Screening for PTSD in public-sector mental health settings: The diagnostic utility of the PTSD checklist
Screening for PTSD in public-sector mental health settings: The diagnostic utility of the PTSD checklist
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DOI：
10.1002/da.20226
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发表时间：
2007-01-01
影响因子：
7.4
通讯作者：
Frueh, B. Christopher
中科院分区：
文献类型：
--
作者：
Grubaugh, Anouk L.;Elhai, Jon D.;Frueh, B. Christopher
关于如何准确地筛查和评估严重精神疾病成人的创伤后应激障碍（PTSD），很少有可用的数据，这一群体有很高的未被识别的创伤和PTSD症状。我们检验了一种广泛使用的筛查工具——PTSD检查表（PCL）的诊断效用，以诊断通过社区心理健康项目招募的44名创伤性成人公共部门心理健康患者的PTSD。参与者完成了PCL和临床医生管理的PTSD量表（CAPS），这被认为是确定PTSD诊断的“金标准”。数据为在公共精神病学机构中使用PCL作为筛查工具提供了初步支持，表明患有严重精神疾病的成人的最佳分界点约为54（根据临床背景和PCL的目的，建议分界点略高或略低）。这些数据对于确保查明公共部门有创伤相关困难的心理健康患者并将其转介到适当的服务机构至关重要。
There are few available data on bow to accurately screen for and assess posttraumatic stress disorder (PTSD) among severely mentally ill adults, a group with high rates of unrecognized trauma and PTSD symptoms. We examined the diagnostic utility of a widely used screening instrument, the PTSD Checklist (PCL), for diagnosing PTSD among 44 traumatized, adult, public-sector mental health patients recruited through a community mental health program. Participants completed the PCL and the Clinician-Administered PTSD Scale (CAPS), which is considered the "gold standard" for determining PTSD diagnoses. Data provide preliminary support for the use of the PCL as a screening instrument in public psychiatric settings, indicating that the optimal cut-point for adults with severe mental illness is about 54 (with slightly higher or lower recommended cut-points depending on the clinical context and purpose of the PCL). Such data are critical to ensuring that public-sector mental health patients with trauma-related difficulties are identified and referred for appropriate services.