This research was supported by a VA grant from the Veterans Administration Health Services Research & Development (HSR & D) service (Susan V. Eisen, Principal Investigator). The work was conducted at the Edith Nourse Rogers Memorial Veterans Hospital in Bedford, MA. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.
Enhancing self-report assessment of PTSD: Development of an item bank†
Article first published online: 23 FEB 2011
Copyright © 2011 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Volume 24, Issue 2, pages 191–199, April 2011
How to Cite
Del Vecchio, N., Elwy, A. R., Smith, E., Bottonari, K. A. and Eisen, S. V. (2011), Enhancing self-report assessment of PTSD: Development of an item bank. J. Traum. Stress, 24: 191–199. doi: 10.1002/jts.20611
- Issue published online: 8 APR 2011
- Article first published online: 23 FEB 2011
The authors report results of work to enhance self-report posttraumatic stress disorder (PTSD) assessment by developing an item bank for use in a computer-adapted test. Computer-adapted tests have great potential to decrease the burden of PTSD assessment and outcomes monitoring. The authors conducted a systematic literature review of PTSD instruments, created a database of items, performed qualitative review and readability analysis, and conducted cognitive interviews with veterans diagnosed with PTSD. The systematic review yielded 480 studies in which 41 PTSD instruments comprising 993 items met inclusion criteria. The final PTSD item bank includes 104 items representing each of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV; American Psychiatric Association [APA], 1994), PTSD symptom clusters (reexperiencing, avoidance, and hyperarousal), and 3 additional subdomains (depersonalization, guilt, and sexual problems) that expanded the assessment item pool.