Advances and Controversies in Military Posttraumatic Stress Disorder Screening

被引：0
作者：
Daniel J. Lee
Christopher H. Warner
Charles W. Hoge
机构：
[1] Bayne-Jones Army Community Hospital,Department of Behavioral Health
[2] 101st Airborne Division,Center of Psychiatry & Neuroscience
[3] Walter Reed Army Institute of Research,undefined
来源：
Current Psychiatry Reports | 2014年 / 16卷
关键词：
PTSD; Posttraumatic stress disorder; Screening; Epidemiology; Force screening; US military; Readiness; Deployment; Combat; Prevalence; Positive predictive value; Negative predictive value; Sensitivity; Specificity; DoD; VA; NDAA; CAPS; SPRINT; DTS; PCL; PTSD Checklist; Davidson Trauma Scale;
D O I：
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学科分类号：
摘要：
As the longest war in American history draws to a close, an unprecedented number of service members and veterans are seeking care for health challenges related to transitioning home and to civilian life. Congressionally mandated screening for mental health concerns in the Department of Defense (DoD), as well as screening efforts Veterans Affairs (VA) facilities, has been established with the goal of decreasing stigma and ensuring service members and veterans with depression and posttraumatic stress disorder (PTSD) receive needed treatment. Both the DoD and VA have also developed integrated behavioral health in primary-care based initiatives, which emphasize PTSD screening, treatment, and care coordination. This article discusses the rationale for population-level deployment-related mental health screening, recent changes to screening frequency, commonly used screening instruments such as the primary care PTSD screen (PC-PTSD), PTSD checklist (PCL), and Davidson Trauma Scale (DTS); as well as the strengths/limitations of each, and recommended cut-off scores based on expected PTSD prevalence.
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