青少年创伤筛查工具在学校卫生保健中心应用的初步研究
A Preliminary Study Examining the Validity of Brief Trauma Screening Tools for Young Adolescents in School-Based Health Centers.
机构信息
University of California, San Francisco, CA
University of California, San Francisco, CA.
出版信息
J Nurs Meas. 2021 Apr 1;29(1):53-65. doi: 10.1891/JNM-D-19-00043. Epub 2020 Dec 17.
BACKGROUND AND PURPOSE
There are very limited brief, validated, open access screening tools for trauma symptoms in adolescent populations. This study aimed to test two brief tools used with adults in primary care settings for use with adolescents.
METHODS
Youth ( = 77) completed the Posttraumatic Stress Disorder (PTSD) Checklist (PCLC-2), the Primary Care PTSD Screen for , Fourth Edition (; PC-PTSD), and the PTSD Reaction Index for (reference tool). Sensitivities and specificities were analyzed.
RESULTS
The PCLC-2 and PC-PTSD demonstrated high sensitivity and specificity with adolescents when using lower cutoff scores than those recommended for adults.
CONCLUSIONS
The PC-PTSD and PCLC-2 have the potential to be used as brief screens with adolescents. Additional research is needed to further examine their validity with larger, diverse youth samples in primary care and school-based settings.
背景与目的
在青少年群体中，用于创伤后症状的简短、经过验证且可公开获取的筛查工具非常有限。本研究旨在测试两种在初级保健环境中与成年人一起使用的简短工具，以用于青少年。
方法
青年（n=77）完成了创伤后应激障碍（PTSD）检查表（PCLC-2）、第四版初级保健 PTSD 筛查（PC-PTSD）和 PTSD 反应指数（参考工具）。分析了敏感性和特异性。
结果
当使用低于推荐给成年人的较低临界值时，PCLC-2 和 PC-PTSD 对青少年表现出较高的敏感性和特异性。
结论
PC-PTSD 和 PCLC-2 有可能作为青少年的简短筛查工具使用。需要进一步的研究来进一步检验它们在初级保健和学校环境中更大、更多样化的青年样本中的有效性。
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