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创伤症状清单在评估创伤后应激障碍的退伍军人中的信度和效度。

Reliability and validity of the Trauma Symptom Inventory with veterans evaluated for posttraumatic stress disorder.

机构信息

Department of Psychology, The University of South Dakota, Vermillion, SD, USA.

出版信息

Psychiatry Res. 2009 Dec 30;170(2-3):256-61. doi: 10.1016/j.psychres.2008.11.008. Epub 2009 Nov 11.

DOI:10.1016/j.psychres.2008.11.008
PMID:19906433
Abstract

The Trauma Symptom Inventory (TSI) is one of the most widely used instruments in the assessment of PTSD related symptoms [Elhai, J.D., Gray, M.J., Kashdan, T.B., Franklin, L.C., 2005a. Which instruments are most commonly used to assess traumatic event exposure and posttraumatic effects? A survey of traumatic stress professionals. Journal of Traumatic Stress 18, 541-545]. In spite of the fact that the TSI has demonstrated adequate psychometric qualities in past studies [Briere, J., 1995. Trauma Symptom Inventory professional manual. Psychological Assessment Resources, Psychological Assessment Resources; Briere, J., Elliott, D.M., Harris, K., Cotman, A., 1995. Trauma Symptom Inventory: Psychometrics and association with childhood and adult victimization in clinical samples. Journal of Interpersonal Violence 10, 387-401; McDevitt-Murphy, M.E., Weathers, F.W., Adkins, J.W., 2005. The use of the trauma symptom inventory in the assessment of PTSD symptoms. Journal of Traumatic Stress 18, 63-67] the measure's psychometrics have only as of yet been examined among civilians. We examined the TSI's psychometric properties using archival data from 221 treatment-seeking veterans evaluated for military-related posttraumatic stress disorder (PTSD) symptoms. Results demonstrated adequate internal consistency for the TSI's clinical scales (alphas ranging from 0.73 to 0.91). Convergent validity was established for clinical scales tapping PTSD's re-experiencing, avoidance and hyperarousal symptoms, and depression and irritability, against other similar measures. Structural validity was also supported in confirmatory factor analyses, with a three-factor model, and a similar model merging two of these three factors, best fitting the observed data.

摘要

创伤症状清单(TSI)是评估与 PTSD 相关症状的最广泛使用的工具之一[Elhai,JD,Gray,MJ,Kashdan,TB,Franklin,LC,2005a。评估创伤性事件暴露和创伤后影响最常用的工具是哪些?对创伤压力专业人员的调查。《创伤应激杂志》18,541-545]。尽管 TSI 在过去的研究中已经证明了其足够的心理测量学质量[Briere,J.,1995。创伤症状清单专业手册。心理评估资源,心理评估资源;Briere,J.,Elliott,DM,Harris,K.,Cotman,A.,1995。创伤症状清单:在临床样本中与儿童和成人受害的心理测量学关联。《人际暴力杂志》10,387-401;McDevitt-Murphy,ME,Weathers,FW,Adkins,JW,2005。在 PTSD 症状评估中使用创伤症状清单。《创伤应激杂志》18,63-67],但该量表的心理测量学特性仅在平民中进行了检查。我们使用 221 名接受军事相关 PTSD 症状评估的治疗寻求退伍军人的档案数据来检查 TSI 的心理测量特性。结果表明,TSI 的临床量表具有足够的内部一致性(alpha 值在 0.73 到 0.91 之间)。临床量表与其他类似量表之间的 PTSD 的再体验、回避和过度警觉症状以及抑郁和易怒症状具有收敛效度。在验证性因素分析中,结构效度也得到了支持,三因素模型和合并这三个因素中的两个的类似模型最适合观察到的数据。

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