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一种由临床医生实施的国际疾病分类第11版创伤后应激障碍及复杂性创伤后应激障碍诊断测量工具的验证:瑞典样本中的国际创伤访谈

Validation of a clinician-administered diagnostic measure of ICD-11 PTSD and Complex PTSD: the International Trauma Interview in a Swedish sample.

作者信息

Bondjers Kristina, Hyland Philip, Roberts Neil P, Bisson Jonathan I, Willebrand Mimmie, Arnberg Filip K

机构信息

National Centre for Disaster Psychiatry, Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden.

Department of Psychology, Maynooth University, Kildare, Ireland.

出版信息

Eur J Psychotraumatol. 2019 Oct 4;10(1):1665617. doi: 10.1080/20008198.2019.1665617. eCollection 2019.

Abstract

: The recently published ICD-11 includes substantial changes to the diagnosis of 10 posttraumatic stress disorder (PTSD) and introduces the diagnosis of Complex PTSD (CPTSD). The International Trauma Interview (ITI) has been developed for clinicians to assess these new diagnoses but has not yet been evaluated. : To evaluate the psychometric properties of the Swedish translation of the ITI by examining the interrater agreement, latent structure, internal consistency, and convergent and discriminant validity. : In a prospective study, 186 adults who had experienced a potentially traumatic event were assessed with the ITI and answered questionnaires for symptoms of posttraumatic stress, other psychiatric disorders, functional disability, and quality of life (QoL). : The diagnostic rate was 16% for PTSD and 6% for CPTSD. Interrater agreement was satisfactory (α = .76), and confirmatory factor analysis indicated that a two-factor second-20 order model consistent with the ICD-11 model of CPTSD provided acceptable fit to the data. Composite reliability analysis demonstrated that the ITI possessed acceptable internal reliability, and associations with measures of other psychiatric disorders, insomnia, functional disability, and QoL supported the concurrent validity of the ITI. : Swedish ITI shows promise as a clinician-administered instrument to assess and diagnose ICD-11 PTSD and CPTSD.

摘要

最近发布的《国际疾病分类第11版》(ICD - 11)对创伤后应激障碍(PTSD)的诊断进行了重大修改,并引入了复杂创伤后应激障碍(CPTSD)的诊断。国际创伤访谈(ITI)已开发出来供临床医生评估这些新诊断,但尚未进行评估。

目的

通过检查评分者间一致性、潜在结构、内部一致性以及收敛效度和区分效度,评估ITI瑞典语翻译版的心理测量特性。

方法

在一项前瞻性研究中,对186名经历过潜在创伤事件的成年人进行ITI评估,并让他们回答有关创伤后应激症状、其他精神障碍症状、功能残疾和生活质量(QoL)的问卷。

结果

PTSD的诊断率为16%,CPTSD的诊断率为6%。评分者间一致性令人满意(α = 0.76),验证性因素分析表明,与ICD - 11中CPTSD模型一致的双因素二阶模型对数据的拟合度可接受。综合信度分析表明,ITI具有可接受的内部信度,并且与其他精神障碍测量指标、失眠、功能残疾和生活质量的相关性支持了ITI的同时效度。

结论

瑞典语版ITI有望成为临床医生用于评估和诊断ICD - 11中PTSD和CPTSD的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad24/6781232/ae6f123b3556/ZEPT_A_1665617_F0001_B.jpg

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