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《用于 DSM-5 的临床医生管理创伤后应激障碍量表的韩文版的信度和效度》。

Reliability and Validity of the Korean Version of Clinician-Administered Posttraumatic Stress Disorder Scale for DSM-5.

机构信息

Department of Psychiatry, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.

Department of Psychiatry, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

出版信息

J Korean Med Sci. 2019 Aug 19;34(32):e219. doi: 10.3346/jkms.2019.34.e219.

Abstract

BACKGROUND

For diagnosis of post-traumatic stress disorder (PTSD), the Clinician-Administered PTSD Scale (CAPS) is one of the most widely used structured diagnostic interviews.

METHODS

In this study, we aimed to develop and validate the Korean version of CAPS for the Diagnostic and Statistical Manual of Mental Disorders, 5th edition ([DSM-5] K-CAPS-5). Seventy-one subjects with PTSD, 74 with mood disorder or anxiety disorder, and 99 as healthy controls were enrolled. The Korean version of the structured clinical interview for DSM-5-research version was used to assess the convergent validity of K-CAPS-5. BDI-II, BAI, IES-R, and STAI was used to evaluate the concurrent validity.

RESULTS

All subjects completed various psychometric assessments including K-CAPS-5. K-CAPS-5 presented good internal consistency (Cronbach's α = 0.92) and test-retest reliability ( = 0.91). K-CAPS-5 showed strong correlations with the structured clinical interview for DSM-5 PTSD (k = 0.893). Among the three subject groups listed above there were significant differences in the K-CAPS-5 total score. The data were best explained by a six-factor model.

CONCLUSION

These results demonstrated the good reliability and validity of K-CAPS-5 and its suitability for use as a simple but structured instrument for PTSD assessment.

摘要

背景

为了诊断创伤后应激障碍(PTSD),临床医生管理的 PTSD 量表(CAPS)是最广泛使用的结构化诊断访谈之一。

方法

在这项研究中,我们旨在开发和验证用于诊断和统计手册,第五版([DSM-5] K-CAPS-5)的 CAPS 的韩语版本。71 名 PTSD 患者、74 名心境障碍或焦虑障碍患者和 99 名健康对照组被纳入研究。使用用于 DSM-5 研究版的结构化临床访谈来评估 K-CAPS-5 的收敛效度。使用 BDI-II、BAI、IES-R 和 STAI 来评估同时效度。

结果

所有受试者均完成了各种心理评估,包括 K-CAPS-5。K-CAPS-5 表现出良好的内部一致性(Cronbach's α = 0.92)和重测信度(= 0.91)。K-CAPS-5 与用于 DSM-5 PTSD 的结构化临床访谈之间存在很强的相关性(k = 0.893)。在上述三个受试组中,K-CAPS-5 的总分存在显著差异。该数据最好用六因素模型来解释。

结论

这些结果表明 K-CAPS-5 具有良好的可靠性和有效性,适合用作 PTSD 评估的简单但结构化的工具。

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