Coffey S F, Dansky B S, Falsetti S A, Saladin M E, Brady K T
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston 29425, USA.
J Trauma Stress. 1998 Apr;11(2):393-9. doi: 10.1023/A:1024467507565.
The high rate of posttraumatic stress disorder (PTSD) among substance use disorder (SUD) patients has been documented in research protocols, but there is evidence that it is markedly under-diagnosed in clinical settings. To address the need for a brief self-report measure to identify SUD patients who may benefit from further assessment and/or treatment for PTSD, the psychometric properties of a modified version of the PTSD Symptom Scale Self-Report (PSS-SR) were examined in a treatment-seeking SUD sample (N = 118). The modified version of the PSS-SR, which measures both frequency and severity of PTSD symptoms, demonstrated good internal consistency reliability and was correlated with other self-report measures of trauma-related symptomatology. Comparisons between a structured PTSD diagnostic interview and the modified PSS-SR indicated that 89% of the PTSD positive patients were correctly classified by the modified PSS-SR. The clinical relevance of these findings was discussed.
研究方案已记录了物质使用障碍（SUD）患者中创伤后应激障碍（PTSD）的高发病率，但有证据表明，在临床环境中该疾病明显诊断不足。为满足对一种简短自我报告测量工具的需求，以识别可能从PTSD进一步评估和/或治疗中获益的SUD患者，在一个寻求治疗的SUD样本（N = 118）中对创伤后应激障碍症状量表自我报告（PSS-SR）修改版的心理测量特性进行了检验。PSS-SR修改版同时测量PTSD症状的频率和严重程度，显示出良好的内部一致性信度，并且与其他创伤相关症状的自我报告测量工具相关。结构化PTSD诊断访谈与PSS-SR修改版之间的比较表明，89%的PTSD阳性患者被PSS-SR修改版正确分类。讨论了这些发现的临床相关性。
