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25 - Assessment of Trauma- and Stressor-Related Disorders

from Part III - Assessment and Diagnosis of Specific Mental Disorders

Published online by Cambridge University Press:  06 December 2019

Martin Sellbom
Affiliation:
University of Otago, New Zealand
Julie A. Suhr
Affiliation:
Ohio University
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Summary

Post-traumatic stress disorder (PTSD) is a serious mental disorder that develops in some individuals following exposure to severe psychological stressors. In this chapter, we provide an overview of the conceptual issues, specific methods, and practical considerations in evidence-based assessment of PTSD. First, we outline the conceptual issues and practical components of a comprehensive assessment of PTSD. Second, we provide an overview of the most widely used self-rated and clinician-rated measures of trauma exposure and PTSD, comorbid disorders, and response bias. Third, we discuss cultural considerations in assessing PTSD. Fourth, we offer practical guidelines for conducting a clinically sensitive assessment of PTSD, highlighting some of the unique considerations in engaging trauma survivors in the assessment process and optimizing the information obtained. Last, we briefly summarize conceptual considerations and specific measures for other trauma- and stressor-related disorders.

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Publisher: Cambridge University Press
Print publication year: 2019

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References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
Bagby, R. M., Nicholson, R. A., Bacchiochi, J. R., Ryder, A. G., & Bury, A. S. (2002). The predictive capacity of the MMPI-2 and PAI validity scales and indexes to detect coached and uncoached feigning. Journal of Personality Assessment, 78, 6986.Google Scholar
Ben-Porath, Y. S., & Tellegen, A. (2008). Minnesota Multiphasic Personality Inventory—2 Restructured Form; Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.Google Scholar
Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28, 489498.Google Scholar
Bodkin, J. A., Pope, H. G., Detke, M. J., & Hudson, J. I. (2007). Is PTSD caused by traumatic stress?. Journal of Anxiety Disorders, 21, 176182.CrossRefGoogle ScholarPubMed
Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2015). Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychological Assessment, 28, 13791391.Google Scholar
Brady, K. T., Killeen, T. K., Brewerton, T., & Lucerini, S. (2000). Comorbidity of psychiatric disorders and posttraumatic stress disorder. The Journal of Clinical Psychiatry, 61 (Suppl7), 2232.Google Scholar
Briere, J. (2001). Detailed assessment of posttraumatic stress. Odessa, FL: Psychological Assessment Resources.Google Scholar
Briere, J. (2004). Psychological assessment of adult posttraumatic states: Phenomenology, diagnosis, and measurement (2nd ed.). Washington, DC: American Psychological Association.Google Scholar
Briere, J. (2011). Trauma Symptom Inventory, 2nd ed. (TSI-2) professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Briggs, E. C., Nooner, K., & Amaya-Jackson, L. M. (2014). Assessment of childhood PTSD. In Friedman, M. J., Keane, T. M., & Resick, P. A. (Eds.), Handbook of PTSD: Science and practice (2nd ed. pp. 391405). New York: Guilford.Google Scholar
Brown, T. A., & Barlow, D. H. (2014). Anxiety Disorders Interview Schedule for DSM-5 (ADIS-5). New York: Oxford University Press.Google Scholar
Creamer, M., Bell, R., & Failla, S. (2003). Psychometric properties of the impact of event scale – revised. Behaviour Research and Therapy, 41, 14891496.Google Scholar
Crowne, D. P., & Marlowe, D. (1960). A new scale of social desirability independent of psychopathology. Journal of Consulting Psychology, 24, 349354.Google Scholar
Elhai, J. D., Gray, M. J., Kashdan, T. B., & Franklin, C. L. (2005). Which instruments are most commonly used to assess traumatic event exposure and posttraumatic effects? A survey of traumatic stress professionals. Journal of Traumatic Stress, 18, 541545.Google Scholar
First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured Clinical Interview for DSM-5 Disorders, Clinician Version (SCID-5-CV). Arlington, VA: American Psychiatric Association.Google Scholar
