Violence Exposure Scale for Children-Revised VEX-R

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1 MEASURE NAME: Acronym: VEX-R Basic Description Author(s): Author Contact: Author Citation: To Obtain: Website: Cost per copy (in US $): Copyright: Description: Theoretical Orientation Summary: Domains Assessed: Languages Available: Age Range: # of Items: Time to Complete (min): Time to Score (min): Periodicity: Response Format: Fox, Nathan, A., & Leavitt, Lewis, A. Professor Nathan A. Fox Department of Human Development University of Maryland College Park, MD phone: fax: fox@umd.edu Fox, N. A. & Leavitt, L. A. (1995). The Violence Exposure Scale for Children-VEX. College Park, Maryland: Department of Human Development, University of Maryland. Ariana Shahinfar, Ph.D. Department of Psychology University of North Carolina - Charlotte 9201 University City Blvd. Charlotte, NC ashahinf@ .uncc.edu None $0.00 A self-report measure of community violence exposure for children aged 4-10 that includes drawings to accompany questions and thermometer-type rating scale. The measure includes questions about minor and severe violence victimization and witnessing violence in the home, school, and neighborhood. None 1. Trauma: Community Violence exposure English, Hebrew, Spanish Unknown Measure Type: Measure Format: Reporter: Education Level: Screening Structured interview Self 0.00 Over the course of a lifetime: (0=never, 1=one time, 2=a few times, 3=lots of times) 1

2 Materials Needed: (check all that apply) Material Notes: Paper and pencil Computer Video equipment There is no manual, only the questionnaire itself. Testing stimuli Physiological equipment Other Sample Items: Domains Scale Sample Items Trauma: Community Violence A person pushes or shoves Chris really hard. How Violence exposure Victimization many times has a person pushed or shoved you really hard? Violence Witness Chris sees a person beat up another person. How many times have you seen a person beat up another person? Notes (additional scales and domains): Information Provided: (check all that apply) Diagnostic information DSM-III Diagnostic information DSM-IV Strengths Areas of concerns/risks Program evaluation information Continuous assessment Raw Scores Standard Scores Percentile Graph (e.g., of elevated scale) Dichotomous assessment Clinical friendly output Written feedback Other Training Training to Administer: (check all that apply) None Via manual/video Prior experience psych testing & interpretation Must be a psychologist Training by experienced clinician (<4 hours) Training by experienced clinician ( 4 hours) Training to Interpret: (check all that apply) Training Notes: None Via manual/video Prior experience psych testing & interpretation Must be a psychologist Training by experienced clinician (<4 hours) Training by experienced clinician ( 4 hours) 2

3 Parallel or Alternate Forms Parallel Forms? No Alternate Forms: Forms for Different Ages: If so, are forms comparable: Any Altered Versions of Measure: Describe: 1. One version for girls and one for boys. They differ in that the cartoon characters depicted are either male or female. 2. VEX-Preschool Version, used by Shahinfar, Fox, & Leavitt (2000), has fewer items and is for younger children. 3. VEX-R Parent Report: briefly described in Shahinfar et al. (2000). The VEX-R was modified for use with an Israeli population of children. The name of the cartoon character was changed and several of the items were altered. See Raviv, Raviv, Shimoni, Fox, & Leavitt (1999); Raviv, Erel, Fox, Leavitt, Raviv, Dar, et al. (2001). Population Used to Develop Measure Sample: 40 Caucasian primarily suburban preschool aged children. Measure was then used in a study by Shahinfar et al. (2000) with 155 African American children: 79 boys and 76 girls, aged 3½-5 from low SES families living in a community just outside Washington DC. The average family income was less than $7,200, and almost 50% of the sample was entirely supported by public assistance. Psychometrics Global Rating (scale based on Hudall Stamm, 1996): Somewhat established, psychometrics validated by researchers other than authors Norms: No For separate age groups: No For clinical populations: No Separate for men and women: No For other demographic groups: No Notes: Clinical Cutoffs: Specify Cutoffs: Used in Major Studies: Specify Studies: No National Survey of Child and Adolescent Well-Being (NSCAW One Year in Foster Care Wave 1 Data Analysis Report), 3

4 Executive Summary, November The NSCAW is ongoing from 1997 to

5 Reliability: Type: Rating Statistics Min Max Avg Test-Retest-# days: Internal Consistency: Inter-Rater: Parallel/Alternate Forms: Cronbach's alpha Notes: There are no interrater statistics in terms of interviewers. The Shahinfar et al. (2000) study compares parents' and children's reports of their children's exposure to violence. So it is comparing the VEX-R with the VEX-R Parent Report and found no significant relationship between Parent and Child reports of exposure to violence. Content Validity: The measure is face valid and asks about similar areas of community violence exposure as other measures of this sort. It was developed based on the Richters & Martinez (1990) measure: "Things I Have Seen and Heard: An Interview for Young Children About Exposure to Violence." Construct Validity: (check all that apply) Validity Type Convergent/Concurrent Discriminant Sensitive to Change Intervention Effects Longitudinal/Maturation Effects Sensitive to Theoretically Distinct Groups Factorial Validity Notes: Not known Not found Nonclinical Clinical Samples Samples Diverse Samples Children who were found to have experienced exposure to violence on the VEX- R were found to have higher internalizing and externalizing symptoms on the CBCL and higher child-reported distress symptoms (Shahinfar et al., 2000). Stein, Zima, Elliott, Burnam, Shahinfar, Fox, & Leavitt (2001) also reported, in their diverse sample of 2,103 foster care children, that being a witness to violence based on the VEX-R did not vary by age, gender, or ethnicity. Violence victimization was associated with higher trauma and depression symptoms with children who witnessed more severe violence (e.g., weapon- or assault-based violence), reporting more PTSD and depression symptoms (assessed by the Children s Depression Inventory and Levonn: A Cartoon-Based Interview for Assessing Children's Distress Symptoms). 5

