Prediction of posttraumatic stress and depression one-month post-injury: A comparison of two screening instruments.
Prediction of posttraumatic stress and depression one-month post-injury: A comparison of two screening instruments.
复制标题
DOI：
10.1037/hea0001114
复制
发表时间：
2021-10
影响因子：
4.2
通讯作者：
Ruggiero, Kenneth
中科院分区：
文献类型：
--
作者：
Ennis, Naomi;Anton, Margaret;Bravoco, Olivia;Ridings, Leigh;Hunt, Josh;deRoon-Cassini, Tern A.;Davidson, Tatiana;Ruggiero, Kenneth
探讨2种筛查工具在预测创伤后1个月抑郁和PTSD中的联合和个体效用。对484名I级创伤中心患者进行了围创伤窘迫量表（PDI）和创伤幸存者筛查（ITSS）。受伤后约30天，患者完成了DSM-5（PCL-5）和患者健康问卷（PHQ-8）的创伤后应激障碍检查表。PDI的受试者工作特征曲线（ROC）表明，预测PTSD（敏感性= 70%;特异性= 62%）和抑郁症（敏感性= 74%;特异性= 64%）的临界值为17.5。对于ITSS，ROC曲线表明1.5分的临界值预测PTSD（敏感性= 72%;特异性= 60%）和抑郁症（敏感性= 67%;特异性= 62%）。在回归分析中纳入这两种工具比单独预测PCL-5和PHQ-8评分的1项测量的方差大2.4%-6.8%。ITSS和PDI在实践中均表现出显著的临床实用性。与单独使用任何一种方法相比，使用这两种方法可能不会产生足够的额外临床获益。建议将随访筛查和/或持续症状监测作为简短床旁筛查的辅助措施。
To examine the combined and individual utility of 2 screening tools in prediction of depression and PTSD one-month post traumatic injury. 484 Level I Trauma Center patients were administered the Peritraumatic Distress Inventory (PDI) and Injured Trauma Survivor Screen (ITSS). Approximately 30 days post-injury, patients completed the Posttraumatic Stress Disorder Checklist for DSM–5 (PCL-5) and Patient Health Questionnaire (PHQ-8). Receiver operating characteristic curve (ROC) curves for the PDI suggested a cutoff score of 17.5 predicting PTSD (Sensitivity = 70%; Specificity = 62%) and depression (Sensitivity = 74%; Specificity = 64%). For the ITSS, ROC curves suggested a cutoff score of 1.5 to predict PTSD (Sensitivity = 72%; Specificity = 60%) and depression (Sensitivity = 67%; Specificity = 62%). Inclusion of both instruments in regression analyses accounted for 2.4%-6.8% greater variance than 1 measure alone in predicting PCL-5 and PHQ-8 scores. The ITSS and PDI each demonstrated significant clinical utility in practice. Use of both measures, versus either alone, likely does not produce sufficient added clinical benefit. Follow-up screening and/or ongoing symptom monitoring is recommended as an adjunct to brief bedside screening.
登录
查看更多内容
DOI：
10.1016/j.jamcollsurg.2020.03.037
发表时间：
2020-08-01
影响因子：
5.2
作者：
Ruggiero, Kenneth J.;Davidson, Tatiana M.;Fakhry, Samir M.
通讯作者：
Fakhry, Samir M.
影响因子：
2.7
作者：
Bonanno, George A.;Kennedy, Paul;Elfstrom, Mangus L.
通讯作者：
Elfstrom, Mangus L.
影响因子：
7.4
作者：
Geier, Timothy J.;Hunt, Joshua C.;deRoon-Cassini, Terri A.
通讯作者：
deRoon-Cassini, Terri A.
影响因子：
17.7
作者：
Brunet, A;Weiss, DS;Marmar, CR
通讯作者：
Marmar, CR
影响因子：
5
作者：
Kessler RC;Aguilar-Gaxiola S;Alonso J;Benjet C;Bromet EJ;Cardoso G;Degenhardt L;de Girolamo G;Dinolova RV;Ferry F;Florescu S;Gureje O;Haro JM;Huang Y;Karam EG;Kawakami N;Lee S;Lepine JP;Levinson D;Navarro-Mateu F;Pennell BE;Piazza M;Posada-Villa J;Scott KM;Stein DJ;Ten Have M;Torres Y;Viana MC;Petukhova MV;Sampson NA;Zaslavsky AM;Koenen KC
通讯作者：
Koenen KC