title: Enhancing self-report assessment of PTSD: development of an item bank.
abstract: The authors report results of work to enhance self-report posttraumatic stress disorder (PTSD) assessment by developing an item bank for use in a computer-adapted test. Computer-adapted tests have great potential to decrease the burden of PTSD assessment and outcomes monitoring. The authors conducted a systematic literature review of PTSD instruments, created a database of items, performed qualitative review and readability analysis, and conducted cognitive interviews with veterans diagnosed with PTSD. The systematic review yielded 480 studies in which 41 PTSD instruments comprising 993 items met inclusion criteria. The final PTSD item bank includes 104 items representing each of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; American Psychiatric Association [APA], 1994), PTSD symptom clusters (reexperiencing, avoidance, and hyperarousal), and 3 additional subdomains (depersonalization, guilt, and sexual problems) that expanded the assessment item pool.
authors.affiliation: Center for Health Quality, Outcomes and Economic Research, Bedford VA Medical Center, Bedford, MA 01730, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Del Vecchio
authors.forename: A Rani
authors.initials: AR
authors.lastname: Elwy
authors.forename: Eric
authors.initials: E
authors.lastname: Smith
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Bottonari
authors.forename: Susan V
authors.initials: SV
authors.lastname: Eisen
mesh_terms: D019992:Databases as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D057566:Self Report; D012647:Self-Assessment; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis*; D011795:Surveys and Questionnaires / Q000592:standards; D014584:User-Computer Interface; D014728:Veterans / Q000523:psychology