School of Social Work, Ariel Science Park, Ariel University, 40700, Israel.
Department of Gerontology, Faculty of Social Welfare and Health Sciences, University of Haifa, 199 Aba Khoushy Ave, Mount Carmel, Haifa 3498838, Israel.
Psychiatry Res. 2019 Mar;273:121-126. doi: 10.1016/j.psychres.2019.01.014. Epub 2019 Jan 3.
The Subjective Traumatic Outlook (STO) deals with changes in individuals' perception, following a traumatic event and the difficulties of integrating pre-trauma past memories, inner traumatic memories, and current daily life. Although this short scale has excellent psychometric properties its cut-off scores for potential clinical use have yet to be established. In addition, due to the discrepancy between the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD) in the meaurement of post-traumatic stress disorder (PTSD), the present study aimed at revalidating the STO and establishing cut-off scores for potential clinical use, based on both approaches to measure PTSD and complex post-traumatic stress disorder (CPTSD). Three hundred forty-three adults who were recruited through social media apps filled in self-report online questionnaires dealing with subjective perception of psychological trauma, PTSD and CPTSD. Results revalidate the STO as a screening tool for PTSD and CPTSD. We recommend a STO cut-off score of 13 and above when using the ICD-11 PTSD proposed algorithm along the PCL-5 cutoff score and a STO cut-off score of 15 when using the ICD-11 CPTSD proposed algorithm. In light of the present findings, the integration of DSM and ICD approaches is discussed.
主观创伤展望量表（STO）涉及个体在创伤事件后感知的变化，以及整合创伤前记忆、内在创伤记忆和当前日常生活的困难。尽管这个简短的量表具有出色的心理计量学特性，但仍需确定其用于潜在临床的截断分数。此外，由于《精神障碍诊断与统计手册》（DSM）和《国际疾病分类》（ICD）在创伤后应激障碍（PTSD）的测量方面存在差异，本研究旨在基于 PTSD 和复杂创伤后应激障碍（CPTSD）的两种测量方法重新验证 STO，并确定用于潜在临床的截断分数。本研究通过社交媒体应用程序招募了 343 名成年人，他们填写了在线自我报告问卷，涉及心理创伤的主观感知、PTSD 和 CPTSD。研究结果再次验证了 STO 作为 PTSD 和 CPTSD 的筛查工具。我们建议，当使用 ICD-11 PTSD 建议的算法时，STO 的截断分数为 13 分及以上，同时使用 PCL-5 截断分数；当使用 ICD-11 CPTSD 建议的算法时，STO 的截断分数为 15 分。根据本研究的结果，讨论了 DSM 和 ICD 方法的整合。
