VA San Diego Healthcare System, San Diego, CA 92161, USA.
Arch Womens Ment Health. 2013 Apr;16(2):123-9. doi: 10.1007/s00737-012-0325-8. Epub 2013 Jan 9.
Many women have unidentified anxiety or trauma histories that can impact their health and medical treatment-seeking behavior. This study examined the sensitivity, specificity, efficiency, and sensitivity to change of the Overall Anxiety Severity and Impairment Scale (OASIS) for identifying an anxiety disorder in a female sample with and without trauma history related to intimate partner violence (IPV). Forty-three women with full or partial PTSD from IPV and 41 women without PTSD completed the OASIS. All participants with trauma history completed the Clinician Administered PTSD Scale. This report is a secondary analysis of a study on the neurobiology of psychological trauma in survivors of IPV recruited from the community. A cut-score of 5 best discriminated those with PTSD from those without, successfully classifying 91% of the sample with 93% sensitivity and 90% specificity. The measure showed strong sensitivity to change in a subsample of 20 participants who completed PTSD treatment and strong convergent and divergent validity in the full sample. This study suggests that the OASIS can identify the presence of an anxiety disorder among a female sample of IPV survivors when PTSD is present.
许多女性有未被识别的焦虑或创伤史，这可能会影响她们的健康和就医行为。本研究考察了整体焦虑严重程度和障碍量表（OASIS）在识别有创伤后应激障碍（PTSD）和无 PTSD 的女性样本中焦虑障碍的敏感性、特异性、效率和变化敏感性。43 名来自亲密伴侣暴力（IPV）的 PTSD 患者和 41 名无 PTSD 患者完成了 OASIS。所有有创伤史的参与者都完成了临床医生管理的 PTSD 量表。本报告是对 IPV 幸存者心理创伤神经生物学研究的二次分析，该研究从社区招募参与者。5 分的分界值可以最好地区分 PTSD 患者和非 PTSD 患者，成功地对 91%的样本进行分类，敏感性为 93%，特异性为 90%。该测量方法在完成 PTSD 治疗的 20 名参与者的亚组中表现出较强的变化敏感性，在全样本中表现出较强的聚合和发散效度。本研究表明，当 PTSD 存在时，OASIS 可以识别 IPV 幸存者女性样本中焦虑障碍的存在。
