主观创伤前景作为战时PTSD查工具:扩展到PCL-5简体形式
Shir Mor-Ben-Ishai1, Menachem Ben-Ezra1, Yafit Levin1
1School of Social Work, Ariel University, Ariel, Israel.
Psychiatry research
|March 7, 2026
概括
主观创伤展望 (STO) 有效地预测创伤后应激障碍 (PTSD) 的风险,类似于完整的PTSD检查清单 (PCL-5). PCL-5简单表格 (PCL-5 SF) 是战时评估的实用替代方案.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤研究 创伤研究
- 心理健康评估 心理健康评估
背景情况:
- 2023年10月7日,以色列发生的恐怖袭击事件需要快速进行心理健康评估.
- 对创伤后应激障碍 (PTSD) 的查工具的验证在危机环境中至关重要.
- 主观创伤展望 (STO) 和DSM-5 (PCL-5) 的PTSD检查清单是PTSD评估的关键工具.
研究的目的:
- 评估主观创伤展望 (STO) 的预测有效性,以确定可能的PTSD.
- 评估STO在使用完整PCL-5和PCL-5简体表格 (PCL-5 SF) 时的实用性.
- 检查PCL-5 SF作为全面PCL-5的战时替代品的有效性.
主要方法:
- 一个由4097名以色列人组成的全国样本在袭击后完成了STO和PCL-5 (全和SF).
- 层次回归分析确定了STO的预测有效性和诊断实用性.
- 接收器操作特征 (ROC) 曲线分析确定了PTSD风险的最佳STO切断分数.
主要成果:
- STO证明了PCL-5 SF和完整的PCL-5的强大和可比的预测有效性.
- 在两种评估模型中都观察到STO和PTSD症状之间的强有力的关联.
- 确定的STO截止分数有效地区分了患PTSD风险的个体.
结论:
- STO是经过验证的PTSD查工具,在遭受大规模创伤后特别有用.
- 在危机情况下,PCL-5 SF是完整的PCL-5的实用和有效替代品.
- 这些发现支持在大规模创伤事件中有效选PTSD.
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