探索PCL-5症状有效性指数,以检测夸张和假装的PTSD
Ryan W Schroeder1, Rachel K Bieu1
1Department is Behavioral Health, Robert J. Dole VA Medical Center, Wichita, KS, USA.
Journal of clinical and experimental neuropsychology
|February 14, 2024
概括
为DSM-5 (PCL-5) 的PTSD检查清单开发和验证了新的症状有效性指数. 这些指数有助于识别退伍军人患者过度报告的创伤后应激障碍 (PTSD) 症状.
科学领域:
- 心理评估 心理评估
- 创伤和PTSD研究研究
- 临床心理学 临床心理学
背景情况:
- 对于过度报告的创伤后应激障碍 (PTSD) 症状,存在有限的症状有效性指数.
- DSM-5 (PCL-5) 的PTSD检查清单是一个广泛使用的测量方法,缺乏嵌入式症状有效性指数.
研究的目的:
- 开发和交叉验证专门针对PCL-5的新型症状有效性指数.
- 解决对工具的需求,以检测潜在的PTSD症状的过度报告.
主要方法:
- 使用了210名退伍军人患者的样本,分为有效或无效响应者.
- 检查了三个PCL-5症状有效性指数:PCL-5症状严重程度尺度 (PSS),PCL-5极端症状尺度 (PES) 和PCL-5罕见物品尺度 (PRI).
主要成果:
- 曲线下面积的统计数据在0.78到0.85之间,表明了良好的区分能力.
- PSS和PES实现了分类准确性的目标.
- PES表现出高灵敏度 (.39) 在0.90的特异性,增加到0.60强烈的残疾证据.
结论:
- 这项研究为新的PCL-5症状有效性指数的有用性提供了初步支持.
- 这些指数可以帮助评估PTSD症状在临床环境中的有效性.
- 这些新型措施需要进一步验证.
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