Performance characteristics of the Posttraumatic Stress Disorder Checklist and SPAN in Veterans Affairs primary care settings

Yeager, Derik; Magruder, Kathryn M.; Knapp, Rebecca G.; Nicholas, Joyce S.; Frueh, B. Christopher

doi:10.1016/j.genhosppsych.2007.03.004

Cited by 115 publications

(111 citation statements)

References 19 publications

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“…17 Symptoms of PTSD and depression were assessed using the PostTraumatic Stress Disorder Checklist Military (PCLM) 18 and Beck Depression Inventory (BDI). 19,20 The neurologic examination was conducted by research staff (J.D., D.R., T.M., O.A.).…”

Section: Participants Screening Of 230 Us Active Duty Military Servimentioning

confidence: 99%

Clinical and imaging assessment of acute combat mild traumatic brain injury in Afghanistan

et al. 2015

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Objective: To evaluate whether diffusion tensor imaging (DTI) will noninvasively reveal white matter changes not present on conventional MRI in acute blast-related mild traumatic brain injury (mTBI) and to determine correlations with clinical measures and recovery.Methods: Prospective observational study of 95 US military service members with mTBI enrolled within 7 days from injury in Afghanistan and 101 healthy controls. Assessments included Rivermead Post-Concussion Symptoms Questionnaire (RPCSQ), Post-Traumatic Stress Disorder Checklist Military (PCLM), Beck Depression Inventory (BDI), Balance Error Scoring System (BESS), Automated Neuropsychological Assessment Metrics (ANAM), conventional MRI, and DTI.Results: Significantly greater impairment was observed in participants with mTBI vs controls: RPCSQ (19.7 6 12.9 vs 3.6 6 7.1, p , 0.001), PCLM (32 6 13.2 vs 20.9 6 7.1, p , 0.001), BDI (7.4 6 6.8 vs 2.5 6 4.9, p , 0.001), and BESS ( Conclusions: Somatic, behavioral, and cognitive symptoms and performance deficits are substantially elevated in acute blast-related mTBI. Postconcussive symptoms and performance on measures of posttraumatic stress disorder, depression, and neurocognitive performance at initial presentation correlate with return-to-duty time. Although changes in fractional anisotropy are uncommon and subtle, DTI is more sensitive than conventional MRI in imaging white matter integrity in blast-related mTBI acutely. Blast-related mild traumatic brain injury (mTBI) has emerged as one of the most prevalent war injuries sustained by service members in the conflicts in Afghanistan and Iraq.

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Section: Participants Screening Of 230 Us Active Duty Military Servimentioning

confidence: 99%

Clinical and imaging assessment of acute combat mild traumatic brain injury in Afghanistan

et al. 2015

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“…The study used the PCL-Civilian (PCL-C) version because it addresses the broadest range of possible events as the traumatic stressor. The PCL-C has demonstrated strong reliability and validity in multiple samples [17][18] and has good concurrent validity with the Clinician-Administered Posttraumatic Stress interview [19], the "gold standard" in diagnostic measurement of PTSD.…”

Section: Posttraumatic Stress Disordermentioning

confidence: 99%

“…Recommended cut points have ranged from 31 [19] to 60 [20], and there remains lack of consensus regarding the best diagnostic threshold for the PCL-C [21][22]. The minimum possible score that corresponds with a Diagnostic and Statistical Manual of Mental Disorders-IV [23] diagnosis of PTSD is 41 and is thus considered clinically significant [17].…”

Section: Posttraumatic Stress Disordermentioning

confidence: 99%

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Outcalt

Ang

et al. 2014

J Rehabil Res Dev

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Abstract-Chronic pain and posttraumatic stress disorder (PTSD) co-occur at high rates, and Veterans from recent wars in Iraq and Afghanistan may be particularly vulnerable to both conditions. The objective of this study was to identify key aspects of chronic pain, cognitions, and psychological distress associated with comorbid PTSD among this sample of Veterans. Baseline data were analyzed from a randomized controlled trial testing a stepped-care intervention for chronic musculoskeletal pain. Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with chronic pain only (n = 173) were compared with those with chronic pain and clinically significant posttraumatic stress symptoms (n = 68). Group differences on pain characteristics, pain cognitions, and psychological distress were evaluated. Results demonstrated that OIF/OEF Veterans with comorbid chronic musculoskeletal pain and PTSD experienced higher pain severity, greater painrelated disability and increased pain interference, more maladaptive pain cognitions (e.g., catastrophizing, self-efficacy, pain centrality), and higher affective distress than those with chronic pain alone. Veterans of recent military conflicts in Iraq and Afghanistan may be particularly vulnerable to the compounded adverse effects of chronic pain and PTSD. These results highlight a more intense and disabling pain and psychological experience for those with chronic pain and PTSD than for those without PTSD. Clinical

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“…An examination of the literature suggests that there is much variation in the recommended cut-offs. For example, Keen et al (Keen, Kutter, Niles, & Krinslet, 2008) observed that cut-offs for the PTSD Checklist (PCL-C) (one of the most frequently used self-report questionnaires) for probable DSM-IV PTSD ranged from 28 to 50 (Dobie et al, 2002; Forbes, Creamer, & Biddle, 2001; Lang, Laffaye, Satz, Dresselhaus, & Stein, 2003; Yeager, Magruder, Knapp, Nicholas, & Frueh, 2007). Cut-off values have been reported as high as 60 (Keen et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Exploring optimum cut-off scores to screen for probable posttraumatic stress disorder within a sample of UK treatment-seeking veterans

Murphy

Ross

Ashwick

et al. 2017

European Journal of Psychotraumatology

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Background: Previous research exploring the psychometric properties of the scores of measures of posttraumatic stress disorder (PTSD) suggests there is variation in their functioning depending on the target population. To date, there has been little study of these properties within UK veteran populations. Objective: This study aimed to determine optimally efficient cut-off values for the Impact of Event Scale-Revised (IES-R) and the PTSD Checklist for DSM-5 (PCL-5) that can be used to assess for differential diagnosis of presumptive PTSD. Methods: Data from a sample of 242 UK veterans assessed for mental health difficulties were analysed. The criterion-related validity of the PCL-5 and IES-R were evaluated against the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Kappa statistics were used to assess the level of agreement between the DSM-IV and DSM-5 classification systems. Results: The optimal cut-off scores observed within this sample were 34 or above on the PCL-5 and 46 or above on the IES-R. The PCL-5 cut-off is similar to the previously reported values, but the IES-R cut-off identified in this study is higher than has previously been recommended. Overall, a moderate level of agreement was found between participants screened positive using the DSM-IV and DSM-5 classification systems of PTSD. Conclusions: Our findings suggest that the PCL-5 and IES-R can be used as brief measures within veteran populations presenting at secondary care to assess for PTSD. The use of a higher cut-off for the IES-R may be helpful for differentiating between veterans who present with PTSD and those who may have some sy`mptoms of PTSD but are sub-threshold for meeting a diagnosis. Further, the use of more accurate optimal cut-offs may aid clinicians to better monitor changes in PTSD symptoms during and after treatment.

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Performance characteristics of the Posttraumatic Stress Disorder Checklist and SPAN in Veterans Affairs primary care settings

Cited by 115 publications

References 19 publications

Clinical and imaging assessment of acute combat mild traumatic brain injury in Afghanistan

Clinical and imaging assessment of acute combat mild traumatic brain injury in Afghanistan

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Exploring optimum cut-off scores to screen for probable posttraumatic stress disorder within a sample of UK treatment-seeking veterans

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