The Child PTSD Symptom Scale: Psychometric Properties in Female Adolescent Sexual Assault Survivors

Traumatic experiences are common among youths and can lead to posttraumatic stress disorder (PTSD). In order to identify traumatized children who need PTSD treatment, instruments that can accurately and efficiently evaluate pediatric PTSD are needed. One such measure is the Child PTSD Symptom Scale...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Psychological assessment 2013-03, Vol.25 (1), p.23-31
Hauptverfasser: Gillihan, Seth J., Aderka, Idan M., Conklin, Phoebe H., Capaldi, Sandra, Foa, Edna B.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 31
container_issue 1
container_start_page 23
container_title Psychological assessment
container_volume 25
creator Gillihan, Seth J.
Aderka, Idan M.
Conklin, Phoebe H.
Capaldi, Sandra
Foa, Edna B.
description Traumatic experiences are common among youths and can lead to posttraumatic stress disorder (PTSD). In order to identify traumatized children who need PTSD treatment, instruments that can accurately and efficiently evaluate pediatric PTSD are needed. One such measure is the Child PTSD Symptom Scale (CPSS), which has been found to be a reliable and valid measure of PTSD symptom severity in school-age children exposed to natural disasters (Foa, Johnson, Feeny, & Treadwell, 2001). However, the psychometric properties of the CPSS are not known in youths who have experienced other types of trauma. The current study aims to fill this gap by examining the psychometric properties of the interview (CPSS-I) and self-report (CPSS-SR) administrations of the CPSS in a sample of 91 female youths with sexual abuse-related PTSD, a population that is targeted in many treatment studies. Scores on both the CPSS-I and CPSS-SR demonstrated good to excellent internal consistency. One-week test-retest reliability assessed for CPSS-SR scores was excellent (r = .86); interrater reliability of CPSS-I scores was also excellent (r = .87). Symptom-based diagnostic agreement between the CPSS-SR and CPSS-I was excellent at 85.5%; scores on both the CPSS-SR and CPSS-I also demonstrated good convergent validity (74.5-76.5% agreement) with the PTSD module of The Schedule of Affective Disorders and Schizophrenia for School-Age Children-Revised for DSM-IV (K-SADS; Kaufman, Birmaher, Brent, & Rao, 1997). The strong psychometric properties of the CPSS render it a valuable instrument for PTSD screening as well as for assessing symptom severity.
doi_str_mv 10.1037/a0029553
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3779054</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ1008800</ericid><sourcerecordid>2948166161</sourcerecordid><originalsourceid>FETCH-LOGICAL-a548t-24bd38b4311621dc7418d01fd8824bbf7c21940dcf9d089acfc4bc6555a9bc3a3</originalsourceid><addsrcrecordid>eNp9kl2LEzEUhgdR3HUV_ANKQAQRqidfTeKFUOquHyxYaAXvQiaTsVlmJrPJTLH_3gzt1o8Lr07C-_DmnPOmKJ5ieIOBircGgCjO6b3iHCuqZpiy7_fzGRjMKFdwVjxK6QYAMyr5w-KMEDkXgOG8sJutQ8utbyq02qw_oPW-7YfQorU1jXuHVmlvt6F1Q_QWrWLoXRy8S8h36Mq1GUGLKjQuWdcNaO1-jqZBi5TM2OTrGHd-F2J6XDyoTZPck2O9KL5dXW6Wn2bXXz9-Xi6uZ4YzOcwIKysqS0YxnhNcWcGwrADXlZRZKmthCVYMKlurCqQytrastHPOuVGlpYZeFO8Pvv1Ytq6aeoqm0X30rYl7HYzXfyud3-ofYaepEAo4ywavjgYx3I4uDbr1ebSmMZ0LY9KYYglKEDahL_5Bb8IYuzxepohkICSR_6WAUk5B5Hp61saQUnT1qWUMEyf0Xb4Zff7niCfwLtAMvDwCJuUI62g669NvThACQk1Gzw6cy8me5MsvGEBKmHxeH3TTG93nX2By8HZKeowxr09nf024xppQ-gtGN8TP</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1033530710</pqid></control><display><type>article</type><title>The Child PTSD Symptom Scale: Psychometric Properties in Female Adolescent Sexual Assault Survivors</title><source>MEDLINE</source><source>EBSCOhost APA PsycARTICLES</source><creator>Gillihan, Seth J. ; Aderka, Idan M. ; Conklin, Phoebe H. ; Capaldi, Sandra ; Foa, Edna B.