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首页> 外文期刊>Archives of Clinical Neuropsychology >Utility of the Mild Brain Injury Atypical Symptoms Scale as a Screening Measure for Symptom Over-Reporting in Operation Enduringn Freedom/Operation Iraqi Freedom Service Members with Post-Concussive Complaints
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Utility of the Mild Brain Injury Atypical Symptoms Scale as a Screening Measure for Symptom Over-Reporting in Operation Enduringn Freedom/Operation Iraqi Freedom Service Members with Post-Concussive Complaints

机译:轻度脑损伤非典型症状量表作为症状过多报告在行动中的筛查手段的使用,持久性/行动伊拉克自由服务人员遭受脑震荡后的投诉

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摘要

Evaluation of post-deployment conditions such as post-concussive syndrome (PCS) and posttraumatic stress disorder (PTSD) frequently relies upon brief, self-report checklists which are face valid and highly susceptible to potential symptom validity issues such as symptom exaggeration. We investigated the psychometric prope1rties of a 5-item measure of symptom exaggeration (mild brain injury atypical symptoms [mBIAS] scale) embedded in commonly used PCS and PTSD screening instruments in a sample of 403 patients seen in a brain injury clinic at a large military medical center. Exploratory factor analysis, examining measures of posttraumatic stress, post-concussive symptoms, and symptom over-reporting revealed a 6-factor model with the mBIAS scale items representing a unique factor. Analysis of psychometric properties demonstrated that a score of 8 on the mBIAS was optimal for the detection of symptom over-reporting (sensitivity = 0.94, specificity = 0.92) and appears to be the most favorable cut score for interpretive use. The findings provide a strong initial support for the use of the mBIAS in post-deployment populations.
机译:对诸如脑震荡后综合征(PCS)和创伤后应激障碍(PTSD)等部署后状况的评估通常依赖简短,自我报告的清单,这些清单应有效且极易受到潜在症状有效性问题(例如症状夸大)的影响。我们调查了在大型军队脑损伤诊所中观察到的403名患者的样本中,将5项症状夸张(轻度脑损伤非典型症状[mBIAS]量表)嵌入常用PCS和PTSD筛查仪器中的心理测量学特征。医疗中心。探索性因素分析,检查创伤后压力,脑震荡后症状和症状过度报告的措施揭示了一个六因素模型,其中mBIAS量表项代表一个独特因素。心理计量学分析表明,mBIAS上的8分是检测症状过度报告的最佳选择(敏感性= 0.94,特异性= 0.92),并且似乎是解释性使用的最有利切分。这些发现为在部署后人群中使用mBIAS提供了有力的初步支持。

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