Cited by 95Child Abuse and TraumaPsychometric Methodologies and TestingPsychological Testing and Assessment

An evaluation of the measurement equivalence of the Childhood Trauma Questionnaire—Short Form across gender and race in a sample of drug-abusing adults

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Thombs, Brett D., Lewis, Charles, Bernstein, David P., Medrano, Martha A., Hatch, John P.·2007·Journal of Psychosomatic Research

Abstract

Objective A number of practice guidelines and recommendations call for an assessment of childhood abuse history among adult medical patients. The cultural sensitivity of screening instruments, however, has not been examined. High rates of childhood abuse history have been reported among adults who abuse substances. The objective of this study was to investigate the measurement invariance of the Childhood Trauma Questionnaire--Short Form (CTQ-SF) across groups defined by gender and race in a sample of substance-abusing adults.Methods This study performed a cross-sectional survey of 693 active intravenous drug abusers from San Antonio, TX. Structural equation modeling methods were used to evaluate the measurement invariance of the CTQ-SF between male and female subjects and between Black and Hispanic subjects.Results Evidence was found for the invariance of the five-factor structure of the CTQ-SF across groups and for a partial invariance model at the item level. Consistent with study hypotheses, two items that referred to "abuse," using the actual word, were more likely to be endorsed by women than by men, even after controlling for responses on similar items. In addition, compared to Hispanics, Blacks tended to report having been "punished with hard objects" at higher rates than expected from their responses on other items related to physical abuse.Conclusion The amount of bias from nonmeasurement invariance in the CTQ-SF across groups was minimal at the total scale score level. Clinically, however, individual questions that use broad labeling terms are more likely to identify women as having a history of abuse, and individual questions that blend the constructs of physical discipline and physical abuse may overidentify Black Americans as having a history of abuse.

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Crossref · 10.1016/j.jpsychores.2007.04.010

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Authors
Thombs, B. D., Lewis, C., Bernstein, D. P., Medrano, M. A., & Hatch, J. P.
Affiliations
  • Johns Hopkins University (US)
  • Fordham University (US)
  • Maastricht University (NL)
  • The University of Texas at San Antonio Health Science Center (US)
Corresponding author
Thombs, Brett D.
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2007-10
Volume
63
Issue
4
Pages
391-398
ISSN
0022-3999 (ISSN-L)
OpenAlex
W2128378620
Cited by
95
References
62
Citations by year
2026: 3 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 4 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 6 · 2017: 2 · 2016: 7 · 2015: 3 · 2014: 10 · 2013: 7 · 2012: 5
FWCI
2.90
Type
journal article
Language
en
Open access
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, other-oa)
  • eScholarship@McGill (McGill) (submittedVersion, cc-by-nc-nd)
  • Research Publications (Maastricht University) (submittedVersion)
Funders
  • McGill University
  • National Institutes of Health (5u01da007471-05)
  • Canadian Institutes of Health Research
  • National Institute on Drug Abuse (DA07471)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
  • Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Keywords
Childhood Trauma Questionnaire-Short Form, measurement invariance, childhood abuse, substance abuse, people who inject drugs, gender differences, racial differences, African Americans, Hispanic Americans, physical abuse, physical discipline
MeSH terms
Adolescent, Adult, Child, Ethnicity, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Retrospective Studies, Stress Disorders, Post-Traumatic, Substance-Related Disorders

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