探索自我报告的创伤暴露状态中的虚假阴性
M Shae Nester1, Myranda H Cook1, Cameron P Pugach1
1Department of Psychology, University of North Carolina at Greensboro.
Psychological trauma : theory, research, practice and policy
|January 16, 2024
概括
评估创伤暴露的"最坏事件"方法可能错过了许多符合条件的创伤事件,导致不准确的自我报告. 研究人员应该探索其他创伤评估方法以获得更好的准确性.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 创伤暴露通常使用检查列表进行评估,例如DSM-5 (LEC-5) 的生活事件检查列表.
- 标准方法要求参与者确定一个单一的,最严重的创伤事件 (指数事件).
- 以前的研究表明,这种"最坏的情况"方法可能会导致显著的虚假负面结果.
研究的目的:
- 在创伤评估中复制虚假阴性结果的发现.
- 调查与虚假阴性相关的因素,包括创伤类型,暴露方法,近期和PTSD症状严重程度.
主要方法:
- 476名成年人完成了修订后的LEC-5,评估了所有认可的创伤事件.
- 参与者还提供了人口统计数据,并完成了DSM-5的PTSD检查表.
- 分析了数据,以比较报告主要标准A事件的参与者与报告次要标准A事件的参与者.
主要成果:
- 49.16%的人报告了主要标准A"最糟糕的事件".
- 另外28.99%的人报告了二级标准A事件,最初并没有被确定为最糟糕的事件.
- 主要和次要标准A组都表现出类似的PTSD症状严重程度;在暴露平均值或近期性方面没有发现差异.
结论:
- 在确定创伤暴露时",最坏事件"方法的效率和准确性是可疑的.
- 建议使用其他创伤暴露评估方法,而不仅仅依赖"最坏事件"评分方法.
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