Psychometric evaluation of trauma and posttraumatic stress disorder assessments in persons with severe mental illness

Psychometric evaluation of trauma and posttraumatic stress disorder assessments in persons with severe mental illness
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DOI:
10.1037//1040-3590.13.1.110
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发表时间:
2001-03-01
影响因子:
3.6
通讯作者:
Carty, P
Carty, P
中科院分区:
心理学2区
文献类型:
--
作者:
Mueser, KT;Rosenberg, SD;Carty, P

文献摘要

被引文献

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在30名严重精神疾病患者中,对创伤史问卷(THQ)、临床医生管理的创伤后应激障碍(PTSD)量表(CAPS)和PTSD量表(PCL)进行了评定者间信度、内部一致性、重测信度和收敛效度的检验。THQ和CAPS的评分者间信度较高,CAPS和PCL分量表的内部一致性也较高。THQ的重测信度在不同创伤类型中为中等偏高。PTSD诊断的CAPS和PCL显示中等重测信度。较低水平的重测信度PTSD的诊断与精神病的诊断和症状。然而,当对CAPS使用更严格的PTSD标准时,它在所有客户中具有出色的重测信度。PTSD的CAPS和PCL诊断显示出中等的收敛效度。研究结果支持创伤和PTSD评估在严重精神疾病患者中的可靠性。
Interrater reliability, internal consistency, test-retest reliability, and convergent validity were examined for the Trauma History Questionnaire (THQ), the Clinician-Administered Posttraumatic Stress Disorder (PTSD) Scale (CAPS), and the PTSD Checklist (PCL) in 30 clients with severe mental illnesses. Interrater reliability for the THQ and CAPS was high, as was internal consistency of CAPS and PCL subscales. The test-retest reliability of the THQ was moderate to high for different traumas. PTSD diagnoses on the CAPS and PCL showed moderate test-retest reliability. Lower levels of test-retest reliability for PTSD diagnoses were related to psychosis diagnoses and symptoms. However, when more stringent criteria for PTSD were used on the CAPS, it had excellent test-retest reliability across all clients. CAPS and PCL diagnoses of PTSD showed moderate convergent validity. The results support the reliability of trauma and PTSD assessments in clients with severe mental illness.