评估复杂的PTSD和PTSD:国际创伤访谈 (ITI) 的德国版本的验证
Rahel Bachem1, Andreas Maercker1, Yafit Levin2
1Department of Psychology, Division of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland.
European journal of psychotraumatology
|April 30, 2024
概括
德国国际创伤访谈 (ITI) 在临床环境中显示出区分创伤后应激障碍 (PTSD) 和复杂PTSD (CPTSD) 的前景. 需要进一步的研究来完善其结构和有效性,特别是在军事人口中.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- ICD-11引入了复杂的创伤后应激障碍 (CPTSD),需要可靠的诊断工具.
- 区分创伤后应激障碍 (PTSD) 和CPTSD对于有效的临床实践和研究至关重要.
- 国际创伤面试 (ITI) 是一项由临床医生管理的工具,旨在解决这一诊断挑战.
研究的目的:
- 评估国际创伤访谈 (ITI) 的德语版本的心理测量特性.
- 在德国和瑞士的受创暴露的平民和军事样本中评估ITI的可靠性和有效性.
- 为了调查ICD-11 PTSD和CPTSD的ITI诊断准确度.
主要方法:
- 招募了143名平民和100名遭受创伤的军事参与者的样本.
- 评估了包括可靠性 (内部一致性,评价者之间一致性) 和有效性 (潜伏结构,收性,判别性) 在内的心理测量属性.
- 进行了确认因素分析 (CFA) 和部分相关性分析.
主要成果:
- 在平民和军事群体之间,PTSD和CPTSD的患病率有所不同.
- 德国ITI表现出令人满意的内部一致性和评审者间协议.
- 虽然收的有效性得到了支持,但对PTSD症状的歧视性有效性在军事样本中较弱. 模型适合在平民和军事团体之间有所不同.
结论:
- 德国ITI显示出作为ICD-11 PTSD和CPTSD在初级保健中的诊断工具的潜力.
- 需要进一步调查ITI的潜在结构和歧视性有效性,特别是在军事人群中.
- ITI可以帮助临床医生区分PTSD和CPTSD.
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