</creator><contributor>Reynolds, Cecil R</contributor><creatorcontrib>Gillihan, Seth J. ; Aderka, Idan M. ; Conklin, Phoebe H. ; Capaldi, Sandra ; Foa, Edna B. ; Reynolds, Cecil R</creatorcontrib><description>Traumatic experiences are common among youths and can lead to posttraumatic stress disorder (PTSD). In order to identify traumatized children who need PTSD treatment, instruments that can accurately and efficiently evaluate pediatric PTSD are needed. One such measure is the Child PTSD Symptom Scale (CPSS), which has been found to be a reliable and valid measure of PTSD symptom severity in school-age children exposed to natural disasters (Foa, Johnson, Feeny, &amp; Treadwell, 2001). However, the psychometric properties of the CPSS are not known in youths who have experienced other types of trauma. The current study aims to fill this gap by examining the psychometric properties of the interview (CPSS-I) and self-report (CPSS-SR) administrations of the CPSS in a sample of 91 female youths with sexual abuse-related PTSD, a population that is targeted in many treatment studies. Scores on both the CPSS-I and CPSS-SR demonstrated good to excellent internal consistency. One-week test-retest reliability assessed for CPSS-SR scores was excellent (r = .86); interrater reliability of CPSS-I scores was also excellent (r = .87). Symptom-based diagnostic agreement between the CPSS-SR and CPSS-I was excellent at 85.5%; scores on both the CPSS-SR and CPSS-I also demonstrated good convergent validity (74.5-76.5% agreement) with the PTSD module of The Schedule of Affective Disorders and Schizophrenia for School-Age Children-Revised for DSM-IV (K-SADS; Kaufman, Birmaher, Brent, &amp; Rao, 1997). The strong psychometric properties of the CPSS render it a valuable instrument for PTSD screening as well as for assessing symptom severity.</description><identifier>ISSN: 1040-3590</identifier><identifier>EISSN: 1939-134X</identifier><identifier>DOI: 10.1037/a0029553</identifier><identifier>PMID: 22867010</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adolescent ; Adolescent Psychopathology ; Adolescents ; Adult ; Anxiety disorders ; Biological and medical sciences ; Child Abuse, Sexual - psychology ; Child clinical studies ; Children &amp; youth ; Female ; Females ; Human ; Human Females ; Humans ; Interrater Reliability ; Interviews ; Measures (Individuals) ; Medical sciences ; Mental health care ; Natural Disasters ; Pediatrics ; Post traumatic stress disorder ; Posttraumatic Stress Disorder ; Psychiatric Status Rating Scales - standards ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychometrics - instrumentation ; Psychometrics. Diagnostic aid systems ; Psychopathology. Psychiatry ; Quantitative psychology ; Reproducibility of Results ; Schizophrenia ; Severity (of Disability) ; Severity of Illness Index ; Sex crimes ; Sex Offenses ; Sexual Abuse ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - etiology ; Symptoms ; Symptoms (Individual Disorders) ; Techniques and methods ; Test Reliability ; Test Validity ; Trauma ; Validity ; Victimology</subject><ispartof>Psychological assessment, 2013-03, Vol.25 (1), p.23-31</ispartof><rights>2012 American Psychological Association</rights><rights>2015 INIST-CNRS</rights><rights>PsycINFO Database Record (c) 2013 APA, all rights reserved.</rights><rights>2012, American Psychological Association</rights><rights>Copyright American Psychological Association Mar 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a548t-24bd38b4311621dc7418d01fd8824bbf7c21940dcf9d089acfc4bc6555a9bc3a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1008800$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27220793$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22867010$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Reynolds, Cecil R</contributor><creatorcontrib>Gillihan, Seth J.