Posttraumatic Stress Disorder in Diverse Populations: Testing for Assessment Bias in a Nationally Representative Sample
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作者:
Gutierrez, Carolina I.
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Univ Texas Hlth Sci Ctr San Antonio, Dept Psychiat & Behav Sci, 7703 Floyd Curl Dr, San Antonio, TX 78229 USAUniv Texas Hlth Sci Ctr San Antonio, Dept Psychiat & Behav Sci, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA
Gutierrez, Carolina I.
[1
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Arteaga, Katherina
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Oklahoma State Univ, Dept Psychol, Stillwater, OK USAUniv Texas Hlth Sci Ctr San Antonio, Dept Psychiat & Behav Sci, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA
Arteaga, Katherina
[2
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Schepis, Ty S.
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机构:
Texas State Univ, Dept Psychol, San Marcos, TX USAUniv Texas Hlth Sci Ctr San Antonio, Dept Psychiat & Behav Sci, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA
Schepis, Ty S.
[3
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De Nadai, Alessandro S.
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McLean Hosp, Simches Div Child & Adolescent Psychiat, Belmont, MA USA
Harvard Med Sch, Dept Psychiat, Boston, MA USAUniv Texas Hlth Sci Ctr San Antonio, Dept Psychiat & Behav Sci, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA
De Nadai, Alessandro S.
[4
,5
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机构:
[1] Univ Texas Hlth Sci Ctr San Antonio, Dept Psychiat & Behav Sci, 7703 Floyd Curl Dr, San Antonio, TX 78229 USA
[2] Oklahoma State Univ, Dept Psychol, Stillwater, OK USA
[3] Texas State Univ, Dept Psychol, San Marcos, TX USA
[4] McLean Hosp, Simches Div Child & Adolescent Psychiat, Belmont, MA USA
[5] Harvard Med Sch, Dept Psychiat, Boston, MA USA
Objective: A growing body of research has emerged to characterize differences in posttraumatic stress disorder (PTSD) symptom presentations in individuals from diverse racial and ethnic groups. However, less research has examined if these observed differences can be attributed to bias within PTSD assessments. Knowledge about potential bias in PTSD assessment is essential for interpreting group differences. If PTSD assessments do not perform similarly across diverse demographic groups, then observed differences may be artificial products of inaccurate measurement, new assessments could be required for individuals from different demographic groups, and we would be unable to accurately detect PTSD treatment effects in patients from diverse groups. Method: We evaluated PTSD assessment bias through tests of measurement invariance for the semistructured, clinician-administered AUDADIS-5 diagnostic assessment of participants in the National Epidemiologic Survey on Alcohol and Related Conditions-III. Participants included those who reported having experienced at least one potentially traumatic event in their lifetime (N = 23,936). Measurement invariance was assessed for participants who identified from several demographic groups (Asian, Native Hawaiian, or Pacific Islander; Hispanic; American Indian/Alaskan Native; and Black) compared to participants who identified as White (non-Hispanic). Results: Overall, PTSD assessment was largely invariant across groups, while small amounts of measurement invariance were detected that can inform future research and clinical adaptations. Conclusions: This work validates prior research that relies on a common conceptualization of PTSD, and it provides several paths for future improvement in research and clinical practice.
机构:
Univ Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USAUniv Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USA
Pagoto, Sherry L.
Schneider, Kristin L.
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Univ Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USAUniv Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USA
Schneider, Kristin L.
Bodenlos, Jamie S.
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机构:
Hobart & William Smith Coll, Dept Psychol, Geneva, NY 14456 USAUniv Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USA
Bodenlos, Jamie S.
Appelhans, Bradley M.
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Rush Univ, Med Ctr, Dept Prevent Med, Chicago, IL 60612 USAUniv Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USA
Appelhans, Bradley M.
Whited, Matthew C.
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Univ Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USAUniv Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USA
Whited, Matthew C.
Ma, Yunsheng
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Univ Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USAUniv Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USA
Ma, Yunsheng
Lemon, Stephenie C.
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Univ Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USAUniv Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01605 USA
机构:
Univ Western Ontario, Dept Psychiat, Schulich Sch Med & Dent, London, ON, CanadaUniv Western Ontario, Dept Psychiat, Schulich Sch Med & Dent, London, ON, Canada
Gupta, Madhulika A.
Vujcic, Branka
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Univ Western Ontario, Dept Psychiat, Schulich Sch Med & Dent, London, ON, CanadaUniv Western Ontario, Dept Psychiat, Schulich Sch Med & Dent, London, ON, Canada