a University of Connecticut , Farmington , Connecticut , USA.
b Albert Einstein College of Medicine , Bronx , New York , USA.
J Trauma Dissociation. 2017 Jul-Sep;18(4):559-574. doi: 10.1080/15299732.2016.1241850. Epub 2016 Oct 12.
A new clinician rating measure, the Symptoms of Trauma Scale (SOTS), was administered to adult psychiatric outpatients (46 men, 47 women) with severe mental illness who reported a history of trauma exposure and had recently been discharged from inpatient psychiatric treatment. SOTS composite severity scores for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, posttraumatic stress disorder (PTSD), complex PTSD (cPTSD), and total PTSD/cPTSD severity had acceptable internal consistency reliability. SOTS scores' construct and convergent validity was supported by correlations with self-report measures of childhood and adult trauma history and PTSD, dissociation, and anger symptoms. For men, SOTS scores were associated with childhood sexual and emotional abuse and self-reported anger problems, whereas for women SOTS scores were most consistently and strongly associated with childhood family adversity and self-reported PTSD symptoms. Results provide preliminary support for the reliability and validity of the SOTS with adults with severe mental illness and suggest directions for replication, measure refinement, and research on gender differences.
一种新的临床医生评定量表，创伤症状量表（SOTS），被用于有严重精神疾病的成年精神科门诊病人（46 名男性，47 名女性），这些病人报告了创伤暴露史，并刚刚从住院精神科治疗中出院。SOTS 对精神障碍诊断与统计手册第四版和第五版的复合严重程度评分、创伤后应激障碍（PTSD）、复杂创伤后应激障碍（cPTSD）和总 PTSD/cPTSD 严重程度具有可接受的内部一致性可靠性。SOTS 评分的结构和收敛效度通过与自我报告的儿童和成人创伤史以及 PTSD、解离和愤怒症状的测量结果相关而得到支持。对于男性，SOTS 评分与儿童期性虐待和情感虐待以及自我报告的愤怒问题有关，而对于女性，SOTS 评分与儿童期家庭逆境和自我报告的 PTSD 症状最一致且强烈相关。结果初步支持了 SOTS 在严重精神疾病的成年患者中的可靠性和有效性，并为复制、测量改进以及性别差异研究提供了方向。
