VALIDATION OF KNOWLEDGE OF PTSD QUESTIONNAIRE AMONG MALAYSIAN ADULTS
DOI:
https://doi.org/10.37268/mjphm/vol.26/no.2/art.3136Keywords:
PTSD, validity, reliability, questionnaireAbstract
Post-Traumatic Stress Disorder (PTSD) has a significant global prevalence and is increasingly recognised as an important mental health condition in Malaysia. This study aimed to validate an adapted PTSD Knowledge Questionnaire for use among Malaysian adults. The original 43-item self-rated tool assesses three domains: recognition of traumatic events, PTSD symptoms, and PTSD treatments. The questionnaire was reviewed by experts for content validity and adapted for cultural relevance to the Malaysian population, resulting in a refined 28-item questionnaire. A total of 105 Malaysian adults completed the questionnaire through online convenience sampling. Construct validity was assessed using Exploratory Factor Analysis, identifying two components within each domain, such as differentiating severe trauma from less impactful events, core PTSD symptoms from unrelated psychological characteristics, and separating evidence-based treatments from other interventions. The questionnaire demonstrated excellent internal consistency, with a Cronbach’s alpha of 0.948, and excellent test-retest reliability, with an intraclass correlation coefficient (ICC) of 0.92 (p<0.001). These findings establish that the adapted questionnaire is a valid and reliable tool for assessing PTSD knowledge among Malaysian adults and suggest its potential usefulness in identifying knowledge gaps and guiding educational interventions.
References
Benjet C, Bromet E, Karam EG, et al. The epidemiology of traumatic event exposure worldwide: results from the World Mental Health Survey Consortium. Psychol Med. 2016;46(2):327-43.
World Health Organization. Post-traumatic stress disorder [Internet]. Geneva: World Health Organization; 2024. Available from: https://www.who.int/news-room/fact-sheets/detail/post-traumatic-stress-disorder (accessed 15 November 2024).
Koenen KC, Ratanatharathorn A, Ng L, et al. Post traumatic stress disorder in the World Mental Health Surveys. Psychol Med. 2017;47(13):2260-74.
Karam EG, Friedman MJ, Hill ED, et al. Cumulative traumas and risk thresholds: 12-month PTSD in the World Mental Health (WMH) Surveys. Depress Anxiety. 2014;31(2):130-42.
Kessler RC, Rose S, Koenen KC, et al. How well can post-traumatic stress disorder be predicted from pre-trauma risk factors? An exploratory study in the WHO World Mental Health Surveys. World Psychiatry. 2014;13(3):265-74.
Van Ameringen M, Mancini C, Patterson B, et al. Post-traumatic stress disorder in Canada. CNS Neurosci Ther. 2008;14(3):171-81.
Mohd Noor N, Ariffin AA, Silim UA, et al. Trauma and coping in battling the COVID-19 pandemic among Malaysian healthcare workers. Malays J Med Health Sci. 2022;19(2):203-13.
Bahari R, Mohamad Alwi MN, Ahmad MR, et al. Incidence and demographical characteristics of patients with post-traumatic stress disorder due to motor vehicle accidents. Malays Fam Physician. 2017;12(3):2-7.
Ghazali SR, Chen YY, Aziz HA. Childhood maltreatment and symptoms of PTSD and depression among delinquent adolescents in Malaysia. J Child Adolesc Trauma. 2018;11(2):151-8.
Fox V, Dalman C, Dal H, et al. Suicide risk in people with post-traumatic stress disorder: a cohort study of 3.1 million people in Sweden. J Affect Disord. 2021;279:609-16.
Sareen J. Posttraumatic stress disorder in adults: impact, comorbidity, risk factors, and treatment. Can J Psychiatry. 2014;59(9):460-7.
Shi Y, Veld C, Yin H. Does time heal all wounds? Psychological responses to trauma and financial risk-taking. Financ Rev. 2024;60(1):1-38.
Augsburger M, Elbert T. When do traumatic experiences alter risk-taking behavior? A machine learning analysis of reports from refugees. PLOS ONE. 2017;12(5):e0177617.
Burges C, McMillan TM. The ability of naive participants to report symptoms of post-traumatic stress disorder. Br J Clin Psychol. 2001; 40(2):209-14.
