Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Đánh giá hiệu suất của Bảng kiểm tra Rối loạn Stress Sau Sang Chấn trong Chăm sóc Sức khỏe Cơ bản cho DSM-5 (PC-PTSD-5) trong quần thể bệnh nhân dễ bị tổn thương về mặt kinh tế xã hội do trải qua chấn thương
Tóm tắt
Các đặc tính và tính hữu dụng của Bảng kiểm tra Rối loạn Stress Sau Sang Chấn trong Chăm sóc Sức khỏe Cơ bản cho DSM-5 (PC-PTSD-5) vẫn chưa được nghiên cứu trong các quần thể dựa trên cộng đồng. Nghiên cứu này đánh giá hiệu suất của PC-PTSD-5 để xác định xem nó có thể được sử dụng như một phương pháp thay thế ngắn cho Bảng kiểm tra Rối loạn Stress Sau Sang Chấn cho DSM-5 (PCL-5) tại một bệnh viện công lớn ở Đông Nam Hoa Kỳ hay không. Các tham gia (N = 422; 92.7% là người da đen; 85.8% là nữ; tuổi trung bình = 42.0 năm, độ lệch chuẩn tuổi = 13.4 năm) hoàn thành PCL-5 và PC-PTSD-5 sau khi được tuyển chọn từ các phòng chờ khám bệnh và danh sách nhập viện. Sử dụng các chỉ số chất lượng kiểm tra được điều chỉnh theo xác suất và phân tích lý thuyết phản hồi mục (IRT), chúng tôi xác định ngưỡng điểm cắt tối ưu cho việc sàng lọc và xem xét hiệu suất của các mục. Khoảng 45.0% mẫu kiểm tra dương tính với khả năng mắc Rối loạn Stress Sau Sang Chấn theo DSM-5 bằng cách sử dụng PCL-5. PC-PTSD-5 thể hiện tính nhất quán nội tại cao và có mối tương quan mạnh với điểm số PCL-5 (tổng thể, r = .79; các mục, rs = .51–.61). Một điểm cắt là 1 có độ nhạy sàng lọc tối ưu (κ[1] = .96), và một điểm cắt là 4 có chất lượng hiệu suất khả thi cao nhất (κ[.5] = .66) cho việc phát hiện Rối loạn Stress Sau Sang Chấn theo DSM-5 tự báo cáo trên PCL-5. Các phân tích IRT chỉ ra Mục 1 (cơn ác mộng, ký ức xâm lấn) cung cấp thông tin nhiều nhất, và các mục khác có thể không cung cấp thêm giá trị cho mẫu này. Kết quả cung cấp hỗ trợ ban đầu cho việc sử dụng PC-PTSD-5 như một phương pháp thay thế ngắn cho PCL-5 trong số bệnh nhân đã bị chấn thương mãn tính trong môi trường chăm sóc sức khỏe cộng đồng.
Từ khóa
#PC-PTSD-5 #Rối loạn Stress Sau Sang Chấn #PCL-5 #sức khỏe cộng đồng #phân tích lý thuyết phản hồi mụcTài liệu tham khảo
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