J Korean Neuropsychiatr Assoc 2015;54(3): 소아청소년심리적외상의평가 구조화또는반구조화면담도구 Childhood PTSD Interview-Child(CPTSDI-C)/Childhood PTSD Interview-Parent(

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1 SPECIAL ISSUE 재난후소아청소년정신적외상의평가도구들 J Korean Neuropsychiatr Assoc 2015;54(3): Print ISSN Online ISSN 경상대학교의과대학정신건강의학교실, 1 경상대학교병원정신건강의학과, 2 한양대학교의과대학한양대학교구리병원정신건강의학교실, 3 대한정신건강재단재난정신건강위원회, 4 을지대학교의과대학을지병원정신건강의학교실 5 이철순 1,2 서지영 2 김대호 3,4 방수영 4,5 Assessment Tools for Psychological Trauma in Children and Adolescent after a Disaster Cheol-Soon Lee, MD, PhD 1,2, Ji-Yeong Seo, MD 2, Dae-Ho Kim, MD, PhD 3,4, and Soo Young Bhang, MD, MPH, PhD 4,5 1 Department of Psychiatry, School of Medicine, Gyeongsang National University, Jinju, Korea 2 Department of Psychiatry, Gyeongsang National University Hospital, Jinju, Korea 3 Department of Psychiatry, Hanyang University Guri General Hospital, Hanyang University College of Medicine, Guri, Korea 4 Korean Disaster & Trauma Mental Health Committee, Seoul, Korea 5 Department of Psychiatry, Eulji University School of Medicine, Eulji General Hospital, Seoul, Korea Received May 11, 2015 Revised May 13, 2015 Accepted May 14, 2015 Address for correspondence Soo Young Bhang, MD, MPH, PhD Department of Psychiatry, Eulji University School of Medicine, Eulji General Hospital, 68 Hangeulbiseok-ro, Nowon-gu, Seoul 01830, Korea Tel Fax dresme@dreamwiz.com Psychological trauma that can influence development of children and adolescents is common. Evaluation of the trauma is important for treatment and predicting prognosis for children and adolescents. There are many ways to evaluate the effect of psychological trauma, but few articles reviewing assessment tools used in Korea have been reported. Therefore we reviewed various checklists, structure and semi-structure interviews for choosing well and useful usage of these resources in the future. We would suggest usage of the Korean Version of Impact of Event Scale-Revised and Korean Version of the Children s Response to Traumatic Events Scale-Revised as a self-report. Korean Version of Clinician Administered posttraumatic stress disorder scale for Children and Adolescents will also be useful for interview of trauma in Korean children and adolescents. Other various tools that have been used in foreign countries reflecting Korean culture and society will need to be standardized. J Korean Neuropsychiatr Assoc 2015;54(3): KEY WORDSZZ Assessment tools Psychological trauma Children Adolescent. 서론 Copyright 2015 Korean Neuropsychiatric Association 269

2 J Korean Neuropsychiatr Assoc 2015;54(3): 소아청소년심리적외상의평가 구조화또는반구조화면담도구 Childhood PTSD Interview-Child(CPTSDI-C)/Childhood PTSD Interview-Parent(CPTSDI-P) - Children s Impact of Traumatic Events-Revised(CITES-R) 아동용 PTSD 목록 (Children s PTSD Inventory) 임상가용아동및청소년을위한외상후스트레스장애척도 (Korean Version of Clinician Administered PTSD Scale for Children and Adolescents, CAPS-CA) Table 1. Interviews for psychological trauma in children and adolescents after a disaster Domestic/foreign Title Acronym Type Foreign Childhood PTSD Interview Child and Childhood PTSDI Parent 1) CPTSDI-C/CPTSDI-P Structured interviews Foreign Children s PTSD Inventory 3) Structured interviews Foreign Children s Impact of Traumatic Events-Revised 6) CITES-R Structured interviews Domestic Korean Version of Clinician Administered CAPS-CA Semi-structured PTSD Scale for Children and Adolescents 9) interviews CPTSDI-C : Childhood PTSD Interview-Child, CPTSDI-P : Childhood PTSD Interview-Parent, CITES-R : Children s Impact of Traumatic Events- Revised, CAPS-CA : Clinician Administered PTSD Scale for Children and Adolescents, PTSD : Posttraumatic stress disorder 270

3 정신적외상평가및척도 CS Lee, et al. 자기보고식척도 한국판사건충격척도수정판 (Korean Version of Impact of Event Scale-Revised, IES-R-K) - 개정판외상사건에대한아동반응척도 (Korean Version of the Children s Response to Traumatic Events Scale-Revised, K-CRTES-R) - Table 2. Self-reports for psychological trauma in children and adolescents after a disaster Domestic/foreign Title Acronym Type Domestic Korean Version of Impact of Event Scale-Revised 13) IES-R-K Self-report Domestic Korean Version of the Children s Response K-CRTES-R Self-report to Traumatic Events Scale-Revised 17) Domestic The Trauma Symptom Checklist for Child 21) TSCC Self-report Domestic Korean Version of the Posttraumatic Diagnostic Scale 25) PDS-K Self-report Domestic The Child Report of Post-traumatic Symptoms, the Parent Report of Post-traumatic Symptoms 27) CROPS/PROPS Self-report, parent-report Foreign Traumatic Events Screening Inventory 30) TESI-PRR/TESI-SRR Self-report, parent-report Foreign UCLA PTSD Reaction Index for DSM-IV, Child, Adolescent, and Parent 33) Foreign Child Trauma Questionnaire 36) CTQ Self-report Foreign Adolescent Dissociative Experience Scale 38) A-DES Self-report Self-report, parent-report Foreign Child Sexual Behavior Inventory 40) CSBI-I Parent-report Foreign Trauma Symptom Checklist for Young Children 44) TSCYC Parent-report IES-R-K : Korean Version of Impact of Event Scale-Revised, K-CRTES-R : Korean Version of the Children s Response to Traumatic Events Scale-Revised, TSCC : Traumatic Symptom Checklist for Children, PDS-K : Korean Version of the Posttraumatic Diagnostic Scale, CROPS : the Child Report of Post-traumatic Symptoms, PROPS : the Parent Report of Post-traumatic Symptoms, CTQ : Child Trauma Questionnaire, A-DES : Adolescent Dissociative Experience Scale, CSBI-I : Child Sexual Behavior Inventory, TSCYC : Trauma Symptom Checklist for Young Children, PTSD : Posttraumatic stress disorder, DSM-IV : Diagnostic and Statistical Manual of Mental Disorders, 4th edition 271

4 J Korean Neuropsychiatr Assoc 2015;54(3): 아동용외상관련증상평가척도 (Traumatic Symptom Checklist for Children, TSCC) - 한국판외상후스트레스진단척도 (Korean Version of the Posttraumatic Diagnostic Scale, PDS-K) 아동용외상후증상보고 (the Child Report of Posttraumatic Symptoms, CROPS) 와부모용외상후증상보고 (the Parent Report of Post-traumatic Symptoms, PROPS) - Traumatic Events Screening Inventory(TESI-PRR/ TESI-SRR) - UCLA PTSD 반응지표 (UCLA PTSD Reaction Index for DSM-IV) 272

5 정신적외상평가및척도 CS Lee, et al. 아동기외상질문지 (Child Trauma Questionnaire, CTQ) 청소년해리경험척도 (Adolescent Dissociative Experience Scale, A-DES) 보호자보고식척도아동용성행동목록 (Child Sexual Behavior Inventory, CSBI-I) 부모용외상관련증상평가척도 (Trauma Symptom Checklist for Young Children, TSCYC) - 결론 273

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