Development and evaluation of the Trauma Screener-Intellectual Disability: a post-traumatic stress disorder screening tool for adults with mild intellectual disability or borderline intellectual functioning.

IF 2.1 2区医学 Q1 EDUCATION, SPECIAL

Journal of Intellectual Disability Research Pub Date : 2024-11-04 DOI:10.1111/jir.13198

A Versluis, C Schuengel, L Mevissen, A de Jongh, R Didden

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引用次数: 0

Abstract

Background: This study aimed to evaluate the validity and reliability of the adult self-report and proxy version of the Trauma Screener-Intellectual Disability (TS-ID) in adults with mild intellectual disability or borderline intellectual functioning (MID-BIF). An optimal cut-off value was determined for the ratio of specificity to sensitivity for predicting the diagnosis of post-traumatic stress disorder (PTSD).

Methods: The TS-ID was adapted from a Dutch Child and Adolescent Trauma Screener, for use with adults with MID-BIF. Outcomes based on the TS-ID were compared with the presence of PTSD, as classified using the Diagnostic Interview Trauma and Stressors-Intellectual Disability (Mevissen et al. 2018). The TS-ID adult version was administered to 97 participants with MID-BIF who lived in supported housing, whereas the TS-ID proxy version was administered to 92 family members or professional caregivers.

Results: The TS-ID adult version showed high internal consistency (Cronbach's α = .94) and excellent validity (AUC = .94) for distinguishing PTSD in adults with MID-BIF. Optimal specificity and sensitivity was found at a cut-off score of 18. Although the TS-ID proxy version demonstrated excellent internal consistency (Cronbach's α = .93), it showed no validity in statistically distinguishing PTSD in adults with MID-BIF.

Conclusions: The TS-ID showed favourable psychometric qualities as a screening instrument of PTSD in the case for people with MID-BIF.

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创伤筛查器--智力障碍的开发与评估：针对轻度智力障碍或边缘智力功能的成年人的创伤后应激障碍筛查工具。

背景：本研究旨在评估轻度智力障碍或边缘智力功能（MID-BIF）成人自我报告和代理版创伤筛查智力障碍（TS-ID）的有效性和可靠性。确定了预测创伤后应激障碍（PTSD）诊断的特异性与敏感性比率的最佳临界值：方法：TS-ID 是根据荷兰儿童和青少年创伤筛查工具改编的，适用于患有 MID-BIF 的成年人。根据TS-ID得出的结果与创伤后应激障碍的存在进行了比较，创伤后应激障碍是通过创伤和压力-智力障碍诊断访谈进行分类的（Mevissen等人，2018年）。TS-ID成人版对97名居住在辅助住房的MID-BIF参与者进行了测试，而TS-ID代理版则对92名家庭成员或专业护理人员进行了测试：TS-ID成人版在区分MID-BIF成人创伤后应激障碍方面显示出较高的内部一致性（Cronbach's α = .94）和出色的有效性（AUC = .94）。最佳特异性和灵敏度的临界值为 18 分。尽管TS-ID代理版本显示出极好的内部一致性（Cronbach's α = .93），但它在统计区分MID-BIF成人创伤后应激障碍方面没有显示出有效性：结论：TS-ID作为创伤后应激障碍的筛查工具，在MID-BIF患者中显示出良好的心理测量质量。

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 Intellectual Disability Research Multiple-

CiteScore

5.60

自引率

5.60%

发文量

期刊介绍： The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.