An Examination of the Diagnostic Efficiency of Post‐Deployment Mental Health Screens

Skopp, Nancy A.; Swanson, Robert D.; Luxton, David D.; Reger, Mark A.; Trofimovich, Lily; First, Michael B.; Maxwell, James; Gahm, Gregory A.

doi:10.1002/jclp.21887

Cited by 17 publications

(6 citation statements)

References 43 publications

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“…2,[11][12][13] Further, Freedy and his colleagues found that the PC-PTSD performed similarly to the PTSD Checklist -Civilian version (PCL-C) 2 , a wellestablished longer measure of PTSD that assesses the full range of symptoms. 14,15 Because the PC-PTSD has demonstrated excellent diagnostic accuracy and clinical utility with various groups of primary care patients, 2,9,16,17 it is mandated for use in VA and DoD settings. 18,19 In 2013, the fifth edition of the Diagnostic and Statistical Manual (DSM-5) 20 introduced significant revisions to the PTSD diagnosis based on research suggesting that these changes better reflect the PTSD latent construct.…”

Section: T He Prevalence Of Posttraumatic Stress Disorder (Ptsd) Inmentioning

confidence: 99%

The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation Within a Veteran Primary Care Sample

et al. 2016

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BACKGROUND: Posttraumatic Stress Disorder (PTSD) is associated with increased health care utilization, medical morbidity, and tobacco and alcohol use. Consequently, screening for PTSD has become increasingly common in primary care clinics, especially in Veteran healthcare settings where trauma exposure among patients is common. OBJECTIVE: The objective of this study was to revise the Primary Care PTSD screen (PC-PTSD) to reflect the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for PTSD (PC-PTSD-5) and to examine both the diagnostic accuracy and the patient acceptability of the revised measure. DESIGN: We compared the PC-PTSD-5 results with those from a brief psychiatric interview for PTSD. Participants also rated screening preferences and acceptability of the PC-PTSD-5. PARTICIPANTS: A convenience sample of 398 Veterans participated in the study (response rate = 41 %). Most of the participants were male, in their 60s, and the majority identified as non-Hispanic White. MEASURES: The PC-PTSD-5 was used as the screening measure, a modified version of the PTSD module of the MINI-International Neuropsychiatric Interview was used to diagnose DSM-5 PTSD, and five brief survey items were used to assess acceptability and preferences. Patients found the screen acceptable and indicated a preference for administration by their primary care providers as opposed to by other providers or via self-report.

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Section: T He Prevalence Of Posttraumatic Stress Disorder (Ptsd) Inmentioning

confidence: 99%

The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation Within a Veteran Primary Care Sample

et al. 2016

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“…A growing number of risk factors for suicide ideation and suicide attempts have been confirmed among military personnel and veterans, with results largely supporting the notion that risk factors for suicide ideation and suicide attempts are the same for military personnel and veterans as they are for nonmilitary samples. For example, numerous studies have identified many psychiatric conditions such as posttraumatic stress disorder (PTSD), depression, and substance use disorders to be risk factors for suicide ideation and suicide attempts among military personnel and veterans (Bryan, Clemans, & Hernandez, 2012; Ilgen et al, 2012; LeardMann et al, 2013; Nock et al, 2014; Skopp et al, 2012), similar to findings in nonmilitary settings (Kessler et al, 1999).…”

mentioning

confidence: 90%

Self-forgiveness, posttraumatic stress, and suicide attempts among military personnel and veterans.

Bryan¹,

Theriault²,

Bryan³

2015

Traumatology

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Limited research has focused on protective factors associated with decreased suicide risk among military personnel and veterans. Self-forgiveness, defined as "the act of generosity and kindness toward the self following self-perceived inappropriate action," may be associated with decreased risk for suicide ideation and attempts, but few studies have examined this relationship. In a sample of 476 military personnel and veterans enrolled in college classes, self-forgiveness was associated with significantly less severe posttraumatic stress symptoms (␤ ϭ Ϫ.131, p ϭ .001) and was lowest among those participants who had made a suicide attempt, F(2, 435) ϭ 26.861, p Ͻ .001. Results of multinomial logistic regression indicated that self-forgiveness did not significantly differentiate participants with a history of suicide ideation from those who had never been suicidal (AOR ϭ 1.03, p ϭ .750), but self-forgiveness significantly differentiated participants who had attempted suicide from those who had only considered suicide (AOR ϭ 1.08, p ϭ .048). Self-forgiveness did not moderate the effects of posttraumatic stress on either suicide ideation or suicide attempts. Results suggest self-forgiveness may reduce risk for suicide attempts among military personnel and veterans with a history of suicide ideation.

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“…This 4-item measure, which is based on the PTSD diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition), 23 has excellent psychometric properties. 22,[24][25][26] In 2013, the American Psychiatric Association presented revised PTSD diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (DSM-5). 27 The PC-PTSD was revised as the PC-PTSD-5 to reflect DSM-5 criteria.…”

Section: Introductionmentioning

confidence: 99%

“…VA uses the Primary Care PTSD Screen (PC-PTSD) for screening. This 4-item measure, which is based on the PTSD diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition), has excellent psychometric properties …”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy and Acceptability of the Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) Among US Veterans

et al. 2021

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Key Points Question Is the Primary Care Posttraumatic Stress Disorder (PTSD) Screen, as revised for the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (PC-PTSD-5), diagnostically accurate and acceptable to Veterans Affairs primary care patients? Findings In this diagnostic study of 396 primary care–seeking veterans, the 5-item PC-PTSD-5 was both diagnostically accurate and acceptable to participants. A cut point score of 4 best balanced the false negatives and false positives, although women may require a lower cut point (ie, a score of 3). Meaning Like its predecessor, the PC-PTSD-5 is an effective and efficient tool for PTSD screening in Veterans Affairs primary care clinics.

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An Examination of the Diagnostic Efficiency of Post‐Deployment Mental Health Screens

Cited by 17 publications

References 43 publications

The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation Within a Veteran Primary Care Sample

The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation Within a Veteran Primary Care Sample

Self-forgiveness, posttraumatic stress, and suicide attempts among military personnel and veterans.

Diagnostic Accuracy and Acceptability of the Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) Among US Veterans

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