期刊
HEALTH PSYCHOLOGY
卷 40, 期 10, 页码 702-705出版社
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/hea0001114
关键词
posttraumatic stress disorder; depression; injury; diagnostic screening
资金
- South Carolina Telehealth Alliance
- Health Resources and Services Administration of the U.S. Department of Health and Human Services as part of the National Telehealth Center of Excellence Award [U66 RH31458-01-00]
- SmartState South Carolina Centers of Economic Excellence
- National Institutes of Mental Health [R56 MH116656]
- National Institute of Child Health and Human Development [K23HD098325]
- Duke Endowment [6657-SP]
The study showed that using both the PDI and ITSS screening tools can effectively predict depression and PTSD one-month post traumatic injury, and combining the two tools is more effective than using either one alone.
Objective: To examine the combined and individual utility of 2 screening tools in prediction of depression and PTSD one-month post traumatic injury. Method: 484 Level I Trauma Center patients were administered the Peritraumatic Distress Inventory (PDI) and Injured Trauma Survivor Screen (ITSS). Approximately 30 days post-injury, patients completed the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) and Patient Health Questionnaire (PHQ-8). Results: Receiver operating characteristic curve (ROC) curves for the PDI suggested a cutoff score of 17.5 predicting PTSD (Sensitivity = 70%; Specificity = 62%) and depression (Sensitivity = 74%; Specificity = 64%). For the ITSS, ROC curves suggested a cutoff score of 1.5 to predict PTSD (Sensitivity = 72%; Specificity = 60%) and depression (Sensitivity = 67%; Specificity = 62%). Inclusion of both instruments in regression analyses accounted for 2.4%-6.8% greater variance than 1 measure alone in predicting PCL-5 and PHQ-8 scores. Conclusions: The ITSS and PDI each demonstrated significant clinical utility in practice. Use of both measures, versus either alone, likely does not produce sufficient added clinical benefit. Follow-up screening and/or ongoing symptom monitoring is recommended as an adjunct to brief bedside screening.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据