Özgen Mihriban Heval, Hoeboer Chris, de Vos Cato M H, Türk-Kurtça Tuğba, Olff Miranda, Şar Vedat
Parnassia Psychiatric Institute, Parnassia Academy, The Hague, The Netherlands.
Leiden University Medical Center, ZA Leiden, The Netherlands.
Psychiatry Clin Psychopharmacol. 2025 Aug 11;35(Suppl 1):S36-S46. doi: 10.5152/pcp.2025.24984.
Background: The prevalence of trauma-related disorders in Türkiye is higher than in high-income countries due to an increased likelihood of exposure to traumatic events. Türkiye's high prevalence of trauma-related disorders underscores the need for validated tools to screen for trauma-related symptoms. The Global Psychotrauma Screen (GPS) is a newly developed, brief instrument designed to screen for transdiagnostic trauma-related symptoms and risk factors. However, its validity in Turkish populations has yet to be established. This study aimed to evaluate the psychometric properties of the Turkish version of the GPS in a general population sample from Türkiye. Methods: The Turkish version of the GPS was administered digitally to 499 individuals (36.3% male, 63.7% female) aged 18 to 74 years (mean ± SD = 24.58 ± 9.26). Psychometric analyses included exploratory factor analysis, internal consistency, reliability, clinical validity, and convergent-divergent validity. Specific statistical tests such as Cronbach's alpha for internal consistency and confirmatory factor analysis for validity were conducted. Convergent-divergent validity was assessed using correlations with other established measures of trauma symptoms, such as the posttraumatic stress disorder (PTSD) Checklist (PCL). Linear regression examined associations between risk factors and trauma-related symptoms. Results: Exploratory factor analysis indicated a single-factor structure for trauma-related symptoms. The GPS showed strong internal consistency (α = 0.87) and reliability. Clinical validity was moderate with cut-off scores of 3 for probable PTSD and 2 for depression and anxiety. These cut-off scores resulted in high sensitivity but low specificity. Risk factors such as low social support, childhood trauma, a history of mental illness, and exposure to other stressful events were significantly associated with higher GPS symptoms. The convergent validity analysis indicated a significant correlation with the PTSD Checklist (PCL), showing convergence (r = 0.48, P < .01). Conclusion: The Turkish version of the GPS is a valid and reliable screening tool for trauma-related symptoms and provides a quick and efficient screening process. However, clinical interviews are recommended following GPS screening to confirm diagnoses. These findings support the Turkish GPS as a rapid and culturally adaptable screening tool for trauma-related symptoms, although confirmatory clinical interviews remain essential for diagnosis. These findings support the applicability of GPS across diverse cultural contexts. Further studies are needed to explore its psychometric properties in other regions and languages.
由于接触创伤性事件的可能性增加,土耳其创伤相关障碍的患病率高于高收入国家。土耳其创伤相关障碍的高患病率凸显了需要经过验证的工具来筛查创伤相关症状。全球心理创伤筛查量表(GPS)是一种新开发的简短工具,旨在筛查跨诊断的创伤相关症状和风险因素。然而,其在土耳其人群中的有效性尚未得到证实。本研究旨在评估土耳其版GPS在来自土耳其的一般人群样本中的心理测量特性。方法:将土耳其版GPS以数字方式施测于499名年龄在18至74岁之间的个体(男性占36.3%,女性占63.7%)(平均±标准差=24.58±9.26)。心理测量分析包括探索性因素分析、内部一致性、信度、临床效度以及聚合-区分效度。进行了诸如用于内部一致性的Cronbach's alpha和用于效度的验证性因素分析等特定统计检验。使用与其他既定创伤症状测量工具(如创伤后应激障碍(PTSD)检查表(PCL))的相关性来评估聚合-区分效度。线性回归检验了风险因素与创伤相关症状之间的关联。结果:探索性因素分析表明创伤相关症状具有单因素结构。GPS显示出很强的内部一致性(α = 0.87)和信度。临床效度中等,可能患有PTSD的截断分数为3分,抑郁和焦虑的截断分数为2分。这些截断分数导致高敏感性但低特异性。低社会支持、童年创伤、精神疾病史以及接触其他应激事件等风险因素与较高的GPS症状显著相关。聚合效度分析表明与PTSD检查表(PCL)存在显著相关性,显示出聚合性(r = 0.48,P <.01)。结论:土耳其版GPS是一种用于创伤相关症状的有效且可靠的筛查工具,并提供了快速有效的筛查过程。然而,建议在GPS筛查后进行临床访谈以确诊。这些发现支持土耳其版GPS作为一种快速且具有文化适应性的创伤相关症状筛查工具,尽管确诊仍需进行确认性临床访谈。这些发现支持GPS在不同文化背景下的适用性。需要进一步研究以探索其在其他地区和语言中的心理测量特性。