Assessment of PTSD and Trauma Symptoms With the MMPI-3 in College Students: Validity and Incremental Utility of the Anxiety Related Experiences (ARX) Scale.

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of personality assessment Pub Date : 2024-09-01 Epub Date: 2024-02-23 DOI:10.1080/00223891.2024.2315127

Megan A Keen, Tina E Greene, Bryce A Robinson, Cole S Morris, Paul B Ingram

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引用次数: 0

Abstract

Post Traumatic Stress Disorder (PTSD) is heterogeneous in nature, which complicates diagnostic efforts and makes accurate assessment tools critical. The MMPI family of instruments are widely used broadband measures of psychopathology, including trauma symptomology. The MMPI-3's Anxiety Related Experiences scale (ARX) is an expansion of the MMPI-2-RF Anxiety (AXY) scale which has historically represented the MMPI family's best measure of trauma symptoms. This study expands research on ARX in 2 samples of college students (n = 332 [PCL-5 Criterion] & n = 58 [CAPS-5 Criterion]) by examining ARX's incremental, criterion, and classification validity. ARX incrementally predicted PCL-5 total and cluster scores beyond that accounted for by AXY (R²Δ = .01-.09). ARX accounted for the most unique variance, beyond RCd and RC7, in CAPS-5 interview ratings of intrusion symptoms (R²Δ = .16). ARX was strongly related to trauma symptomology broadly (r = .42-.58) and demonstrated strong screening ability at T65 (sensitivity = .37-.40; specificity = .91-.92) and stronger diagnostic screening at T75 (sensitivity = .31; specificity = .93). We discuss clinical considerations when using ARX for assessing PTSD.

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用 MMPI-3 评估大学生创伤后应激障碍和创伤症状：焦虑相关经历（ARX）量表的有效性和增量效用。

创伤后应激障碍（PTSD）的性质多种多样，这使得诊断工作变得复杂，准确的评估工具也变得至关重要。MMPI 系列工具是广泛使用的精神病理学宽带测量工具，其中包括创伤症状学。MMPI-3 的焦虑相关经历量表（ARX）是对 MMPI-2-RF 焦虑量表（AXY）的扩展，该量表一直是 MMPI 系列测量创伤症状的最佳工具。本研究通过考察 ARX 的增量效度、标准效度和分类效度，扩展了 ARX 在两个大学生样本（n = 332 [PCL-5 标准] 和 n = 58 [CAPS-5 标准]）中的研究。ARX 对 PCL-5 总分和群组分数的增量预测超过了 AXY 的预测（R2Δ = 0.01-0.09）。除 RCd 和 RC7 外，ARX 对 CAPS-5 访谈中的入侵症状评分的独特变异性影响最大（R2Δ = .16）。ARX 与广泛的创伤症状学密切相关（r = .42-.58），在 T65 阶段表现出很强的筛查能力（灵敏度 = .37-.40；特异性 = .91-.92），在 T75 阶段表现出更强的诊断筛查能力（灵敏度 = .31；特异性 = .93）。我们讨论了使用 ARX 评估创伤后应激障碍时的临床注意事项。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of personality assessment Multiple-

CiteScore

7.20

自引率

8.80%

发文量

期刊介绍： The Journal of Personality Assessment (JPA) primarily publishes articles dealing with the development, evaluation, refinement, and application of personality assessment methods. Desirable articles address empirical, theoretical, instructional, or professional aspects of using psychological tests, interview data, or the applied clinical assessment process. They also advance the measurement, description, or understanding of personality, psychopathology, and human behavior. JPA is broadly concerned with developing and using personality assessment methods in clinical, counseling, forensic, and health psychology settings; with the assessment process in applied clinical practice; with the assessment of people of all ages and cultures; and with both normal and abnormal personality functioning.