Merritt CJ, Tharp IJ, Furnham A. Trauma type affects recognition of post-traumatic stress disorder among online respondents in the UK and Ireland. J Affect Disord. 2014; 164:123-9.
Lee CY, Furnham A, Merritt C. Effect of directness of exposure and trauma type on mental health literacy of PTSD. J Ment Health. 2017; 26(3):257-63.
Bryant RA. Post-traumatic stress disorder: a state-of-the-art review of evidence and challenges. World Psychiatry. 2019;18(3):259-69.
Wei Y, McGrath PJ, Hayden J, Kutcher S. Mental health literacy measures evaluating knowledge, attitudes and help-seeking: a scoping review. BMC Psychiatry. 2015; 15:291.
Tsai J, Shen J, Southwick SM, Greenberg S, Pluta A, Pietrzak RH. Public attitudes and literacy about posttraumatic stress disorder in U.S. adults. J Anxiety Disord. 2018; 55:63-69.
Reavley NJ, Jorm AF. Recognition of Mental Disorders and Beliefs about Treatment and Outcome: Findings from an Australian National Survey of Mental Health Literacy and Stigma. Aust N Z J Psychiatry. 2011; 45(11):947-56.
Jorm AF, Angermeyer M, Katschnig H. Public knowledge of and attitudes to mental disorders: a limiting factor in the optimal use of treatment services. Unmet Need in Psychiatry: Problems, Resources, Responses. Cambridge: Cambridge University Press; 2000. p. 399-414.
Weathers FW, Blake DD, Schnurr PP, Kaloupek DG, Marx BP, Keane TM. The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Washington, DC: National Center for PTSD; 2013.
Blevins CA, Weathers FW, Davis MT, Witte TK, Domino JL. The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): development and initial psychometric evaluation. J Trauma Stress. 2015; 28(6):489–98.
Harik JM, Matteo RA, Hermann BA, Hamblen JL. What people with PTSD symptoms do (and do not) know about PTSD: A national survey. Depress Anxiety. 2017;34(4), 374–82.
Yusoff MSB. ABC of content validation and content validity index calculation. Educ Med J. 2019; 11(2):49–54.
Yusoff MSB. ABC of response process validation and face validity index calculation. Educ Med J. 2019; 11(3):55–61.
Nunnally, J.C. and Bernstein, I.H. (3rd Edn.) The Assessment of Reliability. Psychometric Theory. New York: McGraw-Hill; 1994. p. 248-92.
Mohamad N, Wan Ahmad WMA, Rohim RAA. Developing Process of a Questionnaire: Part 1. In: Wan Ahmad WMA, Mohamad N, editors. How to Develop and Validate a Questionnaire. Penang: Penerbit Universiti Sains Malaysia; 2021. p. 7-23.
Wan Ahmad WMA, Mohamad N. Validation process of questionnaire. In: Wan Ahmad WMA, Mohamad N, editors. How to Develop and Validate a Questionnaire. Penang: Penerbit Universiti Sains Malaysia; 2021. p. 69–82.
Sherman, MD, Doerman A, Fischer E. P. PTSD Knowledge, Coping, and Understanding Scale [Database record]. APA PsycTests; 2013.
Mansfield AJ, Schaper KM, Yanagida AM, Rosen CS. One day at a time: The experiences of partners of veterans with posttraumatic stress disorder. Prof Psychol Res Pract. 2014;45(6):488–95.
Watts BV, Schnurr PP, Zayed M, Young-Xu Y, Stender P, Llewellyn-Thomas H. A randomized controlled clinical trial of a patient decision aid for posttraumatic stress disorder. Psychiatr Serv. 2015; 66(2):149–54.
Ilchena C, Bartel HL, Sauvé TB, Theule J. The Trauma-informed education knowledge survey: Validation study. Child Youth Serv Rev. 2024; 157:107424.
Burgess A, Rushworth I, Meiser-Stedman R. Parents’ and teachers’ knowledge of trauma and post-traumatic stress disorder in children and adolescents and their agreement towards screening. Child Youth Care Forum. 2023; 52:401-15.
Aron CM, Harvey S, Hainline B, Hitchcock ME, Reardon CL. Current status of mental health screening and treatment in sports. Br J Sports Med. 2019; 53:779–84.