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Lifetime Incidence of Traumatic Events - Student form (LITE-S) Lifetime Incidence of Traumatic Events - Parent form (LITE-P)

LITE Manual, 2005 Revision Ricky Greenwald, PsyD Child Trauma Institute

Background: There is no currently available measure of a child/adolescent’s exposure to possibly traumatic events which is simple, brief, and well validated. Several structured interviews have been developed, as well as a couple of rather cumbersome but thorough paper & pencil instruments. This is the only one-pager I know of. Note that although the language is simple and clear, the format can be a bit confusing for some people.

What it measures: History of exposure to the child/adolescent’s adverse life events; past and current distress level for each of the endorsed events.

Time Estimate: Administration - 5 minutes; Scoring - 1 minute

Languages: English, German, Spanish, Persian, Swedish

Description: The 16 items cover a broad range of potential trauma and loss events and ask for an estimate of emotional impact at both the time of occurrence and the present. Available in student and parent forms (LITE-S, LITE-P)

Psychometric Maturity:

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Under

Basic

Mature

Construction

Properties

Intact

Psychometric Properties: Similar measures of trauma history for adults have been found to have adequate reliability; however, items are occasionally reported on only the initial test or on the retest, but not both (Goodman, Corcoran, Turner, Yuan, & Green, 1998; Knight, Rierdan, Meschede, & Lasardo, 1997). Regarding this type of instrumentation, validation of reported incidents has not yet been studied. The LITE-S and the LITE-P together formed the basis of a clinician rating which correlated with current post-traumatic symptoms CROPS r=.60; PROPS r= .56 (Greenwald & Rubin, 1999; note that the rating of current distress was not included in that version of the LITE). Correlations in other studies: LITE-S/CROPS r=.48-.57; LITE-S/TSCC r=.53-.56 (see Greenwald, Rubin, Russell, & O’Connor, 2002). The parent and student forms of the LITE sometimes show modest discrepancies (Greenwald & Rubin, 1999), possibly reflecting parent- child differences in forgetting, willingness to disclose, or access to information.

Instructions for Use

Population: Student form: children grades 3 and higher. Younger children and those with reading difficulty may require assistance in completing the form.

Parent form: for children of any age.

Suggested Uses: Screening for trauma/loss exposure in mental health, education, medical, or community settings, as a basis for a more detailed clinical interview on trauma and loss history. Can also be used in research to obtain an estimate of the child’s trauma/loss history.

Administration: Paper-and-pencil administration is typical, group or individual; however, some younger children and those with reading problems may need assistance. Interview administration is also acceptable, face-to-face or by telephone.

Scoring: There is no scoring system. However, in one study (Greenwald & Rubin, 1999) the LITE-S and LITE-P responses were converted to a ranking of exposure severity by using clinician ratings; these ratings did predict level of post-traumatic symptoms. In another study (Greenwald, Satin, Azubuike, Borgen, & Rubin, 2001) multiple scoring systems were used to predict level of post-traumatic symptoms. No one system was clearly superior; probably the simplest system would be to sum the number of endorsed items.

Institutional and Research Users: Major users are asked to either publish their own validation studies, or share their coded data (no identifying information) with the instrument’s developer for use in further validation studies. Of particular interest is use with community samples, special problem populations, different ages and ethnic/cultural samples, concurrent additional assessment, and repeated use. Authorship credit accorded as per APA standards. Would also appreciate copies of any articles published using one or more of these measures.

Author Contact: For translation requests or additional information please contact Ricky Greenwald, Psy.D., at rg@childtrauma.com (include subject header such as “child trauma measures”) or Child Trauma Institute, PO Box 544, Greenfield, MA, 01302, USA.

References

Greenwald, R., & Rubin, A. (1999). Brief assessment of children’s post-traumatic symptoms:

Development and preliminary validation of parent and child scales. Research on Social Work Practice, 9, 61-75. Greenwald, R., Rubin, A., Russell, A. M., & O’Connor, M. B. (2002, November). Brief assessment of children's and adolescents' trauma/loss exposure. Poster session presented at the annual meeting of the International Society for Traumatic Stress Studies, Baltimore. Greenwald, R., Satin, M. S., Azubuike, A. A. A., Borgen, R., & Rubin, A. (2001, December). Trauma-informed multi-component treatment for juvenile delinquents: Preliminary findings. Poster session presented at the annual meeting of the International Society for

Traumatic Stress Studies, New Orleans, LA. Goodman, L., Corcoran, C., Turner, K., Yuan, N., & Green, B. L. (1998). Assessing traumatic event exposure: General issues and preliminary findings for the Stressful Life Events screening questionnaire. Journal of Traumatic Stress, 11, 521-542. Knight, J. A., Rierdan, J., Meschede, T., & Lasardo, M. (1997, November). Stability of life event inventories as measures of potentially-traumatic exposure. Poster session presented at the annual meeting of the International Society for Traumatic Stress Studies, Boston.