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2019 年冠状病毒病疫情期间中国医护人员创伤后应激障碍检查表 DSM-5(PCL-5)的心理测量特性研究。

Psychometric property study of the posttraumatic stress disorder checklist for DSM-5 (PCL-5) in Chinese healthcare workers during the outbreak of corona virus disease 2019.

机构信息

Department of Psychiatry, The Second Xiangya Hospital, Central South University, No.139, Renmin Middle Road, Changsha 410011, Hunan, China.

Department of Behavioral Medicine and Psychiatry, West Virginia University, United States.

出版信息

J Affect Disord. 2020 Dec 1;277:368-374. doi: 10.1016/j.jad.2020.08.038. Epub 2020 Aug 23.

Abstract

BACKGROUND

Previous studies about the reliability and validity of the updated PCL version for the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (PCL-5) have only been evaluated in certain samples of the population, which lacks in the sample of Healthcare Workers. Our study focused on the factor structure, reliability and validity of the PCL-5 among Chinese Healthcare Workers during the Outbreak of Corona Virus Disease 2019.

METHODS

We conducted an online survey of frontline healthcare workers using the PCL-5 for PTSD. Total of 212 frontline healthcare providers were included in this study.

RESULTS

The findings showed that PCL-5 is a reliable instrument in our sample. The total and subscale scores showed good internal consistency. The convergent and discriminant validity of the PCL-5 were also well demonstrated. Our result showed a better fit with the seven-factor hybrid model compared with other models and supported that the PCL-5 Chinese version can be used as a reliable screening tool to conduct psychological screening for Chinese healthcare workers.

LIMITATION

We could not examine other aspects of reliability and validity like test-retest reliability or criterion validity. We didn't use the gold-standard structured interview for PTSD in our study. Besides, most of our samples were young people who had access to the internet. Not all professional levels and seniorities were presented because our sample had a lower mean income and educational level.

CONCLUSION

Our study shows that the Chinese PCL-5 has good validity and reliability in frontline healthcare workers during the outbreak.

摘要

背景

先前关于第五版《精神障碍诊断与统计手册》(PCL-5)更新版本的 PCL 在特定人群样本中的可靠性和有效性的研究仅在特定人群样本中进行了评估,而在医疗保健工作者样本中则缺乏。我们的研究侧重于在 2019 年冠状病毒病爆发期间中国医疗保健工作者中 PCL-5 的因子结构、可靠性和有效性。

方法

我们使用 PCL-5 对 PTSD 对一线医护人员进行了在线调查。共有 212 名一线医护人员纳入本研究。

结果

研究结果表明,PCL-5 在我们的样本中是一个可靠的工具。总分和分量表得分显示出良好的内部一致性。PCL-5 的聚合和判别效度也得到了很好的证明。与其他模型相比,我们的结果显示出与七因素混合模型更好的拟合度,支持 PCL-5 中文版可作为一种可靠的筛查工具,对中国医护人员进行心理筛查。

局限性

我们无法检查其他方面的可靠性和有效性,例如重测信度或效标效度。我们在研究中未使用 PTSD 的金标准结构化访谈。此外,我们的大多数样本都是能够上网的年轻人。由于我们的样本收入和教育水平较低,因此并未呈现所有专业水平和资历。

结论

我们的研究表明,中文版 PCL-5 在疫情期间对一线医护人员具有良好的有效性和可靠性。

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