Validation of the PCL-5, PHQ-9, and GAD-7 in a Sample of First Responders

被引：13

作者：

Ahmadi, Aazi ^{[1
]}

Galusha, Jeanine M. ^{[2
]}

Ponder, Warren N. ^{[3
,7
]}

Carbajal, Jose ^{[4
]}

Schuman, Donna L.

Whitworth, James ^{[5
]}

Yockey, R. Andrew ^{[6
]}

机构：

[1] Penn State Univ, State Coll, PA USA

[2] McGarrahan & Associates, Dallas, TX USA

[3] One Tribe Fdn, Outcomes & Evaluat, Ft Worth, TX USA

[4] Stephen F Austin State Univ, Sch Social Work, Nacogdoches, TX USA

[5] Univ Cent Florida, Orlando, FL USA

[6] Univ North Texas Hlth Sci Ctr, Dept Biostat & Epidemiol, Ft Worth, TX USA

[7] One Tribe Fdn, Texas St,Suite 105, Ft Worth, TX 76102 USA

来源：

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2023年 / 65卷 / 06期

关键词：

first responders; PTSD; depression; generalized anxiety; assessment; POSTTRAUMATIC-STRESS-DISORDER; GENERALIZED ANXIETY DISORDER; PSYCHOMETRIC PROPERTIES; PTSD SYMPTOMS; DEPRESSION INVENTORY; TREATMENT-SEEKING; POLICE OFFICERS; RATING-SCALE; DSM-5; PCL-5; HEALTH;

D O I：

10.1097/JOM.0000000000002823

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

ObjectiveFirst responders (FRs) commonly present for treatment with complex symptom constellations that frequently include posttraumatic stress disorder, depression, and generalized anxiety. To date, no FR study has validated these measures on a treatment-seeking sample.MethodsConfirmatory factor analysis was utilized to validate measures that assess these constructs (Posttraumatic Stress Disorder Checklist for DSM-5, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7) on a treatment-seeking sample of FRs (N = 390).ResultsThe seven-factor posttraumatic stress disorder hybrid configuration was the best fit. The best fitting factor model of the depression measure was a two-factor structure, cognitive-affective and somatic depression. Lastly, generalized anxiety was a unidimensional construct.LimitationsFollow-up studies should validate these measures on each FR subtype.ConclusionWe position these findings within the FR literature, review clinical implications for providers, and offer recommendations for future research.

引用

页码：467 / 476

页数：10

共 92 条

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