The relationship of PTSD to key somatic complaints and cultural syndromes among Cambodian refugees attending a psychiatric clinic: The Cambodian Somatic Symptom and Syndrome Inventory (CSSI)
The relationship of PTSD to key somatic complaints and cultural syndromes among Cambodian refugees attending a psychiatric clinic: The Cambodian Somatic Symptom and Syndrome Inventory (CSSI)
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DOI：
10.1177/1363461513481187
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发表时间：
2013-06-01
影响因子：
2.5
通讯作者：
Hofmann, Stefan G.
中科院分区：
文献类型：
--
作者：
Hinton, Devon E.;Kredlow, M. Alexandra;Hofmann, Stefan G.
本文介绍了一种评估柬埔寨难民群体创伤影响的文化敏感问卷--柬埔寨躯体症状和症状量表(CSSI)，并给出了使用该工具进行调查的结果。调查考察了创伤后应激障碍(PTSD)严重程度和自我感觉功能与CSSI、两个CSSI子量表和CSSI条目的关系。共有226名受到创伤的柬埔寨难民在美国马萨诸塞州洛厄尔的一家精神科诊所接受了评估。CSSI、CSSI躯体症状和证候评分及所有条目与创伤后应激障碍检查表(PCL)呈高度正相关。在创伤后应激障碍的三个严重程度中，所有的CSSI项目都有很大的差异，且创伤后应激障碍水平较高的患者在CSSI评估的某些躯体项目上，如头晕、立位头晕和头痛，以及在CSSI评估的某些文化症状，如膝关节发作、害怕站着时晕倒和死亡以及多思考上，得分非常高。CSSI比PCL与简表12健康调查(SF-12)评估的自我认知功能障碍有更高的相关性。研究表明，CSSI所描述的躯体症状和文化症状构成了柬埔寨难民创伤本体论的核心部分。调查表明，需要对当地突出的躯体症状和文化症状进行概述，以充分评估创伤的影响。
This article describes a culturally sensitive questionnaire for the assessment of the effects of trauma in the Cambodian refugee population, the Cambodian Somatic Symptom and Syndrome Inventory (CSSI), and gives the results of a survey with the instrument. The survey examined the relationship of the CSSI, the two CSSI subscales, and the CSSI items to posttraumatic stress disorder (PTSD) severity and self-perceived functioning. A total of 226 traumatized Cambodian refugees were assessed at a psychiatric clinic in Lowell, MA, USA. There was a high correlation of the CSSI, the CSSI somatic and syndrome scales, and all the CSSI items to the PTSD Checklist (PCL), a measure of PTSD severity. All the CSSI items varied greatly across three levels of PTSD severity, and patients with higher levels of PTSD had very high scores on certain CSSI-assessed somatic items such as dizziness, orthostatic dizziness (upon standing), and headache, and on certain CSSI-assessed cultural syndromes such as khyal attacks, fear of fainting and dying upon standing up, and thinking a lot. The CSSI was more highly correlated than the PCL to self-perceived disability assessed by the Short Form-12 Health Survey (SF-12). The study demonstrates that the somatic symptoms and cultural syndromes described by the CSSI form a central part of the Cambodian refugee trauma ontology. The survey indicates that locally salient somatic symptoms and cultural syndromes need be profiled to adequately assess the effects of trauma.