Application of Short Screening Tools for Post-Traumatic Stress Disorder in the Korean Elderly Population
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ObjectiveaaPost-traumatic stress disorder (PTSD) is often missed or incorrectly diagnosed in primary care settings. Although brief screening instruments may be useful in detecting PTSD, an adequate validation study has not been conducted with older adults. This study aimed to evaluate the reliability and validity of the Korean version of the primary care PTSD screen (PC-PTSD) and single-item PTSD screener (SIPS) in elderly veterans. MethodsaaThe PC-PTSD and SIPS assessments were translated into Korean, with a back-translation to the original language to verify accuracy. Vietnamese war veterans [separated into a PTSD group (n=41) and a non-PTSD group (n=99)] participated in several psychometric assessments, including the Korean versions of the PC-PTSD (PC-PTSD-K), SIPS (SIPS-K), a structured clinical interview from the Diagnostic and Statistical Manual of Mental Disorders-IV(SCID), and PTSD checklist(PCL). ResultsaaThe PC-PTSD-K showed high internal consistency (Cronbach α=0.76), and the test-retest reliability of the PC-PTSD-K and SIPS-K were also high (r=0.97 and r=0.91, respectively). A total score of 3 from the PC-PTSD-K yielded the highest diagnostic efficiency, with sensitivity and specificity values of 0.90 and 0.86, respectively. The ‘bothered a lot’ response level from the SIPS-K showed the highest diagnostic efficiency, with sensitivity and specificity values of 0.85 and 0.89, respectively. ConclusionaaOur findings suggest that both PC-PTSD-K and SIPS-K have good psychometric properties with high validity and reliability for detecting PTSD symptoms in elderly Korean veterans. However, further research will be necessary to increase our understanding of PTSD characteristics in diverse groups with different types of trauma.
Abstract
ObjectiveaaPost-traumatic stress disorder (PTSD) is often missed or incorrectly diagnosed in primary care settings. Although brief screening instruments may be useful in detecting PTSD, an adequate validation study has not been conducted with older adults. This study aimed to evaluate the reliability and validity of the Korean version of the primary care PTSD screen (PC-PTSD) and single-item PTSD screener (SIPS) in elderly veterans. MethodsaaThe PC-PTSD and SIPS assessments were translated into Korean, with a back-translation to the original language to verify accuracy. Vietnamese war veterans [separated into a PTSD group (n=41) and a non-PTSD group (n=99)] participated in several psychometric assessments, including the Korean versions of the PC-PTSD (PC-PTSD-K), SIPS (SIPS-K), a structured clinical interview from the Diagnostic and Statistical Manual of Mental Disorders-IV(SCID), and PTSD checklist(PCL). ResultsaaThe PC-PTSD-K showed high internal consistency (Cronbach α=0.76), and the test-retest reliability of the PC-PTSD-K and SIPS-K were also high (r=0.97 and r=0.91, respectively). A total score of 3 from the PC-PTSD-K yielded the highest diagnostic efficiency, with sensitivity and specificity values of 0.90 and 0.86, respectively. The ‘bothered a lot’ response level from the SIPS-K showed the highest diagnostic efficiency, with sensitivity and specificity values of 0.85 and 0.89, respectively. ConclusionaaOur findings suggest that both PC-PTSD-K and SIPS-K have good psychometric properties with high validity and reliability for detecting PTSD symptoms in elderly Korean veterans. However, further research will be necessary to increase our understanding of PTSD characteristics in diverse groups with different types of trauma.
