Development and Validation of the Childhood Interpersonal Trauma Questionnaire From Family,Teachers,and Peers (CITQ-FTP)

Abstract

Childhood is a critical period during which interpersonal relationships significantly influence psychological development. However, existing measures of childhood trauma often overlook the cumulative and interactive effects of adversities stemming from key socializing agents such as families, peers, and teachers. Our study aimed to fill this gap by developing and validating a new measure, the Childhood Interpersonal Trauma Questionnaire from Family, Teachers, and Peers (CITQ-FTP). In preliminary study, the initial pool of 92 items was used through the analysis of open-ended survey results and existing measures. In Study 1, structural analyses supported the proposed 5-factor solution and three items with the highest loadings on each factor, without salient, were retained. In Study 2, structural analyses supported the proposed 6-factor solution, and items with poor loadings or cross-loadings were subsequently revised or removed. After these modifications, the refined instrument consisted of 79 items. In Study 2, participants (N = 1,159) completed a battery of self-report measures, including the retained 79 CITQ-FTP items. Exploratory Factor Analysis resulted in the removal of items with factor loadings below 0.4 and those without salient cross-loadings, culminating in a final scale of 64 items. Subsequent Confirmatory Factor Analysis and assessments of reliability and validity collectively supported the construct validity of this refined scale. This comprehensive measure offers significant implications for both understanding the impacts of childhood interpersonal trauma and enhancing therapeutic interventions.

Keywords

interpersonal trauma family teachers peers factor structure

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References

Adler

N. E.

Epel

E. S.

Castellazzo

Ickovics

J. R.

(2000). Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy, White women. Health Psychology, 19(6), 586–592.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.) (DSM-5). American Psychiatric Press.

Arnett

J. J.

(2015). Emerging adulthood: The winding road from the late teens through the twenties (2nd ed.). Oxford University Press.

Bentler

P. M.

(1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. https://doi.org/10.1037/0033-2909.107.2.238

Bernstein

D. P.

Fink

Handelsman

Foote

Lovejoy

Wenzel

Sapareto

Ruggiero

(1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 151(8), 1132–1136. https://doi.org/10.1176/ajp.151.8.1132

Bernstein

D. P.

Stein

J. A.

Newcomb

M. D.

Walker

Pogge

Ahluvalia

Stokes

Handelsman

Medrano

Desmond

Zule

(2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27(2), 169–190. https://doi.org/10.1016/S0145-2134(02)00541-0

Bifulco

Brown

G. W.

Harris

T. O.

(1994). Childhood experience of care and abuse (CECA): A retrospective interview measure. Journal of Child Psychology and Psychiatry, 35(8), 1419–1435. https://doi.org/10.1111/j.1469-7610.1994.tb01284.x

Bland

J. M.

Altman

D. G.

(1997). Cronbach’s alpha. British Medical Journal, 314, 572. https://doi.org/10.1136/bmj.314.7080.572

Bronfenbrenner

Morris

P. A.

(2007). The bioecological model of human development. In Damon

Lerner

R. M.

Lerner

R. M.

(Eds.), Handbook of child psychology (Vol. 1, pp. 793–828). John Wiley & Sons. https://doi.org/10.1002/9780470147658.chpsy0114

10.

Browne

M. W.

Cudeck

(1993). Alternative ways of assessing model fit. Sage Rocus Editions, 154, 136–136.

11.

Cicchetti

Banny

(2014). A developmental psychopathology perspective on child maltreatment. In Lewis

Rudolph

(Eds.), Handbook of developmental psychopathology (pp. 723–741). Springer.

12.

Cloitre

Hyland

Bisson

J. I.

Brewin

C. R.

Roberts

N. P.

Karatzias

Shevlin

(2019). ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder in the United States: A population-based study. Journal of Traumatic Stress, 32(6), 833–842. https://doi.org/10.1002/jts.22454

13.

