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Originalarbeit

Childhood Experiences of Care and Abuse (CECA)

Validierung der deutschen Version von Fragebogen und korrespondierendem Interview sowie Ergebnisse einer Untersuchung von Zusammenhängen belastender Kindheitserlebnisse mit suizidalen Verhaltensweisen

Published Online:June 10, 2011https://doi.org/10.1024/1422-4917/a000115

Abstract

Fragestellung: Validierung der deutschen Übersetzung eines Fragebogens und des korrespondierenden Interviews zur Erhebung belastender Kindheitserlebnisse im familiären Rahmen sowie Untersuchung eines Zusammenhangs dieser Erfahrungen mit suizidalen Verhaltensweisen. Methodik: Der Fragebogen wurde anhand einer konsekutiv rekrutierten klinischen Stichprobe von 125 stationären, psychiatrischen Patienten (13–25 Jahre) am Universitätsklinikum Heidelberg getestet. Zusätzlich wurden Testwiederholungen und das korrespondierende Interview durchgeführt. Suizidale Verhaltensweisen wurden mit der Paykel Suizid Skala erhoben. Ergebnisse: Der Fragebogen zeigte eine sehr gute interne Konsistenz und Retest-Reliabilität. Die Interrater-Reliabilität des Interviews war gut. Auch zeigte sich eine signifikante Korrelation der Ergebnisse von Fragebogen und Interview. Suizidale Verhaltensweisen waren signifikant mit allen negativen Kindheitserlebnissen assoziiert, jedoch waren mütterliche Vernachlässigung und Antipathie die besten Prädiktoren für suizidales Verhalten. Schlussfolgerungen: Fragebogen und Interview stellen reliable und valide Instrumente zur Erhebung von belastenden Kindheitserlebnissen dar. Sie erheben ein breites Spektrum an negativen Kindheitserlebnissen inklusive negativer Bindungserfahrungen. Der Zusammenhang dieser negativen Kindheitserlebnisse mit suizidalen Verhaltensweisen zeigt deutlich die Notwendigkeit der Erhebung solcher Erlebnisse in Forschung und Therapie.


Childhood Experiences of Care and Abuse (CECA) – Validation of the German version of the questionnaire and interview, and results of an investigation of correlations between adverse childhood experiences and suicidal behaviour

Objectives: Validation of the German translation of a questionnaire and the corresponding interview for the assessment of adverse childhood experiences within the family environment and investigation of an association of these experiences with suicidal behaviour. Method: The questionnaire was tested in a consecutively recruited sample of 125 psychiatric inpatients (aged 13 to 25 years) at the University Hospital Heidelberg. Retests and corresponding interviews were also performed. Suicidal behaviour was measured by the Paykel Suicide Scale. Results: The questionnaire and interview showed very good internal consistency and retest reliability; the interrater reliability of the interview was good, and there was a significant correlation between the questionnaire and the interview. Suicidal behaviour was significantly associated to all adverse childhood experiences, but maternal neglect and antipathy proved to be the best predictors of suicidal behaviour. Conclusions: The CECA instruments are reliable and valid instruments for the assessment of adverse childhood experiences. They assess a broad spectrum of adverse childhood experiences including negative bonding experiences. The association of these experiences to higher levels of suicidal behaviour shows the importance of assessing such experiences in research and therapy.

Literatur

  • Battle, C. L. , Shea, M. T. , Johnson, D. M. , Yen, S. , Zlotnick, C. , Zanarini, M. C. , ... Morey, L. C. (2004). Childhood maltreatment associated with adult personality disorders: Findings from the Collaborative Longitudinal Personality Disorders Study. Journal of Personality Disorders, 18, 193–211. First citation in articleCrossref, Google Scholar

  • Bernstein, D. P. , Ahluvalia, T. , Pogge, D. , Handelsman, L. (1997). Validity of the Childhood Trauma Questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 340–348. First citation in articleCrossref Medline, Google Scholar

