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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Towards a Culturally Appropriate Trauma Assessment in a South African Zulu Community
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Towards a Culturally Appropriate Trauma Assessment in a South African Zulu Community

机译：在南非祖鲁社区进行文化适当的创伤评估

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Objective: To develop a culture specific screening tool for trauma, and to determine whether it would significantly increase the probability of eliciting traumatic events and associated symptoms when added to a Western diagnostic tool for trauma. Method: A convenience sample of 1 hundred Zulu speaking volunteers was recruited in the North-Eastern KwaZulu-Natal region of South Africa. A demographic questionnaire, the Post Traumatic Stress Disorder (PTSD) section of the Structured Clinical Interview for DSM Disorders, Axis I, Research Version (SCID-I RV), and a Zulu Culture-Specific Trauma Experience Questionnaire (Z-CTEQ) designed for this study were administered to the participants. Results: As measured by the SCID-I RV, the rates of exposure to traumatic events as well as the lifetime prevalence of PTSD were relatively high, at 32% and 24%, respectively. The use of the 10-item Z-CTEQ, when added to the SCID, increased the rate at which traumatic events were elicited by 19.4%. The additional traumatic events elicited were culture-specific in nature and were significantly associated with PTSD (p < .0001). The Z-CTEQ also elicited culture-specific attributions for traumatic events, which could prove beneficial for therapeutic interventions. The Z-CTEQ was found to have acceptable internal reliability, with a Cronbach's alpha of 0.78. The construct and discriminant validity of the Z-CTEQ were supported by several significant correlations between the SCID and the Z-CTEQ and between the additional traumatic events elicited and PTSD. Conclusion: Despite some identified limitations, our findings suggest that the Z-CTEQ can enhance the assessment and management of trauma in the study population.
机译：目的：开发创伤的培养特异性筛查工具，并确定它是否会在添加到创伤的西方诊断工具时显着提高引发创伤事件和相关症状的概率。方法：在南非东北夸祖鲁 - 港口地区招募了1百名祖鲁志愿者的便利样本。人口调查问卷，DSM疾病结构临床面试的后创伤性应力障碍（PTSD）部分，轴I，研究版（SCID-I RV）和祖鲁文化特异性创伤体验调查问卷（Z-CTEQ）本研究介绍给参与者。结果：通过SCID-I RV测量，暴露于创伤事件的速率以及PTSD的寿命患病率分别为32％和24％。在添加到SCID时，使用10项Z-CTEQ的使用增加了创伤事件引发了19.4％的速率。引发的额外创伤事件是本质上的培养，并且与PTSD显着相关（P <.0001）。 Z-CTEQ还引发了创伤事件的文化特异性归属，这可能对治疗干预措施有益。发现Z-CTEQ具有可接受的内部可靠性，Cronbach的alpha为0.78。 Z-CTEQ的构建体和判别有效性得到了SCID和Z-CTEQ之间的几种显着相关性，以及在引发的额外创伤事件和PTSD之间进行了关注。结论：尽管有一些识别的局限性，我们的研究结果表明，Z-CTEQ可以增强研究人群创伤的评估和管理。

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