Journal of Traumatic Stress

, Volume 7, Issue 3, pp 407–414 | Cite as

A short form of the Mississippi scale for measuring change in Combat-Related PTSD

  • Alan Fontana
  • Robert Rosenheck


In large-scale surveys or program evaluations, investigators most often wish to assess multiple domains of functioning, while at the same time minimizing the overall length of the data collection protocols. In addition, studies of treatment interventions require instruments which offer the greatest opportunity of detecting change in the variables of interest. Toward these ends, we present an 11-item version of the Mississippi Scale for Combat-Related PTSD. The sample was composed of 436 war zone veterans who received specialized outpatient treatment for PTSD, and who were followed up in 4-month intervals for 1 year. Items were identified for inclusion in a short scale on half of the sample. The scale was then cross-validated on the other half. This short form of the Mississippi Scale has good internal consistency, good correspondence with the full scale, significant sensitivity to change in symptom severity, and significant relationships between change and clinicians' ratings of improvement after 1 year, number of treatment sessions received and number of months in treatment.

Key words

PTSD measurement change treatment sensitivity 


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  1. American Psychiatric Association (1987).Diagnostic and Statistical Manual of Mental Disorders (3rd edition. American Psychiatric Association, Washington, DC.Google Scholar
  2. Keane, T. M., Caddell, J. M., and Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity.J. Consult. Clin. Psychol. 56: 85–90.CrossRefPubMedGoogle Scholar
  3. Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., and Weiss, D. S. (1990).Trauma and the Vietnam War Generation: Report of Findings from the National Vietnam Veterans Readjustment Study, Brunner/Mazel, New York.Google Scholar
  4. Shalev, A., Spiro, S. E., Solomon, Z., Bleich, A., and Cooper, S. (1992). Positive clinical impressions: I. Therapists' evaluations.J. Traum. Stress 5: 207–216.CrossRefGoogle Scholar
  5. Solomon, Z., Spiro, S. E., Shalev, A., Bleich, A., and Cooper, S. (1992). Positive clinical impressions: II. Participants' evaluations.J. Traum. Stress 5: 217–223.CrossRefGoogle Scholar
  6. Solomon, Z., Shalev, A., Spiro, S. E., Dolev, A., Bleich, A., Waysman, M., and Cooper, S. (1992). Negative psychometric outcomes: Self-report measures and a follow-up telephone survey.J. Traum. Stress 5: 225–246.CrossRefGoogle Scholar
  7. Wolfe, J., Keane, T. M., Kaloupek, D. G., Mora, C. A., and Wine, P. (1993). Patterns of positive readjustment in Vietnam combat veterans.J. Traum Stress 6: 179–193.CrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • Alan Fontana
    • 1
  • Robert Rosenheck
    • 1
  1. 1.VA Northeast Program Evaluation Center (182), VA Medical CenterWest Haven

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