A Brief Screening Tool for PTSD: Validation of the Korean Version of the Primary Care PTSD Screen for DSM-5 (K-PC-PTSD-5)

Jung, Young-Eun; Kim, Daeho; Kim, Won-Hyoung; Roh, Daeyoung; Chae, Jeong‐Ho; Park, Joo Eon

doi:10.3346/jkms.2018.33.e338

Cited by 32 publications

(29 citation statements)

References 7 publications

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“…For PTSD we used Primary Care- Post traumatic Stress disorder (PC- PTSD) for Diagnostic Statistical Manual (DSM) V—those who responded positively to 3 out of 5 questions about how the traumatic event(s) had affected them over the past month was regarded as probable PTSD ( 24 ). Though this has not been validated in a Kenyan context it has been shown to have high diagnostic accuracy and is highly acceptable due to its simplicity and brevity- having only five questions ( 25 ) and has shown good reliability even outside the US setting, as is the case of the Korean validation ( 26 ). We used the term Probable PTSD because to make a diagnosis of PTSD we would need a more comprehensive assessment by a clinician.…”

Section: Methodsmentioning

confidence: 99%

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

et al. 2021

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Background: Healthcare workers responding to the Corona Virus Pandemic (COVID-19) are at risk of mental illness. Data is scanty on the burden of mental disorders among Kenyan healthcare workers responding to the pandemic that can inform mental health and psychosocial support. The purpose of this study was to establish the frequency and associated factors of worry, generalized anxiety disorder, depression, posttraumatic stress disorder and poor quality of sleep among Kenyan health care workers at the beginning of COVID-19 pandemic.Methods: We conducted an online survey among 1,259 health care workers in Kenya. A researcher developed social demographic questionnaire and several standardized tools were used for data collection. Standardized tools were programmed into Redcap, (Research Electronic Data Capture) and data analysis was performed using R Core Team. In all analysis a p-value < 0.05 was considered significant.Results: 66% of the participants reported experiencing worry related to COVID-19. 32.1% had depression, 36% had generalized anxiety, 24.2% had insomnia and 64.7% scored positively for probable Post Traumatic Stress Disorder (PTSD). Depression was higher among females compared to men (36.5 vs. 26.9%, p = 0.003), workers <35 years old compared to older ones (38.1 vs. 26.4%, p < 0.001), and those who were not married compared to those who were married (40.6 vs. 27.6%, p < 0.001). Generalized anxiety was commoner among workers aged <35 years (43.5 vs. 29.3%, p < 0.001), females (41.7 vs. 29.2%, p < 0.001), those who mere not married compared to the married (45.2 vs. 31.2%, p < 0.001) and those with <10 years working experience (41.6 to 20.5%, p < 0.001). Younger health care professional had a higher proportion of insomnia compared to the older ones (30.3 vs. 18.6%, p < 0.001). Insomnia was higher among those with <10 years' experience compared to those with more than 20 years' experience(27.3 vs. 17.6%, p = 0.043)Conclusion: Many Kenyan healthcare workers in the early phase of COVID-19 pandemic suffered from various common mental disorders with young, female professionals who are not married bearing the bigger burden. This data is useful in informing interventions to promote mental and psychosocial wellbeing among Kenyan healthcare workers responding to the pandemic.

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Section: Methodsmentioning

confidence: 99%

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

et al. 2021

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“…AUC for the PC-PTSD-5 was 0.94 and the optimally sensitive cut-off score was 3 (sensitivity = 0.95; specificity = 0.85; see Table 2 ). The PC-PTSD-5 has also been validated in a Korean population of clinical and nonclinical participants [ 89 ]. The Korean version showed good internal consistency (α = 0.87) and a cut-off score of 3 resulted in optimal psychometrics (AUC = 0.90; sensitivity = 0.91; specificity = 0.78) [ 89 ].…”

Section: Resultsmentioning

confidence: 99%

“…The PC-PTSD-5 has also been validated in a Korean population of clinical and nonclinical participants [89]. The Korean version showed good internal consistency (α = 0.87) and a cut-off score of 3 resulted in optimal psychometrics (AUC = 0.90; sensitivity = 0.91; specificity = 0.78) [89]. The PC-PTSD-5 appears to be a psychometrically-sound screening questionnaire for PTSD [78] The Short-Form PCL-5 is a 4-item screening questionnaire created by taking items from the original 20-item PCL-5 [16].…”

Section: Panic Disorder Screener (Padis)mentioning

confidence: 99%

Brief Mental Health Disorder Screening Questionnaires and Use with Public Safety Personnel: A Review

