Department of Psychology, Division of Clinical Psychology and Psychopathology, Paris Lodron University of Salzburg, Salzburg, Austria.
Research Department, Empatia Multidisciplinary Clinic, Prishtina, Kosovo.
Eur J Psychotraumatol. 2023;14(2):2238492. doi: 10.1080/20008066.2023.2238492.
The fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) introduced the dissociative subtype of posttraumatic stress disorder (D-PTSD). To assess this subtype, the Dissociative Subtype of PTSD Scale (DSPS), a 15-item self-report measure to identify lifetime and current dissociative symptoms of D-PTSD, was developed. However, so far, the scale has only been validated in war veterans. Moreover, criterion validity and diagnostic utility have not been examined yet. We aimed to validate the DSPS in two samples of civilian trauma-exposed German-speaking participants. In Study 1, a pre-registered online study, participants with and without PTSD symptoms ( = 558) answered questionnaires about traumatic experiences, dissociation, PTSD, depression, generalized anxiety disorder, somatic symptom disorder, alcohol use disorder, absorption, and dissociative responding to trauma-related questionnaires. In Study 2, which used secondary data of a pre-registered clinical study, participants with a PTSD diagnosis ( = 71) answered questionnaires about traumatic experiences, dissociation, PTSD, depression, generalized anxiety disorder, somatic symptom disorder, and dissociative responding to standardized trauma exposure. Moreover, PTSD, D-PTSD, and other diagnoses were assessed with structured clinical interviews. Analyses confirmed a three-factor structure as well as high internal consistency, and high convergent, discriminant, and criterion validity of the DSPS. Moreover, the scale was able to identify a latent D-PTSD group and individuals with D-PTSD diagnosis. The DSPS constitutes a reliable and valid tool to assess D-PTSD symptoms in clinical practice and research and thereby may contribute to a better understanding of these debilitating symptoms.
《精神疾病诊断与统计手册》(DSM-5)第五版引入了创伤后应激障碍(PTSD)的分离亚型(D-PTSD)。为了评估这一亚型,开发了创伤后应激障碍分离量表(DSPS),这是一种 15 项自评量表,用于识别 D-PTSD 的终生和当前分离症状。然而,到目前为止,该量表仅在退伍军人中进行了验证。此外,还没有检验其效标效度和诊断实用性。我们旨在通过两个德国创伤暴露的平民样本验证 DSPS。在研究 1 中,一项预先注册的在线研究,有和没有 PTSD 症状的参与者( = 558)回答了关于创伤经历、分离、PTSD、抑郁、广泛性焦虑障碍、躯体症状障碍、酒精使用障碍、吸收和创伤相关问卷中分离反应的问卷。在研究 2 中,使用预先注册的临床研究的二级数据,有 PTSD 诊断的参与者( = 71)回答了关于创伤经历、分离、PTSD、抑郁、广泛性焦虑障碍、躯体症状障碍和对标准化创伤暴露的分离反应的问卷。此外,使用结构化临床访谈评估 PTSD、D-PTSD 和其他诊断。分析证实了 DSPS 的三因素结构以及高内部一致性,以及高聚合、区分和效标效度。此外,该量表能够识别出潜在的 D-PTSD 群体和 D-PTSD 诊断个体。DSPS 是一种可靠和有效的工具,可用于在临床实践和研究中评估 D-PTSD 症状,从而有助于更好地理解这些使人衰弱的症状。