  • Bifulco, A. , Bernazzani, O. , Moran, P. M. , Jacobs, C. (2005). The childhood experience of care and abuse questionnaire (CECA.Q): Validation in a community series. British Journal of Clinical Psychology, 44, 563–581. First citation in articleCrossref Medline, Google Scholar

  • Bifulco, A. , Brown, G. W. , Harris, T. O. (1994). Childhood Experience of Care and Abuse (CECA): A retrospective interview measure. Journal of Child Psychology and Psychiatry and Allied Disciplines, 35, 1419–1435. First citation in articleCrossref Medline, Google Scholar

  • Bifulco, A. , Brown, G. W. , Lillie, A. , Jarvis, J. (1997). Memories of childhood neglect and abuse: Corroboration in a series of sisters. Journal of Child Psychology and Psychiatry and Allied Disciplines, 38, 365–374. First citation in articleCrossref Medline, Google Scholar

  • Bifulco, A. , Brown, G. W. , Moran, P. , Ball, C. , Campbell, C. (1998). Predicting depression in women: The role of past and present vulnerability. Psychological Medicine, 28, 39–50. First citation in articleCrossref Medline, Google Scholar

  • Bifulco, A. , Moran, P. M. , Baines, R. , Bunn, A. , Stanford, K. (2002). Exploring psychological abuse in childhood: II. Association with other abuse and adult clinical depression. Bulletin of the Menninger Clinic, 66, 241–258. First citation in articleCrossref Medline, Google Scholar

  • Brodsky, B. S. , Stanley, B. (2008). Adverse childhood experiences and suicidal behavior. Psychiatric Clinics of North America, 31, 223–235. First citation in articleCrossref Medline, Google Scholar

  • Cummings, E. M. , Davies, P. T. (2002). Effects of marital conflict on children: Recent advances and emerging themes in process-oriented research. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 31–63. First citation in articleCrossref Medline, Google Scholar

  • Dube, S. R. , Anda, R. F. , Felitti, V. J. , Chapman, D. P. , Williamson, D. F. , Giles, W. H. (2001). Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: Findings from the Adverse Childhood Experiences Study. Journal of the American Medical Association, 286, 3089–3096. First citation in articleCrossref Medline, Google Scholar

  • Dube, S. R. , Felitti, V. J. , Dong, M. , Chapman, D. P. , Giles, W. H. , Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, 111, 564–572. First citation in articleCrossref Medline, Google Scholar

  • Egle, U. T. , Hardt, J. , Nickel, R. , Kappis, B. , Hoffmann, S. O. (2002). Früher Stress und Langzeitfolgen für die Gesundheit – Wissenschaftlicher Erkenntnisstand und Forschungsdesiderate 1/2. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 48, 411–434. First citation in articleMedline, Google Scholar

  • Enns, M. W. , Cox, B. J. , Afifi, T. O. , de Graaf, R. , ten Have, M. , Sareen, J. (2006). Childhood adversities and risk for suicidal ideation and attempts: A longitudinal population-based study. Psychological Medicine, 32, 1769–1778. First citation in articleCrossref, Google Scholar

  • Hardt, J. , Egle, U. T. , Engfer, A. (2003). Der Kindheitsfragebogen, ein Instrument zur Beschreibung der erlebten Kindheitsbeziehung zu den Eltern. Zeitschrift für Differentielle und Diagnostische Psychologie, 24, 33–43. First citation in articleLink, Google Scholar

  • Hardt, J. , Sidor, A. , Bracko, M. , Egle, U. T. (2006). Reliability of retrospective assessments of childhood experiences in Germany. Journal of Nervous and Mental Disease, 194, 676–83. First citation in articleCrossref Medline, Google Scholar

  • Harris, T. O. , Brown, G. W. , Bifulco, A. T. (1990). Depression and situational helplessness/mastery in a sample selected to study childhood parental loss. Journal of Affective Disorders, 20, 27–41. First citation in articleCrossref Medline, Google Scholar

