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：
暂无
中图分类号：
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.
引用
收藏
相关论文
共 203 条
[21]  
Brady K(2008)Estimating Population Prevalence of Posttraumatic Stress Disorder: An Example Using the PTSD Checklist J Trauma Stress 23 247-55
[22]  
Pearlstein T(2009)The validity and diagnostic efficiency of the Davidson Trauma Scale in military veterans who have served since September 11th, 2001 J Anxiety Disord 168 378-85
[23]  
Asnis G(2011)Effectiveness of Mental Health Screening and Coordination of In-Theater Care Prior to Deployment to Iraq: A Cohort Study Am J Psychiatry 173 935-40
[24]  
Baker D(2008)RESPECT-Mil: Feasibility of a Systems-Level Coliaborative Care Approach to Depression and Post-Traumatic Stress Disorder in Military Primary Care Mil Med 76 272-81
[25]  
Rothbaum B(2008)Validating the Primary Care Posttraumatic Stress Disorder Screen and the Posttraumatic Stress Disorder Checklist With Soldiers Returning From Combat J Consult Clin Psychol 9 9-14
[26]  
Davidson J(2004)The primary care PTSD screen (PC-PTSD): Development and operating characteristics Prim Care Psychiatry 39 977-86
[27]  
Baldwin D(2001)The validity of the PTSD checklist as a measure of symptomatic change in combat-related PTSD Behav Res Ther 24 367-74
[28]  
Stein D(2002)Screening for post-traumatic stress disorder in female Veteran's Affairs patients: validation of the PTSD checklist Gen Hosp Psychiatry 34 669-73
[29]  
Kuper E(1996)Psychometric Properties of the PTSD Checklist (PCL) Behav Res Ther 18 371-6
[30]  
Benattia I(2005)Psychometric Properties of the PTSD Checklist With Older Primary Care Patients J Trauma Stress 34 155-61
12345678910