RT Journal Article
T1 Psychometric properties of the List of Threatening Experiences-LTE and its association with psychosocial factors and mental disorders according to different scoring methods
A1 Motrico, Emma
A1 Moreno-Kustner, Berta
A1 Luna, Juan de Dios
A1 Torres-González, Francisco
A1 King, Michael
A1 Nazareth, Irwin
A1 Montón-Franco, Carmen
A1 Gil-de-Gómez-Barragán, María Josefa
A1 Sánchez-Celaya, Marta
A1 Díaz-Barreiros, Miguel Ángel
A1 Vicens-Caldentey, Catalina
A1 Moreno-Peral, Patricia
A1 Bellón-Saameño, Juan Ángel
K1 Efectos del estrés
K1 Enfermedades mentales
AB Background: The List of Threatening Experiences (LTE) questionnaire is frequently used to assess stressful events; however, studies of its psychometric properties are scarce. We examined the LTE’s reliability, factorial structure, construct validity and explored the association between LTE scores and psychosocial variables and mental disorders. Method: This study involved interviewing 5442 primary care attendees from Spain. Associations between four different methods of quantifying LTE scores, psychosocial factors, major depression (CIDI), anxiety disorders (PRIME-MD), alcohol misuse and dependence (AUDIT) were measured.  Results: The LTE showed high test-retest reliability (Kappa range=0.61-0.87) but and low internal consistency (α=0.44). Tetrachoric factorial analysis yielded four factors (spousal and relational problems; employment and financial problems; personal problems; illness and bereavement in close persons). Logistic multilevel regression found a strong association between greater social support and a lower occurrence of stressful events (OR range=0.36-0.79). The association between religious-spiritual beliefs and the LTE, however, was weaker. The association between mental disorders and LTE scores was greater for depression (OR range=1.64-2.57) than anxiety (OR range=1.35-1.97), though the highest ORs were obtained with alcohol dependence (OR range=2.86-4.80). The ordinal score (ordinal regression) was more sensitive to detect the strength of association with mental disorders. Limitations: We are unable to distinguish the direction of the association between stressful events, psychosocial factors and mental disorders, due to the our cross-sectional design of the study. Conclusions: The LTE is a valid and reliable measure of stress in mental health, but and the strength of association with mental disorders depends on the method of quantifying LTE scores.
PB Elsevier Science
YR 2013
FD 2013
LK https://hdl.handle.net/10630/34130
UL https://hdl.handle.net/10630/34130
LA eng
NO Motrico E, Moreno-Küstner B, de Dios Luna J, Torres-González F, King M, Nazareth I, Montón-Franco C, Gilde Gómez-Barragán MJ, Sánchez-Celaya M, Díaz-Barreiros MÁ, Vicens C, Moreno-Peral P, Bellón JÁ. Psychometric properties of the List of Threatening Experiences--LTE and its association with psychosocial factors and mental disorders according to different scoring methods. J Affect Disord. 2013 Sep 25;150(3):931-40. doi: 10.1016/j.jad.2013.05.017. Epub 2013 May 31. PMID: 23726778.
NO This work was supported in Spain by Grants from the Spanish Ministry of Health [Grant FIS references: PI041980, PI041771, PI042450, and PI06/1442]; the Andalusian Council of Health [Grant references: 05/403, and 06/278] and the Spanish Ministry of Education and Science [Grant reference SAF 2006/07192]; the Spanish Network of Primary Care Research “redIAPP” (RD06/0018), the “Aragón Group” (RD06/0018/0020), the “Baleares Group” (RD07/0018/0033), and the “SAMSERAP Group” (RD06/0018/0039). The Malaga sample, as part of the predictDInternational study, was also co-funded by a Grant from The European Commission [Reference QL4-CT2002-00683]. The research in Europe was funded by a Grant from the European Commission [Reference PREDICT-QL4-CT2002-00683].
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 24 ene 2026