 0 0
Suicidal 0 2 0 0 0 0 2 0 1 0
Survivor Guilt 2 0 0 0 0 0 0 2 2 0
Temper Outburts 0 0 0 2 0 0 2 0 0 2
Tension 0 0 0 0 0 0 2 0 0 0
Trouble Falling or Staying Asleep 2 2 2 2 2 0 2 2 2 2
Trust Issues 0 2 0 0 0 2 2 2 2 0
Unreal Experiences 0 0 0 0 2 0 0 0 2 0
Upset Feelings 2 1 2 2 0 0 0 2 2 2
Weight Management Issues 0 0 0 0 0 0 2 0 0 0

Which Question Assesses Which Symptom?

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Symptoms Related to Questions Asked
Symptom CATS[1] CBCL[2] CPSS[3] DIPA[4] IES-R[5] KSADS[6] LASC[7] PSS-SR[8] UCLA PTSD-RI[9] YCPC[10]
Aches/Pains 20 56,57,61,62 5 22 19 3,23,41,37 5 14 21
Anger 30 29
Anxiety 50 35 20
Argumentative Behavior 3 4
Avoidance of Emotions 23 5,12,22 6 13
Avoidance of External Reminders 22 7 23,24 8 3 40 7 3 23,24
Avoidance of Thoughts 21 6 17,11 6 13
Blackouts 10
Blaming Others 25 10 15
Clinginess 11 35 34
Depression 110 31
Desire for Solitude 42 2
Difficulty Concentrating 34 8 15 32 18 25 19 8 31
Difficulty in Public Settings 43 41
Diminshed Interests in Activities 27,37 9,21 26 21,42 12 7 25
Disturbing Thoughts 16 1 1 1 18 20
Dream-like State 13,17 31
Engaging in Unsafe Behaviors 31 2,18 16 26
Estrangement from Others 28 10,19,20,23 42 2 32,33 13 17 37,38,40
Excessive Sleepines 84 17
Extreme Feelings (ex: Angry) 26 29 16
Fear 50 38 20,38 11 25,9,11 22,36
Feelings of Digust 9 6
Feelings of Loneliness 12 2 32,33 13 17
Feelings of Shame 11 22
Flashbacks 18 1,3 19 14,1 1 3 5 18
Foggy Thinking 13 30
Freezing Response 20 19
General Discomfort 11
Hopeless 12
Hostility 15
Hyperalertness 30 21 5 17 1 29
Inability to Experience Positive Emotions 24 28 14 12 27
Inability to Express Emotions 19
Increased Caution 32 16 30 5
Irritability 93 14 29 4 8 15 4 28
Issues with Authority 39
Jumpiness 33 17 31 10 34 18 24 30
Lack of Enjoyment 29 5 26 2 25
Lightheaded 51 26
Loss of Strong Feelings 11
Memory Loss 23 8 29 8 23
Night Terrors 36 17
Nightmares 17 47 2 17,18 20 4 5 2 10 16
Numbness 13 43
Out of Body Experiences 28
Persistent Negative Emotions 25 3 11 22
Physical Aggression 33
Poor Financial Management 12
Problems at School 38 30,68 22 41 6,7,13 39
Reenacting Trauma 15,16 15
Regression to Earlier Behaviors 37 35
Relationship Problems 36 25 20,23 27,39,40 2 16,27 13 37,38,40
Restlessness 10 4
Revenge Fantasies 27
Saying Prayers 18
Self-Consciousness 24 78 44 30 2
Social Withdrawal 118 27 2 26
Strong Memories 14 6,9 14 14
Substance Abuse 112,2 2,18 16
Suicidal 98,18 22 20
Survivor Guilt 25 11 19
Temper Outburts 29 8 22
Tension 20
Trouble Falling or Staying Asleep 35 107 13 33,34 2,15 1,28,35 20 21 32
Trust Issues 34 2 41 9 16
Unreal Experiences 7 29
Upset Feelings 19 110 4 21 4 11 22,42
Weight Management Issues 36,24

Pediatric PTSD Content Overlap Google Sheets

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Visual depiction of symptom content overlap across 9 commonly used pediatric PTSD scales
 
Visual depiction (heat map) of symptom content overlap across 9 commonly used pediatric PTSD scales.

References

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  1. ↑ 1.0 1.1 Sachser, Cedric; Berliner, Lucy; Holt, Tonje; Jensen, Tine K.; Jungbluth, Nathaniel; Risch, Elizabeth; Rosner, Rita; Goldbeck, Lutz (2017-03). "International development and psychometric properties of the Child and Adolescent Trauma Screen (CATS)". Journal of Affective Disorders 210: 189–195. doi:10.1016/j.jad.2016.12.040. https://linkinghub.elsevier.com/retrieve/pii/S0165032716313581. 
  2. ↑ 2.0 2.1 Achenbach, T.M., & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms and Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families.
  3. ↑ 3.0 3.1 Foa, E. B., Johnson, K. M., Feeny, N. C., & Treadwell, K. R. H. (2001). The Child PTSD Symptom Scale: A preliminary examination of its psychometric properties. Journal of Clinical Child Psychology, 30(3), 376-384.
  4. ↑ 4.0 4.1 Scheeringa MS, Haslett, N (2010). The reliability and criterion validity of the Diagnostic Infant and Preschool Assessment: A new diagnostic instrument for young children. Child Psychiatry & Human Development, 41, 3, 299-312.
  5. ↑ 5.0 5.1 Weiss, D.S., & Marmar, C.R. (1997). The Impact of Event Scale-Revised. In J.P. Wilson & T.M. Keane (Eds.), Assessing Psychological Trauma and PTSD (pp.399 411). New York: Guilford.
  6. ↑ 6.0 6.1 Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., & Ryan, N. (1997). Schedule for Affective Disorders and Schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 36(7), 980–988. https://doi.org/10.1097/00004583-199707000-00021
  7. ↑ 7.0 7.1 King, L., King, D., Leskin, G., & Foy, D. (1995). The Los Angeles Symptom Checklist: A self-report measure of posttraumatic stress disorder. Assessment, 2(1), 1-17. https://doi.org/10.1177/1073191195002001001
  8. ↑ 8.0 8.1 Foa, E., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of PTSD: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445-451. doi: 10.1037/1040-3590.9.4.445
  9. ↑ 9.0 9.1 Steinberg, A. M., Brymer, M., Decker, K., & Pynoos, R. S. (2004). The University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index. Current Psychiatry Reports, 6: 96-100. https://doi.org/10.1007/s11920-004-0048-2
  10. ↑ 10.0 10.1 Scheeringa, M.S. (2013). Young Child PTSD Checklist. Tulane University, New Orleans, LA
 
This table numerically illustrates the level of correlation in item content between different screening measures for pediatric PTSD.
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