Development and Validation of Posttrauma Risk Checklist

The present study developed a posttrauma risk checklist (PRC) for adults and tested its validity. PRC was developed for those who have experienced a trauma in order to examine risk factors in several areas that affect the incidence and severity of PTSD within a month after from the traumatic incident and to predict the possibility of developing PTSD. In order to develop the questions in PRC, we reviewed literature on risk factors that cause, prolong and worsen PTSD (PTSD risk factors). PTSD risk factors were extracted for the personal area (before, during and after the trauma), the trauma area and the recovery environment area. From the extracted PTSD risk factors were drafted preliminary questions. Then the questions were verified by a group of specialists that resulted in a total of 93 questions. Because PRC is a test to be used for those who have experienced a traumatic incident, the subjects for the development of PRC were selected from adults aged over 18 who had experienced a trauma, and as a result, a total of 442 adults were sampled. The subjects were divided into an asymptomatic group, a partial PTSD group and a full PTSD group depending on the severity of symptoms. Through analyzing the questions (the discriminant index of each question and the correlation between the totals of a pair of questions), we excluded 40 out of the 93 preliminary questions, and developed the final PRC consisting of the 53 questions. The sub‐areas of PRC are the personal area (before, during and after the trauma), the trauma area and the recovery environment area. Based on the total score of PRC, the low risk level was set at 16 points or less (i.e., expected possibility of recovery without PTSD symptoms), the moderate risk level was set between 17 and 26 (i.e., expected possibility of developing into partial or full PTSD with a light to moderate symptoms). The high risk level was set at 27 points or higher (i.e., highly possible for developing into partial or full PTSD with a severe symptoms). The classification into the low risk, moderate risk and high risk groups according to risk level in PRC was clear in the score of each sub area and the total score except the area of perceived threat to life. PRC showed high correlations with PDS (.72, p<01), with BAI (.65, p<01) and with BDI (.52, p<01), confirming that it has concurrent validity.

keywords: 외상, 외상 후 위기 체크리스트, 외상 후 스트레스 장애, 외상 후 스트레스 장애 위험요인, PRC, trauma, Posttrauma Risk Checklist, PTSD, PTSD risk factor, PRC, trauma, Posttrauma Risk Checklist, PTSD, PTSD risk factor, PRC

Reference

김순진, 김환 (2000). 외상후 스트레스 장애: 충격적 경험의 후유증. 서울: 학지사.

송승훈 (2006). 한국판 외상 후 성장척도(K-PTGI)의 신뢰도와 타당도. 충남대학교 일반대학원 석사학위 청구 논문.

신응섭, 채정민 (1996). 외상 후 스트레스 장애의 통합적 접근. 서울: 하나의학사.

안현의 (2005). 청소년의 심리적 외상에 관한 탐색적 연구: 외상 후 스트레스 증상과 성격 특성을 중심으로. 상담학 연구, 17, 217-231.

이영호, 송종용 (1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지: 임상, 15, 98-113.

은헌정, 이선미, 김태형 (2001). 일 도시 지역의 외상후 스트레스 장애 역학 조사. 신경정신의학, 40, 581-591.

육성필, 김중술 (1996). 한국판 Beck Anxiety Inventory의 임상적 연구: 환자군과 비환자군의 비교. 한국 심리학회 96연차학술대회 학술발표논문집, 41-49.

한국심리학회 (2002). 심리검사: 제작 및 사용지침서. 서울: 중앙적성출판사.

Allen, J. G. (2005). Coping With Trauma: A Guide to Self-Understanding, Washington, DC: American Psychiatric Press Incorporation.

10.

American Psychiatric Association. (1994) Diagnostic and Statistical manual of mental disorders(4th ed.). Washington, DC: Authors.

11.

Beck, A.T., Epstein, N., Brown, G. & Steer, R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology. 56, 893-897.

12.

Blanchard, E. B., Hickling, E. J., Taylor, A. E., Loos, W. R., Forneris, C. A., & Jaccard, J. (1996). Who develop PTSD from Motor Vehicle Accidents?. Behaviour Research and Therapy, 34, 1-10.

13.

Brewin, C. R., Andrews, B. & Valentine, J. D. (2000). Meta-Analysis of Risk Factors for Posttraumatic Stress Disorder in Trauma- Exposed Adults. Journal of Consulting and Clinical Psychology, 68, 748-766.

14.

Carty, J., O'Donnell, M. L. & Creamer, M. (2006). Delayed-onset PTSD: A prospective study of injury survivors. Journal of Affective Disorders, 90, 257-261.

15.

Cusack, K. J., Grubaugh, A. L., Knapp, R. G. & Frueh, B. C. (2006). Unrecognized Trauma and PTSD among Public Mental Health Consumers with Chronic and Severe Mental Illness. Community Mental Health Journal, 42, 487-500.

16.

Ehlers, A. & Clark, D. M. (2000), A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319-345.

17.

Foa, E. B., Cashman, L., Jaycox, L. & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9, 445-451.

18.

Frans, O. & Aberg, L. (2005). Trauma exposure and post-traumatic stress disorder in the general population. Acta Psychiatr Scan. 111, 291-299.

19.

Green, B. L., Wilson, J. & Lindy, J. D. (1985). Conceptualizing posttraumatic stress disorder; A psychosocial framework. InC. Figley(Eds), Trauma and its wake: the study and treatment of posttraumatic stress disorder. New York; Brunner/Mazel..

20.

Grubaugh, A. L., Magruder, K. M., Waldrop, A. E., Elhai, J. D., Knapp, R. G. & Frueh, B. C. (2005). Subthreshold PTSD in Primary Care Prevalence, Psychiatric Disorder, Healthcare Use, and Functional Status. Journal of Nervous and Mental Disease, 193, 658-664.

21.

Mayou, R., Bryant, B.& Duthie, R. (1993). Psychiatric consequences of road traffic accidents. BMJ, 307, 647-651.

22.

McFarlane, A. C. (1988). The longitudinal course of posttraumatic morbidity: the range of outcomes and their predictors. Journal of Nervous and Mental Disease 176, 30-39.

23.

McFarlane, A. C. (1989). The aetiology of posttraumatic stress morbidity: predisposing, precipit-ating and perpetuating factors. British Journal of Psychiatry, 154, 221-228.

24.

Mcnally, R. J., Bryant, R. A. & Ehlers, A. (2003). Does early psychological intervention promote recovery from posttraumatic stress? Psychological Science in The Public Interest, 4, 45-79.

25.

Ozer, E. J., Best, S. R., Lipsey, T. L. & Weiss, D. S. (2003). Predictors of Posttraumatic Stress Disorder and Symptoms in Adults: A meta-Analysis. Psychological Bulletin, 129, 52-73.

26.

Shalev, A. Y., Freedman, S., Peri, T., Brandes, D., Sahar, T., Orr, S. P. & Pitman, R. K. (1998). Prospective Study of Posttraumatic Stress Disorder and Depression Following Trauma. Am J Psychiatry, 155, 630-637.

27.

Shalev, A. Y., Peri, T., Canetti, L. & Schreiber, S. (1996). Predictors of PTSD in Injured Trauma Survivors: A Prospective Study, The American Journal of Psychiatry, 153, 219-225

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Article Contents

Vol.27 No.1

Development and Validation of Posttrauma Risk Checklist

Abstract

Reference

Korean Journal of Psychology: General