Department of Surgery, Division of Trauma & Acute Care Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
J Trauma Stress. 2020 Jun;33(3):218-226. doi: 10.1002/jts.22478. Epub 2020 Apr 11.
Rates of posttraumatic stress disorder (PTSD) are three times higher in traumatically injured populations than the general population, yet limited brief, valid measures for assessing PTSD symptom severity exist. The PTSD Checklist for DSM-5 (PCL-5) is a valid, efficient measure of symptom severity, but its completion is time consuming. Subsequently, abbreviated four- and eight-item versions were developed using the Mini-International Neuropsychiatric Interview-7 PTSD module and validated in Veteran samples. This study aimed to validate these abbreviated versions using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5), the gold standard for PTSD diagnosis, in a traumatically injured civilian population. Participants were 251 traumatically injured adults (M = 42.52 years; 69.3% male; 50.2% Caucasian) recruited from a Level 1 trauma center inpatient unit; 32.3% and 17.9% of participants experienced a motor vehicle crash or gunshot wound, respectively. The CAPS-5 and PCL-5 were administered approximately 6.5 months postinjury. We examined whether compared to the full PCL-5, the abbreviated versions would adequately differentiate between participants with and without a CAPS-5 PTSD diagnosis. The abbreviated versions were highly correlated with the total scale and showed good-to-excellent internal consistency. The diagnostic utility of the abbreviated measures was comparable to that of the total scale regarding sensitivity, suggesting they may be useful as abbreviated screening tools; however, the total scale functioned better regarding specificity. The abbreviated versions of the PCL-5 may be useful screening instruments in the long-term care of traumatic injury survivors and may be more likely to be implemented across routine clinical and research contexts.
创伤后应激障碍（PTSD）的发病率在创伤人群中是普通人群的三倍，但目前仅有少数简短、有效的方法来评估 PTSD 症状的严重程度。DSM-5 创伤后应激障碍检查表（PCL-5）是一种有效的、有效的症状严重程度评估工具，但它的完成需要时间。随后，使用 Mini-国际神经精神访谈-7 PTSD 模块开发了简短的四和八项目版本，并在退伍军人样本中进行了验证。本研究旨在使用创伤后应激障碍诊断的金标准-临床医生管理 PTSD 量表 5 版（CAPS-5），在创伤性损伤的平民人群中验证这些简短版本。参与者是从一级创伤中心住院部招募的 251 名创伤性损伤成年人（M=42.52 岁；69.3%为男性；50.2%为白种人）；分别有 32.3%和 17.9%的参与者经历了机动车事故或枪伤。大约在受伤后 6.5 个月进行了 CAPS-5 和 PCL-5 测试。我们研究了与完整的 PCL-5 相比，这些简短版本是否能更好地区分 CAPS-5 PTSD 诊断的参与者和无 PTSD 诊断的参与者。简短版本与总量表高度相关，显示出良好到优秀的内部一致性。与总量表相比，简短测量的诊断效用在敏感性方面相当，表明它们可能是有用的简短筛查工具；然而，总量表在特异性方面表现更好。PCL-5 的简短版本可能是创伤性损伤幸存者长期护理中的有用筛查工具，并且可能更有可能在常规临床和研究环境中实施。
