Measuring child maltreatment using multi-informant survey data: a higher-order confirmatory factor analysis

Author:

Salum Giovanni A.1,DeSousa Diogo Araújo2,Manfro Gisele Gus3,Pan Pedro Mario4,Gadelha Ary4,Brietzke Elisa4,Miguel Eurípedes Constantino5,Mari Jair J.4,Rosário Maria Conceição do4,Grassi-Oliveira Rodrigo6

Affiliation:

1. Hospital de Clínicas de Porto Alegre, Brazil; Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes, Brazil; Universidade Federal do Rio Grande do Sul, Brazil

2. Hospital de Clínicas de Porto Alegre, Brazil; Universidade Federal do Rio Grande do Sul, Brazil

3. Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes, Brazil; Universidade Federal do Rio Grande do Sul, Brazil

4. Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes, Brazil; Universidade Federal de São Paulo, Brazil

5. Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes, Brazil; Universidade de São Paulo, Brazil

6. Instituto Nacional de Psiquiatria do Desenvolvimento para Crianças e Adolescentes, Brazil; Pontifícia Universidade Católica do Rio Grande do Sul, Brazil

Abstract

Objective To investigate the validity and reliability of a multi-informant approach to measuring child maltreatment (CM) comprising seven questions assessing CM administered to children and their parents in a large community sample. Methods Our sample comprised 2,512 children aged 6 to 12 years and their parents. Child maltreatment (CM) was assessed with three questions answered by the children and four answered by their parents, covering physical abuse, physical neglect, emotional abuse and sexual abuse. Confirmatory factor analysis was used to compare the fit indices of different models. Convergent and divergent validity were tested using parent-report and teacher-report scores on the Strengths and Difficulties Questionnaire. Discriminant validity was investigated using the Development and Well-Being Assessment to divide subjects into five diagnostic groups: typically developing controls (n = 1,880), fear disorders (n = 108), distress disorders (n = 76), attention deficit hyperactivity disorder (n = 143) and oppositional defiant disorder/conduct disorder (n = 56). Results A higher-order model with one higher-order factor (child maltreatment) encompassing two lower-order factors (child report and parent report) exhibited the best fit to the data and this model's reliability results were acceptable. As expected, child maltreatment was positively associated with measures of psychopathology and negatively associated with prosocial measures. All diagnostic category groups had higher levels of overall child maltreatment than typically developing children. Conclusions We found evidence for the validity and reliability of this brief measure of child maltreatment using data from a large survey combining information from parents and their children.

Publisher

FapUNIFESP (SciELO)

Subject

Psychiatry and Mental health,General Medicine

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