Prediction of Posttraumatic Stress and Depression One-Month Post-Injury: A Comparison of Two Screening Instruments

被引:8
|
作者
Ennis, Naomi [1 ]
Anton, Margaret [2 ]
Bravoco, Olivia [2 ]
Ridings, Leigh [2 ]
Hunt, Josh [3 ]
deRoon-Cassini, Tern A. [4 ]
Davidson, Tatiana [1 ,2 ]
Ruggiero, Kenneth [1 ,2 ]
机构
[1] Med Univ South Carolina, Dept Psychiat & Behav Sci, 67 President St,2nd Floor, Charleston, SC 29435 USA
[2] Med Univ South Carolina, Coll Nursing, Charleston, SC 29435 USA
[3] Clement J Zablocki VA Med Ctr, Milwaukee, WI USA
[4] Med Coll Wisconsin, Div Trauma & Acute Care Surg, Milwaukee, WI 53226 USA
关键词
posttraumatic stress disorder; depression; injury; diagnostic screening; PERITRAUMATIC DISTRESS INVENTORY; DISORDER; TRAUMA; VALIDITY; PTSD;
D O I
10.1037/hea0001114
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
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.
引用
收藏
页码:702 / 705
页数:4
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