@article{ref1,
title="The Structured Trauma-Related Experiences and Symptoms Screener (STRESS): assessing factor structure and clinical utility in a juvenile justice sample",
journal="Psychological trauma: theory, research, practice, and policy",
year="2022",
author="Weinberger, Emily C. and Cruise, Keith R. and Auguste, Evan E. and Samuels, John K.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: High prevalence of traumatic event exposure and posttraumatic stress disorder (PTSD) among justice-involved adolescents has necessitated the use of trauma screening in juvenile justice settings. The present study explored the psychometric properties, factor structure, and construct validity of a trauma screen, the Structured Trauma-Related Experiences and Symptoms Screener (STRESS), in a detained adolescent sample. Prior to the current study, psychometric characteristics of the STRESS were evaluated only in a child welfare sample (Grasso et al., 2015). <br><br>METHOD: The sample consisted of 132 adolescents in secure detention facilities in a southeastern state. Participants were included in the study if they engaged in the mental health screening process at intake and a follow-up assessment process with facility staff psychologists. Data consisted of de-identified, archival records. <br><br>RESULTS: The STRESS total symptom and 4 criterion symptom count scores demonstrated high internal consistency. Confirmatory factor analysis revealed that the STRESS had excellent fit with the DSM-5 four-factor PTSD model. Equally strong evidence was found for a higher order PTSD model, thus reinforcing the use of both STRESS PTSD total and criterion symptom count scores with justice-involved adolescents. Additionally, preliminary evidence of convergent and discriminant validity was supported. <br><br>CONCLUSIONS: Findings support the STRESS as a reliable and valid trauma screen for use with detained adolescents. <br><br>RESULTS suggest that both STRESS total symptom and criterion symptom count scores have clinical utility for intake-level mental health decisions in juvenile detention settings. Implications for expanding use of the STRESS to inform appropriate interventions for justice-involved adolescents are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).<p /> <p>Language: en</p>",
language="en",
issn="1942-9681",
doi="10.1037/tra0001310",
url="http://dx.doi.org/10.1037/tra0001310"
}