评估PC-PTSD-5作为查工具在癌症幸存者样本中的有用性
Sophia K Smith1,2, Cole Manschot3, Eric Kuhn4,5
1School of Nursing, Duke University, Durham, North Carolina, USA.
Cancer
|August 14, 2024
概括
DSM-5 (PC-PTSD-5) 的初级护理PTSD屏幕有效地选了血造干细胞移植 (HCT) 幸存者的创伤后应激障碍 (PTSD). 这个简短的工具为临床瘤学环境中较长时间的评估提供了一个可行的替代方案.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 造血干细胞移植 (HCT) 是一种复杂的癌症治疗,与创伤后应激障碍 (PTSD) 症状相关.
- 癌症幸存者的PTSD症状在医疗机构中经常被忽视.
- 对于DSM-5 (PC-PTSD-5) 的初级护理PTSD屏幕在HCT幸存者中查PTSD的实用性尚未得到充分证实.
研究的目的:
- 评估简要的PC-PTSD-5作为PTSD查工具的表现.
- 为了比较PC-PTSD-5与更长的PTSD检查清单DSM-5 (PCL-5)在HCT幸存者中.
- 在这个人群中确定PC-PTSD-5的最佳切割分数.
主要方法:
- 817名接受HCT的癌症幸存者完成了PC-PTSD-5和PCL-5.
- 统计分析,包括项目响应理论,用于评估屏幕性能.
- 通过使用灵敏度和效率指数来确定最佳切割分数.
主要成果:
- 10.4%的HCT幸存者用PCL-5.5进行了可能的PTSD查,结果呈阳性.
- PC-PTSD-5显示出强大的内部一致性和与PCL-5得分的显著相关性 (r=0.82).
- 2的PC-PTSD-5截止分数显示出最佳的灵敏度 (κ[Se]=0.95),而4的分数显示出最高的效率 (κ[Eff]=0.39).
结论:
- 在PC-PTSD-5显示承诺作为PTSD在癌症幸存者的简短查工具.
- 研究结果支持在临床环境中使用PC-PTSD-5以有效地发现病例.
- 不需要进一步的验证来支持其作为简要的查仪器的使用.
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