Conway

C. C.

Forbes

M. K.

Forbush

K. T.

Fried

E. I.

Hallquist

M. N.

Kotov

Mullins-Sweatt

S. N.

Shackman

A. J.

Skodol

A. E.

South

S. C.

Sunderland

Waszczuk

M. A.

Zald

D. H.

Afzali

M. H.

Bornovalova

M. A.

Carragher

Docherty

A. R.

Jonas

K. G.

Krueger

R. F.

Eaton

N. R.

(2019). A hierarchical taxonomy of psychopathology can transform mental health research. Perspectives on Psychological Science, 14(3), 419–436.

14.

Delker

B. C.

Freyd

J. J.

(2014). From betrayal to the bottle: Investigating possible pathways from trauma to problematic substance use. Journal of Traumatic Stress, 27(5), 576–584. https://doi.org/10.1002/jts.21959

15.

Doumen

Verschueren

Buyse

Germeijs

Luyckx

Soenens

(2008). Reciprocal relations between teacher-child conflict and aggressive behavior in kindergarten: A three-wave longitudinal study. Journal of Clinical Child and Adolescent Psychology, 37(3), 588–599. https://doi.org/10.1080/15374410802148079

16.

Drusko

Renz

Schmidt

Rosin

Simon

Beiner

Charalambides

Meyer-Lindenberg

Treede

R. D.

Tost

Tesarz

(2024). Measuring interpersonal trauma: Development and validation of the German version of the Victimization Experience Schedule (VES). Journal of Psychosomatic Research, 179, Article 111626. https://doi.org/10.1016/j.jpsychores.2024.111626

17.

Dube

S. R.

Felitti

V. J.

Dong

Chapman

D. P.

Giles

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. https://doi.org/10.1542/peds.111.3.564

18.

Dworkin

E. R.

Menon

S. V.

Bystrynski

Allen

N. E.

(2017). Sexual assault victimization and psychopathology: A review and meta-analysis. Clinical Psychology Review, 56, 65–81.

19.

Eisenberg

Cumberland

Spinrad

T. L.

(1998). Parental socialization of emotion. Psychological Inquiry, 9(4), 241–273. https://doi.org/10.1207/s15327965pli0904_1

20.

Elbedour

Assor

Center

B. A.

Maruyama

G. M.

(1997). Physical and psychological maltreatment in schools: The abusive behaviors of teachers in Bedouin schools in Israel. School Psychology International, 18(3), 201–215. https://doi.org/10.1177/0143034397183003

21.

Eyuboglu

Pala

S. C.

Oktar

Demirtas

Arslantas

Unsal

(2021). Traditional school bullying and cyberbullying: Prevalence, the effect on mental health problems and self-harm behavior. Psychiatry Research, 297, Article 113730. https://doi.org/10.1016/j.psychres.2021.113730

22.

Felitti

V. J.

Anda

R. F.

Nordenberg

Williamson

D. F.

Spitz

A. M.

Edwards

Koss

M. P.

Marks

J. S.

(1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8

23.

Finkelhor

Ormrod

R. K.

Turner

H. A.

(2007). Poly-victimization: A neglected component in child victimization. Child Abuse & Neglect, 31(1), 7–26. https://doi.org/10.1016/j.chiabu.2006.06.008

24.

Fromuth

M. E.

Davis

T. L.

Kelly

D. B.

Wakefield

(2015). Descriptive features of student psychological maltreatment by teachers. Journal of Child & Adolescent Trauma, 8(2), 127–135. https://doi.org/10.1007/s40653-015-0051-3

25.

Huebner

E. S.

Tian

(2022). Profiles of family maltreatment and peer victimization: Associations with psychosocial adjustment in Chinese children. Child Abuse & Neglect, 133, Article 105851. https://doi.org/10.1016/j.chiabu.2022.105851

26.

Gershoff

E. T.

(2017). School corporal punishment in global perspective: Prevalence, outcomes, and efforts at intervention. Psychology, Health & Medicine, 22(sup1), 224–239. https://doi.org/10.1080/13548506.2016.1271955

27.

Heekes

S.-L.

