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題名 臺灣版複雜性創傷評估工具的效度研究:複雜性創傷與童年逆境經驗、身心健康的關聯
Validity Study of the Taiwanese Version of the Complex Trauma Inventory: Associations Between Complex Trauma, Adverse Childhood Experiences, and Mental Health
作者 孫頌賢;徐藝溶;黃怡禎;林芮璿;鄭玉蓮;陳心怡;王禾樂
貢獻者 教育與心理研究
關鍵詞 心理衡鑑; 身心健康; 童年逆境經驗; 複雜性創傷; 複雜性創傷後壓力症
psychological assessment; mental health; adverse childhood experiences; complex trauma; complex posttraumatic stress disorder
日期 2025-09
上傳時間 24-Nov-2025 10:32:06 (UTC+8)
摘要 世界衛生組織在2022年修訂的ICD-11公布了複雜性創傷後壓力症(CPTSD)。然而,在心理衡鑑實務中,個案往往較難清處辨識與報告該症狀,需藉助自陳式量表以覺察與報告該症狀。本研究依據Litvin等人(2017)編製的工具,並採取符合受試者文化適應的最佳翻譯原則,翻譯出「臺灣版複雜性創傷評估工具」(T-CTI),並進行信、效度檢驗。研究方法採線上問卷調查,研究對象以自陳在18歲之前曾經驗較嚴重的創傷或重大壓力事件的成年人為主,有效樣本共計437位,平均年齡為28.77歲。施測工具包括:T-CTI、臺灣版童年逆境經驗問卷、臺灣憂鬱症量表,以及華人健康問卷。研究結果發現,除了T-CTI具有良好的翻譯效度,T-CTI總分及各子因素的計分上,Cronbach’s α 皆落在 .804-.961之間,顯示具有良好的信度;在驗證性因素分析上亦獲得良好的適配度,標準化因素負荷量約為 .54-.88之間,且T-CTI與童年逆境經驗、憂鬱傾向、一般身心健康程度,在迴歸分析結果皆達顯著,顯示具有同時效度。本研究亦發現,CPTSD與單純的創傷後壓力症症狀有所不同,且憂鬱傾向與不佳的身心健康狀態可能隱藏CPTSD的危機。T-CTI在諮商臨床的心理衡鑑實務工作上具有重要性,可協助個案與助人工作者更能辨識與覺察複雜性創傷反應的存在。
Research Motivation and Objective: The concept of Adverse Childhood Experiences (ACEs) was noticed by the field of health psychology. Felitti et al. (1998) found that ACEs are potentially long-lasting, repetitive, and contextual traumatic events experienced during childhood. These events have a long-term impact on an individual’s physical and mental health in adulthood. Frewen et al. (2019) perceived that the traumatic reactions resulting from ACEs manifest as symptoms of complex trauma (CT). The World Health Organization revised the ICD-11 in 2022, introducing Complex Posttraumatic Stress Disorder (CPTSD). In psychological assessments, individuals with complex trauma often struggle to recognize symptoms, requiring self-report measures to assist in awareness and reporting. Therefore, it is more suitable to use self-report assessment tools. By having clients fill out these questionnaires, helpers can then proactively inquire about the symptoms and psychological phenomena indicated by the results. This helps clients more clearly report what has happened to them. This study, based on the tool developed by Litvin et al. (2017), employed the “Translation and Cultural Adaptation of Patient Reported Outcomes Measures—Principles of Good Practice” to translate the “Taiwanese version of the Complex Trauma Inventory (T-CTI)” suitable for clinical application in Taiwan and examined its reliability and validity.
