{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:37:52Z","timestamp":1782819472939,"version":"3.54.5"},"reference-count":32,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Thousands of refugees who have entered Europe experienced threatening conditions, potentially leading to post traumatic stress disorder (PTSD), which has to be detected and treated early to avoid chronic manifestation, especially in children. We aimed to evaluate and test suitable screening tools to detect PTSD in children. Syrian refugee children aged 4\u201314 years were examined using the PTSD-semi-structured interview, the Kinder-DIPS, and the Child Behavior Checklist (CBCL). The latter was evaluated as a potential screening tool for PTSD using (i) the CBCL-PTSD subscale and (ii) an alternative subscale consisting of a psychometrically guided selection of items with an appropriate correlation to PTSD and a sufficient prevalence (presence in more than 20% of the cases with PTSD). For both tools we calculated sensitivity, specificity, and a receiver operating characteristic (ROC) curve. Depending on the sum score of the items, the 20-item CBCL-PTSD subscale as used in previous studies yielded a maximal sensitivity of 85% and specificity of 76%. The psychometrically guided item selection resulted in a sensitivity of 85% and a specificity of 83%. The areas under the ROC curves were the same for both tools (0.9). Both subscales may be suitable as screening instrument for PTSD in refugee children, as they reveal a high sensitivity and specificity.<\/jats:p>","DOI":"10.3390\/children8060521","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T11:19:20Z","timestamp":1624015160000},"page":"521","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Child Behavior Checklist as a Screening Instrument for PTSD in Refugee Children"],"prefix":"10.3390","volume":"8","author":[{"given":"Ina","family":"Nehring","sequence":"first","affiliation":[{"name":"Department of Social Pediatrics, Technische Universit\u00e4t M\u00fcnchen, D-81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heribert","family":"Sattel","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universit\u00e4t M\u00fcnchen, D-81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maesa","family":"Al-Hallak","sequence":"additional","affiliation":[{"name":"Department of Social Pediatrics, Technische Universit\u00e4t M\u00fcnchen, D-81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Sack","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universit\u00e4t M\u00fcnchen, D-81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Henningsen","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universit\u00e4t M\u00fcnchen, D-81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Mall","sequence":"additional","affiliation":[{"name":"Department of Social Pediatrics, Technische Universit\u00e4t M\u00fcnchen, D-81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigrid","family":"Aberl","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universit\u00e4t M\u00fcnchen, D-81377 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"key":"ref_1","first-page":"e8","article-title":"Spectrum of diseases occurring in refugees and asylum seekers: Data from three different medical institutions in the Munich area from 2014 and 2015","volume":"141","author":"Alberer","year":"2016","journal-title":"Dtsch. 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