A validation study of the Korean version of SPAN |
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Authors: | Seo Ho-Jun,Chung Sangkeun,Lim Hyun-Kook,Chee Ik-Seung,Lee Kyoung-Uk,Paik Ki-Chung,Kim Daeho,Lee Sang-Yeol,Ryu Seung-Ho,Kim Jung Bum,Kim Tae-Suk,Kim Won,Chae Jeong-Ho Disaster Psychiatry Committee in Korean Academy of Anxiety Disorders |
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Affiliation: | Department of Psychiatry, College of Medicine, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea. |
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Abstract: | PurposeThe 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 MethodsNinety-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).ResultsCronbach''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.ConclusionThese 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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Keywords: | PTSD reliability screening SPAN validity |
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