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Updated: Feb 7, 2026

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在现役军人群中验证嵌入的PCL-5症状有效性指数
Alexis N Troili-Fletes1, Cammy L Chicota-Carroll1, James K Aden2
1Department of Neuropsychology, Brooke Army Medical Center, San Antonio, TX, USA.
Journal of clinical and experimental neuropsychology
|February 5, 2026
概括
这项研究在现役军人中验证了DSM-5 (PCL-5) 的PTSD检查清单的症状有效性指数. PSS和PES指数有效地识别了过度报告的PTSD症状,支持在这个人群中使用它们.
科学领域:
- 精神病学和军事心理学
- 心理健康评估 心理健康评估
- 症状有效性测量 症状有效性测量
背景情况:
- 创伤后应激障碍 (PTSD) 在军人和退伍军人中很普遍.
- 以前的研究为DSM-5 (PCL-5) 的PTSD检查清单开发了症状有效性指数 (SVIs),以检测退伍军人的过度报告的症状.
- 这些SVI在现役军事样本中的交叉验证是必要的.
研究的目的:
- 在美国现役军方样本中对三个PCL-5SVI (PSS,PES,PRI) 进行交叉验证.
- 评估这些SVI的分类准确性,以识别过度报告的PTSD症状.
主要方法:
- 评估了165名现役军人的样本.
- 根据人格评估清单 (Personality Assessment Inventory) 症状有效性尺度建立了标准组.
- 检查了三个PCL-5SVI:PCL-5症状严重程度 (PSS),PCL-5极端症状 (PES) 和PCL-5罕见物品 (PRI).
主要成果:
- 曲线下的面积值在0.73到0.76之间,符合分类准确性目标.
- 确定了最佳的截止分数:PES≥16,PSS≥59,PRI≥3.
- 敏感度是PSS=0.50,PES=0.40,PRI=0.20,所有人的特异性≥0.90.
结论:
- 所有三个PCL-5 SVI都成功地进行了交叉验证,以衡量在现役样本中的过度报告.
- 与PRI相比,PSS和PES的分类统计数据更好.
- 这些发现支持这些SVI的实用性,用于评估现役军人中PTSD症状有效性.
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