title: [The childhood trauma screener (CTS) - development and validation of cut-off-scores for classificatory diagnostics].
abstract: OBJECTIVE
  Childhood abuse and neglect are associated with worse physical and mental health outcomes. There is some evidence, that the CTS is a brief and valid screening tool. To support the application of the CTS for categorical diagnostics cut-offs will be identified and validated.
  
  
  METHODS
  Based on two large-scale population studies suitable cut-off-scores for the different dimensions of childhood abuse and neglect were identified due to comparable case identification rates in the CTS compared with the Childhood Trauma Questionnaire. The cut-off-scores were validated with respect to depression as an external criterion.
  
  
  RESULTS
  Suitable cut-off-scores were identified for all subscales in both samples. The cases and non-cases according to the cut-off-scores differed significantly regarding the severity of depressive symptoms and the prevalence of depression. Good to very good sensitivity and specificity of the CTS-items and the related subscales of the CTQ are shown, except for the dimension "physical neglect".
  
  
  CONCLUSIONS
  With the help of the cut-off-scores it is possible to use the CTS for categorical diagnostics, especially in large-scale studies with two-step diagnostic approaches.
authors.affiliation: Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Leipzig. Heide.Glaesmer@medizin.unileipzig.de
authors.forename: Heide
authors.initials: H
authors.lastname: Glaesmer
authors.forename: Andrea
authors.initials: A
authors.lastname: Schulz
authors.forename: Winfried
authors.initials: W
authors.lastname: Häuser
authors.forename: Harald J
authors.initials: HJ
authors.lastname: Freyberger
authors.forename: Elmar
authors.initials: E
authors.lastname: Brähler
authors.forename: Hans-Jörgen
authors.initials: HJ
authors.lastname: Grabe
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002649:Child Abuse / Q000175:diagnosis* / Q000523:psychology / Q000706:statistics & numerical data*; D002650:Child Abuse, Sexual / Q000175:diagnosis* / Q000523:psychology / Q000706:statistics & numerical data*; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D059647:Gene-Environment Interaction; D006306:Health Surveys; D006801:Humans; D008016:Life Change Events; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D012016:Reference Values; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult