Assessing traumatic event exposure: comparing the Traumatic Life Events Questionnaire to the Structured Clinical Interview for DSM-IV.

Assessing traumatic event exposure: comparing the Traumatic Life Events Questionnaire to the Structured Clinical Interview for DSM-IV.
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评估创伤性事件暴露:将创伤性生活事件问卷与 DSM-IV 的结构化临床访谈进行比较。

DOI:
10.1037/a0015578
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发表时间:
2009-06
影响因子:
3.6
通讯作者:
Brooner, Robert K.
Brooner, Robert K.
中科院分区:
心理学2区
文献类型:
--
作者:
Peirce, Jessica M.;Burke, Christopher K.;Stoller, Kenneth B.;Neufeld, Karin J.;Brooner, Robert K.

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创伤后应激障碍(PTSD)诊断需要首先识别创伤事件,但很少有研究评估潜在创伤事件评估方法及其对 PTSD 诊断的影响。我们将行为特定的综合多项目创伤事件测量与单项目测量进行比较,以确定它们对创伤事件识别和随后的 PTSD 诊断的影响。在受试者内部平衡设计中,将创伤性生活事件问卷 (TLEQ) 与 DSM-IV 结构化临床访谈 (SCID) 中的单问题创伤性事件评估进行了比较,该访谈对 129 名接受阿片类药物依赖治疗的参与者进行了比较。与 SCID 相比,TLEQ 的参与者报告的创伤事件发生率高出 9 倍。结果,样本中 PTSD 诊断率从 SCID 后的 24% 增加到 TLEQ 测量后的 33%。女性潜在创伤事件识别和 PTSD 诊断的增加高于男性。这项研究为使用全面的创伤事件评估来衡量创伤事件和 PTSD 诊断(尤其是女性)提供了强有力的支持。
Posttraumatic stress disorder (PTSD) diagnosis requires first identifying a traumatic event, but very few studies have evaluated methods of potential traumatic event assessment and their impact on PTSD diagnosis. We compared a behaviorally-specific comprehensive multiple-item traumatic event measure to a single-item measure to determine their impact on traumatic event identification and subsequent PTSD diagnosis. In a within-subject, counterbalanced design, the Traumatic Life Events Questionnaire (TLEQ) was compared to the single-question traumatic event assessment in the Structured Clinical Interview for DSM-IV (SCID) in 129 participants in opioid dependence treatment. The TLEQ produced a 9-fold higher rate of traumatic events reported by the participants as compared to the SCID. As a result, PTSD diagnoses in the sample increased to 33% after the TLEQ measure from 24% after the SCID. The increase in potential traumatic event identification and PTSD diagnosis was greater in women than men. This study provides strong support for the use of comprehensive traumatic event assessments to measure traumatic events and PTSD diagnoses, particularly in women.
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