Hillel Glover M.D., Carroll Ohlde, Steven Silver, Peter Packard, Paul Good-nick, Gary L. Hamlin
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引用次数: 12
Abstract
This study explored the psychometric properties of a new self-report instrument, The Glover Numbing Scale©. The scale measures a variety of behaviors reported by individuals experiencing an inability to access feelings other than hostility and rage. The scale was administered to inpatient Vietnam combat veterans with post-traumatic stress disorder (PTSD, n = 323), PTSD diagnosed Veterans Affairs (VA) outpatient and veterans' outreach center veterans (n = 208), two Vietnam veteran non-combat groups (n = 45), two psychiatric non-combat controls (anxiety disorder, n = 40; major depressive disorder, n = 31), and a non-psychiatric never-in-Vietnam veteran control group (n = 48). Reliability information suggested that the scale was internally consistent with good test-retest correlations. Convergent and discriminant validations were assessed based on the pattern of the scale's correlations with relevant Minnesota Multiphasic Personality Inventory (MMPI) scales. The contrasting pattern of correlations provided by a subgroup of veterans who reported always feeling dead or shut down was highlighted. Principal component analysis resulted in a five-factor solution that provided evidence for the scale's factorial validity. Numbing Scale scores discriminated levels of psychopathology within the veteran population. PTSD outreach center veterans' sum scores and item scores on the Numbing Scale were more similar to responses of anxiety disorder patients than to major depressive disorder patients. Overall, the findings strongly support the clinical application of the Numbing Scale. Anxiety 1:70–79 (1994). © 1994 Wiley-Liss, Inc.
麻木量表:心理测量特性,初步报告
本研究探索了一种新的自我报告工具的心理测量特性,Glover麻木量表©。该量表衡量的是那些除了敌意和愤怒之外无法感受其他情感的人所报告的各种行为。该量表适用于住院的越南战争退伍军人创伤后应激障碍(PTSD, n = 323)、退伍军人事务部门诊和退伍军人外展中心诊断为PTSD的退伍军人(n = 208)、两个越南战争退伍军人非战斗组(n = 45)、两个精神病学非战斗对照组(n = 40);重度抑郁症,n = 31),以及一个非精神病的从未参加过越南的退伍军人对照组(n = 48)。信度信息表明,该量表具有良好的测试-重测相关性。根据该量表与相关明尼苏达多相人格量表(MMPI)的相关模式进行收敛验证和判别验证。一组退伍军人报告说他们总是感到死亡或被关闭,他们提供了对比鲜明的相关性模式。主成分分析产生了一个五因素解决方案,为量表的析因效度提供了证据。麻木量表得分区分老兵人群的精神病理水平。创伤后应激障碍外展中心退伍军人在麻木量表上的总得分和项目得分与焦虑障碍患者的反应更相似,而与重度抑郁症患者的反应更相似。总的来说,研究结果有力地支持了麻木量表的临床应用。焦虑1:70-79(1994)。©1994 Wiley-Liss, Inc。
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