  • Heim, C. , Nemeroff, C. B. (2001). The role of childhood trauma in the neurobiology of mood and anxiety disorders: Preclinical and clinical studies. Biological Psychiatry, 49, 1023–1039. First citation in articleCrossref Medline, Google Scholar

  • Heim, C. , Newport, D. J. , Mletzko, T. , Miller, A. H. , Nemeroff, C. B. (2008). The link between childhood trauma and depression: Insights from HPA axis studies in humans. Psychoneuroendocrinology, 33, 693–710. First citation in articleCrossref Medline, Google Scholar

  • Hinckers, A. , Laucht, M. , Heinz, A. , Schmidt, M. H. (2005). Alkoholkonsum in der Adoleszenz – soziale und individuelle Einflussfaktoren. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 33, 273–282. First citation in articleLink, Google Scholar

  • Johnson, J. G. , Cohen, P. , Kasen, S. , Smailes, E. , Brook, J. S. (2002). Negativer Erziehungsstil und der Zusammenhang von psychiatrischen Störungen bei Eltern und ihren Nachkommen. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 48, 396–410. First citation in articleMedline, Google Scholar

  • Kessler, R. C. , Magee, W. J. (1993). Childhood adversities and adult depression: Basic patterns of association in a US national survey. Psychological Medicine, 23, 679–690. First citation in articleCrossref Medline, Google Scholar

  • Maughan, B. , McCarthy, G. (1997). Childhood adversities and psychosocial disorders. British Medical Bulletin, 53, 156–169. First citation in articleCrossref Medline, Google Scholar

  • Mollica, R. F. , Caspi-Yavin, Y. , Bollini, P. , Truong, T. , Tor, S. , Lavelle, J. (1992). The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. Journal of Nervous and Mental Disease, 180, 111–116. First citation in articleCrossref Medline, Google Scholar

  • Molnar, B. E. , Berkman, L. F. , Buka, S. L. (2001). Psychopathology, childhood sexual abuse and other childhood adversities: Relative links to subsequent suicidal behaviour in the US. Psychological Medicine, 31, 965–977. First citation in articleCrossref Medline, Google Scholar

  • Nickel, R. , Egle, U. T. (2001). Konfliktbewältigung als pathogenetisches Bindeglied zwischen psychosozialen Belastungen in der Kindheit und psychischen Erkrankungen im Erwachsenenalter. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 47, 332–347. First citation in articleMedline, Google Scholar

  • Parker, G. (1979). Parental characteristics in relation to depressive disorders. British Journal of Psychiatry, 134, 138–147. First citation in articleCrossref Medline, Google Scholar

  • Parker, G. (1989). The Parental Bonding Instrument: Psychometric properties reviewed. Psychiatric Developments, 7, 317–335. First citation in articleMedline, Google Scholar

  • Paykel, E. S. , Myers, J. K. , Lindenthal, J. J. , Tanner, J. (1974). Suicidal feelings in the general population: A prevalence study. British Journal of Psychiatry, 124, 460–469. First citation in articleCrossref Medline, Google Scholar

  • Preiss, M. , Remschmidt, H. (2007). Depressive Störungen im Kindes- und Jugendalter – eine Übersicht. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 35, 385–396. First citation in articleAbstract, Google Scholar

  • Rutter, M. , Maughan, B. (1997). Psychosocial adversities in childhood and adult psychopathology. Journal of Personality Disorders, 11, 4–18. First citation in articleCrossref, Google Scholar

  • Schwarz, G. (1978). Estimating the dimension of a model. The Annals of Statistics, 6, 461–464. First citation in articleCrossref, Google Scholar

  • Ystgaard, M. , Hestetun, I. , Loeb, M. , Mehlum, L. (2004). Is there a specific relationship between childhood sexual and physical abuse and repeated suicidal behavior? Child Abuse and Neglect, 28, 863–875. First citation in articleCrossref Medline, Google Scholar

  • Zanarini, M. C. (2000). Childhood experiences associated with the development of borderline personality disorder. Psychiatric Clinics of North America, 23, 89–101. First citation in articleCrossref Medline, Google Scholar