6 Criterion Validity: (check all that apply) Measures used as criterion: Not known Not found Nonclinical Clinical Samples Samples Predictive Validity: Postdictive Validity: Diverse Samples Sensitivity Rate(s): Specificity Rate(s): Positive Predictive Power: Negative Predictive Power: Notes: Limitations of Psychometrics and Other Comments Regarding Psychometrics: 1. Limited psychometric data available. 2. Shahinfar et al. (2000) found poor concordance between VEX-R Parent and Child reports. However, this may be due to differences in parents and children s understanding of the items or parents knowledge of their children s exposure. Consumer Satisfaction No information available. Languages Other than English Language: Translation Quality (check all that apply) 1= Has been translated 2= Has been translated and back translated - translation appears good and valid. 3= Measure has been found to be reliable with this language group. 4= Psychometric properties overall appear to be good for this language group. 5= Factor structure is similar for this language group as it is for the development group. 6 = Norms are available for this language group. 7= Measure was developed for this language group Hebrew Spanish

7 Use with Trauma Populations Populations for which measure has demonstrated evidence of reliability and validity: Physical abuse Natural disaster Terrorism Sexual abuse Neglect Use with Diverse Populations Population Type: Domestic Violence Community violence Medical trauma Accidents Imprisonment Witness death Assault War/combat Degree of Usage: (check all that apply) Immigration related trauma Kidnapping/hostage Traumatic loss (death) Other USE WITH DIVERSE POPULATIONS RATING SCALE 1. Measure is known (personal communication, conference presentation) to have been used with members of this group. 2=Studies in peer-reviewed journals have included members of this group who have completed the measure. 3=Measures have been found to be reliable with this group. 4=Psychometric properties well established with this group. 5=Norms are available for this group (or norms include a significant proportion of individuals from this group) 6=Measure was developed specifically for this group Developmental disability 2. Disabilities 3. Lower socio-economic status 4. Rural populations 5. Israeli Children 6. Notes (including other diverse populations): Pros and Cons/Qualitative Impression Pros: 1. This is the only self-report measure of trauma exposure for young children with a parallel Parent Report form. Cons: 1. Caution should be used when administering the measure to preschool-aged children because some young children may not have the cognitive maturity to truly understand the items. The authors recommend using probe questions, in addition to the measure, to ensure that children understand that they are being asked about true life events rather than violence witnessed on television or in the movies. 2. Very limited psychometric data. 7

8 References (Representative sampling of publications, presentations, psychometric references) Published References: A PsychInfo search (6/05) for Violence Exposure Scale or VEX-R anywhere revealed that the measure has been referenced in 5 peer-reviewed journal articles. 1. Finkelhor, D., Ormrod, R., Turner, H., & Hamby, S. (2005). The victimization of children and youth: A comprehensive, national survey. Child Maltreatment: Journal of the American Professional Society on the Abuse of Children, 10 (1), Raviv, A., Erel, O., Fox, N. A., Leavitt, L. A., Raviv, A., Dar, I., et al. (2001). Individual measurement of exposure to everyday violence among elementary school children across various settings. Journal of Community Psychology, 29, Raviv, A., Raviv, A., Shimoni, H., Fox, N. A., & Leavitt. L. A. (1999). Children s selfreport of exposure to violence and its relation to emotional distress. Journal of Applied Developmental Psychology, 20, Shahinfar, A., Fox, N. A., & Leavitt, L. A. (2000). Preschool children s exposure to violence: Relation of behavior problems to parent and child reports. American Journal of Orthopsychiatry, 70, Stein, B. D., Zima, B. T., Elliott, M. N. Burnam, M., Shahinfar, A., Fox, N. A., & Leavitt, L. A. (2001). Violence exposure among school-age children in foster care: Relationship to distress symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 40, Other Related References 1. Richters, J. E., & Martinez, P. (1990). Things I Have Seen and Heard: An Interview for Young Children About Exposure to Violence. Child and Adolescent Disorders Research Branch, Division of Clinical Research, National Institute of Health, Maryland. Unpublished References: A PsychInfo search (6/05) for Violence Exposure Scale or VEX-R anywhere revealed that the measure has been referenced in 0 conferences and 0 dissertations. Number of Published References: (based on author provided information and a PsychInfo search, not including dissertations) Number of Unpublished References: (based on a PsychInfo search of unpublished doctoral dissertations) Author Comments: The authors reviewed this review and provided feedback, which was incorporated. They indicated that the Spanish version is available from the authors, and the VEX-R has been used with both group and individual administration. The authors also commented that clinicians have used the instrument to foster discussion with young children about events that they have experienced. 5 0 Citation for Review: Editor of Review: Last Updated: PDF Available: Carla Stover, Ph.D. Madhur Kulkarni, M.S., Chandra Ghosh Ippen, Ph.D. 6/21/2005 yes 8

9 This project was funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). The views, policies and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS. 9

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