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Comparing screening instruments to predict posttraumatic stress disorder.

Joanne Mouthaan1, Marit Sijbrandij2, Johannes B Reitsma3

  • 1Department of Psychiatry, Centre for Anxiety Disorders, Research Group Psychotrauma, Academic Medical Centre, Amsterdam, The Netherlands.

Plos One
|May 13, 2014
PubMed
Summary
This summary is machine-generated.

The SPAN, TSQ, and IES-R show similar accuracy for early posttraumatic stress disorder (PTSD) risk screening. These instruments effectively identify individuals at risk, though clinical application may yield false positives.

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Area of Science:

  • Psychiatry
  • Trauma Research
  • Clinical Psychology

Background:

  • Posttraumatic stress disorder (PTSD) affects a proportion of trauma survivors.
  • Early identification of PTSD risk is crucial for timely intervention.
  • Sensitive screening instruments are needed for at-risk individuals.

Purpose of the Study:

  • To compare the predictive accuracy of the SPAN, TSQ, and IES-R for chronic PTSD.
  • To evaluate these instruments at a minimum sensitivity of 80%.

Main Methods:

  • Injury patients (N=311) completed the SPAN, TSQ, and IES-R.
  • Clinical PTSD assessment was conducted at 6 months post-injury.
  • Area under the curve and specificity at 80% sensitivity were compared.

Main Results:

  • All instruments demonstrated adequate predictive accuracy (AUCs: SPAN 0.83, TSQ 0.82, IES-R 0.83).
  • Specificities at 80% sensitivity were 64% (SPAN), 59% (TSQ), and 72% (IES-R).
  • No significant differences in accuracy were found between the instruments.

Conclusions:

  • The SPAN, TSQ, and IES-R exhibit comparable accuracy in early PTSD risk detection.
  • Despite similar accuracy, modest specificities and low positive predictive values may result in false positives in clinical practice.