Chiu Shih-Han, Chiu Yu-Lung, Yeh Chin-Bin
Department of Counseling and Industrial/Organizational Psychology, Ming Chuan University, Taipei, Taiwan.
School of Public Health, National Defense Medical Center, Taipei, Taiwan.
Psychiatry Clin Psychopharmacol. 2023 Mar 1;33(1):28-37. doi: 10.5152/pcp.2023.22572. eCollection 2023 Mar.
Complex post-traumatic stress disorder was often present after chronic traumatic events. The diagnostic criteria of complex post-traumatic disorder consisted of both post-traumatic stress disorder and disturbance in self-organization. People with complex post-traumatic disorder often exposed to chronic stress. It might not be as significant as the major traumatic event as survivors with post-traumatic stress disorder had experienced. Therefore, the impact of complex post-traumatic stress disorder was often ignored. It is critical to identify the at-risk individuals with complex post-traumatic disorder in community. We planned to investigate the psychometrics of the International Trauma Questionnaire for assessing complex post-traumatic stress disorder symptoms in Taiwan.
One hundred twenty-one individuals were enrolled and they completed 8 self-report scales, including International Trauma Questionnaire, Childhood Trauma Questionnaire Short Form, Beck Depression Inventory-II, Beck Anxiety Inventory, the Chinese version of the Post-traumatic Stress Disorder Checklist for DSM-5, Difficulties in Emotional Regulation Scale, Rosenberg Self-Esteem Scale, and the Interpersonal Relationship Scale. The psychometric of International Trauma Questionnaire was examined by bivariate correlation analysis, independent -test, and factor analysis.
The study showed International Trauma Questionnaire had good reliability and validity and corresponded with previous studies. The result of confirmatory factor analysis supported the structure of complex post-traumatic stress disorder criteria in International Classification of Diseases-11. The 2-factor second-order model was the best-fitting model. The 6 symptom domains of complex post-traumatic stress disorder were also significantly correlated with depressive and anxiety symptoms.
It suggests that the Chinese version of International Trauma Questionnaire could be used for screening at-risk groups and future works for mental public health in Taiwan.
复杂创伤后应激障碍常出现在慢性创伤事件之后。复杂创伤后应激障碍的诊断标准包括创伤后应激障碍和自我组织紊乱。患有复杂创伤后应激障碍的人常暴露于慢性应激之下。这种应激可能不像创伤后应激障碍幸存者所经历的重大创伤事件那样显著。因此，复杂创伤后应激障碍的影响常常被忽视。在社区中识别患有复杂创伤后应激障碍的高危个体至关重要。我们计划调查国际创伤问卷在评估台湾地区复杂创伤后应激障碍症状方面的心理测量学特性。
招募了121名个体，他们完成了8份自我报告量表，包括国际创伤问卷、儿童创伤问卷简版、贝克抑郁量表第二版、贝克焦虑量表、DSM - 5创伤后应激障碍检查表中文版、情绪调节困难量表、罗森伯格自尊量表和人际关系量表。通过双变量相关分析、独立样本t检验和因子分析来检验国际创伤问卷的心理测量学特性。
研究表明国际创伤问卷具有良好的信度和效度，与先前的研究结果相符。验证性因子分析的结果支持了国际疾病分类第11版中复杂创伤后应激障碍标准的结构。二因素二阶模型是最佳拟合模型。复杂创伤后应激障碍的6个症状领域也与抑郁和焦虑症状显著相关。
这表明国际创伤问卷中文版可用于台湾地区高危人群的筛查以及未来的精神公共卫生工作。
