Dell'Osso Liliana, Carmassi Claudia, Rucci Paola, Conversano Ciro, Shear M Katherine, Calugi Simona, Maser Jack D, Endicott Jean, Fagiolini Andrea, Cassano Giovanni B
Department of Psychiatry, Neurobiology, Pharmacology and Biotechnology, University of Pisa, Pisa, Italy.
Compr Psychiatry. 2009 Sep-Oct;50(5):485-90. doi: 10.1016/j.comppsych.2008.11.006. Epub 2009 Jan 20.
Dimensional approaches to psychiatric disorders have shown an increased relevance in the ongoing debate for the forthcoming Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. In line with previously validated instruments for the assessment of different mood, anxiety, eating and psychotic spectra, we tested the validity and reliability of a newly developed Structured Clinical Interview for Trauma and Loss Spectrum (SCI-TALS). The instrument is based on a multidimensional approach to post-traumatic stress spectrum that includes a range of threatening or frightening experiences, as well as a variety of potentially significant losses, to which an individual can be exposed. Furthermore, it explores the spectrum of the peritraumatic reactions and post-traumatic symptoms that may ensue from either type of life events, targeting soft signs and subthreshold conditions, as well as temperamental and personality traits that may constitute risk factors for the development of the disorder. The aim of the present study is to describe the reliability of the self-report version of the SCI-TALS: the TALS-SR. Thirty patients with PTSD and thirty healthy control subjects were assessed with the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Half of the patients and controls received the TALS-SR first and the SCI-TALS after 15 days; for the other half of the sample, the order of administration was reversed. Agreement between the self-report and the interview formats was substantial. Intraclass correlation coefficients ranged from 0.934 to 0.994, always exceeding the threshold of 0.90. Our findings provide substantial support for the reliability of the TALS-SR questionnaire.
维度方法在即将出版的《精神疾病诊断与统计手册（第五版）》的当前辩论中显示出越来越高的相关性。与先前验证过的用于评估不同情绪、焦虑、饮食和精神病谱系的工具一致，我们测试了新开发的创伤与丧失谱系结构化临床访谈（SCI-TALS）的有效性和可靠性。该工具基于创伤后应激谱系的多维方法，包括一系列威胁性或令人恐惧的经历，以及个体可能遭遇的各种潜在重大损失。此外，它探索了这两种生活事件可能引发的创伤周围反应和创伤后症状的谱系，针对软体征和阈下状况，以及可能构成该疾病发展风险因素的气质和人格特质。本研究的目的是描述SCI-TALS自我报告版本（TALS-SR）的可靠性。对30名创伤后应激障碍患者和30名健康对照者进行了《精神疾病诊断与统计手册（第四版）》结构化临床访谈评估。一半的患者和对照者先接受TALS-SR，15天后接受SCI-TALS；对于另一半样本，施测顺序相反。自我报告和访谈形式之间的一致性很高。组内相关系数范围从0.934到0.994，始终超过0.90的阈值。我们的研究结果为TALS-SR问卷的可靠性提供了有力支持。
