ABSTRACT
OBJECTIVES: The study was designed to examine the construct, measurement equivalence, and predictive validity of the Race-Based Traumatic Stress Symptom Scale (RBTSSS). METHOD: Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were used with adults from various racial backgrounds throughout the Northeast. RESULTS: The CFA revealed a good model fit and a second-order SEM supported the concept of race-based traumatic stress. Measurement equivalence was found for gender and race. Convergent validity was tested using canonical correlation analysis, whereby RBTSSS reactions were related to psychological outcomes. CONCLUSIONS: The findings of the CFA and SEM provide support for the measurement and theoretical models of the RBTSSS. Study findings offer scholarly and practical contributions to trauma assessment and treatment. (PsycINFO Database Record
Subject(s)
Racism , Stress, Psychological/diagnosis , Stress, Psychological/etiology , Adolescent , Adult , Aged , Aged, 80 and over , Factor Analysis, Statistical , Female , Humans , Male , Middle Aged , Models, Psychological , Multivariate Analysis , Racial Groups , Reproducibility of Results , Sex Factors , Socioeconomic Factors , Stress, Psychological/ethnology , Young AdultABSTRACT
The epidemic of prescription drug abuse has reached a critical level, which has received national attention. This article provides insight into the epidemiology of prescription drug abuse, explains regulatory issues, and provides guidelines for the assessment and management of pain, particularly with long-term opioid therapy. Using informed consent forms, treatment agreements, and risk documentation tools and regularly monitoring the 4 A's help to educate patients and guide management based on treatment goals. By using universal precautions, and being aware of aberrant behaviors, physicians may feel more confident in identifying and addressing problematic behaviors.
