Dorr Florence, Sack Martin, Bengel Jürgen
Institut für Psychologie, Abteilung für Rehabilitationspsychologie und Psychotherapie, Albert-Ludwigs-Universität Freiburg.
Klinik für Psychosomatik und Psychotherapie, Klinikum rechts der Isar der TU München.
Psychother Psychosom Med Psychol. 2018 Dec;68(12):525-533. doi: 10.1055/s-0043-122942. Epub 2018 Jan 19.
The aim was to develop further a screening instrument for complex posttraumatic stress disorder (cPTSD). The screening for cPTSD (SkPTBS) tests a) potential traumatic experiences, b) influential features and risk factors, and c) symptoms of cPTSD. The SkPTBS by Dorr et al. (2016) was revised according to the current ICD-11 criteria set proposal for cPTSD and is explored in its revised edition.
Impacts of long-lasting interpersonal trauma were tested in inpatients of psychosomatic rehabilitation and in patients consulting a university outpatient center for trauma therapy. Patients filled out the screening at the beginning of their treatment (N=525, among these n=359 rehabilitation patients and n=157 in the outpatient center, mean age 48 years, 68% female). Later diagnosed complex PTSD as well as results of the SCID and the Interview for complex PTSD (IkPTBS) served as primary validation criteria.
88 patients (17%) were diagnosed with complex PTSD. Metric SkPTBS items were selective and the scale had an internal reliability of Cronbachs α=0.91. The one-dimensional factor structure was replicated. SkPTBS correlated moderately with posttraumatic symptoms measured by IES-15, with dissociative symptoms (DES-Taxon), depressive symptoms (in BDI-II, PHQ-9), and global symptom severity (in SCL-90-R). Finally, norms for different groups of age, diagnosis and treatment settings were developed.
The SkPTBS revision is a feasible and brief instrument to identify patients at risk for complex PTSD. It is provided freely and can be applied for diagnostic and therapeutic purposes.
目的是进一步开发一种用于复杂创伤后应激障碍（cPTSD）的筛查工具。复杂创伤后应激障碍筛查量表（SkPTBS）测试：a）潜在创伤经历；b）影响因素和风险因素；c）复杂创伤后应激障碍的症状。Dorr等人（2016年）编制的SkPTBS根据国际疾病分类第11版（ICD-11）目前关于复杂创伤后应激障碍的标准提案进行了修订，并对其修订版进行了研究。
在身心康复住院患者和咨询大学门诊创伤治疗中心的患者中测试长期人际创伤的影响。患者在治疗开始时填写筛查量表（N = 525，其中n = 359名康复患者，n = 157名门诊患者，平均年龄48岁，68%为女性）。后来诊断出的复杂创伤后应激障碍以及结构化临床访谈（SCID）和复杂创伤后应激障碍访谈（IkPTBS）的结果作为主要验证标准。
88名患者（17%）被诊断为复杂创伤后应激障碍。SkPTBS的计量项目具有选择性，该量表的内部信度为Cronbach's α = 0.91。重复了一维因素结构。SkPTBS与IES-15测量的创伤后症状、分离症状（DES分类）、抑郁症状（BDI-II、PHQ-9）以及总体症状严重程度（SCL-90-R）中度相关。最后，制定了不同年龄、诊断和治疗环境组的常模。
SkPTBS修订版是一种可行且简短的工具，可用于识别有复杂创伤后应激障碍风险的患者。它是免费提供的，可用于诊断和治疗目的。
