Abstract：
UNASSIGNED: ICD-11 complex post-traumatic stress disorder is a more severe condition than post-traumatic stress disorder, and recent studies indicate it is more prevalent among military samples. In this study, we tested the psychometric properties of the International Trauma Questionnaire, assessed the relative prevalence rates of post-traumatic stress disorder and complex post-traumatic stress disorder in the sample population and explored relationships between complex post-traumatic stress disorder and post-traumatic stress disorder and a range of risk factors.
UNASSIGNED: Survey participants (N = 189) were mental health support-seeking former-serving veterans of the Australian Defence Force (ADF) recruited from primary care. Confirmatory factor analysis was used to test the factorial validity of the International Trauma Questionnaire.
UNASSIGNED: The latent structure of the International Trauma Questionnaire was best represented by a two-factor second-order model consistent with the ICD-11 model of complex post-traumatic stress disorder. The International Trauma Questionnaire scale scores demonstrated excellent internal reliability. Overall, 9.1% (95% confidence interval = [4.8%, 13.5%]) met diagnostic requirements for post-traumatic stress disorder and an additional 51.4% (95% confidence interval = [44.0%, 58.9%]) met requirements for complex post-traumatic stress disorder. Those meeting diagnostic requirements for complex post-traumatic stress disorder were more likely to have served in the military for 15 years or longer, had a history of more traumatic life events and had the highest levels of depression, anxiety and stress symptoms.
UNASSIGNED: The International Trauma Questionnaire can effectively distinguish between post-traumatic stress disorder and complex post-traumatic stress disorder within primary care samples of Australian Defence Force veterans. A significantly greater proportion of Australian Defence Force veterans met criteria for complex post-traumatic stress disorder than post-traumatic stress disorder. Australian military mental health services should adopt the International Trauma Questionnaire to routinely screen for complex post-traumatic stress disorder and develop complex post-traumatic stress disorder specific interventions to promote recovery in Australian Defence Force veterans with complex post-traumatic stress disorder.
UNASSIGNED: Survey participants (N = 189) were mental health support-seeking former-serving veterans of the Australian Defence Force (ADF) recruited from primary care. Confirmatory factor analysis was used to test the factorial validity of the International Trauma Questionnaire.
UNASSIGNED: The latent structure of the International Trauma Questionnaire was best represented by a two-factor second-order model consistent with the ICD-11 model of complex post-traumatic stress disorder. The International Trauma Questionnaire scale scores demonstrated excellent internal reliability. Overall, 9.1% (95% confidence interval = [4.8%, 13.5%]) met diagnostic requirements for post-traumatic stress disorder and an additional 51.4% (95% confidence interval = [44.0%, 58.9%]) met requirements for complex post-traumatic stress disorder. Those meeting diagnostic requirements for complex post-traumatic stress disorder were more likely to have served in the military for 15 years or longer, had a history of more traumatic life events and had the highest levels of depression, anxiety and stress symptoms.
UNASSIGNED: The International Trauma Questionnaire can effectively distinguish between post-traumatic stress disorder and complex post-traumatic stress disorder within primary care samples of Australian Defence Force veterans. A significantly greater proportion of Australian Defence Force veterans met criteria for complex post-traumatic stress disorder than post-traumatic stress disorder. Australian military mental health services should adopt the International Trauma Questionnaire to routinely screen for complex post-traumatic stress disorder and develop complex post-traumatic stress disorder specific interventions to promote recovery in Australian Defence Force veterans with complex post-traumatic stress disorder.
摘要：
■ICD-11复杂的创伤后应激障碍比创伤后应激障碍更严重，最近的研究表明，它在军事样本中更为普遍。在这项研究中,我们测试了国际创伤问卷的心理测量特性，评估样本人群中创伤后应激障碍和复杂创伤后应激障碍的相对患病率，并探讨复杂创伤后应激障碍和创伤后应激障碍之间的关系以及一系列危险因素。
■调查参与者（N=189）是从初级保健招募的寻求心理健康支持的澳大利亚国防军（ADF）的前服役退伍军人。验证性因素分析用于检验国际创伤问卷的因子效度。
■国际创伤问卷的潜在结构最好用与复杂创伤后应激障碍的ICD-11模型一致的两因素二阶模型来表示。国际创伤问卷量表得分表现出优异的内部可靠性。总的来说,9.1%(95%置信区间=[4.8%，13.5％]）符合创伤后应激障碍的诊断要求，另外还有51.4％（95％置信区间=[44.0％，58.9％]）符合复杂创伤后应激障碍的要求。那些符合复杂创伤后应激障碍诊断要求的人更有可能在军队服役15年或更长时间，有更多创伤生活事件的历史，抑郁症程度最高，焦虑和压力症状。
■国际创伤问卷可以有效区分澳大利亚国防军退伍军人的初级保健样本中的创伤后应激障碍和复杂的创伤后应激障碍。澳大利亚国防军退伍军人符合复杂创伤后应激障碍标准的比例明显高于创伤后应激障碍。澳大利亚军事精神卫生服务机构应采用国际创伤问卷，以常规筛查复杂的创伤后应激障碍，并制定复杂的创伤后应激障碍具体干预措施，以促进患有复杂创伤后应激障碍的澳大利亚国防军退伍军人的康复。
■调查参与者（N=189）是从初级保健招募的寻求心理健康支持的澳大利亚国防军（ADF）的前服役退伍军人。验证性因素分析用于检验国际创伤问卷的因子效度。
■国际创伤问卷的潜在结构最好用与复杂创伤后应激障碍的ICD-11模型一致的两因素二阶模型来表示。国际创伤问卷量表得分表现出优异的内部可靠性。总的来说,9.1%(95%置信区间=[4.8%，13.5％]）符合创伤后应激障碍的诊断要求，另外还有51.4％（95％置信区间=[44.0％，58.9％]）符合复杂创伤后应激障碍的要求。那些符合复杂创伤后应激障碍诊断要求的人更有可能在军队服役15年或更长时间，有更多创伤生活事件的历史，抑郁症程度最高，焦虑和压力症状。
■国际创伤问卷可以有效区分澳大利亚国防军退伍军人的初级保健样本中的创伤后应激障碍和复杂的创伤后应激障碍。澳大利亚国防军退伍军人符合复杂创伤后应激障碍标准的比例明显高于创伤后应激障碍。澳大利亚军事精神卫生服务机构应采用国际创伤问卷，以常规筛查复杂的创伤后应激障碍，并制定复杂的创伤后应激障碍具体干预措施，以促进患有复杂创伤后应激障碍的澳大利亚国防军退伍军人的康复。
