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两种广泛使用的创伤后应激障碍筛查工具的比较:对公共心理健康规划的启示

Comparison of two widely used PTSD-screening instruments: implications for public mental health planning.

作者信息

Ruggiero Kenneth J, Rheingold Alyssa A, Resnick Heidi S, Kilpatrick Dean G, Galea Sandro

机构信息

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.

出版信息

J Trauma Stress. 2006 Oct;19(5):699-707. doi: 10.1002/jts.20141.

DOI:10.1002/jts.20141
PMID:17075907
Abstract

Epidemiological research serves a critical role in public mental health planning in the aftermath of disasters, particularly via estimation of the mental health burden and potential needs of affected communities. However, different measures are used across studies to assess mental health response, making cross-study comparison difficult. The National Women's Study Posttraumatic Stress Disorder module (NWS-PTSD) and PTSD Checklist (PCL) have been among the most widely used measures of PTSD in postdisaster research. Here, the authors used a sample of 233 New York City-area residents who were administered both the NWS-PTSD and PCL 4 months after the September 11, 2001 terrorist attacks. The PCL yielded higher prevalence estimates at the symptom, cluster, and diagnostic levels. Implications for the interpretation of epidemiological data are discussed.

摘要

流行病学研究在灾难后的公共心理健康规划中发挥着关键作用,特别是通过估计受影响社区的心理健康负担和潜在需求。然而,不同研究采用不同的测量方法来评估心理健康反应,这使得跨研究比较变得困难。全国女性研究创伤后应激障碍模块(NWS-PTSD)和创伤后应激障碍检查表(PCL)一直是灾难后研究中最广泛使用的创伤后应激障碍测量方法。在此,作者使用了233名纽约市地区居民的样本,这些居民在2001年9月11日恐怖袭击事件发生4个月后接受了NWS-PTSD和PCL测试。PCL在症状、集群和诊断水平上得出了更高的患病率估计。文中讨论了对流行病学数据解释的影响。

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