The Correspondence of Daily and Retrospective PTSD Reports Among Female Victims of Sexual Assault
The Correspondence of Daily and Retrospective PTSD Reports Among Female Victims of Sexual Assault
复制标题
DOI：
10.1037/a0028518
复制
发表时间：
2012-12-01
影响因子：
3.6
通讯作者：
Kaysen, Debra L.
中科院分区：
文献类型：
--
作者：
Naragon-Gainey, Kristin;Simpson, Tracy L.;Kaysen, Debra L.
针对每日症状报告和回顾性症状报告之间的关联的研究表明，回顾性报告通常是夸大的。本研究检查了超过1个月的每日创伤后应激障碍（PTSD）症状报告与相应的回顾性报告之间的关联（PTSD检查表[PCL]; Weathers等人，1993）的总分和症状群。作者假设，更大的PTSD症状不稳定性和更大的抑郁与日常和回顾性报告之间的一致性较差有关。研究对象为132名遭受性侵犯的女大学生。多水平建模表明，平均每日和回顾性报告之间的总评分和症状群非常一致，伪R-2范围为0.55至0.77。抑郁症状并没有缓和这种关联，但每日回顾协议是最低的回避集群，这也是最不稳定的。最后，每个症状群的回顾性回忆显示出对相应日常症状群的可接受特异性。总的来说，这些发现表明，回顾性记忆的全球创伤后应激障碍症状和症状群，由PCL评估，是一致的日常报告超过1个月的时间。临床评估方法的影响进行了讨论。
Research addressing the association between daily and retrospective symptom reports suggests that retrospective reports are typically inflated. The present study examined the association between daily posttraumatic stress disorder (PTSD) symptom reports over 1 month and a corresponding retrospective report (PTSD Checklist [PCL]; Weathers et al., 1993) for both total scores and symptom clusters. The authors hypothesized that greater PTSD symptom instability and greater depression would be associated with poorer agreement between daily and retrospective reports. Data were collected from 132 female college students who were sexually assaulted. Multilevel modeling indicated very strong agreement between mean daily and retrospective reports for total scores and symptom clusters, with pseudo-R-2 ranging from .55 to .77. Depression symptoms did not moderate this association, but daily retrospective agreement was lowest for the avoidance cluster, which was also the most unstable. Finally, retrospective recall for each symptom cluster showed acceptable specificity to the corresponding daily symptom clusters. Overall, these findings suggest that retrospective memories for global PTSD symptoms and symptom clusters, as assessed by the PCL, are consistent with daily reports over a 1-month period. Implications for clinical assessment methodology are discussed.