The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study
<p>Abstract</p> <p>Background</p> <p>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 <it>scene of injury </it>...
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doaj-b6a44202ea6248ecb47b824c0c7a88502020-11-25T01:54:34ZengBMCBMC Emergency Medicine1471-227X2011-05-01111610.1186/1471-227X-11-6The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional studySandvik LeivHem ErlendSkogstad LailaEkeberg Øivind<p>Abstract</p> <p>Background</p> <p>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 <it>scene of injury </it>as well as <it>in hospital </it>(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)</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p> http://www.biomedcentral.com/1471-227X/11/6 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sandvik Leiv Hem Erlend Skogstad Laila Ekeberg Øivind |
spellingShingle |
Sandvik Leiv Hem Erlend Skogstad Laila Ekeberg Øivind The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study BMC Emergency Medicine |
author_facet |
Sandvik Leiv Hem Erlend Skogstad Laila Ekeberg Øivind |
author_sort |
Sandvik Leiv |
title |
The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study |
title_short |
The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study |
title_full |
The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study |
title_fullStr |
The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study |
title_full_unstemmed |
The casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study |
title_sort |
casualty chain inventory: a new scale for measuring peritraumatic responses: a cross-sectional study |
publisher |
BMC |
series |
BMC Emergency Medicine |
issn |
1471-227X |
publishDate |
2011-05-01 |
description |
<p>Abstract</p> <p>Background</p> <p>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 <it>scene of injury </it>as well as <it>in hospital </it>(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)</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusions</p> <p>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.</p> |
url |
http://www.biomedcentral.com/1471-227X/11/6 |
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