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Journal of Pediatric Psychology Advance Access published online on March 3, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj006
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received January 24, 2004
Revised December 6, 2004
Accepted January 24, 2005

Article

Screening for Preschool Posttraumatic Stress Disorder with the Child Behavior Checklist

Christopher Dehon PhD1* and Michael S. Scheeringa MD, MPH2

1 University of New Orleans and
2 Tulane University

* To whom correspondence should be addressed.
Christopher Dehon, E-mail: cdehon{at}lsuhsc.edu.


  Abstract

Objective To examine the psychometric properties and utility of a Child Behavior Checklist-Posttraumatic Stress Disorder (CBCL-PTSD) Scale to screen for posttraumatic stress disorder (PTSD) in traumatized preschool children. Method Data for this study were drawn from a study of young child trauma and consisted of 62 traumatized children, 23 months through 6 years of age. The children’s mothers were interviewed about PTSD symptoms and then completed the Child Behavior Checklist (CBCL). Results The modified CBCL-PTSD correlated highly with the number of PTSD symptoms from the interview (r = 0.66). The CBCL-PTSD scale predicted PTSD symptoms above and beyond the internalizing and externalizing scales of the CBCL. A cutoff score of nine on this scale possessed the best sensitivity and specificity in classifying those traumatized children who met diagnostic criteria for PTSD. Conclusion The modified CBCL-PTSD scale could be a useful cost-effective tool to screen for PTSD in traumatized, preschool-age children.

Keywords: Child Behavior Checklist; posttraumatic stress disorder; preschool.
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