</creatorcontrib><creatorcontrib>Aderka, Idan M.</creatorcontrib><creatorcontrib>Conklin, Phoebe H.</creatorcontrib><creatorcontrib>Capaldi, Sandra</creatorcontrib><creatorcontrib>Foa, Edna B.</creatorcontrib><title>The Child PTSD Symptom Scale: Psychometric Properties in Female Adolescent Sexual Assault Survivors</title><title>Psychological assessment</title><addtitle>Psychol Assess</addtitle><description>Traumatic experiences are common among youths and can lead to posttraumatic stress disorder (PTSD). In order to identify traumatized children who need PTSD treatment, instruments that can accurately and efficiently evaluate pediatric PTSD are needed. One such measure is the Child PTSD Symptom Scale (CPSS), which has been found to be a reliable and valid measure of PTSD symptom severity in school-age children exposed to natural disasters (Foa, Johnson, Feeny, &amp; Treadwell, 2001). However, the psychometric properties of the CPSS are not known in youths who have experienced other types of trauma. The current study aims to fill this gap by examining the psychometric properties of the interview (CPSS-I) and self-report (CPSS-SR) administrations of the CPSS in a sample of 91 female youths with sexual abuse-related PTSD, a population that is targeted in many treatment studies. Scores on both the CPSS-I and CPSS-SR demonstrated good to excellent internal consistency. One-week test-retest reliability assessed for CPSS-SR scores was excellent (r = .86); interrater reliability of CPSS-I scores was also excellent (r = .87). Symptom-based diagnostic agreement between the CPSS-SR and CPSS-I was excellent at 85.5%; scores on both the CPSS-SR and CPSS-I also demonstrated good convergent validity (74.5-76.5% agreement) with the PTSD module of The Schedule of Affective Disorders and Schizophrenia for School-Age Children-Revised for DSM-IV (K-SADS; Kaufman, Birmaher, Brent, &amp; Rao, 1997). The strong psychometric properties of the CPSS render it a valuable instrument for PTSD screening as well as for assessing symptom severity.</description><subject>Adolescent</subject><subject>Adolescent Psychopathology</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Anxiety disorders</subject><subject>Biological and medical sciences</subject><subject>Child Abuse, Sexual - psychology</subject><subject>Child clinical studies</subject><subject>Children &amp; youth</subject><subject>Female</subject><subject>Females</subject><subject>Human</subject><subject>Human Females</subject><subject>Humans</subject><subject>Interrater Reliability</subject><subject>Interviews</subject><subject>Measures (Individuals)</subject><subject>Medical sciences</subject><subject>Mental health care</subject><subject>Natural Disasters</subject><subject>Pediatrics</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Psychiatric Status Rating Scales - standards</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychometrics - instrumentation</subject><subject>Psychometrics. Diagnostic aid systems</subject><subject>Psychopathology. Psychiatry</subject><subject>Quantitative psychology</subject><subject>Reproducibility of Results</subject><subject>Schizophrenia</subject><subject>Severity (of Disability)</subject><subject>Severity of Illness Index</subject><subject>Sex crimes</subject><subject>Sex Offenses</subject><subject>Sexual Abuse</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Symptoms</subject><subject>Symptoms (Individual Disorders)</subject><subject>Techniques and methods</subject><subject>Test Reliability</subject><subject>Test