Griesel Dorothee, Wessa Michèle, Flor Herta
Department of Cognitive and Clinical Neuroscience, University of Heidelberg, Central Institute of Mental Health, Mannheim, Germany.
Psychol Assess. 2006 Sep;18(3):262-8. doi: 10.1037/1040-3590.18.3.262.
In the present study, the psychometric properties of the German version of the Posttraumatic Diagnostic Scale (PTDS; A. Ehlers, R. Steil, H. Winter, & E. B. Foa, 1996) were evaluated in a sample of 143 trauma survivors. To investigate convergent and discriminant validity of this questionnaire, the authors assessed posttraumatic stress disorder (PTSD), anxiety, depression symptoms, and social phobia. Internal consistencies of the PTDS and its subscales as well as their association with related measures show that the German PTDS is a reliable and valid instrument for the assessment of posttraumatic stress symptoms. A 3-factor structure was found that is, however, not exactly in concordance with the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) formulation (Reexperiencing, Avoidance, and Hyperarousal) but rather comprises a Reexperiencing/Avoidance factor; an Emotional Numbing/Hyperarousal factor; and a 3rd factor, consisting of Hypervigilance and an Exaggerated Startle Response. The findings are discussed with respect to their equivalency to the original PTDS, core symptoms of PTSD, and desirable future research.
在本研究中,对创伤后诊断量表(PTDS;A. 埃勒斯、R. 施泰尔、H. 温特和E. B. 福阿,1996)德文版的心理测量特性在143名创伤幸存者样本中进行了评估。为了调查该问卷的聚合效度和区分效度,作者评估了创伤后应激障碍(PTSD)、焦虑、抑郁症状和社交恐惧症。PTDS及其子量表的内部一致性以及它们与相关测量的关联表明,德文版PTDS是评估创伤后应激症状的可靠且有效的工具。发现了一个三因素结构,然而,该结构与《精神障碍诊断与统计手册》(第4版,修订版;美国精神病学协会,2000)的表述(再体验、回避和过度警觉)并不完全一致,而是包括一个再体验/回避因素;一个情感麻木/过度警觉因素;以及第三个因素,由过度警觉和夸张的惊吓反应组成。针对这些发现与原始PTDS的等效性、PTSD的核心症状以及未来理想的研究进行了讨论。