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9, 445451.CrossRefGoogle Scholar
Foa, E. B., McLean, C. P., Zang, Y., Zhong, J., Powers, M. B., Kauffman, B. Y., … & Knowles, K. (2016a). Psychometric properties of the posttraumatic diagnostic scale for DSM-5 (PDS-5). Psychological Assessment, 28, 11661171.Google Scholar
Foa, E. B., McLean, C. P., Zang, Y., Zhong, J., Rauch, S., Porter, K., … & Kauffman, B. Y. (2016b). Psychometric properties of the Posttraumatic Stress Disorder Symptom Scale Interview for DSM–5 (PSSI–5). Psychological Assessment, 28, 11591165.Google Scholar
Goodman, L., Corcoran, C., Turner, K., Yuan, N., & Green, B. (1998). Assessing traumatic event exposure: General issues and preliminary findings for the Stressful Life Events Screening Questionnaire. Journal of Traumatic Stress, 11, 521542.Google Scholar
Goodwin, B.E., Sellbom, M., & Arbisi, P.A. (2013). Post-traumatic stress disorder in veterans: The utility of the MMPI-2-RF validity scales in detecting over-reported symptoms. Psychological Assessment, 25, 671678.Google Scholar
Gray, M., Litz, B., Hsu, J., & Lombardo, T. (2004). Psychometric properties of the Life Events Checklist. Assessment, 11, 330341.Google Scholar
Hinton, D. E., & Good, B. J. (2016). The culturally sensitive assessment of trauma: Eleven analytic perspectives, a typology of errors, and the multiplex models of distress generation. In Hinton, D. E. & Good, B. J. (Eds.), Culture and PTSD: Trauma in global and historical perspective (pp. 50113). Philadelphia: University of Pennsylvania Press.Google Scholar
Hinton, D. E., & Lewis-Fernandez, R. (2011). The cross-cultural validity of posttraumatic stress disorder: Implications for DSM-5. Depression and Anxiety, 28, 783801.Google Scholar
Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA, 295, 10231032.CrossRefGoogle ScholarPubMed
Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 8590.Google Scholar
Keane, T. M., & Kaloupek, D. G. (1997). Comorbid psychiatric disorders in PTSD: Implications for research. Annals of the New York Academy of Sciences, 821, 2434.Google Scholar
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 10481060.Google Scholar
Kubany, E. S., Leisen, M. B., Kaplan, A. S., Watson, S. B., Haynes, S. N., Owens, J. A., & Burns, K. (2000). Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: The Traumatic Life Events Questionnaire. Psychological Assessment, 12, 210224.Google Scholar
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (1991). Assessment of posttraumatic stress disorder in the community: Prospects and pitfalls from recent studies of Vietnam veterans. Psychological Assessment, 3, 547560.Google Scholar
Lauterbach, D., Vrana, S. R., King, D. W., & King, L. A. (1997). Psychometric properties of the civilian version of the Mississippi PTSD Scale. Journal of Traumatic Stress, 10, 499513.Google Scholar
Lewis-Fernandez, R., Hinton, D.E., & Marques, L. (2014). Culture and PTSD. In Friedman, M. J., Keane, T. M., & Resick, P. (Eds.), Handbook of PTSD: Science and practice (pp. 522539). New York: Guilford Press.Google Scholar
Lima, E. D. P., Vasconcelos, A. G., Berger, W., Kristensen, C. H., Nascimento, E. D., Figueira, I., & Mendlowicz, M. V. (2016). Cross-cultural adaptation of the Posttraumatic Stress Disorder Checklist 5 (PCL-5) and Life Events Checklist 5 (LEC-5) for the Brazilian context. Trends in Psychiatry and Psychotherapy, 38, 207215.Google Scholar
Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and Axis II Disorders (SCID II). Clinical Psychology & Psychotherapy, 18, 7579.Google Scholar
Marshall, R. D., Olfson, M., Hellman, F., Blanco, C., Guardino, M., & Struening, E. L. (2001). Comorbidity, impairment, and suicidality in subthreshold PTSD. American Journal of Psychiatry, 158, 14671473.Google Scholar
McCann, I. L., & Pearlman, L. A. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3, 131149.Google Scholar
McFall, M. E., Smith, D. E., Mackay, P. W., & Tarver, D. J. (1990). Reliability and validity of Mississippi Scale for Combat-Related Posttraumatic Stress Disorder. Psychological Assessment, 2, 114121.CrossRefGoogle Scholar
Miller, H. A. (2005). The Miller-Forensic Assessment of Symptoms Test (M-Fast) Test Generalizability and Utility across Race Literacy, and Clinical Opinion. Criminal Justice and Behavior, 32, 591611.Google Scholar