Validity</subject><subject>Trauma</subject><subject>Validity</subject><subject>Victimology</subject><issn>1040-3590</issn><issn>1939-134X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl2LEzEUhgdR3HUV_ANKQAQRqidfTeKFUOquHyxYaAXvQiaTsVlmJrPJTLH_3gzt1o8Lr07C-_DmnPOmKJ5ieIOBircGgCjO6b3iHCuqZpiy7_fzGRjMKFdwVjxK6QYAMyr5w-KMEDkXgOG8sJutQ8utbyq02qw_oPW-7YfQorU1jXuHVmlvt6F1Q_QWrWLoXRy8S8h36Mq1GUGLKjQuWdcNaO1-jqZBi5TM2OTrGHd-F2J6XDyoTZPck2O9KL5dXW6Wn2bXXz9-Xi6uZ4YzOcwIKysqS0YxnhNcWcGwrADXlZRZKmthCVYMKlurCqQytrastHPOuVGlpYZeFO8Pvv1Ytq6aeoqm0X30rYl7HYzXfyud3-ofYaepEAo4ywavjgYx3I4uDbr1ebSmMZ0LY9KYYglKEDahL_5Bb8IYuzxepohkICSR_6WAUk5B5Hp61saQUnT1qWUMEyf0Xb4Zff7niCfwLtAMvDwCJuUI62g669NvThACQk1Gzw6cy8me5MsvGEBKmHxeH3TTG93nX2By8HZKeowxr09nf024xppQ-gtGN8TP</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Gillihan, Seth J.</creator><creator>Aderka, Idan M.</creator><creator>Conklin, Phoebe H.</creator><creator>Capaldi, Sandra</creator><creator>Foa, Edna B.</creator><general>American Psychological Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130301</creationdate><title>The Child PTSD Symptom Scale: Psychometric Properties in Female Adolescent Sexual Assault Survivors</title><author>Gillihan, Seth J. ; Aderka, Idan M. ; Conklin, Phoebe H. ; Capaldi, Sandra ; Foa, Edna B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a548t-24bd38b4311621dc7418d01fd8824bbf7c21940dcf9d089acfc4bc6555a9bc3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adolescent Psychopathology</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Anxiety disorders</topic><topic>Biological and medical sciences</topic><topic>Child Abuse, Sexual - psychology</topic><topic>Child clinical studies</topic><topic>Children &amp; youth</topic><topic>Female</topic><topic>Females</topic><topic>Human</topic><topic>Human Females</topic><topic>Humans</topic><topic>Interrater Reliability</topic><topic>Interviews</topic><topic>Measures (Individuals)</topic><topic>Medical sciences</topic><topic>Mental health care</topic><topic>Natural Disasters</topic><topic>Pediatrics</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic Stress Disorder</topic><topic>Psychiatric Status Rating Scales - standards</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychometrics - instrumentation</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychopathology. Psychiatry</topic><topic>Quantitative psychology</topic><topic>Reproducibility of Results</topic><topic>Schizophrenia</topic><topic>Severity (of Disability)</topic><topic>Severity of Illness Index</topic><topic>Sex crimes</topic><topic>Sex Offenses</topic><topic>Sexual Abuse</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Symptoms</topic><topic>Symptoms (Individual Disorders)</topic><topic>Techniques and methods</topic><topic>Test Reliability</topic><topic>Test Validity</topic><topic>Trauma</topic><topic>Validity</topic><topic>Victimology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gillihan, Seth J.</creatorcontrib><creatorcontrib>Aderka, Idan M.</creatorcontrib><creatorcontrib>Conklin, Phoebe H.</creatorcontrib><creatorcontrib>Capaldi, Sandra</creatorcontrib><creatorcontrib>Foa, Edna B.</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychological assessment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gillihan, Seth J.</au><au>Aderka, Idan M.</au><au>Conklin, Phoebe H.</au><au>Capaldi, Sandra</au><au>Foa, Edna B.