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Validation of a screening instrument for post-traumatic stress disorder in a clinical sample of older adults
Author(s)Sheila A Hudson, Louisa A Beckford, Stephen D Jackson
Journal titleAging & Mental Health, vol 12, no 5, September 2008
PublisherTaylor & Francis, September 2008
Pagespp 670-673
Sourcehttp://www.tandfonline.com
KeywordsStress ; Screening ; Evaluation.
AnnotationThe diagnostic validity of the Post-Traumatic Stress Disorder Checklist (PCL) was determined against the "gold standard" of the Clinician Administered PTSD Scale (CAPS) in a clinical sample of 100 UK older people aged 65+ being treated for medical and/or psychiatric conditions in a hospital setting. Participants completed the PCL measures of mood, cognition, physical health, alcohol use and the CAPS. A receiver operating characteristics curve was constructed to determine the optimal cut-point of the PCL. Analysis of variance was used to examine clinical differences between PTSD cases, sub-threshold cases and the remainder of the sample. Using the recommended cut-point of 50, the PCL had a sensitivity of 9.40, specificity of 0.97 and positive predictive value of 0.57. However, these values changed to 0.90, 0.87 and 0.45 respectively when the optimal cut-point of 36 was used. With an adjusted cut-point, the PCL is an acceptable brief screening instrument for PTSD in older people. (RH).
Accession NumberCPA-081124245 A
ClassmarkQNH: 3V: 4C

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