The psychometric utility of two self-report measures of PTSD among women substance users

The psychometric utility of two self-report measures of PTSD among women substance users
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DOI:
10.1016/j.addbeh.2007.04.016
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发表时间:
2007-12-01
影响因子:
4.4
通讯作者:
Newman, Elana
Newman, Elana
中科院分区:
医学2区
文献类型:
--
作者:
Harrington, Tracy;Newman, Elana

文献摘要

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鉴于药物使用者中创伤后应激障碍(PTSD)的高发率,建议将针对PTSD和药物使用的综合方案作为最佳实践。为了有效地实施这些治疗,需要准确可靠的PTSD筛查仪器。不幸的是,在女性药物滥用者中还没有标准化的PTSD测量方法。因此,本研究的目的是检验两种PTSD测量方法的心理测量效用,以优化被正确识别为符合PTSD诊断标准的女性来访者的数量。对44名接受住院药物使用治疗的妇女进行创伤后应激障碍诊断访谈(临床医生管理的创伤后应激障碍量表),然后完成关于创伤暴露和相关症状的问卷调查。在这一组中,38.6%的参与者符合当前PTSD的诊断标准。创伤后应激障碍检查表平民版的38分及以上和Penn量表的25分及以上的得分最大限度地增加了识别出的创伤后应激障碍妇女的数量并使假阴性和假阳性率最小化。(C) 2007 Elsevier Ltd.版权所有。
Given the high rates of posttraurmatic stress disorder (PTSD) among substance users, integrated programs that target PTSD and substance use are recommended as best practice. To effectively implement such treatments, accurate and reliable PTSD screening instruments are needed. Unfortunately, no standardized PTSD measure has been validated among women substance abusers. Therefore, the goal of this investigation was to examine the psychometric utility of two PTSD measures to optimize the number of women clients correctly identified as meeting diagnostic criterion for PTSD. Forty-four women in residential substance use treatment were administered diagnostic interviews for PTSD (Clinician-Administered PTSD Scale) and then completed questionnaires regarding trauma exposure and related symptoms. In this group, 38.6% of the participants met diagnostic criteria for current PTSD. A score of 38 and above on the PTSD Checklist Civilian Version and a Penn Inventory score of 25 and above optimally maximized the number of women with PTSD identified and minimized false negative and false positive rates. (C) 2007 Elsevier Ltd. All rights reserved.