Shields

Korol

Carleton

et al. 2021

IJERPH

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Brief mental health disorder screening questionnaires (SQs) are used by psychiatrists, physicians, researchers, psychologists, and other mental health professionals and may provide an efficient method to guide clinicians to query symptom areas requiring further assessment. For example, annual screening has been used to help identify military personnel who may need help. Nearly half (44.5%) of Canadian public safety personnel (PSP) screen positive for one or more mental health disorder(s); as such, regular mental health screenings for PSP may be a valuable way to support mental health. The following review was conducted to (1) identify existing brief mental health disorder SQs; (2) review empirical evidence of the validity of identified SQs; (3) identify SQs validated within PSP populations; and (4) recommend appropriately validated brief screening questionnaires for five common mental health disorders (i.e., generalized anxiety disorder (GAD), major depressive depression (MDD), panic disorder, posttraumatic stress disorder, alcohol use disorder). After reviewing the psychometric properties of the identified brief screening questionnaires, we recommend the following four brief screening tools for use with PSP: the Patient Health Questionnaire-4 (screening for MDD and GAD), the Brief Panic Disorder Symptom Screen—Self-Report, the Short-Form Posttraumatic Checklist-5, and the Alcohol Use Disorders Identification Test-Consumption.

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“…PC-PTSD has showed good internal consistency (α = .87), test-retest reliability ( r = 0.89), and concurrent validity ( r = 0.81). 19 Participants’ results were considered “positive” for a PTSD diagnosis if they answered “Yes” to any 3 or more items. 18 The sensitivity and specificity of the PC-PTSD with a score of 3 and higher for diagnosing a case of PTSD are respectively 76% and 93% (ACP Depression Care Guide, 2014) and 85% and 82%.…”

Section: Methodsmentioning

confidence: 99%

Unattended Mental Health Needs in Primary Care: Lebanon’s Shatila Palestinian Refugee Camp

Segal¹,

Khoury

Salah

et al. 2020

Clinical Medicine Insights: Psychiatry

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Aims: This study examines factors potentially contributing to unattended mental health needs among primary care patients in Lebanon’s Shatila Palestinian Refugee Camp in order to understand the prevalence of such needs and improve clinical practice with refugees and other vulnerable groups. Methods: Data collection (2012-13) involved researcher administered structured surveys of primary healthcare-clinic patients (n = 254) using the K6, the PC-PTSD, and the Modified-MINI mental illness screens. Chi. Sq., ANOVA and Principal Component analysis evaluate associations and differences in sample characteristics; Logistic regression evaluates factors associated with unattended-positive-mental-health-screens. Results: The sample (n = 254) included 55% females and 45% males; aged 18 to 89, M = 40.4 (±13). About 51.6% (n = 132) screened positive for mental illness, for these individuals only 11.4% (15 of 132) spoke to their physician about mental illness or had an acknowledged record of psychological problems. Thus 88.6% (n = 117) of those who screened positive, had unattended positive-screens. Univariate tests indicated that patients with “negative-screens,” those with “attended positive-screens,” and those with “unattended positive-screens” differed in their social and psychological characteristics as well as their relationship with the primary care setting. Overall multivariable Logistic results indicated that patients with unattended positive-screens were 34% less likely to have higher SES scores for each step up in status [OR = 0.66; CI: 0.48-0.89] and 58% less likely to have access to a provider for advice or assistance [OR = 0.42; CI: 0.20-0.88]. They were 2.2 times more likely to be females [OR = 2.20; CI: 1.22-3.95], and 5.26 times more likely to attribute their mental illness to a physical illness [OR = 5.26; CI: 2.36-11.74]. Conclusion: Large numbers of patients screen positive for mental illness who do not have their mental health need addressed during their primary care visit. This seems an issue rooted in a lack of psychoeducation about what is mental versus physical illness, female specific access to care, stigma toward mental illness, and cross-SES-communication. Improved communication in primary care, especially as it serves vulnerable refugee populations might significantly reduce the prevalence of untreated mental illness.

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A Brief Screening Tool for PTSD: Validation of the Korean Version of the Primary Care PTSD Screen for DSM-5 (K-PC-PTSD-5)

Cited by 32 publications

References 7 publications

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

Brief Mental Health Disorder Screening Questionnaires and Use with Public Safety Personnel: A Review

Unattended Mental Health Needs in Primary Care: Lebanon’s Shatila Palestinian Refugee Camp

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