關聯 教育與心理研究, 48(3), 1-41
資料類型 article
DOI https://doi.org/10.53106/102498852025094803001
dc.contributor 教育與心理研究
dc.creator (作者) 孫頌賢;徐藝溶;黃怡禎;林芮璿;鄭玉蓮;陳心怡;王禾樂
dc.date (日期) 2025-09
dc.date.accessioned 24-Nov-2025 10:32:06 (UTC+8)-
dc.date.available 24-Nov-2025 10:32:06 (UTC+8)-
dc.date.issued (上傳時間) 24-Nov-2025 10:32:06 (UTC+8)-
dc.identifier.uri (URI) https://ah.lib.nccu.edu.tw/item?item_id=179928-
dc.description.abstract (摘要) 世界衛生組織在2022年修訂的ICD-11公布了複雜性創傷後壓力症(CPTSD)。然而,在心理衡鑑實務中,個案往往較難清處辨識與報告該症狀,需藉助自陳式量表以覺察與報告該症狀。本研究依據Litvin等人(2017)編製的工具,並採取符合受試者文化適應的最佳翻譯原則,翻譯出「臺灣版複雜性創傷評估工具」(T-CTI),並進行信、效度檢驗。研究方法採線上問卷調查,研究對象以自陳在18歲之前曾經驗較嚴重的創傷或重大壓力事件的成年人為主,有效樣本共計437位,平均年齡為28.77歲。施測工具包括:T-CTI、臺灣版童年逆境經驗問卷、臺灣憂鬱症量表,以及華人健康問卷。研究結果發現,除了T-CTI具有良好的翻譯效度,T-CTI總分及各子因素的計分上,Cronbach’s α 皆落在 .804-.961之間,顯示具有良好的信度;在驗證性因素分析上亦獲得良好的適配度,標準化因素負荷量約為 .54-.88之間,且T-CTI與童年逆境經驗、憂鬱傾向、一般身心健康程度,在迴歸分析結果皆達顯著,顯示具有同時效度。本研究亦發現,CPTSD與單純的創傷後壓力症症狀有所不同,且憂鬱傾向與不佳的身心健康狀態可能隱藏CPTSD的危機。T-CTI在諮商臨床的心理衡鑑實務工作上具有重要性,可協助個案與助人工作者更能辨識與覺察複雜性創傷反應的存在。
dc.description.abstract (摘要) Research Motivation and Objective: The concept of Adverse Childhood Experiences (ACEs) was noticed by the field of health psychology. Felitti et al. (1998) found that ACEs are potentially long-lasting, repetitive, and contextual traumatic events experienced during childhood. These events have a long-term impact on an individual’s physical and mental health in adulthood. Frewen et al. (2019) perceived that the traumatic reactions resulting from ACEs manifest as symptoms of complex trauma (CT). The World Health Organization revised the ICD-11 in 2022, introducing Complex Posttraumatic Stress Disorder (CPTSD). In psychological assessments, individuals with complex trauma often struggle to recognize symptoms, requiring self-report measures to assist in awareness and reporting. Therefore, it is more suitable to use self-report assessment tools. By having clients fill out these questionnaires, helpers can then proactively inquire about the symptoms and psychological phenomena indicated by the results. This helps clients more clearly report what has happened to them. This study, based on the tool developed by Litvin et al. (2017), employed the “Translation and Cultural Adaptation of Patient Reported Outcomes Measures—Principles of Good Practice” to translate the “Taiwanese version of the Complex Trauma Inventory (T-CTI)” suitable for clinical application in Taiwan and examined its reliability and validity.
dc.format.extent 59612904 bytes-
dc.format.mimetype application/pdf-
dc.relation (關聯) 教育與心理研究, 48(3), 1-41
dc.subject (關鍵詞) 心理衡鑑; 身心健康; 童年逆境經驗; 複雜性創傷; 複雜性創傷後壓力症
dc.subject (關鍵詞) psychological assessment; mental health; adverse childhood experiences; complex trauma; complex posttraumatic stress disorder
dc.title (題名) 臺灣版複雜性創傷評估工具的效度研究:複雜性創傷與童年逆境經驗、身心健康的關聯
dc.title (題名) Validity Study of the Taiwanese Version of the Complex Trauma Inventory: Associations Between Complex Trauma, Adverse Childhood Experiences, and Mental Health
dc.type (資料類型) article
dc.identifier.doi (DOI) 10.53106/102498852025094803001
dc.doi.uri (DOI) https://doi.org/10.53106/102498852025094803001