Morel, K. R. (1998). Development and preliminary validation of a forced-choice test of response bias for Posttraumatic Stress Disorder. Journal of Personality Assessment, 70, 299314.Google Scholar
Morel, K. R., & Shepherd, B. E. (2008). Meta-analysis of the Morel Emotional Numbing Test for PTSD: Comment on Singh, Avasthi, and Grover. German Journal of Psychiatry, 11, 128131.Google Scholar
Morey, L. C. (1991). The Personality Assessment Inventory professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Murphy, B. C., & Dillon, C. (2008). Interviewing in action in a multicultural world. Belmont, CA: Brooks/Cole.Google Scholar
Pitts, B. L., Chapman, P., Safer, M. A., & Russell, D. W. (2014). Combat experiences predict postdeployment symptoms in US Army combat medics. Military Behavioral Health, 2, 343350.Google Scholar
Resick, P. A., Suvak, M. K., Johnides, B. D., Mitchell, K. S., & Iverson, K. M. (2012). The impact of dissociation on PTSD treatment with cognitive processing therapy. Depression and Anxiety, 29, 718730.Google Scholar
Rogers, R., Payne, J. W., Berry, D. T., & Granacher, R. P., Jr. (2009). Use of the SIRS in compensation cases: an examination of its validity and generalizability. Law and Human Behavior, 33, 213224.Google Scholar
Rogers, R., Sewell, K. W., & Gillard, N. D. (2010). SIRS: Structured Interview of Reported Symptoms (2nd eds.). Odessa, FL: Psychological Assessment Resources.Google Scholar
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Janavs, J., Weiller, E., Keskiner, A., … & Dunbar, G. C. (1997). The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. European Psychiatry, 12, 232241.Google Scholar
Sue, D. W., & Sue, D. (2013). Counseling the culturally diverse: Theory and practice. Hoboken, NJ: John Wiley & Sons.Google Scholar
Suite, D. H., La Bril, R., Primm, A., & Harrison-Ross, P. (2007) Beyond misdiagnosis, misunderstand, and mistrust: Relevance of the historical perspective in the medical and mental health treatment of people of color, Journal of the National Medical Association, 99, 17.Google Scholar
Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013a). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Interview available from the National Center for PTSD at www.ptsd.va.gov.Google Scholar
Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013b). The Life Events Checklist for DSM-5 (LEC-5). Instrument available from the National Center for PTSD at www.ptsd.va.govGoogle Scholar
Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M., Schnurr, P. P., Kaloupek, D. G., … & Marx, B. P. (2018). The Clinician-Administered PTSD Scale for DSM–5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychological Assessment, 30, 383395.Google Scholar
Weathers, F. W., & Keane, T. M. (1999). Psychological assessment of traumatized adults. In Saigh, P. A. & Bremner, J. D. (Eds.), Posttraumatic stress disorder: A comprehensive text (pp. 219247). Needham Heights, MA: Allyn & Bacon.Google Scholar
Weathers, F. W., Keane, T. M., & Davidson, J. R. T. (2001). Clinician administered PTSD scale: A review of the first ten years of research. Depression and Anxiety, 13, 132156.CrossRefGoogle Scholar
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.aspGoogle Scholar
Weathers, F. W., Marx, B. P., Friedman, M. J., & Schnurr, P. P. (2014). Posttraumatic stress disorder in DSM-5: New criteria, new measures, and implications for assessment. Psychological Injury and Law, 7, 93107.CrossRefGoogle Scholar
Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale – Revised. In Wilson, J. & Keane, T. M. (Eds.), Assessing psychological trauma and PTSD (pp. 399411). New York: Guilford.Google Scholar
Wortmann, J. H., Jordan, A. H., Weathers, F. W., Resick, P. A., Dondanville, K. A., Hall-Clark, B., … & Litz, B. T. (2016). Psychometric analysis of the PTSD Checklist-5 (PCL-5) among treatment-seeking military service members. Psychological Assessment, 28, 13921403.Google Scholar
Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., … & Gunderson, J. G. (2000). The collaborative longitudinal personality disorders study: Reliability of axis I and II diagnoses. Journal of Personality Disorders, 14, 291299.Google Scholar

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