Screening for posttraumatic stress disorder: what combination of symptoms predicts best?

Several symptom screening instruments have been developed to identify trauma survivors at risk for chronic posttraumatic stress disorder, but few of these have been thoroughly evaluated to date. In this study, a range of symptom combination scoring rules derived from the literature were applied to t...

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Main Authors: Ehring, T, Kleim, B, Clark, D, Foa, E, Ehlers, A
Format: Journal article
Language:English
Published: 2007
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author Ehring, T
Kleim, B
Clark, D
Foa, E
Ehlers, A
author_facet Ehring, T
Kleim, B
Clark, D
Foa, E
Ehlers, A
author_sort Ehring, T
collection OXFORD
description Several symptom screening instruments have been developed to identify trauma survivors at risk for chronic posttraumatic stress disorder, but few of these have been thoroughly evaluated to date. In this study, a range of symptom combination scoring rules derived from the literature were applied to the Posttraumatic Diagnostic Scale and evaluated in 4 different samples of trauma survivors (total N = 522) regarding their power to identify people with posttraumatic stress disorder. Results were replicated in a fifth sample (N = 253). Most scoring rules showed lower diagnostic efficiencies than in the original reports. The most stable results were obtained for cutoffs on the Posttraumatic Diagnostic Scale total scale and a new subset of 8 items. The results underscore the need to cross-validate findings before using screening instruments for clinical applications.
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spelling oxford-uuid:7e703ec9-8d5a-461f-b114-bad294c1c5ab2022-03-26T21:10:08ZScreening for posttraumatic stress disorder: what combination of symptoms predicts best?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7e703ec9-8d5a-461f-b114-bad294c1c5abEnglishSymplectic Elements at Oxford2007Ehring, TKleim, BClark, DFoa, EEhlers, ASeveral symptom screening instruments have been developed to identify trauma survivors at risk for chronic posttraumatic stress disorder, but few of these have been thoroughly evaluated to date. In this study, a range of symptom combination scoring rules derived from the literature were applied to the Posttraumatic Diagnostic Scale and evaluated in 4 different samples of trauma survivors (total N = 522) regarding their power to identify people with posttraumatic stress disorder. Results were replicated in a fifth sample (N = 253). Most scoring rules showed lower diagnostic efficiencies than in the original reports. The most stable results were obtained for cutoffs on the Posttraumatic Diagnostic Scale total scale and a new subset of 8 items. The results underscore the need to cross-validate findings before using screening instruments for clinical applications.
spellingShingle Ehring, T
Kleim, B
Clark, D
Foa, E
Ehlers, A
Screening for posttraumatic stress disorder: what combination of symptoms predicts best?
title Screening for posttraumatic stress disorder: what combination of symptoms predicts best?
title_full Screening for posttraumatic stress disorder: what combination of symptoms predicts best?
title_fullStr Screening for posttraumatic stress disorder: what combination of symptoms predicts best?
title_full_unstemmed Screening for posttraumatic stress disorder: what combination of symptoms predicts best?
title_short Screening for posttraumatic stress disorder: what combination of symptoms predicts best?
title_sort screening for posttraumatic stress disorder what combination of symptoms predicts best
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