Post-traumatic stress disorder screening test performance in civilian primary care.
نویسندگان
چکیده
PURPOSE we determined the test performance characteristics of four brief post-traumatic stress disorder (PTSD) screening tests in a civilian primary care setting. METHODS this was a cross-sectional cohort study of adults attending a family medicine residency training clinic in the southeastern USA. Four hundred and eleven participants completed a structured telephone interview that followed an index clinic visit. Screening tests included: PTSD Symptom Checklist-Civilian Version (17 items), SPAN (four items), Breslau's scale (seven items) and Primary Care PTSD screen (PC-PTSD) (four items). A modified Clinician-Administered PTSD Scale was used to determine past month PTSD for comparison. Receiver operating characteristic analysis based on area under the curve (AUC) was used to assess diagnostic efficiency (>0.80 desired). Cut-off scores were selected to yield optimal sensitivity and specificity (>80%). RESULTS past month PTSD was substantial (women = 35.8% and men = 20.0%; P < 0.01). AUC values were PTSD Symptom Checklist (PCL) (0.897), SPAN (0.806), Breslau's scale (0.886) and PC-PTSD (0.885). Optimal cut-scores yielded the following sensitivities and specificities: PCL (80.0% and 80.7%; cut-off = 43), SPAN (75.9% and 71.6%; cut-off = 3), Breslau's scale (84.5% and 76.4%; cut-off = 4) and PC-PTSD (85.1% and 82.0%; cut-off = 3). Overall and gender-specific screening test performances were explored. CONCLUSIONS results confirm: (i) PTSD was common, especially among women; (ii) all four PTSD screening tests were diagnostically adequate; (iii) Two of four PTSD screening tests showed adequate sensitivity and specificity (>80%) and (iv) The PC-PTSD screening test (four items) appeared to be the best single screening test. There are few studies to establish the utility of PTSD screening tests within civilian primary care.
منابع مشابه
Prevalence of Post-Traumatic Stress Disorder (PTSD) following COVID-19 epidemic in health workers of Shahroud University of Medical Sciences
Introduction: Due to the growing prevalence of Covid-19 in the world and the increasing workload of health care providers, health workers face many problems such as long working hours, being away from family, worrying about themselves and their families, which can affect their health and consequently challenge their job performance. The aim of this study was to investigate the prevalence of Pos...
متن کاملPost traumatic stress disorder in patients with compound fractures – primary care - ptsd screening tool in orthopaedic practice
متن کامل
Relationship between the post-traumatic stress and post-traumatic growth in patients discharged from the COVID-19 intensive care unit of the selected hospitals in South Khorasan, Iran, 2020-2021
Background and Aims: Post-traumatic stress disorder (PTSD) is one of the psychological problems after the COVID-19 pandemic. Some people can cope with this trauma and return to their previous status or even achieve a higher level of performance, which is called post-traumatic growth. This study aimed to investigate the prevalence and the relationship between the PTSD and post-traumatic growth s...
متن کاملSystematic review of screening instruments for adults at risk of PTSD.
The development of effective methods of screening for posttraumatic stress disorder (PTSD) is important in the context of mass trauma, the geographical dispersion of victims, and the restricted availability of specialists in psychological trauma. The review focused on published English-language screening instruments for civilian PTSD consisting of 30 items or fewer and validated against structu...
متن کاملEffect of Spiritual Care Based on heart Salim on Sleep quality Post-Traumatic Stress Disorder
Introduction: Sleep disorders are one of the most common problems in the postwar stress veterans facing. Spirituality, as one of the dimensions of mental health, plays an important role in the physical, psychological and social consequences of this disorder. Objective: The present study aimed to investigate the effect of pure heart-based spiritual care model on veterans’ sleep quality. Material...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Family practice
دوره 27 6 شماره
صفحات -
تاریخ انتشار 2010