对DSM-5的PTSD检查清单的每周版本的心理测量评估
Benjamin C Darnell1,2, Maya Bina N Vannini1, Antonio Morgan-López3
1VA Boston Healthcare System, MA, USA.
Assessment
|March 13, 2025
概括
每周的PTSD检查清单 (PCL-5-W) 是在治疗期间跟踪创伤后应激障碍症状的有效工具. 虽然通常可靠,但因子得分可能需要与总得分一起进行监测,以进行全面评估.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 创伤后应激障碍检查清单 (PCL-5) 是为每月的症状跟踪 (PCL-5-M) 设计的.
- 尽管缺乏验证,但每周版本 (PCL-5-W) 经常在临床环境中使用.
- 评估PCL-5-W的心理测量特性对于准确的治疗监测至关重要.
研究的目的:
- 评估每周PTSD检查清单 (PCL-5-W) 的构造有效性.
- 为了比较PCL-5-W与标准月度版本 (PCL-5-M) 的心理测量特性.
主要方法:
- 利用了从退伍军人中PTSD治疗临床试验的档案数据.
- 评估了PCL-5-M和PCL-5-W的四个管理层的测量不变性 (配置,度量,标量).
- 与患者健康调查问卷一起检查了可靠性和并发有效性.
主要成果:
- 无论是PCL-5-M还是PCL-5-W,都显示了配置测量不变性.
- 在这两种版本中都观察到部分度量和标量不变.
- 可靠性估计是同等的;然而,并发有效性显示PCL-5-M和PCL-5-W之间存在差异.
结论:
- PCL-5-W是一个有效的工具来评估PTSD症状在治疗过程中随着时间的推移而发生的变化.
- 虽然可靠,但同时有效性的潜在差异表明跟踪因子得分以及总得分是值得推的.
- 研究结果支持PCL-5-W用于临床监测,并建议进行细致的解释.
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