Cited by 59Child Abuse and TraumaPosttraumatic Stress Disorder ResearchPsychoanalysis and Psychopathology Research

Toward an Empirically Based Developmental Trauma Disorder Diagnosis for Children: Factor Structure, Item Characteristics, Reliability, and Validity of the Developmental Trauma Disorder Semi-Structured Interview

Ford, Julian D., Spinazzola, Joseph, van der Kolk, Bessel, Grasso, Damion J.·2018·The Journal of Clinical Psychiatry

Abstract

OBJECTIVE: Developmental trauma disorder (DTD) is an integrative syndrome for assessing the biopsychosocial sequelae of early life traumatization and attachment disruption. The psychometrics of a DTD Semi-Structured Interview (DTD-SI) and the validity and structure of the DTD construct were tested. METHODS: The DTD-SI was administered by research clinicians at 5 sites between September 2011 and August 2013 to a convenience sample of 236 children ages 7-17 years (50% female, 47% black or Latino/Hispanic, 91% with trauma histories) and/or a parent, recruited in pediatric or mental health services. Validity data were obtained from structured interviews for traumatic stressor and attachment disruption history (Traumatic Events Screening Instrument), DSM-IV disorders (Kiddie Schedule for Affective Disorders and Schizophrenia, Present/Lifetime Version), and potential alternative DSM-5 disorders; parent ratings on the Child Behavior Checklist; and child self-report on measures of emotion dysregulation and quality of life. RESULTS: Statistical analyses confirmed (a) the DTD-SI's item-level temporal and interrater reliability, informativeness, and absence (with 1 exception) of demographic bias and (b) DTD construct factor structure, unidimensionality, and convergent and discriminant validity. CONCLUSIONS: The DTD-SI yielded reliable, structurally meaningful, and valid item- and criterion-level data for the proposed DTD syndrome. Further clinical and scientific investigation of the clinical utility of DTD as a childhood psychiatric syndrome and diagnosis is warranted.

Integrity signals

Registry

Crossref · 10.4088/jcp.17m11675

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The six core components of complex trauma treatment include strategies for alleviating the symptoms of DTD and Complex PTSD and are utilized in the Differential Treatment Planning Guide to provide therapists with options to offer to youths and families in collaborative treatment planning.

    “These components include strategies for alleviating the symptoms of DTD (Ford et al., 2018) and Complex PTSD (ICD-11) and are utilized in the Differential Treatment Planning Guide to provide therapists with options to offer to youths and families in collaborative treatment planning.”
  • DTD highlights the impact of disrupted attachment relationships and caregiving systems, and the importance of assessing chronicity of trauma over time through a youth's and family's development (past, present, and future).

    “DTD (Ford et al., 2018) highlights the impact of disrupted attachment relationships and caregiving systems, and the importance of assessing chronicity of trauma over time through a youth's and family's development (past, present, and future).”
  • Empirically validated cPTSD interview guides have been developed, including the International Trauma Questionnaire (ITQ) for adults and children, and the Developmental Trauma Disorder Semi-structured Interview (DTD-SI) for children and adolescents.

    “Empirically validated cPTSD interview guides have been developed, including the International Trauma Questionnaire (ITQ) for adults [21] and children [66], and the Developmental Trauma Disorder Semi-structured Interview (DTD-SI) for children and adolescents [46, 174].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [46]

Cited by

Sorted by citations

Authors
Ford, J. D., Spinazzola, J., van der Kolk, B., & Grasso, D. J.
Affiliations
University of Connecticut (US)
Venue
The Journal of Clinical Psychiatry
Published
2018-09-11
Volume
79
Issue
5
ISSN
  • 0160-6689 (ISSN-L)
  • 1555-2101
OpenAlex
W2890790159
Cited by
59
References
0
Citations by year
2026: 3 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 13 · 2021: 15 · 2020: 8 · 2019: 6 · 2018: 1
FWCI
8.81
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Clinical Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
developmental trauma disorder, early trauma, attachment disruption, diagnostic validity, construct validity, factor structure, inter-rater reliability, children, emotional dysregulation, quality of life, DSM-5
MeSH terms
Adolescent, Child, Child Abuse, Female, Humans, Interview, Psychological, Male, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review