The peritraumatic distress inventory: A proposed measure of PTSD criterion A2

The peritraumatic distress inventory: A proposed measure of PTSD criterion A2
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DOI:
10.1176/appi.ajp.158.9.1480
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发表时间:
2001-09-01
影响因子:
17.7
通讯作者:
Marmar, CR
Marmar, CR
中科院分区:
医学1区
文献类型:
--
作者:
Brunet, A;Weiss, DS;Marmar, CR

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目的:满足DSM-IV中诊断创伤后应激障碍(PTSD)的标准A2要求个体在创伤事件期间或之后具有高水平的痛苦。由于缺乏有效和可靠的工具来评估这种反应,作者开发了一个13项自我报告测量,围创伤痛苦清单,以获得创伤事件期间和创伤事件后立即经历的痛苦水平的定量测量。方法:十字架-部分研究组包括702名警察和301名匹配的非警察比较受试者,这些受试者在种族和性别上各不相同,结果:创伤前后苦恼量表具有较好的内部一致性、重测信度和聚合效度。即使在控制围创伤分离和一般的精神病理学,作者发现,围创伤痛苦清单分数与两个措施的创伤后应激症状。结论:围创伤痛苦清单持有承诺作为衡量创伤后应激障碍标准A2。未来的研究应该前瞻性地检查创伤前痛苦量表预测其他创伤暴露组中PTSD及其相关生物学和认知相关性的能力。
Objective: Meeting criterion A2 for the diagnosis of posttraumatic stress disorder (PTSD) in DSM-IV requires that an individual have high levels of distress during or after the traumatic event. Because of the paucity of valid and reliable instruments for assessing such responses, the authors developed a 13-item self-report measure, the Peritraumatic Distress Inventory, to obtain a quantitative measure of the level of distress experienced during and immediately after a traumatic event.Method: The cross-sectional study group comprised 702 police officers and 301 matched nonpolice comparison subjects varying in ethnicity and gender who were exposed to a wide range of critical incidents.Results: The Peritraumatic Distress Inventory was found to be internally consistent, with good test-retest reliability and good convergent and divergent validity. Even after controlling for peritraumatic dissociation and for general psychopathology, the authors found that Peritraumatic Distress Inventory scores correlated with two measures of posttraumatic stress symptoms.Conclusions: The Peritraumatic Distress inventory holds promise as a measure of PTSD criterion A2. Future studies should prospectively examine the ability of the Peritraumatic Distress Inventory to predict PTSD and its associated biological and cognitive correlates in other trauma-exposed groups.