Ford Julian D, Mendelsohn Michaela, Opler Lewis A, Opler Mark G A, Kallivayalil Diya, Levitan Jocelyn, Pratts Michael, Muenzenmaier Kristina, Shelley Anne-Marie, Grennan Michelle S, Lewis Herman Judith
FORD: Department of Psychiatry, University of Connecticut Health Center, Farmington, CT MENDELSOHN, KALLIVAYALIL, and HERMAN: Department of Psychiatry, Cambridge Health Alliance/Harvard Medical School, Cambridge, MA L.A. OPLER: Department of Psychology, Long Island University, Brooklyn, NY M.G.A. OPLER: ProPhase LLC, Department of Psychiatry, New York University School of Medicine, New York, NY, and Department of Psychiatry, Columbia University, New York, NY LEVITAN: Synergy Psychological, Sierra Madre, CA PRATTS: St Joseph's Hospital Health Center, Syracuse, NY MUENZENMAIER: Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY SHELLEY: Bronx Psychiatric Center, Bronx, NY GRENNAN: ProPhase LLC, New York, NY.
J Psychiatr Pract. 2015 Nov;21(6):474-83. doi: 10.1097/PRA.0000000000000107.
The Symptoms of Trauma Scale (SOTS) is a 12-item, interview-based, clinician-rated measure that assesses the severity of a range of trauma-related symptoms. This pilot study evaluated its use and psychometric properties in an outpatient setting that provides treatment to survivors of chronic interpersonal trauma. Thirty participants completed self-report measures of posttraumatic stress symptoms, depression, dissociation, self-esteem, and affect dysregulation; the participants also participated separately in a semistructured interview based on the SOTS conducted by 2 trained interviewers. SOTS composite severity scores for DSM-IV posttraumatic stress disorder (PTSD) and complex PTSD (cPTSD), DSM-5 PTSD, and PTSD dissociative subtype, and total traumatic stress symptoms generally had acceptable internal consistency and interrater reliability. Evidence of convergent, discriminant, criterion, and construct validity was found for the SOTS composite PTSD scores, although potential limitations to validity that require further research and refinement of the measure were identified for the SOTS total and DSM-IV cPTSD scores and the hyperarousal, affect dysregulation, and dissociation items. Interviewers and interviewees described the interview as efficient, informative, and well tolerated. Implications for clinical practice and research to refine the SOTS are discussed.
创伤症状量表（SOTS）是一种基于访谈的、由临床医生评定的12项量表，用于评估一系列创伤相关症状的严重程度。这项初步研究评估了其在为慢性人际创伤幸存者提供治疗的门诊环境中的使用情况和心理测量特性。30名参与者完成了创伤后应激症状、抑郁、解离、自尊和情感失调的自我报告测量；参与者还分别参加了由2名经过培训的访谈员进行的基于SOTS的半结构化访谈。SOTS关于《精神疾病诊断与统计手册》第四版（DSM-IV）创伤后应激障碍（PTSD）和复杂性PTSD（cPTSD）、DSM-5 PTSD以及PTSD解离亚型的综合严重程度评分，以及总的创伤应激症状通常具有可接受的内部一致性和评分者间信度。尽管在SOTS总分、DSM-IV cPTSD评分以及过度警觉、情感失调和解离项目方面发现了有效性的潜在局限性，需要进一步研究和完善该测量方法，但对于SOTS综合PTSD评分，发现了收敛效度、区分效度、标准效度和结构效度的证据。访谈员和受访者将访谈描述为高效、信息丰富且耐受性良好。文中讨论了对临床实践和完善SOTS研究的启示。