</au><au>Reynolds, Cecil R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1008800</ericid><atitle>The Child PTSD Symptom Scale: Psychometric Properties in Female Adolescent Sexual Assault Survivors</atitle><jtitle>Psychological assessment</jtitle><addtitle>Psychol Assess</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>25</volume><issue>1</issue><spage>23</spage><epage>31</epage><pages>23-31</pages><issn>1040-3590</issn><eissn>1939-134X</eissn><abstract>Traumatic experiences are common among youths and can lead to posttraumatic stress disorder (PTSD). In order to identify traumatized children who need PTSD treatment, instruments that can accurately and efficiently evaluate pediatric PTSD are needed. One such measure is the Child PTSD Symptom Scale (CPSS), which has been found to be a reliable and valid measure of PTSD symptom severity in school-age children exposed to natural disasters (Foa, Johnson, Feeny, &amp; Treadwell, 2001). However, the psychometric properties of the CPSS are not known in youths who have experienced other types of trauma. The current study aims to fill this gap by examining the psychometric properties of the interview (CPSS-I) and self-report (CPSS-SR) administrations of the CPSS in a sample of 91 female youths with sexual abuse-related PTSD, a population that is targeted in many treatment studies. Scores on both the CPSS-I and CPSS-SR demonstrated good to excellent internal consistency. One-week test-retest reliability assessed for CPSS-SR scores was excellent (r = .86); interrater reliability of CPSS-I scores was also excellent (r = .87). Symptom-based diagnostic agreement between the CPSS-SR and CPSS-I was excellent at 85.5%; scores on both the CPSS-SR and CPSS-I also demonstrated good convergent validity (74.5-76.5% agreement) with the PTSD module of The Schedule of Affective Disorders and Schizophrenia for School-Age Children-Revised for DSM-IV (K-SADS; Kaufman, Birmaher, Brent, &amp; Rao, 1997). The strong psychometric properties of the CPSS render it a valuable instrument for PTSD screening as well as for assessing symptom severity.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>22867010</pmid><doi>10.1037/a0029553</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1040-3590
ispartof Psychological assessment, 2013-03, Vol.25 (1), p.23-31
issn 1040-3590
1939-134X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3779054
source MEDLINE; EBSCOhost APA PsycARTICLES
subjects Adolescent
Adolescent Psychopathology
Adolescents
Adult
Anxiety disorders
Biological and medical sciences
Child Abuse, Sexual - psychology
Child clinical studies
Children & youth
Female
Females
Human
Human Females
Humans
Interrater Reliability
Interviews
Measures (Individuals)
Medical sciences
Mental health care
Natural Disasters
Pediatrics
Post traumatic stress disorder
Posttraumatic Stress Disorder
Psychiatric Status Rating Scales - standards
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychometrics - instrumentation
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Quantitative psychology
Reproducibility of Results
Schizophrenia
Severity (of Disability)
Severity of Illness Index
Sex crimes
Sex Offenses
Sexual Abuse
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - etiology
Symptoms
Symptoms (Individual Disorders)
Techniques and methods
Test Reliability
Test Validity
Trauma
Validity
Victimology
title The Child PTSD Symptom Scale: Psychometric Properties in Female Adolescent Sexual Assault Survivors
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T12%3A10%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Child%20PTSD%20Symptom%20Scale:%20Psychometric%20Properties%20in%20Female%20Adolescent%20Sexual%20Assault%20Survivors&rft.jtitle=Psychological%20assessment&rft.au=Gillihan,%20Seth%20J.&rft.date=2013-03-01&rft.volume=25&rft.issue=1&rft.spage=23&rft.epage=31&rft.pages=23-31&rft.issn=1040-3590&rft.eissn=1939-134X&rft_id=info:doi/10.1037/a0029553&rft_dat=%3Cproquest_pubme%3E2948166161%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1033530710&rft_id=info:pmid/22867010&rft_ericid=EJ1008800&rfr_iscdi=true