Steele Nicole M, Benassi Helen P, Chesney Catherine J, Nicholson Cherie, Fogarty Gerard J
Joint Health Command, Australian Government Department of Defence, CP3-7-042, Campbell Park Offices, Canberra, ACT, Australia 2600.
Australian Centre for Sustainable Business and Development, University of Southern Queensland, Toowoomba, QLD, Australia 4350.
Mil Med. 2014 Dec;179(12):1497-502. doi: 10.7205/MILMED-D-14-00183.
Psychological screening of large numbers of personnel returning from deployments should be as brief as possible without sacrificing the ability to detect individuals who are experiencing serious psychological difficulties. This study focused on screening for posttraumatic stress disorder (PTSD) symptomatology in 421 deployed male members of the Australian Army while they were on deployment and again 3 to 6 months after they returned home. The first aim was to evaluate the performance of the Primary Care--Posttraumatic Stress Disorder Screen (PC-PTSD) and a 4-item version of the 17-item Posttraumatic Stress Disorder Checklist (PCL). A second aim was to evaluate the role of the Kessler-10 (K10) in psychological screening. The results indicated that the short form of the PCL was a better substitute for the full PCL than the PC-PTSD. Other results suggested that a more efficient screening process can be achieved using an initial K10 screening followed by more intensive PTSD screening for people identified as high risk. An additional advantage of an initial K10 filter is that other forms of mental illness could also be targeted in the second-stage screening.
对大量从部署任务中归来的人员进行心理筛查，应在不影响识别有严重心理问题人员能力的前提下，尽可能简短。本研究聚焦于对421名澳大利亚陆军现役男性成员进行创伤后应激障碍（PTSD）症状筛查，一次是在他们执行任务期间，另一次是在他们回国3至6个月后。第一个目标是评估初级保健创伤后应激障碍筛查量表（PC-PTSD）和17项创伤后应激障碍检查表（PCL）的4项版本的性能。第二个目标是评估凯斯勒10项量表（K10）在心理筛查中的作用。结果表明，PCL简表比PC-PTSD更适合作为完整PCL的替代。其他结果表明，通过先进行K10初始筛查，然后对被确定为高风险的人员进行更深入的PTSD筛查，可以实现更高效的筛查流程。初始K10筛查的另一个优势是，在第二阶段筛查中还可以针对其他形式的精神疾病。
