[The diagnostic relevance of CBCL and YSR in diagnosing PTSD in adolescence].
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.
Universitätsklinik für Kinder- und Jugendpsychiatrie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. sabine.voelkl-kernstock@meduniwien.ac.at.
Sabine
S
Völkl-Kernstock
Universitätsklinik für Kinder- und Jugendpsychiatrie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
Katrin
K
Skala
Universitätsklinik für Kinder- und Jugendpsychiatrie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
Sophie
S
Klomfar
Universitätsklinik für Kinder- und Jugendpsychiatrie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.|Abteilung Klinische Psychologie der Ärztlichen Direktion, Medizinischer Universitätscampus, Allgemeines Krankenhaus der Stadt Wien, Wien, Österreich.
Oswald D
OD
Kothgassner
D000293:Adolescent; D001317:Austria; D057189:Checklist; D002648:Child; D003431:Cross-Cultural Comparison; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D010290:Parents / Q000523:psychology; D010552:Personality Assessment / Q000706:statistics & numerical data; D011594:Psychometrics / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D057566:Self Report; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology*; D011795:Surveys and Questionnaires
Adolescents; CBCL; Post-Traumatic Stress Disorders; Trauma; YSR