Russian Version of the International Trauma Questionnaire: Adaptation and Validation in a Non-Clinical Sample

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Abstract

Purpose. The article presents the results of adaptation and validation of the International Trauma Questionnaire (ITQ) on a Russian sample. The questionnaire measures the symptoms of complex post-traumatic stress disorder (CPTSD), which can develop as a result of exposure to prolonged, repetitive traumatic experiences in the interpersonal sphere. Method. The study was carried out on a non-clinical sample, which included 429 participants who were 18 to 68 years old and who experienced at least one traumatic event in their lives. International Trauma Questionnaire (ITQ), LEC-5 (Life events checklist-5), author’s questionnaire “Emotional abuse”, Symptom Checklist (SCL-90-R) were used in the study. Results. The structure of the questionnaire in the Russian-speaking sample confirmed the two-factor model of complex PTSD, which combines the symptoms of PTSD («Re-experiencing», «Avoidance», «Sense of Threat») and disturbances of Self-organization («Affective Dysregulation», «Negative Self-concept», «Disturbances in Relationships»). Internal consistency of the scale was in the acceptable range. Among those who have experienced at least one traumatic event, 20% met criteria for PTSD (11%) or CPTSD (9%). These data show that respondents with CPTSD have more intense psychopathological symptoms than respondents with PTSD; women show more intense symptoms of CPTSD than men.

General Information

Keywords: international trauma questionnaire, complex post-traumatic stress disorder, ICD-11.

Journal rubric: Testing and Validating Instruments

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2022300304

Funding. The reported study was funded by Russian Foundation for Basic Research (RFBR), project number № 19-013-00011.

Acknowledgements. The authors are grateful to Sofya Belova, Marina Dan, Ekaterina Dymova for assistance in translating International Trauma Questionnaire into Russian.

Received: 26.10.2021

Accepted:

For citation: Padun M.A., Bykhovets J.V., Kazymova N.N., Ccentsova-Dutton Y. Russian Version of the International Trauma Questionnaire: Adaptation and Validation in a Non-Clinical Sample. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2022. Vol. 30, no. 3, pp. 42–67. DOI: 10.17759/cpp.2022300304. (In Russ., аbstr. in Engl.)

References

  1. Kazymova N.N., Byhovec YU.V., Dymova E.N. Psihotravmiruyushchie posledstviya perezhivaniya emocional’nogo nasiliya zhenshchinami rannego vzroslogo vozrasta [Psychotraumatic consequences of experiencing emotional abuse by women of early adulthood]. Vestnik Kostromskogo gosudarstvennogo universiteta. Seriya: Pedagogika. Psihologiya. Sociokinetika. 2019. № 4. P.78—83.
  2. Padun M.A. Kompleksnoe PTSR: osobennosti psihoterapii posledstvij prolongirovannoj travmatizacii [Complex PTSD: psychotherapy of prolonged traumatization]. Konsul’tativnaya psihologiya i psihoterapiya = Counceling Psychology and psychotherapy. 2021, no. 3.
  3. Tarabrina N.V., Harlamenkova N.E., Padun M.A., Hazhuev I.S., Kazymova N.N., Byhovec YU.V., Dan M.V. Intensivnyj stress v kontekste psihologicheskoj bezopasnosti [Intensive stress in the context of psychological safety]. M.: Institut psihologii RAN, 2017. 344 p.
  4. Tarabrina N.V. Praktikum po psihologii posttravmaticheskogo stressa [Practicum on psychology of posttraumatic stress]. SPb: Piter, 2001. 272 p.
  5. Breslau N., Davis G.C., Andreski P., Peterson E.L., Schultz L.R. Sex Differences in Posttraumatic Stress Disorder. Arch Gen Psychiatry, 1997, Vol. 54(11), pp. 1044—1048. DOI:10.1001/archpsyc.1997.018302300
  6. Christiansen D.M. & Hansen M. (2015). Accounting for sex differences in PTSD: A multi-variable mediation model. European Journal of Psychotraumatology. 2015. Vol. 6. DOI:10.3402/ejpt.v6.26068
  7. Cloitre M., Brewin C.R., Bisson J.I., Hyland P., Karatzias, T., Lueger-Schuster B., Maercker A., Roberts N.P. & Shevlin M. Evidence for the coherence and integrity of the complex PTSD (CPTSD) diagnosis: response to Achterhof et al., (2019) and Ford (2020) [Elektronnyi resurs]. European Journal of Psychotraumatology. 2020, vol. 11(1). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170304/ (Accessed 11.09.2022)
  8. Cloitre M., Shevlin M., Brewin C.R., Bisson J.I., Roberts N.P., Maercker A., Hyland P. The International Trauma Questionnaire: Development of a self-report measure of ICD-11 PTSD and complex PTSD. Acta Psychiatrica Scandinavica, 2018, vol. 138, pp. 536—546. DOI:10.1111/acps.12956
  9. De Jongh A., Bicanic I., Huntjens R., Kiers H., van der Gaag M. & van Wijk A.J. Response to «The factor structure of complex posttraumatic stress disorder in traumatized refugees»[Elektronnyi resurs]. European Journal of Psychotraumatology, 2017, vol. 8(1). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5399992/ (Accessed 11.09.2022).
  10. Ehring T., Quack D. Emotion regulation difficulties in trauma survivors: the role of trauma type and PTSD symptom severity. Behav Ther, 2010, vol. 41(4), pp. 587—598. DOI: 10.1016/j.beth.2010.04.004
  11. Ford J.D. New findings questioning the construct validity of complex posttraumatic stress disorder (CPTSD): let’s take a closer look [Elektronnyi resurs]. European Journal of Psychotraumatology, 2020, vol. 1. URL: https://pubmed.ncbi.nlm.nih.gov/32082511/ (Accessed 11.09.2022).
  12. Fried E.I., Eidhof M.B., Palic S., Costantini G., Huisman-van Dijk H.M., Bockting C.L.H., Engelhard I., Armour C., Nielsen A.B.S. & Karstoft K.I. Replicability and Generalizability of Posttraumatic Stress Disorder (PTSD) Networks: A Cross-Cultural Multisite Study of PTSD Symptoms in Four Trauma Patient Samples. Clinical Psychological Science, 2018, vol. 6(3), pp. 335—351. DOI:10.1177/2167702617745092
  13. Gilbar O., Hyland P., Cloitre M., Dekel R. ICD-11 complex PTSD among Israeli male perpetrators of intimate partner violence: Construct validity and risk factors. J Anxiety Disord, 2018, Vol. 54, pp. 49—56. DOI:10.1016/j.janxdis.2018.01.004
  14. Gray M.J., Litz B.T., Hsu J.L., Lombardo T.W. Psychometric properties of the life events checklist. Assessment, 2004, vol. 11(4), pp. 330—341. DOI:10.1177/1073191104269954
  15. Grossman F.K., Spinazzola J., Zucker M., Hopper E. Treating Adult Survivors of Childhood Emotional Abuse and Neglect: A New Framework. American Journal of Orthopsychiatry, 2017, vol. 87, no 1, pp. 86—93. DOI:10.1037/ort0000225
