Connor K M, Davidson J R
Duke University Medical Center, Department of Psychiatry and Behavioral Sciences, Durham, NC 27710, USA.
Int Clin Psychopharmacol. 2001 Sep;16(5):279-84. doi: 10.1097/00004850-200109000-00005.
This report describes the reliability, validity, treatment sensitivity, diagnostic performance and normative values for the Short Post-Traumatic Stress Disorder (PTSD) Rating Interview (SPRINT), a brief, global assessment for PTSD. The SPRINT was administered to subjects participating in a clinical trial of PTSD and in a population survey assessing PTSD prevalence. The 8-item SPRINT includes questions assessing the core symptoms of PTSD, as well as related aspects of somatic malaise, stress vulnerability and functional impairment. Validity was assessed against the MINI structured interview, the Davidson Trauma Scale, Treatment Outcome for PTSD Scale, Connor-Davidson Resilience Scale, Sheehan Stress Vulnerability Scale, Sheehan Disability Scale and Clinical Global Impressions of Severity and Improvement Scales. Good test-retest reliability, internal consistency, convergent and divergent validity were obtained. The SPRINT was responsive to symptom change over time and correlated with comparable PTSD symptom measures. In victims of trauma, a score of 14-17 was associated with 96% diagnostic accuracy, whereas in those with PTSD, highest efficiency corresponded to a range of 11-13. The SPRINT demonstrates solid psychometric properties and can serve as a reliable, valid and homogeneous measure of PTSD illness severity and of global improvement.
本报告描述了创伤后应激障碍简短评定访谈(SPRINT)的信度、效度、治疗敏感性、诊断性能和常模值,SPRINT是一种针对创伤后应激障碍的简短整体评估工具。对参与创伤后应激障碍临床试验的受试者以及评估创伤后应激障碍患病率的人群调查中的受试者施测了SPRINT。8项的SPRINT包括评估创伤后应激障碍核心症状的问题,以及躯体不适、应激易感性和功能损害的相关方面。以MINI结构化访谈、戴维森创伤量表、创伤后应激障碍治疗结果量表、康纳-戴维森复原力量表、希恩应激易感性量表、希恩残疾量表以及临床总体印象严重程度和改善量表为对照评估效度。获得了良好的重测信度、内部一致性、聚合效度和区分效度。SPRINT对症状随时间的变化有反应,并且与可比的创伤后应激障碍症状测量相关。在创伤受害者中,14 - 17分与96%的诊断准确性相关,而在患有创伤后应激障碍的患者中,最高效率对应于11 - 13分的范围。SPRINT显示出可靠的心理测量特性,可作为创伤后应激障碍疾病严重程度和总体改善情况的可靠、有效且同质的测量工具。