CAJ | 학술논문

目的儿童事件影响量表(The Children's Revised Impact of Event Scale,CRIES-13)为地震后推荐使用于儿童青少年,用于创伤后应激障碍(PTSD)症状筛查的量表.在对CRIES-13(中文版)信效度研究的基础上,进行划界分的研究,以完善该量表的应用价值.方法 2008年9月下旬,根据受灾情况在2所中学选择符合入选标准的600名同学为调查对象.首先,采用一般情况调查问卷(自编)、事件影响量表(CRIES-13)进行集体施测.其次,在2所学校中根据班级采取分层随机整群抽样方法 ,由精神科医生采用K-SADS-PL对310名学生进行诊断性会谈和评估.CRIES-13划界点的划分以K-SADS-PL对PTSD的诊断为金标准,以敏感度、特异度、准确度、阳性预测值、阴性预测值为评价指标,以ROC曲线进行划界分的正确选择.结果当量表划界分为30时,显示了高水平的灵敏度(0.833)、特异度(0.836)和阴性预测值(0.97),有较好的预测水平.结论 CRIES-13量表划界分为30时,量表对PTSD、非PTSD有很好的鉴别力,值得推广和应用.
목적 인동사건영향량표(The Children's Revised Impact of Event Scale,CRIES-13)위지진후추천사용우인동청소년,용우창상후응격장애(PTSD)증상사사적량표.재대CRIES-13(중문판)신효도연구적기출상,진행화계분적연구,이완선해량표적응용개치.방법 2008년9월하순,근거수재정황재2소중학선택부합입선표준적600명동학위조사대상.수선,채용일반정황조사문권(자편)、사건영향량표(CRIES-13)진행집체시측.기차,재2소학교중근거반급채취분층수궤정군추양방법 ,유정신과의생채용K-SADS-PL대310명학생진행진단성회담화평고.CRIES-13화계점적화분이K-SADS-PL대PTSD적진단위금표준,이민감도、특이도、준학도、양성예측치、음성예측치위평개지표,이ROC곡선진행화계분적정학선택.결과 당량표화계분위30시,현시료고수평적령민도(0.833)、특이도(0.836)화음성예측치(0.97),유교호적예측수평.결론 CRIES-13량표화계분위30시,량표대PTSD、비PTSD유흔호적감별력,치득추엄화응용.
Objective The Children's Revised Impact of Event Scale (CRIES-13) is used for Screening PTSD of children. The reliability and validity of CRIES-13 is good. To research the demarcation points of CRIES-13 (Chinese version) based on the reliability and validity analysis,and to improve the useful value of the scale.Methods In late September 2008, according affected condition, students were choosed who were fit for the research standard as subjects in two middle schools. First,general questionnaire (self-writing) and CRIES-13 were applied to the subjects. Second, according to K-SADS-PL, physician carried out diagnosis meeting and evaluation to 310 students who were classified by stratified rand sampling. Critical point of CRIES-13 was divided by K-SADSPL. The assessment value of it were sensitivity, specificity, veracity, PPV, NPV. The right choice of division was measured by ROC curve. Results When the critical score was higher than 30, the score of Se ( 0. 833 ), Sp(0. 836) and NPV (0.97) was in the high level. Conclusion When the critical score is higher than 30, the scale have a good discrimination for PTSD, non-PTSD and it can be used extensively.