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首页> 外文期刊>Journal of substance abuse treatment >Validation of the Primary Care Posttraumatic Stress Disorder screening questionnaire (PC-PTSD) in civilian substance use disorder patients.
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Validation of the Primary Care Posttraumatic Stress Disorder screening questionnaire (PC-PTSD) in civilian substance use disorder patients.

机译:对民用物质使用障碍患者进行的初级保健创伤后应激障碍筛查问卷(PC-PTSD)的验证。

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摘要

This study aimed to cross-validate and extend earlier findings regarding the diagnostic efficiency of the four-item Primary Care Posttraumatic Stress Disorder Screen (PC-PTSD) as a screening questionnaire for posttraumatic stress disorder (PTSD) among civilian patients with substance use disorder (SUD). The PC-PTSD was originally developed in a Veteran Affairs primary care setting (Prins, Ouimette, Kimerling, Cameron, Hugelshofer, Shaw-Hegwer, et al., 2004) and has been widely used in the U.S. army. The diagnostic efficiency of the screener was compared to those of an extended eight-item version of the PC-PTSD and the Posttraumatic Diagnostic Scale (PDS). The sample consisted of 142 participants with SUD and most of the participants (89%) were still using substances in the month preceding the assessment. Results showed a high sensitivity (.86) and moderate specificity (.57) for the PC-PTSD when using a cutoff score of 2. The diagnostic efficiency of the PC-PTSD was equivalent to the extended eight-item version and the 17-item PDS. Results suggest that the original PC-PTSD is a useful screening instrument for PTSD within a civilian SUD population. These findings have important clinical implications because screening for PTSD among patients with SUD is crucial to ascertain appropriate treatment allocation.
机译:这项研究旨在交叉验证和扩展关于四项初级保健创伤后应激障碍筛查(PC-PTSD)作为民用药物滥用症患者创伤后应激障碍(PTSD)筛查问卷的诊断效率的早期发现( SUD)。 PC-PTSD最初是在退伍军人事务的初级保健环境中开发的(Prins,Ouimette,Kimerling,Cameron,Hugelshofer,Shaw-Hegwer等,2004),并已在美国陆军中广泛使用。将筛查仪的诊断效率与PC-PTSD和创伤后诊断量表(PDS)扩展的八项版本的诊断效率进行了比较。样本由142名SUD参与者组成,大多数参与者(89%)在评估前一个月仍在使用药物。结果显示,使用临界值2时,PC-PTSD具有高灵敏度(.86)和中等特异性(.57)。PC-PTSD的诊断效率相当于扩展的8个项目的版本和17-项目PDS。结果表明,原始的PC-PTSD是民用SUD人群中PTSD的有用筛选工具。这些发现具有重要的临床意义,因为在SUD患者中筛查PTSD对于确定适当的治疗分配至关重要。

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