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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >PTSD checklist scoring rules for elderly veterans affairs outpatients
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PTSD checklist scoring rules for elderly veterans affairs outpatients

机译：老年退伍军人事务门诊的PTSD清单评分规则

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Objective: To assess the diagnostic performance of the PTSD Checklist (PCL) for three age groups (50, 50-64, and ≥65 years). Methods: The PCL was compared with the Clinician Administered PTSD Scale, a gold standard for the diagnosis of post-traumatic stress disorder. Receiver operating characteristic curves and the corresponding area under the receiver operating characteristic curve (AUC) and measures of sensitivity and specificity were used to assess the performance of and to determine optimal cutscores for the PCL across the three groups. Analyses were based on 858 randomly selected primary care patients who participated in a study conducted at four Veterans Administration medical centers. Results: AUCs were high for all three age groups (87.55%-88.26%), and there were no significant differences in AUCs across age groups χ2. Optimal cutscores, however, varied considerably: 24 for the oldest group, 34 for the middle group, and 43 for the youngest group Conclusion: Recommend use of lower PCL cutscorefor older Veterans Administration primary care patients.
机译：目的：评估PTSD检查表（PCL）在三个年龄段（<50、50-64和≥65岁）的诊断性能。方法：将PCL与临床医生管理的PTSD量表进行比较，PTSD量表是诊断创伤后应激障碍的金标准。受试者工作特征曲线和受试者工作特征曲线（AUC）下的相应区域以及敏感性和特异性的量度用于评估三组中PCL的性能并确定其最优的得分。分析是基于858位随机选择的初级保健患者进行的，这些患者参加了在四个退伍军人管理局医学中心进行的研究。结果：三个年龄段的AUCs均较高（87.55％-88.26％），各个年龄段的AUCs差异均无统计学意义χ2。但是，最佳的得分比值相差很大：最老的一组为24，中组为34，最年轻的组为43结论：对于老年退伍军人管理局的初级保健患者，建议使用较低的PCL得分。

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