The Chinese version of the Davidson Trauma Scale: A practice test for validation

The Chinese version of the Davidson Trauma Scale: A practice test for validation
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DOI:
10.1046/j.1440-1819.2001.00895.x
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发表时间:
2001-10-01
影响因子:
11.9
通讯作者:
Lu, ML
Lu, ML
中科院分区:
医学2区
文献类型:
--
作者:
Chen, CH;Lin, SK;Lu, ML

文献摘要

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戴维森创伤量表(DTS-C)中文版是为了满足华语人士的需求而开发的。 DTS 是一种经过验证的自评量表,用于诊断创伤后应激障碍 (PTSD)。 DTS-C是通过两阶段翻译从DTS翻译而来的。受试者是从 1999 年 9 月 21 日集集地震的 210 名幸存者中抽取的。该量表显示出良好的内部一致性(Cronbach's alpha = 0.97)和重测信度(r = 0.88)。临床诊断访谈获得了同步有效性,DTS-C 评分为 44 时诊断准确率为 0.85。结果表明,敏感性为 0.9,特异性为 0.81,阳性似然比为 4.74,阴性似然比为 0.12。对于分数范围 0-39,推荐的特定层似然比为 0.10(95% CI:0.05-0.20);对于分数范围 40-59,推荐的特定层似然比为 4(2.22-7.23);对于分数高于 60 的推荐的特定层似然比为 6.14(3.42-11.02)。在 PTSD 诊断受试者中,因子结构与 DSM-IV 分组非常相似创伤后应激障碍症状。 DTS-C 的心理测量强度对于其未来的使用是可靠的,特别是对于筛选可能诊断为 PTSD 的受试者。
The Chinese version of the Davidson Trauma Scale (DTS-C) was developed to respond to the need of Chinese-speaking individuals. The DTS is a validated self-rating scale used in the diagnosis of posttraumatic stress disorder (PTSD). The DTS-C is translated from DTS through a two-stage translation. Subjects were drawn from a sample of 210 survivors of the 21 September 1999, Chi-Chi Earthquake. The scale showed good internal consistency (Cronbach's alpha = 0.97) and test-retest reliability (r = 0.88). Concurrent validity was obtained against the clinical diagnostic interview, with a diagnostic accuracy of 0.85 at DTS-C score of 44. It showed that the sensitivity was 0.9, specificity 0.81, positive likelihood ratio 4.74, and negative likelihood ratio 0.12. The recommended stratum-specific likelihood ratios were 0.10 (95% CI: 0.05-0.20) for the score range 0-39, 4 (2.22-7.23) for the score range of 40-59, and 6.14 (3.42-11.02) for the scores above 60. In PTSD diagnosed subjects, the factor structures closely resembled the DSM-IV grouping of PTSD symptoms. The psychometric strength of DTS-C is reliable for its future use, particularly for screening for subjects with possible diagnosis of PTSD.