Zur diagnostischen Relevanz von CBCL und YSR bei Diagnose einer PTBS im Jugendalter

Abstract

Background: The present study sought to examine the symptomatology of children and adolescents with a history of trauma experience of using the German versions of Child Behavior Checklist (CBCL) and Youth Self Report (YSR). We pursue the question to what extent symptoms differ among adolescents with and without posttraumatic stress disorder (PTSD). A further objective is comparing self-assessment of the children and adolescents with the rating of their parents or caregivers. Methods: Overall N = 41 patients, aged 11–18 years, and one caregiver of each patient were surveyed. All patients were referred to the forensic ambulance of the University Clinic of Child and Adolescent Psychiatry in consequence of acute burden or violent trauma. Results: Concerning the two global Scales (“Internalizing” and “Externalizing” symptoms), adolescents with PTSD reported significantly more problems than adolescents without PTSD diagnosis. Further, results on Externalizing Scale showed a systematic higher problem estimation of children and adolescents when compared to their parents. Conclusions: The present findings reveal a divergence between child and parent ratings on clinically relevant behavioral problems. Symptoms experienced by the children and youth are often not being recognized by parents. Therefore, it is essential to include the perceptions of the parents at the beginning of diagnostic assessment and counteract possible parental misunderstanding.