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Yıl:2005; Cilt: 43; Sayı: 4>> Özet
TAM METİN
Yeni Symposium; 2005;43(4):173-178
Travma Sonrası Stres Bozukluğunda Kullanılan Ölçeklere Genel Bir Bakış
N Kocabaşoğlu, S Özdemir
İstanbul Üniv. Cerrahpaşa Tıp Fakültesi Psikiyatri Abd
Günümüzde psikiyatrik bozuklukların değerlendirilmesinde kullanılmak üzere geliştirilmiş
pek çok ölçek vardır. Travma sonrası stres bozukluğunun (TSSB) değerlendirilmesinde
kullanılan ölçekler arasında “Olayların Etkisi Ölçeği, Siviller için TSSB Kontrol Listesi,
TSSB’li Siviller için Mississippi ölçeği, Davidson Travma Ölçeği, Klinisyen Tarafından Uygulanan
TSSB Ölçeği ve Peritravmatik Dissosiyatif Yaşantılar Soru Listesi” sayılabilir.
Olayların Etkisi Ölçeği, bir kişide belirli bir travmatik strese karşı son yedi günde ortaya çıkan semptomatik yanıtın derecesini ele alan, kısa ve kişinin kendi kendini değerlendirdiği
bir ölçek olarak geliştirilmiştir. Travmaya mâruz kalmış topluluklarda, geçerliliği onaylanmış
ve kişinin kendi kendini değerlendirdiği bir ölçek olan siviller için TSSB Kontrol Listesi ile
TSSB semptomlarının varlığı ve şiddeti belirlenebilir. TSSB’li siviller için Mississippi Ölçeği, askerler için geliştirilen ölçeğin on bir maddesinin yeniden düzenlenmesiyle geliştirilmiştir.
Travmayı yaşayanları ve yaşamayanları birbirinden ayırdedebilir ve travmayı yaşayanlarda
travmanın farklı çeşitlerini ortaya koyabilir. Davidson Travma Ölçeği, kişinin kendi
kendini değerlendirdiği ve TSSB semptomlarının tam ve hızlı değerlendirilmesini sağlayan
bir ölçektir. Klinisyen Tarafından Uygulanan TSSB Ölçeği’nin amacı, bir kişide travmaya
bağlı TSSB semptomlarının değerlendirilmesi, tedavi sonuçlarının izlenmesi ve hasta
gruplarında TSSB tanısının koyulmasıdır. Peritravmatik Dissosiyatif Yaşantılar Soru Listesi,
akut veya kronik TSSB semptomları olan bireylerde travmatik stres sırasında ortaya çı-
kan akut dissosiyatif yanıtları göstermek ve psikoterapötik ve farmakolojik müdahalelerin
travmaya akut dissosiyatif yanıt üzerindeki etkinliğini saptamak için kullanılır. Travma sonrası
stres reaksiyonlarındaki tematik değerlendirmeler, travmatik yaşantıların karmaşık ve
ölçülmesi zor olan yönlerini vurgulamak için kullanılır. Bu derleme yazısının amacı,
TSSB’de kullanılan ölçeklere, literatüre dayalı genel bir bakış açısı sağlamaktır.
An Overview of the Rating Scales Used in Posttaumatic Stress Disorder
Today there are numerous rating scales, which have been developed to evaluate various
psychiatric disorders. Psychiatric rating scales for Post Traumatic Stress Disorder (PTSD)
include “The Impact of Event Scale, PTSD Checklist - Civilian Version, Revised Civilian
Mississippi Scale for Post Traumatic Stress Disorder, Davidson Trauma Scale, Clinician-
Administered Post Traumatic Stress Disorder Scale and Peritraumatic Dissociative Experiences
Questionnaire”. The Impact of Event Scale is developed as a short self-rating scale,
which considers the level of symptomatic response that appeared in last seven days
against a certain traumatic stress in an individual. The existence and the severity of the
PTSD symptoms could be determined among traumatic populations by using PTSD
Checklist - Civilian Version, which is a validated and a self-rating questionnaire. Revised
Civilian Mississippi Scale for PTSD is built up by revision of eleven items of the scale that
improved for combat. It can distinguish between individuals who have and those who have
not experienced some form of trauma, and between individuals who have experienced
different types of trauma. Davidson Trauma Scale is a self-rating scale, which provides
exact and fast evaluation of PTSD symptoms. Clinician-Administered PTSD Scale has an
objective to evaluate the PTSD symptoms that associated with trauma in an individual, to monitor
the outcomes of the treatment and to diagnose PTSD in the patient groups. Peritraumatic
Dissociative Experiences Questionnaire is used on the patients with acute or
chronic PTSD symptoms to determine the acute dissociative response to trauma and to
set the efficiency of pharmacological and psychotherapeutic approaches on it. The thematic
assessment of post-traumatic stress reactions is used to emphasize the complicated
aspects of the traumatic experiences, which are difficult to evaluate. The aim of this review
is to provide a general view to the PTSD rating scales based on the current literature.

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