Challenges in the retrospective assessment of trauma: comparing a checklist approach to a single item trauma experience screening question

Challenges in the retrospective assessment of trauma: comparing a checklist approach to a single item trauma experience screening question
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创伤回顾性评估的挑战:将清单方法与单项创伤经历筛选问题进行比较

DOI:
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发表时间:
2016
期刊:
影响因子:
4.4
通讯作者:
M. Hotopf
M. Hotopf
中科院分区:
医学2区
文献类型:
--
作者:
S. Frissa;S. Hatch;N. Fear;S. Dorrington;L. Goodwin;M. Hotopf

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背景对创伤及其对心理健康影响的研究通常依赖于自我报告,而自我报告可能受到回忆偏差和个人对事件的主观解释的影响。本研究旨在将生活事件清单上的回答与创伤经历筛选问题进行比较,这两种方法都回顾性地评估了创伤经历。方法社区样本的成年人在询问他们是否曾经有过创伤经历之前,被询问了清单中的生活事件,即“使他们或他们身边的人面临严重伤害或死亡风险的事件”。结果在清单上报告了至少一项符合创伤经历的生活事件的样本中,不到一半的人报告了他们认为使他们遭受创伤的经历或关闭其他有严重伤害风险的人。女性响应者、那些报告早年创伤以及更多一生创伤事件的女性更有可能报告创伤经历。目前常见精神障碍的症状并不能解释创伤经历报告的差异。结论要求参与者对创伤经历的严重程度做出主观判断的流行病学方法将捕获我们已经证明的受性别和先前创伤经历影响的个体差异。
BackgroundResearch on trauma and its impact on mental health typically relies on self-reports which can be influenced by recall bias and an individual’s subjective interpretation of events. This study aims to compare responses on a checklist of life events with a trauma experience screening question, both of which assessed trauma experience retrospectively.MethodsA community sample of adults were asked about life events from a checklist before asking them whether they ever had a trauma experience, i.e. “an event that either puts them or someone close to them at risk of serious harm or death”.ResultsLess than half of the sample who reported at least one life event on the checklist that qualified as a trauma reported a trauma experience that they perceived put them or close others at risk of serious harm. Women responders, those reporting early life traumas, and a greater number of lifetime trauma events were more likely to report a trauma experience. Current symptoms of Common Mental Disorder did not account for differences in reporting of trauma experiences.ConclusionsEpidemiological approaches which require participants to make subjective judgement on the severity of the trauma experience will capture individual differences that we have shown are influenced by gender and previous trauma experience.
烧伤后创伤后应激障碍的预测因子。
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期刊: The American journal of psychiatry
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