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首页> 外文期刊>Psychiatry research >Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System
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Accuracy of screening for posttraumatic stress disorder in specialty mental health clinics in the U.S. Veterans Affairs Healthcare System

机译：美国退伍军人事务医疗系统中特殊心理健康诊所对创伤后应激障碍筛查的准确性

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This study 1) describes the prevalence of positive PTSD screens among male, female, and OEF/OIF/OND veterans using various PTSD Checklist -Military version (PCL-M) criteria; 2) evaluates the sensitivity and specificity of various PCL-M criteria; and 3) identifies optimal screening criteria in predicting clinician documented PTSD diagnoses. VA electronic medical records data from 327,093 veterans during 20082012 were analyzed. Receiver operating characteristic curve analyses compared PCL-M scores against clinician-documented PTSD diagnoses. Results showed that different PCL-M scoring criteria resulted in 62.0-84.5% of veterans screening positive for PTSD compared to 40.1% with a clinician-documented PTSD diagnosis. Sensitivity of the PCL-M ranged from 73.7 to 93.5% and specificity ranged from 21.6 to 45.8% for all veterans. The optimal PCL-M cut score according to Youden's index was >= 45 for male veterans, >= 35 for female veterans, and >= 38 for OEF/OIF/OND veterans. Self-report measures like the PCL-M may be a useful screening tool for identifying probable PTSD in VA specialty clinics, but they should be calibrated for different veteran subgroups and followed by structured clinical interviews. Published by Elsevier Ireland Ltd.
机译：这项研究1）使用各种PTSD清单-军事版本（PCL-M）标准，描述了男性，女性和OEF / OIF / OND退伍军人中PTSD阳性筛查的患病率; 2）评估各种PCL-M标准的敏感性和特异性; 3）确定预测临床医生记录的PTSD诊断的最佳筛选标准。分析了20082012年327,093名退伍军人的VA电子病历数据。接收器工作特性曲线分析将PCL-M得分与临床医生记录的PTSD诊断进行了比较。结果表明，不同的PCL-M评分标准导致62.0-84.5％的退伍军人筛查PTSD阳性，而临床医生记录的PTSD诊断为40.1％。对于所有退伍军人，PCL-M的敏感性范围为73.7至93.5％，特异性范围为21.6至45.8％。根据优登指数的最佳PCL-M切分得分是：男性退伍军人> = 45，女性退伍军人> = 35，OEF / OIF / OND退伍军人> = 38。诸如PCL-M之类的自我报告措施可能是在VA专业诊所中识别可能的PTSD的有用筛查工具，但应针对不同的退伍军人亚组进行校准，然后进行结构化的临床访谈。由Elsevier Ireland Ltd.发布

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