[Development and Validation of a Screening Instrument for Complex PTSD].
Chronic interpersonal traumata systematically result in psychological impairments referred to as complex post-traumatic stress disorder (cPTSD or DESNOS). This diagnosis will be newly established in the ICD-11 system. However, there is need for diagnostic instruments to assess cPTSD. The aim was to develop a screening form to identify patients at risk for cPTSD. The Screening for complex PTSD (SkPTBS) tests a) experience of potential traumatic events, b) related influential features and risk factors, and c) symptoms of cPTSD. 325 patients (mean age 51.5±8.7 years; 62.1% female) filled out the screening instrument at the beginning of their inpatient psychotherapy. The primary criterion for testing SkPTBS validity was the diagnosis of complex PTSD at the end of the inpatient treatment. The proportion of patients with cPTSD was 8.9% (n=29). SkPTBS items were selective, and the scale showed very good reliability (α=0.91). Factor analysis revealed a one-dimensional structure. SkPTBS total values predicted having cPTSD diagnosis and were correlated with global symptom severity (SCL-90-R) and depressive symptoms (BDI-II). There is evidence for high clinical utility of SkPTBS. A revised version was developed.
Abteilung für Rehabilitationspsychologie und Psychotherapie, Insitut für Psychologie, Albert-Ludwigs-Universität Freiburg.
Florence
F
Dorr
Psychotherapie, Rehaklinik Glotterbad, Glottertal.
Christian
C
Firus
Klinik Hüttenbühl, Psychologische Psychotherapie, Rehazentrum Bad Dürrheim.
Rolf
R
Kramer
Abteilung für Rehabilitationspsychologie und Psychotherapie, Insitut für Psychologie, Albert-Ludwigs-Universität Freiburg.
Jürgen
J
Bengel
D000328:Adult; D000368:Aged; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010343:Patient Admission; D011594:Psychometrics / Q000706:statistics & numerical data*; D011613:Psychotherapy; D015203:Reproducibility of Results; D012307:Risk Factors; D013223:Statistics as Topic; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000628:therapy; D011795:Surveys and Questionnaires