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Short Screening Scale for DSM-IV Posttraumatic Stress Disorder

Bibliographic Data

ID23367755
AuthorsNaomi Breslau (Henry Ford Health System), Edward L Peterson (0000-0002-3546-3828), R C Kessler (0000-0003-4831-2305), Lonni Schultz, Lonni R Schultz
Year1999
Volume156
Issue6
Pages908-911
Publication date1999-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Psychiatry (JOURNAL)
Journal identifiersISSN: 0002-953X • E-ISSN: 1535-7228
PublisherAmerican Psychiatric Association Publishing (PUBLISHER • US)
DOI10.1176/ajp.156.6.908
PMID10360131
OpenAlexW2113612964
LanguageEN
Citations received85
References cited8

OBJECTIVE: The authors' goal was to construct a short screening scale for DSM-IV posttraumatic stress disorder (PTSD). METHOD: They used data from the Detroit Area Survey of Trauma, which is a representative population sample of 2,181 subjects 18-45 years of age. Random digit dialing was used to select the sample, and a computer-assisted telephone interview was used to collect data on traumatic experiences and PTSD. Presence or absence of PTSD was assessed with a telephone-administered structured interview that closely followed the National Institute of Mental Health Diagnostic Interview Schedule for DSM-IV and the World Health Organization Composite International Diagnostic Interview, version 2.1. Best-subset regression analysis and receiver operating characteristic analysis were used to select a subset of items from the structured interview that most efficiently predicted PTSD as diagnosed in the full-length interview. RESULTS: A seven-symptom screening scale for PTSD was selected; five of the symptoms were from the avoidance and numbing group, and two were from the hyperarousal group. A score of 4 or greater on this scale defined positive cases of PTSD with a sensitivity of 80%, specificity of 97%, positive predictive value of 71%, and negative predictive value of 98%. CONCLUSIONS: The short screening scale is an efficient method to screen for PTSD in epidemiologic and clinical studies, given limitations on resources and burden on respondents.

Anxiety · Anxiety disorder · Mental health · Mini-international neuropsychiatric interview · National Health Interview Survey · Population · Posttraumatic stress · Psychiatry · Random digit dialing · Scale (ratio) · Telephone interview · Traumatic stress · Clinical Psychology · Medicine · Mental Health Treatment and Access · Personality Disorders and Psychopathology · Posttraumatic Stress Disorder Research · Psychology

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Unique citing works85
Citations per year3,86
Citation span2004 - 2026 (23)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 78

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