Post-Hurricane Distress Scale (PHDS)
Determination of General and Disorder-Specific Cutoff Scores
Bibliographic Data
The Post-Hurricane Distress Scale (PHDS) was developed to assess mental health risk in the aftermath of hurricanes. We derive both disorder-specific cutoff values and a single nonspecific cutoff for the PHDS for field use by disaster relief and mental health workers. Data from 672 adult residents of Puerto Rico, sampled 3 to 12 months after Hurricane Maria, were collected. Participants completed a five-tool questionnaire packet: PHDS, Kessler K6, Patient Health Questionnaire 9, Generalized Anxiety Disorder 7, and Post-Traumatic Stress Disorder Checklist for DSM V (PCL-5). ROC curves, AUC values, sensitivities, specificities, Youden's index, and LR+ ratios are reported. The recommended single cutoff value for the PHDS is 41, whereby a respondent with a PHDS score of 41 or above is deemed high-risk for a mental health disorder. The single field use PHDS cutoff demonstrated high specificity (0.80), an LR + ratio (2.84), and a sensitivity of 0.56. The mean ROC values of PHDS for Kessler K6, Patient Health Questionnaire 9, Generalized Anxiety Disorder 7, and PCL-5 were all above 0.74. The derived cutoff for the PHDS allows efficient assessment of respondents' and/or a community's risk status for mental health disorders in the aftermath of hurricanes and natural disasters
Anxiety · Cartography · Checklist · Cutoff · Distress · Geography · Mental health · Psychiatry · Receiver operating characteristic · Respondent · Scale (ratio · Youden's J statistic · Clinical Psychology · Disaster Response and Management · Medicine · Posttraumatic Stress Disorder Research · Psychology · Resilience and Mental Health · Internal Medicine
Anxiety Disorders in Primary Care
Estimation of the Youden Index and its Associated Cutoff Point
Disaster Victims Speak
The Epidemiology of Post-Traumatic Stress Disorder after Disasters
Screening for anxiety disorders with the GAD-7 and GAD-2
Psychological distress and psychiatric disorder after natural disasters
Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization
Mental Health Consequences of Disasters
Comparing effect sizes in follow-up studies
Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9)
The Posttraumatic Stress Disorder Checklist for DSM‐5 (PCL‐5)
A Brief Measure for Assessing Generalized Anxiety Disorder
Short screening scales to monitor population prevalences and trends in non-specific psychological distress
The PHQ-9
Economic Differences in Direct and Indirect Costs Between People With Epilepsy and Without Epilepsy
| Citation velocity | historical |
|---|---|
| Highly cited | No |