Psychometric properties of nine scoring rules for the clinician-administered posttraumatic stress disorder scale

Psychometric properties of nine scoring rules for the clinician-administered posttraumatic stress disorder scale
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DOI:
10.1037/1040-3590.11.2.124
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发表时间:
1999-06-01
影响因子:
3.6
通讯作者:
Keane, TM
Keane, TM
中科院分区:
心理学2区
文献类型:
--
作者:
Weathers, FW;Ruscio, AM;Keane, TM

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结构化访谈的使用,产生连续的措施,症状的严重程度已成为越来越广泛的创伤后应激障碍(PTSD)的评估。然而,很少有评分规则被开发出来用于将连续的严重程度评分转换为二分的PTSD诊断。在这篇文章中,我们描述和评估9个这样的规则,临床医生管理的PTSD量表(CAPS)。总的来说,这些规则表现出良好到优秀的可靠性,并且与基于精神障碍诊断和统计手册的结构化临床访谈(第3版,rev.; DSM-III-R;美国精神病学协会,1987)。然而,这些规则在2个男性越战老兵样本中产生了广泛不同的患病率估计。此外,使用DSM-III-R与DSM-IV标准对PTSD诊断状态的影响可以忽略不计。讨论了不同评估任务下CAPS评分规则的选择。
The use of structured interviews that yield continuous measures of symptom severity has become increasingly widespread in the assessment of postraumatic stress disorder (PTSD). To dare, however, few scoring rules have been developed for converting continuous severity scores into dichotomous PTSD diagnoses. In this article, we describe and evaluate 9 such rules for the Clinician-Administered PTSD Scale (CAPS). Overall, these rules demonstrated good to excellent reliability and good correspondence with a PTSD diagnosis based on the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; DSM-III-R; American Psychiatric Association, 1987). However, the rules yielded widely varying prevalence estimates in 2 samples of male Vietnam veterans. Also, the use of DSM-III-R versus DSM-IV criteria had negligible impact on PTSD diagnostic status. The selection of CAPS scoring rules for different assessment tasks is discussed.