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创伤后应激障碍症状量表访谈用于 DSM-5(PSSI-5)的心理测量特性。

Psychometric properties of the Posttraumatic Stress Disorder Symptom Scale Interview for DSM-5 (PSSI-5).

机构信息

Department of Psychiatry, University of Pennsylvania Perelman School of Medicine.

VA Ann Arbor Healthcare System.

出版信息

Psychol Assess. 2016 Oct;28(10):1159-1165. doi: 10.1037/pas0000259. Epub 2015 Dec 21.

Abstract

Changes to the diagnostic criteria for posttraumatic stress disorder (PTSD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) create a need for valid and reliable updated assessment tools. This study examined key psychometric properties (e.g., internal consistency, test-retest reliability, interrater reliability, and convergent and discriminant validity) of the PTSD Symptom Scale Interview for DSM-5 (PSSI-5), a modified version of the PSS-I (PTSD Symptom Scale)-Interview Version for the DSM-IV. Participants were 242 urban community residents, veterans, and college undergraduates, recruited from 3 study sites, who had experienced a DSM-5 Criterion A traumatic event. The PSSI-5 demonstrated good internal consistency (α = .89) and test-retest reliability (r = .87), as well as excellent interrater reliability for the total severity score (intraclass correlation = .98) and interrater agreement for PTSD diagnosis (κ = .84). The PSSI-5 also demonstrated convergent validity with 3 measures of PTSD (i.e., Clinician-Administered PTSD Scale for DSM-5, Posttraumatic Diagnostic Scale for DSM-5, and PTSD Checklist-Specific Version; all rs > .72) and discriminant validity with the Beck Depression Inventory-II and the State-Trait Anxiety Inventory-Trait scale. Receiver operating characteristic analysis yielded a cutoff score of 23 for identifying a probable PTSD diagnosis. Together, these findings indicate that the PSSI-5 is a valid and reliable instrument for assessing PTSD diagnosis and severity. (PsycINFO Database Record

摘要

DSM-5 创伤后应激障碍诊断标准的变化要求有有效的、可靠的更新评估工具。本研究检验了 DSM-5 创伤后应激障碍症状量表访谈(PSSI-5)的关键心理计量学特性(如内部一致性、重测信度、评定者间信度、聚合和区分效度),这是 PSS-I(DSM-IV 创伤后应激障碍症状量表)的一个修改版本。参与者是从 3 个研究点招募的 242 名城市社区居民、退伍军人和大学生,他们经历了 DSM-5 标准 A 的创伤性事件。PSSI-5 表现出良好的内部一致性(α=.89)和重测信度(r=.87),以及总严重程度评分的极好评定者间信度(组内相关系数=.98)和 PTSD 诊断的评定者间一致性(κ=.84)。PSSI-5 还与 3 种 PTSD 测量工具(即 DSM-5 临床医生管理 PTSD 量表、DSM-5 创伤后诊断量表和 PTSD 检查表-特定版本)表现出聚合效度(所有 rs>.72),与贝克抑郁量表 II 和状态特质焦虑量表特质分量表表现出区分效度。受试者工作特征分析得出一个可能 PTSD 诊断的分界分数为 23。总的来说,这些发现表明 PSSI-5 是一种有效的、可靠的评估 PTSD 诊断和严重程度的工具。

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