Assessment of a new self-rating scale for post-traumatic stress disorder

J. R. T DAVIDSON; S. W BOOK; J. T COLKET; L. A TUPLER; S ROTH; D DAVID; M HERTZBERG; T MELLMAN; J. C BECKHAM; R. D SMITH; R. M DAVISON; R KATZ; M. E FELDMAN

doi:10.1017/S0033291796004229

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Assessment of a new self-rating scale for post-traumatic stress disorder

Journal article

Peer reviewed

Assessment of a new self-rating scale for post-traumatic stress disorder

J. R. T DAVIDSON, S. W BOOK, J. T COLKET, L. A TUPLER, S ROTH, D DAVID, M HERTZBERG, T MELLMAN, J. C BECKHAM, R. D SMITH, …

Psychological medicine, Vol.27(1), pp.153-160

1997-01

DOI: https://doi.org/10.1017/S0033291796004229

PMID: 9122295

Abstract

Background. In post-traumatic stress disorder (PTSD) there is a need for self-rating scales that are sensitive to treatment effects and have been tested in a broad range of trauma survivors. Separate measures of frequency and severity may also provide an advantage. Methods. Three hundred and fifty-three men and women completed the Davidson Trauma Scale (DTS), a 17-item scale measuring each DSM-IV symptom of PTSD on 5-point frequency and severity scales. These subjects comprised war veterans, survivors of rape or hurricane and a mixed trauma group participating in a clinical trial. Other scales were included as validity checks as follows: Global ratings, SCL-90-R, Eysenck Scale, Impact of Event Scale and Structured Clinical Interview for DSM-III-R. Results. The scale demonstrated good test–retest reliability (r = 0·86), internal consistency (r = 0·99). One main factor emerged for severity and a smaller one for intrusion. In PTSD diagnosed subjects, and the factor structure more closely resembled the traditional grouping of symptoms. Concurrent validity was obtained against the SCID, with a diagnostic accuracy of 83% at a DTS score of 40. Good convergent and divergent validity was obtained. The DTS showed predictive validity against response to treatment, as well as being sensitive to treatment effects. Conclusions. The DTS showed good reliability and validity, and offers promised as a scale which is particularly suited to assessing symptom severity, treatment outcome and in screening for the likely diagnosis of PTSD.

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Collaboration types: Domestic collaboration
Citation topics: 6 Social Sciences; 6.24 Psychiatry & Psychology; 6.24.93 PTSD
Web Of Science research areas: Psychiatry; Psychology; Psychology, Clinical
ESI research areas: Psychiatry/Psychology

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Title: Assessment of a new self-rating scale for post-traumatic stress disorder
Creators: J. R. T DAVIDSON - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
S. W BOOK - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
J. T COLKET - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
L. A TUPLER - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
S ROTH - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
D DAVID - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
M HERTZBERG - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
T MELLMAN - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
J. C BECKHAM - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
R. D SMITH - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
R. M DAVISON - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
R KATZ - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
M. E FELDMAN - Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, Department of Psychology, Duke University and Veterans Administration Medical Center, Durham, NC; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, SC; Department of Psychiatry, University of Miami, FL; and Ciba-Geigy Pharmaceuticals, Summit, NJ, USA
Publication Details: Psychological medicine, Vol.27(1), pp.153-160
Publisher: Cambridge University Press
Number of pages: 8
Academic Unit: Miller School of Medicine; UMMG Dept of Psychiatry & Behavioral Sciences
Language: English
Resource Type: Journal article
PMID: 9122295
Record Identifier: 991031562387002976