How Much Distress Is Too Much on Deployed Operations? Validation of the Kessler Psychological Distress Scale (K10) for Application in Military Operational Settings
How Much Distress Is Too Much on Deployed Operations? Validation of the Kessler Psychological Distress Scale (K10) for Application in Military Operational Settings
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DOI：
10.1037/mil0000033
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发表时间：
2014-03-01
影响因子：
1.1
通讯作者：
Hill, Kate
中科院分区：
文献类型：
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作者：
Blanc, Sebastien;Zamorski, Mark;Hill, Kate
本研究的目的有三个：（a）评估凯斯勒心理困扰量表（K10）的因子结构，以确定在军事行动环境中将该量表解释为心理困扰的单维测量是否合理； (b) 验证 K10 在作业环境中针对自我报告的职业损害进行心理健康监测； (c) 评估 K10 是否比实际部署的心理健康监测标准（即患者健康问卷和创伤后应激障碍检查表（民用版本））具有更好的歧视能力。在阿富汗服役的加拿大武装部队人员的方便样本（N = 1,264）完成了心理困扰和职业障碍的自我报告测量。在对 6 个竞争模型进行检查后，作者确定将 K10 解释为未明确的心理困扰的衡量标准是合理的。他们利用受试者工作特征（ROC）曲线分析，确定了二分法和多分法评分方法的新截止值。在比较了 3 份心理健康监测问卷的 ROC 曲线下方面积后，作者确定所有测量指标都可以很好地预测自评职业障碍，其值范围为 0.86 至 0.90。这些结果强调了跨环境验证的重要性，并表明根据职业损伤的自我报告测量来验证心理筛查问卷可能是了解部署的军事行动中心理困扰表现的有用策略。
The aim of this study was threefold: (a) to assess the factor structure of the Kessler Psychological Distress Scale (K10) to determine whether interpreting the scale as a single dimensional measure of psychological distress is justified in military operational setting; (b) to validate the K10 for mental health surveillance in operational settings against self-reported occupational impairment; (c) to evaluate whether the K10 has better discriminatory power than de facto standards for mental health surveillance on deployment, namely the Patient Health Questionnaire and the Posttraumatic Stress Disorder Checklist, Civilian version. A convenience sample of Canadian Armed Forces personnel serving in Afghanistan (N = 1,264) completed self-report measures of psychological distress and occupational impairment. On examination of 6 competing models, the authors determined that interpreting the K10 as a measure of unspecified psychological distress is justified. Using receiver operating characteristic (ROC) curve analysis, they identified new cutoff values for dichotomous and polychotomous scoring methods. After comparing the area beneath the ROC curves for each of the 3 mental health surveillance questionnaires, the authors determined that all measures perform well as predictors of self-rated occupational impairment, with values ranging from .86 to .90. These results highlight the importance of cross-setting validation and demonstrate that validating psychological screening questionnaires against self-report measures of occupational impairment can be a useful strategy for understanding the manifestation of psychological distress on deployed military operations.