The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study

نویسندگان

  • Laila Skogstad
  • Erlend Hem
  • Leiv Sandvik
  • Øivind Ekeberg
چکیده

BACKGROUND Peritraumatic psychological- and sensory impressions in victims of civilian accidents are only partly understood. This study scrutinizes the level and duration of perceived psychological threat at scene of injury as well as in hospital (the casualty chain) measured by the Casualty Chain Inventory (CCI). The purpose of the study was to assess and validate the CCI, and to examine the correlations between the new instrument and stress responses measured by the Impact of Event Scale (IES) and the Post-traumatic Stress Scale-10 (PTSS-10) METHODS Three hundred and fifteen injured, conscious, hospitalised patients were assessed with a self-report questionnaire. The CCI consists of eight items including sensory impressions and well-known psychological responses to trauma. RESULTS The internal consistency of the CCI was solid (Cronbach's alpha: .83-.85). A factor analysis revealed two components, "perception" and "dissociation". The instrument correlates significantly with the Impact of Event Scale (r = 0.47 - 0.54) and the Posttraumatic Stress Scale-10 (r = 0.32 - 0.50). The explained variance is high both at the scene of injury (61%) and in the hospital (65%). Dissociation and perception either used as a two-factor solution or as a sum score measured in the hospital, gave the strongest prediction for later psychological distress. CONCLUSIONS The CCI appears to be a useful screening instrument for, at an early state, identifying patients hospitalized after a physical incident at risk for subsequent psychological distress.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Peritraumatic Distress Inventory: a proposed measure of PTSD criterion A2.

OBJECTIVE Meeting criterion A2 for the diagnosis of posttraumatic stress disorder (PTSD) in DSM-IV requires that an individual have high levels of distress during or after the traumatic event. Because of the paucity of valid and reliable instruments for assessing such responses, the authors developed a 13-item self-report measure, the Peritraumatic Distress Inventory, to obtain a quantitative m...

متن کامل

Human Responses to Disasters

This research article presents the qualitative development and cross-cultural pilot testing of a new instrument measuring emotional and cognitive processing during disasters. The instrument was developed according to a theoretical framework based on narratives from survivors of different types of disaster across Europe. Peritraumatic emotions and cognitions were assessed at three different stag...

متن کامل

Mediating Role of Stress-Coping Responses in the Association of Resiliency and Hardiness With the Life Satisfaction of Married People

Background: Higher levels of resiliency and hardiness are associated with greater life satisfaction. However, there is limited information on the mediating role of married people responses to stressful life situations. Objectives: This study was carried out to determine the mediating role of stress-coping strategies in the association of resiliency and hardiness with the life satisfaction of m...

متن کامل

Predictors of peritraumatic reactions and PTSD following the September 11th terrorist attacks.

In this study the authors characterize peritraumatic reactions of residents of New York City during and immediately following the September 11th terrorist attacks, identify predictors of those reactions, and identify predictors of PTSD 4 months later. A cross-sectional sample of New York residents (n = 2,001) responded to questions about sociodemographics, historical factors, event-related expo...

متن کامل

New mathematical modeling for a location–routing–inventory problem in a multi-period closed-loop supply chain in a car industry

This paper studies a location–routing–inventory problem in a multi-period closed-loop supply chain with multiple suppliers, producers, distribution centers, customers, collection centers, recovery, and recycling centers. In this supply chain, centers are multiple levels, a price increase factor is considered for operational costs at centers, inventory and shortage (including lost sales and back...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 11  شماره 

صفحات  -

تاریخ انتشار 2011