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A validation study of the Korean version of SPAN.

Seo HJ, Chung S, Lim HK, Chee IS, Lee KU, Paik KC, Kim D, Lee SY, Ryu SH, Kim JB, Kim TS, Kim W, Chae JH, Disaster Psychiatry Committee in Korean Academy of Anxiety Disorde - Yonsei Med. J. (2011)

Bottom Line: STAI-S and STAI-T, respectively.Receiver operating characteristic analysis of SPAN-K showed good diagnostic accuracy with an area under the curve (AUC) of 0.87.The SPAN-K showed the highest efficiency at a cutoff score of 7, with a sensitivity of 0.83, a specificity of 0.81, positive predictive value (PPV) of 0.88, and negative predictive value (NPV) of 0.73.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, College of Medicine, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea.

ABSTRACT

Purpose: The SPAN, which is acronym standing for its four components: Startle, Physiological arousal, Anger, and Numbness, is a short post-traumatic stress disorder (PTSD) screening scale. This study sought to develop and validate a Korean version of the SPAN (SPAN-K).

Materials and methods: Ninety-three PTSD patients (PTSD group), 73 patients with non-psychotic psychiatric disorders (psychiatric control group), and 88 healthy participants (normal control group) were recruited for this study. Participants completed a variety of psychiatric assessments including the SPAN-K, the Davidson Trauma Scale (DTS), the Clinician-Administered PTSD Scale (CAPS), and the State-Trait Anxiety Inventory (STAI).

Results: Cronbach's α and test-retest reliability values for the SPAN-K were both 0.80. Mean SPAN-K scores were 10.06 for the PTSD group, 4.94 for the psychiatric control group, and 1.42 for the normal control group. With respect to concurrent validity, correlation coefficients were 0.87 for SPAN-K vs. CAPS total scores (p<0.001) and 0.86 for SPAN-K vs. DTS scores (p<0.001). Additionally, correlation coefficients were 0.31 and 0.42 for SPAN-K vs. STAI-S and STAI-T, respectively. Receiver operating characteristic analysis of SPAN-K showed good diagnostic accuracy with an area under the curve (AUC) of 0.87. The SPAN-K showed the highest efficiency at a cutoff score of 7, with a sensitivity of 0.83, a specificity of 0.81, positive predictive value (PPV) of 0.88, and negative predictive value (NPV) of 0.73.

Conclusion: These results suggest that the SPAN-K had good psychometric properties and may be a useful instrument for rapid screening of PTSD patients.

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Related in: MedlinePlus

The mean SPAN-K scores of the PTSD group, psychiatric control group and normal control group.
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Figure 1: The mean SPAN-K scores of the PTSD group, psychiatric control group and normal control group.

Mentions: The mean SPAN-K scores were 10.06 (SD, 4.20; median score, 12; range, 0-16) for the PTSD group, 4.94 (SD, 5.00; median score, 4; range, 0-16) for the psychiatric control group, and 1.42 (SD, 1.87; median score, 1; range, 0-11) for the normal control group (Fig. 1). The PTSD group had significantly higher SPAN-K scores compared with the psychiatric and normal control groups (Kruskal-Wallis test, F=107.96, p<0.001; post hoc test, vs. psychiatric control group, p<0.001; vs. normal control group, p<0.001).


A validation study of the Korean version of SPAN.

Seo HJ, Chung S, Lim HK, Chee IS, Lee KU, Paik KC, Kim D, Lee SY, Ryu SH, Kim JB, Kim TS, Kim W, Chae JH, Disaster Psychiatry Committee in Korean Academy of Anxiety Disorde - Yonsei Med. J. (2011)

The mean SPAN-K scores of the PTSD group, psychiatric control group and normal control group.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104461&req=5

Figure 1: The mean SPAN-K scores of the PTSD group, psychiatric control group and normal control group.
Mentions: The mean SPAN-K scores were 10.06 (SD, 4.20; median score, 12; range, 0-16) for the PTSD group, 4.94 (SD, 5.00; median score, 4; range, 0-16) for the psychiatric control group, and 1.42 (SD, 1.87; median score, 1; range, 0-11) for the normal control group (Fig. 1). The PTSD group had significantly higher SPAN-K scores compared with the psychiatric and normal control groups (Kruskal-Wallis test, F=107.96, p<0.001; post hoc test, vs. psychiatric control group, p<0.001; vs. normal control group, p<0.001).

Bottom Line: STAI-S and STAI-T, respectively.Receiver operating characteristic analysis of SPAN-K showed good diagnostic accuracy with an area under the curve (AUC) of 0.87.The SPAN-K showed the highest efficiency at a cutoff score of 7, with a sensitivity of 0.83, a specificity of 0.81, positive predictive value (PPV) of 0.88, and negative predictive value (NPV) of 0.73.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, College of Medicine, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea.

ABSTRACT

Purpose: The SPAN, which is acronym standing for its four components: Startle, Physiological arousal, Anger, and Numbness, is a short post-traumatic stress disorder (PTSD) screening scale. This study sought to develop and validate a Korean version of the SPAN (SPAN-K).

Materials and methods: Ninety-three PTSD patients (PTSD group), 73 patients with non-psychotic psychiatric disorders (psychiatric control group), and 88 healthy participants (normal control group) were recruited for this study. Participants completed a variety of psychiatric assessments including the SPAN-K, the Davidson Trauma Scale (DTS), the Clinician-Administered PTSD Scale (CAPS), and the State-Trait Anxiety Inventory (STAI).

Results: Cronbach's α and test-retest reliability values for the SPAN-K were both 0.80. Mean SPAN-K scores were 10.06 for the PTSD group, 4.94 for the psychiatric control group, and 1.42 for the normal control group. With respect to concurrent validity, correlation coefficients were 0.87 for SPAN-K vs. CAPS total scores (p<0.001) and 0.86 for SPAN-K vs. DTS scores (p<0.001). Additionally, correlation coefficients were 0.31 and 0.42 for SPAN-K vs. STAI-S and STAI-T, respectively. Receiver operating characteristic analysis of SPAN-K showed good diagnostic accuracy with an area under the curve (AUC) of 0.87. The SPAN-K showed the highest efficiency at a cutoff score of 7, with a sensitivity of 0.83, a specificity of 0.81, positive predictive value (PPV) of 0.88, and negative predictive value (NPV) of 0.73.

Conclusion: These results suggest that the SPAN-K had good psychometric properties and may be a useful instrument for rapid screening of PTSD patients.

Show MeSH
Related in: MedlinePlus