评估早期创伤后CAPS-5的预测有效性,以后诊断创伤后应激障碍
Jae-Min Kim1,2, Ju-Wan Kim1, Hee-Ju Kang1
1Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
The Journal of clinical psychiatry
|August 15, 2024
概括
对DSM-5 (CAPS-5) 的临床医生管理的PTSD尺度得分为15或更高,有效地预测身体受伤后的创伤后应激障碍 (PTSD). 16的得分可能会改善那些有故意伤害或先前创伤史的人的预测.
科学领域:
- 创伤和伤害研究 创伤和伤害研究
- 精神病诊断 精神病诊断 精神病诊断
- 精神疾病的流行病学 精神疾病的流行病学
背景情况:
- 创伤后应激障碍 (PTSD) 是身体伤害后的一个重大问题.
- 对DSM-5 (CAPS-5) 的临床医生管理的PTSD尺度是一个验证的PTSD评估工具.
- 早期识别患有PTSD风险的人对于及时干预至关重要.
研究的目的:
- 评估早期CAPS-5评估对后续PTSD发展的预测价值.
- 为了确定最佳的CAPS-5分数截止值来预测创伤患者的PTSD.
- 调查伤害类型或创伤史是否会改变预测准确度.
主要方法:
- 一组1,142名中度至重度身体伤害的患者在基线使用CAPS-5进行了急性压力障碍 (ASD) 和总分的评估.
- 患者被跟踪2年,在3,6,12和24个月时重复CAPS-5评估.
- 接收机运行曲线下的面积 (AUROC) 分析被用来评估预测性能.
主要成果:
- 在基线时,CAPS-5诊断的ASD显示PTSD的预测值有限 (AUROCs:0.555-0.722).
- CAPS-5总分数≥15显示后期PTSD发展的预测准确度很好或相当高 (AUROCs:0.767-0.854).
- 较高的CAPS-5截止值≥16改善了有故意伤害或先前创伤史的患者的预测.
结论:
- 一个CAPS-5分数≥15作为一个有效和实用的早期预测器PTSD身体伤害后.
- 截止分数≥16可能会提高特定子组的预测精度,包括那些有故意伤害或先前创伤的人.
- 需要进一步的研究来证实在不同的人群和环境中普遍性.
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