Psychometric Evaluation of the Japanese Version of the Posttraumatic Stress Disorder Checklist in Community Dwellers Following the Fukushima Daiichi Nuclear Power Plant Incident

Psychometric Evaluation of the Japanese Version of the Posttraumatic Stress Disorder Checklist in Community Dwellers Following the Fukushima Daiichi Nuclear Power Plant Incident
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福岛第一核电站事故后社区居民创伤后应激障碍检查表日本版的心理测量评估

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发表时间:
2016
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通讯作者:
S. Yasumura
S. Yasumura
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作者:
H. Iwasa;Yuriko Suzuki;T. Shiga;M. Maeda;H. Yabe;S. Yasumura

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我们使用福岛健康管理调查的基线数据,调查了日本版创伤后应激障碍检查表-应激源特定版本(PCL-S)的心理测量学特性。共有26,332名16岁及以上的男性和33,516名女性参与了这项研究。参加者生活在日本福岛疏散区,经历了东日本大地震和核电站(NPP)事故。PCL-S被用来评估参与者的创伤后应激障碍(PTSD)症状。此外,我们描述了参与者,并测试了PCL-S的有效性,通过管理凯斯勒心理困扰六项筛选量表(K6)和评估教育;就业;自评健康;睡眠满意度;经历地震,海啸和NPP事件;和灾难造成的丧亲之痛。PCL-S评分呈正偏态、轻度尖峰分布。验证性因素分析显示,五因素模型是一个更好的拟合比三,四因素模型。PCL-S及其分量表具有较高的Cronbach’s α系数。PCL-S评分与精神疾病史、丧亲、经历海啸、经历核电站事件、自评健康和睡眠满意度有弱至中度相关性,与心理困扰有强相关性。PCL-S评分存在显著的性别和年龄差异。总体而言,本研究证实了PCL-S的心理测量特性,包括分数分布、因素结构、可靠性、有效性以及性别和年龄差异。因此,日本版的PCL-S将是一个有用的工具,用于评估社区居民谁经历了创伤性事件的PTSD症状。
We investigated the psychometric properties of the Japanese version of the Posttraumatic Stress Disorder Checklist–Stressor Specific Version (PCL-S) using baseline data from the Fukushima Health Management Survey. A total of 26,332 men and 33,516 women aged 16 and above participated in this study. Participants lived in the Fukushima evacuation zone in Japan and experienced the Great East Japan Earthquake and nuclear power plant (NPP) incident. The PCL-S was used to assess participants’ posttraumatic stress disorder (PTSD) symptoms. In addition, we described participants and tested the validity of the PCL-S by administering the Kessler Six-item Screening Scale for Psychological Distress (K6) and assessing education; employment; self-rated health; sleep satisfaction; experiencing the earthquake, tsunami, and NPP incident; and bereavement as a result of the disaster. PCL-S scores exhibited a positively skewed, slightly leptokurtic distribution. Confirmatory factor analysis revealed that the five-factor model was a better fit than were the three- or four-factor models. The PCL-S and its subscales had high Cronbach’s alpha coefficients. The PCL-S scores had weak-to-moderate correlations with history of mental illness, bereavement, experiencing the tsunami, experiencing the NPP incident, self-rated health, and sleep satisfaction, as well as a strong correlation with psychological distress. There were significant gender and age differences in PCL-S scores. Overall, this study confirmed the psychometric properties of the PCL-S, including the score distribution, factor structure, reliability, validity, and gender and age differences. Thus, the Japanese version of the PCL-S would be a useful instrument for assessing the PTSD symptoms of community dwellers who have experienced traumatic events.