这位患者是否患有创伤后应激障碍? :理性临床检查系统审查
Michele R Spoont1, John W Williams2, Shannon Kehle-Forbes3
1US Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, Minneapolis Veterans Affairs Healthcare System, Minneapolis, Minnesota2Center for Chronic Disease Outcomes Research, Minneapolis Veterans Affairs Healthcare System, Minne.
主要护理PTSD屏幕 (PC-PTSD) 和PTSD清单是有效的自我报告工具,用于识别初级护理和高风险人群中的创伤后应激障碍 (PTSD). 这些已验证的工具有助于早期发现和治疗PTSD.
科学领域:
- 心理健康
- 精神病学
- 临床心理学
背景情况:
- 创伤后应激障碍 (PTSD) 在初级保健中很普遍,但往往没有被诊断出来.
- 早期发现和治疗PTSD显著提高了患者的幸福感.
研究的目的:
- 系统地审查自报告查工具的有效性.
- 在初级保健和高风险人群中评估这些工具.
主要方法:
- 搜索了MEDLINE和PILOTS数据库 (1981-2015) 进行PTSD查仪器研究.
- 包括通过黄金标准诊断访谈评估的至少50名参与者的研究.
- 使用 QUADAS 标准评估研究质量.
主要成果:
- 包括23项评估15种PTSD查仪器的队列研究.
- 主要护理后应激障碍检查 (PC-PTSD) 和后应激障碍检查清单表现最好.
- PC- PTSD (4项) 和PTSD检查清单 (17项) 显示出良好的敏感性和特异性.
结论:
- PC-PTSD和PTSD检查清单适用于初级保健和高风险群体的PTSD查.
- 这些仪器易于管理和解释,适合繁忙的临床环境.
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