Kruger

C. B.

Lester

S. N.

Ward

C. L.

(2020). A systematic review of corporal punishment in schools: Global prevalence and correlates. Trauma, Violence & Abuse, 23(1), 152483802092578. https://doi.org/10.1177/1524838020925787

28.

Jiang

Chi

Sun

(2022). Relationship between adverse childhood experiences and mental health in Chinese adolescents: Differences among girls and boys. Children, 9(5), 689. https://doi.org/10.3390/children9050689

29.

Kessler

R. C.

Aguilar-Gaxiola

Alonso

Benjet

Bromet

E. J.

Cardoso

Degenhardt

de Girolamo

Dinolova

R. V.

Ferry

Florescu

Gureje

Haro

J. M.

Huang

Karam

E. G.

Kawakami

Lee

Lepine

J.-P.

Levinson

. . . Koenen

K. C.

(2017). Trauma and PTSD in the WHO world mental health surveys. European Journal of Psychotraumatology, 8(sup5), 1353383. https://doi.org/10.1080/20008198.2017.1353383

30.

Kroenke

Spitzer

R. L.

Williams

J. B. W.

(2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x

31.

Lai

C.-L. J.

Fan

Man

H. Y.

Huang

(2023). Childhood adversity and depression in Chinese populations: A multilevel meta-analysis of studies using the Childhood Trauma Questionnaire (CTQ). Asian Journal of Psychiatry, 84, Article 103582. https://doi.org/10.1016/j.ajp.2023.103582

32.

Legendre

Milot

Rousseau

Lemieux

Garon-Bissonnette

Berthelot

(2024). Beyond abuse and neglect: Validation of the Childhood Interpersonal Trauma Inventory in a community sample of adults. Frontiers in Psychiatry, 15, Article 1358475. https://doi.org/10.3389/fpsyt.2024.1358475

33.

Leung

Pe-Pua

Karnilowicz

(2006). Psychological adaptation and autonomy among adolescents in Australia: A comparison of Anglo-Celtic and three Asian groups. International Journal of Intercultural Relations, 30(1), 99–118. https://doi.org/10.1016/j.ijintrel.2005.09.002

34.

Liu

(2025). Patterns of adversity from family, peers, and teachers in Chinese adolescents: Predicting complex posttraumatic stress disorder symptoms through positive reappraisal and rumination. Research on Child and Adolescent Psychopathology, 53(7), 1033–1046. https://doi.org/10.1007/s10802-025-01294-1

35.

Liu

Ahemaitijiang

Liu

Chen

Han

Z. R.

(2024). Patterns of childhood maltreatment influence sleep quality: The role of emotion regulation. Development and Psychopathology, 36(3), 1–11. https://doi.org/10.1017/S0954579423000597

36.

Masten

A. S.

Cicchetti

(2010). Developmental cascades. Development and Psychopathology, 22(3), 491–495. https://doi.org/10.1017/S0954579410000222

37.

Mersky

J. P.

Topitzes

Reynolds

A. J.

(2013). Impacts of adverse childhood experiences on health, mental health, and substance use in early adulthood: A cohort study of an urban, minority sample in the U.S. Child Abuse & Neglect, 37(11), 917–925. https://doi.org/10.1016/j.chiabu.2013.07.011

38.

Meyers

L. S.

Gamst

Guarino

A. J.

(2006). Applied multivariate research: Design and interpretation. SAGE Publications.

39.

Mynard

Joseph

(2000). Development of the multidimensional peer-victimization scale. Aggressive Behavior, 26(3), 169–178.

40.

Nearchou

(2018). Resilience following emotional abuse by teachers: Insights from a cross-sectional study with Greek students. Child Abuse & Neglect, 78, 96–106. https://doi.org/10.1016/j.chiabu.2017.10.012

41.

Peng

Cheng

Rong

Wang

Tan

(2023). Specific effects of five subtypes of childhood maltreatment on suicide behaviours in Chinese adolescents: The moderating effect of sex and residence. Epidemiology and Psychiatric Sciences, 32, e45–e45. https://doi.org/10.1017/S2045796023000604

42.

