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A systematic review of social support instruments for measurement-based care in posttraumatic stress disorder
Current Psychology ( IF 2.387 ) Pub Date : 2024-03-14 , DOI: 10.1007/s12144-024-05799-8
John C. Fortney , Natalia Garcia , Tracy L. Simpson , Elizabeth R. Bird , Andrew D. Carlo , Samuel Rennebohm , Sarah B. Campbell

Social support is a treatment target for individuals with post-traumatic stress disorder (PTSD) but is not systematically assessed in clinical care. This review evaluated the quality of patient-reported social support instruments used in PTSD research to identify candidates for measurement-based care (MBC) with this population. A systematic review identified all validated measures of social support used in research with traumatized populations after 1990. Instrument development/validation studies were then evaluated using components of the updated COSMIN guidelines. Instruments were rated for clinical utility and evidence of their psychometric properties in use with traumatized individuals was synthesized. Twenty-nine instruments were identified across 231 studies. Evaluation of development articles found 14 instruments with sufficient evidence of content validity and internal consistency reliability that could be considered for clinical use. Of these, nine had comparable properties in traumatized samples and could be preliminarily included in MBC of social support in the treatment of PTSD. Additional studies on measures’ responsiveness and test–retest reliability are needed. Existing measures of social support could improve clinical care of PTSD when used routinely to provide feedback on this critical component of health. MBC of social support may also improve clinical care of other psychiatric conditions.



中文翻译:

对创伤后应激障碍中基于测量的护理的社会支持工具的系统评价

社会支持是创伤后应激障碍 (PTSD) 患者的治疗目标,但在临床护理中并未进行系统评估。本综述评估了患者报告的 PTSD 研究中使用的社会支持工具的质量,以确定针对该人群的基于测量的护理 (MBC) 的候选者。系统回顾确定了 1990 年后受创伤人群研究中使用的所有经过验证的社会支持措施。然后使用更新的 COSMIN 指南的组成部分对仪器开发/验证研究进行了评估。对仪器的临床实用性进行了评级,并综合了其用于受创伤个体的心理测量特性的证据。231 项研究中确定了 29 种仪器。对开发文章的评估发现 14 种工具具有足够的内容有效性和内部一致性可靠性证据,可以考虑用于临床。其中,9个在创伤样本中具有相似的特性,可以初步纳入治疗PTSD的社会支持MBC中。需要对测量的响应性和重测可靠性进行更多研究。现有的社会支持措施如果常规用于提供有关健康这一关键组成部分的反馈,可以改善创伤后应激障碍的临床护理。社会支持的 MBC 还可以改善其他精神疾病的临床护理。

更新日期:2024-03-14
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