Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
J Subst Abuse Treat. 2013 Jan;44(1):126-31. doi: 10.1016/j.jsat.2012.03.005. Epub 2012 Apr 20.
This study aimed to cross-validate earlier findings regarding the diagnostic efficiency of a modified version of the Primary Care Posttraumatic Stress Disorder (PC-PTSD) screening questionnaire (A. Prins, P. Ouimette, R. Kimerling, R. P. Cameron, D. S. Hugelshofer, J. Shaw-Hegwer, et al., 2004). The PC-PTSD is a four-item screening questionnaire for Posttraumatic Stress Disorder (PTSD). Based on former research, we adapted the PC-PTSD for use among civilian substance use disorder (SUD) patients (D. Van Dam, T. Ehring, E. Vedel, & P. M. G. Emmelkamp, 2010). This version will be referred to as the Jellinek-PTSD (J-PTSD) screening questionnaire. Results showed a high sensitivity (.87), specificity (.75), and overall efficiency (.77) of the J-PTSD in detecting PTSD when using a cutoff score of 2. This confirms findings in former research, and suggests that the J-PTSD is a useful screening instrument for PTSD within a civilian SUD population. Both PTSD and SUD are severe and disabling disorders causing great psychological distress. An early recognition of PTSD among SUD patients makes it possible to address PTSD symptoms in time, which may ultimately lead to an improvement of symptoms in this complex patient group.
本研究旨在对先前关于修正后的初级保健创伤后应激障碍（PC-PTSD）筛查问卷（A. Prins、P. Ouimette、R. Kimerling、R. P. Cameron、D. S. Hugelshofer、J. Shaw-Hegwer 等人，2004 年）的诊断效率的发现进行交叉验证。PC-PTSD 是一种用于创伤后应激障碍（PTSD）的四项筛查问卷。基于之前的研究，我们针对平民药物使用障碍（SUD）患者改编了 PC-PTSD（D. Van Dam、T. Ehring、E. Vedel 和 P. M. G. Emmelkamp，2010 年）。这个版本将被称为杰林克创伤后应激障碍（J-PTSD）筛查问卷。结果表明，当使用 2 分的截断值时，J-PTSD 在检测 PTSD 方面具有较高的敏感性（0.87）、特异性（0.75）和整体效率（0.77）。这证实了先前研究的结果，并表明 J-PTSD 是平民 SUD 人群中 PTSD 的一种有用的筛查工具。PTSD 和 SUD 都是严重且致残的疾病，会引起极大的心理困扰。在 SUD 患者中早期识别 PTSD，可以及时解决 PTSD 症状，这最终可能导致这一复杂患者群体的症状改善。