참고문헌 (29)
- Chung MY, "The prevalence and the analysis of variables in veterans with posttraumatic stress disorder", J Korean Assoc Soc Psychiatry, 7, pp.93~102 (2002)
- Kessler RC, "Posttraumatic stress disorder in the National Comorbidity Survey", Arch Gen Psychiatry, 52, pp.1048~1060 (1995)
- Samson AY, "Posttraumatic stress disorder in primary care", J Fam Pract, 48, pp.222~227 (1999)
- Stein MB, "Posttraumatic stress disorder in the primary care medical setting", Gen Hosp Psychiatry, 22, pp.261~269 (2000)
- Magruder KM, "Prevalence of posttraumatic stress disorder in Veterans Affairs primary care clinics", Gen Hosp Psychiatry, 27, pp.169~179 (2005)
- Taubman-Ben-Ari O, "Post-traumatic stress disorder in primary-care settings : prevalence and physicians’detection", Psychol Med, 31, pp.555~560 (2001)
- Schonfeld WH, "The functioning and well-being of patients with unrecognized anxiety disorders and major depressive disorder", J Affect Disord, 43, pp.105~119 (1997)
- Brewin CR, "Systematic review of screening instruments for adults at risk of PTSD", J Trauma Stress, 18, pp.53~62 (2005)
- 오송인, "한국판 외상후 스트레스 장애 체크리스트-민간인용(PTSD Checklist Civilian Version)의 신뢰도 및타당도 연구 : 북한이탈주민을 대상으로", 신경정신의학, 53(6), pp.410~417 (2014), 대한신경정신의학회[DOI]
- 남보라, "한국판 외상 후 스트레스 진단 척도의 신뢰도 및 타당도 연구", Korean Journal of Clinical Psychology, 29(1), pp.147~167 (2010), 한국임상심리학회
- Seo HJ, "Reliability and validity of the Korean version of the Davidson Trauma Scale", Compr Psychiatry, 49, pp.313~318 (2008)
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- Roh MR, "A Preliminary Development of an MMPI subscale for the assessment combat-related post-traumatic stress disorder in Korea", Korean J Health Psychol, 1, pp.105~113 (1996)
- Brewin CR, "Systematic review of screening instruments for adults at risk of PTSD", J Trauma Stress, 18, pp.53~62 (2005)
- Wilson JP, "Assessing Psychological Trauma and PTSD" (1997), Guilford Press
- Meltzer-Brody S, "Derivation of the SPAN, a brief diagnostic screening test for post-traumatic stress disorder", Psychiatry Res, 88, pp.63~70 (1999)
- Lang AJ, "An abbreviated PTSD checklist for use as a screening instrument in primary care", Behav Res Ther, 43, pp.585~594 (2005)
- Prins A, "The primary care PTSD screen(PC-PTSD) : development and operating characteristics", Prim Care Psychiatry, 9, pp.9~14 (2003)
- Gore KL, "Test of a single-item posttraumatic stress disorder screener in a military primary care setting", Gen Hosp Psychiatry, 30, pp.391~397 (2008)
- Kang Y, "A validity study on the Korean Mini-Mental State Examination(K-MMSE)in dementia patients", J Korean Neurol Assoc, 15, pp.300~308 (1997)
- Han C, "An adaptation of the Korean mini-mental state examination(K-MMSE)in elderly Koreans : demographic influence and population-based norms(the AGE study)", Arch Gerontol Geriatr, 47, pp.302~310 (2008)
- Foa EB, "Arousal, numbing, and intrusion:symptom structure of PTSD following assault", Am J Psychiatry, 152, pp.116~120 (1995)
- Bliese PD, "Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat", J Consult Clin Psychol, 76, pp.272~281 (2008)
- Foa EB, "Comparison of the PTSD Symptom Scale-Interview Version and the Clinician-Administered PTSD scale", J Trauma Stress, 13, pp.181~191 (2000)
- Hahn OS, "Development of Korean version of structured clinical interview schedule for DSM-IV Axis I Disorder : interrater reliability", J Korean Neuropsychiatr Assoc, 39, pp.362~372 (2000)
- Blanchard EB, "Psychometric properties of the PTSD Checklist(PCL)", Behav Res Ther, 34, pp.669~673 (1996)
- McDonald SD, "The diagnostic accuracy of the PTSD checklist : a critical review", Clin Psychol Rev, 30, pp.976~987 (2010)
- Bewick V, "Statistics review 13 : receiver operating characteristic curves", Crit Care, 8, pp.508~512 (2004)
- Prins A, "The primary care PTSD screen(PC-PTSD) : development and operating characteristics", Prim Care Psychiatry, 9, pp.9~14 (2003)