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DSM-5 创伤后应激障碍症状的维度:跨多个创伤样本验证 DSM-5 创伤后诊断量表中文版。

Dimensionality of DSM-5 PTSD symptoms: Validation of the Chinese version of the posttraumatic diagnostic scale for DSM-5 across multiple trauma samples.

机构信息

Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan, Taiwan, ROC; Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, ROC.

Department of Psychology, Fo Guang University, Yilan, Taiwan, ROC.

出版信息

J Anxiety Disord. 2020 Aug;74:102261. doi: 10.1016/j.janxdis.2020.102261. Epub 2020 Jun 15.

Abstract

The Posttraumatic Diagnostic Scale for DSM-5 (PDS-5) is an updated DSM-5 version of the PDS, a widely used measure for PTSD. The PDS-5 has recently been shown to possess sound psychometric properties and awaits cross-cultural validation. The present study aimed first, to evaluate the psychometric properties of the Chinese version of the PDS-5; second, to evaluate alternative factor models of DSM-5 PTSD symptoms with multiple trauma samples. Data were collected from five samples of Taiwanese trauma-exposed individuals (total N = 903): 138 burn injury survivors, 403 earthquake survivors, 181 trauma-exposed young adults, 91 trauma-exposed undergraduates, and 90 female domestic violence survivors. The Chinese PDS-5 possessed excellent internal consistency (α s = .94-.95) and satisfactory five-week (r = .80) and one-year temporal stability (r = 0.76). Convergent, concurrent, and discriminant validity were also established. Consistent with recent studies, confirmatory factor analyses demonstrated the best fit of a seven-factor Hybrid model, followed by a six-factor Anhedonia model across multiple trauma samples.

摘要

创伤后诊断量表第五版(PDS-5)是 PDS 的 DSM-5 版本更新,PDS 是一种广泛用于 PTSD 的测量工具。PDS-5 最近被证明具有良好的心理测量特性,尚待跨文化验证。本研究首先旨在评估 PDS-5 中文版的心理测量特性;其次,评估具有多种创伤样本的 DSM-5 PTSD 症状的替代因素模型。数据来自五个台湾创伤暴露个体样本(共 903 人):138 名烧伤幸存者、403 名地震幸存者、181 名创伤暴露的年轻成年人、91 名创伤暴露的大学生和 90 名女性家庭暴力幸存者。中文版 PDS-5 具有极好的内部一致性(α s=.94-.95)和令人满意的五周(r=.80)和一年时间稳定性(r=.76)。同时也建立了收敛、并发和判别有效性。与最近的研究一致,验证性因素分析表明,在多个创伤样本中,七因素混合模型和六因素快感缺失模型的拟合度最好。

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