Center for Health Quality, Outcomes and Economic Research, Bedford VA Medical Center, Bedford, MA 01730, USA.
J Trauma Stress. 2011 Apr;24(2):191-9. doi: 10.1002/jts.20611. Epub 2011 Feb 23.
The authors report results of work to enhance self-report posttraumatic stress disorder (PTSD) assessment by developing an item bank for use in a computer-adapted test. Computer-adapted tests have great potential to decrease the burden of PTSD assessment and outcomes monitoring. The authors conducted a systematic literature review of PTSD instruments, created a database of items, performed qualitative review and readability analysis, and conducted cognitive interviews with veterans diagnosed with PTSD. The systematic review yielded 480 studies in which 41 PTSD instruments comprising 993 items met inclusion criteria. The final PTSD item bank includes 104 items representing each of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; American Psychiatric Association [APA], 1994), PTSD symptom clusters (reexperiencing, avoidance, and hyperarousal), and 3 additional subdomains (depersonalization, guilt, and sexual problems) that expanded the assessment item pool.
作者报告了通过开发用于计算机自适应测试的项目库来增强创伤后应激障碍（PTSD）自我报告评估的工作结果。计算机自适应测试具有降低 PTSD 评估和结果监测负担的巨大潜力。作者对 PTSD 工具进行了系统的文献回顾，创建了一个项目数据库，进行了定性审查和可读性分析，并对被诊断患有 PTSD 的退伍军人进行了认知访谈。系统综述产生了 480 项研究，其中 41 项 PTSD 工具包含 993 项符合纳入标准的项目。最终的 PTSD 项目库包括 104 个项目，代表了《精神障碍诊断与统计手册》第四版（DSM-IV；美国精神病学协会[APA]，1994）中的 PTSD 症状群（再体验、回避和过度警觉）以及 3 个额外的子领域（人格解体、内疚和性问题），扩大了评估项目库。