Pierce

Jones

M. S.

Shoaf

Heim

(2023). Early adverse childhood experiences and positive functioning during adolescence. Journal of Youth and Adolescence, 52(4), 913–930. https://doi.org/10.1007/s10964-022-01729-8

43.

(2014). Compilation of a retrospective scale for psychological abuse of college students by teachers. Chinese Journal of Health Psychology, 22(3), 361–363.

44.

Sackett

P. R.

Lievens

Berry

C. M.

Landers

R. N.

(2007). A cautionary note on the effects of range restriction on predictor intercorrelations. Journal of Applied Psychology, 92(2), 538–544. https://doi.org/10.1037/0021-9010.92.2.538

45.

Sanders

Becker-Lausen

(1995). The measurement of psychological maltreatment: Early data on the Child Abuse and Trauma Scale. Child Abuse & Neglect, 19(3), 315–323. https://doi.org/10.1016/S0145-2134(94)00131-6

46.

Saxe

L. L.

Van der Kolk

B. A.

Berkowitz

Chinman

Hall

Lieberg

Schwartz

(1987). The Negative Life Events Questionnaire: A retrospective assessment of events in college students’ lives. Journal of Traumatic Stress, 1(2), 221–238.

47.

Scharpf

Kızıltepe

Kirika

Hecker

(2023). A systematic review of the prevalence and correlates of emotional violence by teachers. Trauma, Violence, & Abuse, 24(4), 2581–2597. https://doi.org/10.1177/15248380221102559

48.

Sölva

Haselgruber

Lueger-Schuster

(2020). Latent classes of childhood maltreatment in children and adolescents in foster care: Associations with ICD-11 PTSD and complex PTSD. European Journal of Psychotraumatology, 11(1), Article 1832757. https://doi.org/10.1080/20008198.2020.1832757

49.

Spilt

J. L.

Hughes

J. N.

J. Y.

Kwok

O. M.

(2012). Dynamics of teacher-student relationships: Stability and change across elementary school and the influence on children’s academic success. Child Development, 83(4), 1180–1195. https://doi.org/10.1111/j.1467-8624.2012.01761.x

50.

Spitzer

R. L.

Kroenke

Williams

J. B. W.

Löwe

(2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092

51.

Toth

S. L.

Cicchetti

(2013). A developmental psychopathology perspective on child maltreatment. Child Maltreatment, 18(3), 135–139. https://doi.org/10.1177/1077559513500380

52.

Turner

H. A.

Finkelhor

Ormrod

(2010). Poly-victimization in a national sample of children and youth. American Journal of Preventive Medicine, 38(3), 323–330. https://doi.org/10.1016/j.amepre.2009.11.012

53.

Vachon

D. D.

Krueger

R. F.

Rogosch

F. A.

Cicchetti

(2015). Assessment of the harmful psychiatric and behavioral effects of different forms of child maltreatment. JAMA Psychiatry, 72(11), 1135–1142. https://doi.org/10.1001/jamapsychiatry.2015.2131

54.

Vonderlin

Kleindienst

Alpers

G. W.

Bohus

Lyssenko

Schmahl

(2018). Dissociation in victims of childhood abuse or neglect: A meta-analytic review. Psychological Medicine, 48(15), 2467–2476. https://doi.org/10.1017/S0033291718000740

55.

Xie

Wei

Bear

(2018). Revision of Chinese version of Delaware Bullying Victimization Scale-student in adolescents. Chinese Journal of Clinical Psychology, 26(2), 259–263. https://doi.org/10.16128/j.cnki.1005-3611.2018.02.011

56.

Zhou

Liang

Cheng

Zheng

Liu

(2019). Child maltreatment in Western China: Demographic differences and associations with mental health. International Journal of Environmental Research and Public Health, 16(19), 3619. https://doi.org/10.3390/ijerph16193619

57.

Wright

M. O.

Crawford

Del Castillo

(2009). Childhood emotional maltreatment and later psychological distress among college students: The mediating role of maladaptive schemas. Child Abuse & Neglect, 33(1), 59–68. https://doi.org/10.1016/j.chiabu.2008.12.007

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