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Development and initial validation of the Odense Child Trauma Screening: a story stem screening tool for preschool and young schoolchildren Cover

Development and initial validation of the Odense Child Trauma Screening: a story stem screening tool for preschool and young schoolchildren

Open Access
|Jun 2021

Figures & Tables

FIGURE 1.

Flow of participant recruitment
Flow of participant recruitment

Sample characteristics of the children

Risk N = 31; n (%)Community N = 18; n (%)
Gender n (%)
   Male19 (61.3)10 (55.6)
   Female12 (38.7)8 (44.4)
Age (years)
   Min-max4.5-8.94.5-8.7
   M (SD)6.6 (1.3)6.7 (1.2)
Ethnicity
   Caucasian24 (77.4)18 (100.0)
   Arabic3 (9.7)0 (0.0)
   Asian1 (3.2)0 (0.0)
   Mixed3 (9.7)0 (0.0)
Diagnosis beforehand n (%)
   No24 (77.4)15 (100.0)
   Yes5 (16.1)0 (0.0)
Siblings
   Min-max0-60-2
   M (SD)2.0 (1.9)1.2 (.6)
Age mother (years)
   Min-max21-4531-46
   M (SD)32.9 (6.4)38.2 (4.9)
Age father (years)
   Min-max27-5434-48
   M (SD)38.4 (6.3)39.6 (4.3)
Danish Citizenship n (%)
   Mother30 (96.8)15 (100.00)
   Father30 (96.8)15 (100.00)
Mother job status n (%)
   Full-time employed17 (54.8)11 (73.3)
   Stay-at-home mother4 (12.9)2 (13.3)
   Studying / job seeking6 (19.4)2 (13.3)
   On sick-leave4 (12.9)0 (0.0)
Father job status n (%)
Full-time employed16 (51.6)15 (100.0)
   Stay-at-home mother3 (9.7)0 (0.0)
   Studying / job seeking2 (6.5)0 (0.0)
   On sick-leave7 (22.6)0 (0.0)
   In prison1 (3.2)0 (0.0)
   Dead2 (6.5)0 (0.0)
Mother has a diagnosis n (%)11 (35.5)1 (6.7)
Father has a diagnosis13 (41.9)0 (0.0)
Parents relationship status
   Married/partners8 (25.8)14 (93.3)
   Separated/divorced18 (58.1)1 (6.7)
   Never in a relationship4 (12.9)0 (0.0)
   Placed in foster care n (%)5 (16.1)0 (0.0)

Spearman’s rho correlations between OCTS scales and DIPA and SDQ scales (N = 46)

OCTS totalBikeNightmareBurned handStomach acheAnimal
DIPA PTSD total.42** .27.32** .33** .27.36**
  Re-experience.42** .26.29** .36** .28.40**
  Avoidance.28.13.26.16.17.20
  Hyperarousal.39** .26.29** .28.28.32**
DIPA MDD.34** .26.27.25.22.29
DIPA RAD total.31** .19.36** .22.21.28
  Inhibited.24.14.27.12.17.32**
  Dishibited.19.07.27.23.20.11
SDQ total.41** .31** .26.33** .29.41**
SDQ conduct problems.33** .15.31** .32** .27.28
SDQ emotional problems.21.05.13.11.13.34**
SDQ hyperactivity.39** .43** .16.33** .29** .27
SDQ Peer problems.30** .26.19.29.07.33**
SDQ prosocial behavior.09-.05.06-.05.23.07

Reliability of the OCTS (N = 49)

Internal consistency Cronbach’s α [95% CI]ItemsInterrater reliability ICC [95% CI]
Total.95 [.93, .97]135.98 [.96, .99]
Bike.85 [.79, .91]27.96 [.94, .98]
Nightmare.80 [.70, .87]271.00 [1.00, 1.00]
Burned hand.79 [.69, .86]271.00 [1.00, 1.00]
Stomach ache.84 [.77, .90]271.00 [1.00, 1.00]
Animal.79 [.70, .87]271.00 [1.00, 1.00]

Scores on the OCTS, DIPA, and the SDQ

ScaleRisk, N = 31Community N = 18
MdnM(SD)RangeMdnMSDRange
OCTS total4.35.03(2.7)1.80-11.601.92.40(1.9).20-4.60
   Bike34.03(3.6)0-1411.83(1.6)0-5
   Nightmare55.47(3.3)0-1322.56(2.5)0-9
   Burned hand55.30(3.0)0-1322.44(1.8)0-6
   Stomach ache55.31(3.6)0-1322.56(2.1)0-7
   Animal54.93(3.1)1-1222.61(2.1)0-8
DIPA N = 15
   PTSD77.16(5.0)0-1800.00(0.0)0
   Re-experience33.42(2.6)0-800.00(0.0)0
   Avoidance11.48(1.7)0-600.00(0.0)0
   Hyperarousal22.26(1.9)0-600.00(0.0)0
   MDD13.68(4.5)0-1500.00(0.0)0
   RAD11.29(1.1)0-40.13(.5)0-2
SDQ N = 15
   Total difficulties1516.06(6.9)5-3345.13(3.2)1-12
   Conduct problems33.10(1.7)0-70.53(.7)0-2
   Emotional problems65.45(2.8)0-1002.07(1.9)0-6
   Hyperactivity55.00(2.8)1-922.20(2.0)0-8
   Peer problems22.52(2.6)0-90.33(.8)0-3
   Prosocial behavior98.23(1.8)5-1098.07(2.5)2-10

Trauma exposure

Trauma typeRisk n (%)Community n (%)
Physical abuse18 (58.1)0 (0.0)
Witnessed violence16 (51.6)0 (0.0)
Hospitalization or invasive medical procedures14 (45.2)8 (53.3)
Sexual abuse10 (32.3)0 (0.0)
Accidental burning4 (12.9)0 (0.0)
Man-made disasters (fires, wars, etc.)2 (6.5)0 (0.0)
Attacked by animal1 (3.2)1 (6.7)
Near drowning1 (3.2)1 (6.7)
Natural disasters (hurricane, tornado, flood, etc.)1 (3.2)0 (0.0)
Traffic accident0 (0.0)2 (13.3)
Kidnapped0 (0.0)0 (0.00)
Other19 (61.3)4 (26.7)
Language: English
Page range: 113 - 126
Submitted on: Oct 8, 2020
Accepted on: May 22, 2021
Published on: Jun 16, 2021
Published by: Psychiatric Research Unit
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2021 Sille Schandorph Løkkegaard, Mette Elmose, Ask Elklit, published by Psychiatric Research Unit
This work is licensed under the Creative Commons Attribution 4.0 License.