  16. Herman J.L. Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 1992, vol. 5, pp 377—391. DOI:10.1002/jts.2490050305
  17. Ho G.W.K., Karatzias T., Cloitre M., Chan A.C.Y., Bressington D., Chien W.T., Hyland P., Shevlin M. Translation and validation of the Chinese ICD-11 International Trauma Questionnaire (ITQ) for the assessment of Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) [Elektronnyi resurs]. European Journal of Psychotraumatology, 2019, vol. 10(1). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522970/ (Accessed 11.09.2022).
  18. Hyland P., Shevlin M., Elklit A., Murphy J., Vallières F., Garvert D.W., Cloitre M. An assessment of the construct validity of the ICD-11 proposals for complex posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice and Policy, 2017, Vol. 9, pp. 1—9. DOI:10.1037/tra0000114
  19. Karatzias T., Shevlin M., Fyvie C., Hyland P., Efthymiadou E., Wilson D., Roberts N., Bisson J.I., Brewin C.R., Cloitre M. Evidence of distinct profiles of Posttraumatic Stress Disorder (PTSD) and Complex Posttraumatic Stress Disorder (CPTSD) based on the new ICD-11 Trauma Questionnaire (ICD-TQ). J Affect Disord, 2017, vol. 207, pp. 181—187. DOI:10.1016/j.jad.2016.09.032
  20. Karatzias T., Shevlin M., Fyvie C., Hyland P., Efthymiadou E., Wilson D., Roberts N., Bisson J.I., Brewin C.R., Cloitre M. An initial psychometric assessment of an ICD-11 based measure of PTSD and complex PTSD (ICD-TQ): Evidence of construct validity. J Anxiety Disord, 2016, vol. 44, pp. 73—79. DOI:10.1016/j.janxdis.2016.10.009
  21. Knefel M., Karatzias T., Ben-Ezra M., Cloitre M., Lueger-Schuster B. & Maercker A. The replicability of ICD-11 complex post-traumatic stress disorder symptom networks in adults. British Journal of Psychiatry, 2019, vol. 214(6), pp. 361—368. DOI:10.1192/bjp.2018.286
  22. Liddell B. J., Nickerson A., Felmingham K. L., Malhi G.S., Cheung J., Den M., Askovic M., Coello M., Aroche J., Bryant R.A. Complex posttraumatic stress disorder symptom profiles in traumatized refugees. Journal of Traumatic Stress, 2019, vol. 32(6), pp. 822—832. DOI:10.1002/jts.22453
  23. Maercker A., Brewin C.R., Bryant R.A., Cloitre M., van Ommeren M., Jones L.M., Humayan A., Kagee A., Llosa A.E., Rousseau C., Somasundaram D.J., Souza R., Suzuki Y., Weissbecker I., Wessely S.C., First M.B., Reed G.M. Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11. World Psychiatry, 2013, vol. 12(3), pp. 198—206. DOI:10.1002/wps.20057
  24. Resick P.A., Bovin M.J., Calloway A.L. et al. A critical evaluation of the complex PTSD literature: implications for DSM-5. Journal of Traumatic Stress, 2012, vol. 25(3), pp. 241—251. DOI: 10.1002/jts.21699
  25. Sele P., Hoffart A., Bækkelund H., Øktedalen T. Psychometric properties of the International Trauma Questionnaire (ITQ) examined in a Norwegian trauma-exposed clinical sample [Elektronnyi resurs]. European Journal of Psychotraumatology, 2020, vol. 11(1). URL: https://pubmed.ncbi.nlm.nih.gov/33029331/ (Accessed 11.09.2022).

Information About the Authors

Maria A. Padun, PhD in Psychology, Senior Research Assistant, Institute of Psychology, Russian Academy of Sciences, Moscow, Russia, ORCID: https://orcid.org/0000-0002-9876-4791, e-mail: maria_padun@inbox.ru

Julia V. Bykhovets, PhD in Psychology, Senior Researcher, Laboratory of Psychology of Development of the Subject in Normal and Post-Traumatic States, Institute of Psychology of the Russian Academy of Sciences (IP RAS), Moscow, Russia, ORCID: https://orcid.org/0000-0002-0163-4334, e-mail: bykhovets@yandex.ru

Nadezhda N. Kazymova, PhD in Psychology, research associate, Institute of Psychology of Russian Academy of Sciences, Moscow, Russia, ORCID: https://orcid.org/0000-0002-3414-8551, e-mail: kazymovann@ipran.ru

Yulia Ccentsova-Dutton, Doctor of Philosophy, professor, Georgetown University, Washington, USA, ORCID: https://orcid.org/0000-0002-2974-0550, e-mail: yuliacd@gmail.com

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