Cohodes Emily M, Mandell Jeffrey D, Notti Madeline E, Schroeder Mary Margaret, Ababio Rachel, McCauley Sarah, Pierre Jasmyne C, Hodges H R, Gee Dylan G
Department of Psychology, Yale University.
Program in Computational Biology and Bioinformatics, Yale University.
Psychol Trauma. 2025 May;17(4):813-820. doi: 10.1037/tra0001606. Epub 2023 Nov 13.
Recent advances in the dimensional assessment of traumatic stress have initiated research examining correlates of exposure to specific features of stress. However, existing tools require intensive, in-person, clinician administration to generate the rich phenotypic data required for such analyses. These approaches are time consuming, costly, and substantially restrict the degree to which assessment tools can be disseminated in large-scale studies, constraining the refinement of existing dimensional models of early adversity. Here, we present an electronic adaptation of the Dimensional Inventory of Stress and Trauma Across the Lifespan (DISTAL), called the DISTAL-Electronic (DISTAL-E), present descriptive statistics drawn from a large sample of = 500 young adult participants who completed the novel measure, and provide information about its psychometric properties. Results suggest that the DISTAL-E adequately assesses the following dimensional indices of traumatic stress exposure: type, chronicity, age of onset, severity, proximity, caregiver involvement, controllability, predictability, betrayal, threat, and deprivation and that it has excellent content and convergent validity and good test-retest reliability over a 7-11 day period. Although the development of the DISTAL-E facilitates the broad assessment of dimensions of stress exposure in large-scale datasets and has the potential to increase access to stress-related research to a wider group of participants who may not be able to access clinical research in traditional, in-person, clinic-based settings, the generalizability of results of the present study may be constrained by the fact that study participants were primarily White, educated, and with middle-to-high income. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
创伤应激维度评估的最新进展引发了对压力特定特征暴露相关因素的研究。然而,现有工具需要临床医生进行密集的面对面管理,以生成此类分析所需的丰富表型数据。这些方法耗时、成本高,并且极大地限制了评估工具在大规模研究中的传播程度,从而限制了早期逆境现有维度模型的完善。在此,我们展示了一种针对《全生命周期压力与创伤维度量表》(DISTAL)的电子改编版,称为《DISTAL电子量表》(DISTAL-E),给出了从500名完成该新量表的年轻成年参与者的大样本中得出的描述性统计数据,并提供了其心理测量特性的信息。结果表明,DISTAL-E能够充分评估创伤应激暴露的以下维度指标:类型、慢性、发病年龄、严重程度、接近程度、照顾者参与度、可控性、可预测性、背叛、威胁以及剥夺,并且它具有出色的内容效度和收敛效度,在7至11天的时间段内具有良好的重测信度。尽管DISTAL-E的开发有助于在大规模数据集中广泛评估压力暴露维度,并且有可能让更多无法在传统的面对面临床环境中参与临床研究的参与者接触到与压力相关的研究,但本研究结果的普遍性可能会受到研究参与者主要为白人、受过教育且收入中高这一事实的限制。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)