Establishing Concurrent Validity for a Brief PTSD Screen Among Women in a Domestic Violence Shelter
| Autor: | Lisa Beth Levine, John Maddoux, Kimberly S Landrum, Judith McFarlane, Lene Symes, Cari Delgado McFarlane |
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| Rok vydání: | 2018 |
| Předmět: |
Domestic Violence
Concurrent validity Population Intimate Partner Violence behavioral disciplines and activities Stress Disorders Post-Traumatic Informed consent Intervention (counseling) mental disorders Humans Medicine 0501 psychology and cognitive sciences Child education Applied Psychology education.field_of_study Sexual violence Receiver operating characteristic business.industry 050901 criminology 05 social sciences Gold standard United States Diagnostic and Statistical Manual of Mental Disorders Clinical Psychology ROC Curve Domestic violence Female 0509 other social sciences business 050104 developmental & child psychology Clinical psychology |
| Zdroj: | Journal of Interpersonal Violence. 36:NP3646-NP3660 |
| ISSN: | 1552-6518 0886-2605 |
| DOI: | 10.1177/0886260518779595 |
| Popis: | There is a particular need for valid scales to screen for posttraumatic stress disorder (PTSD) among women who seek safe shelter from intimate partner violence. Screening to identify women who are at risk for PTSD can lead to early intervention that reduces the risk for PTSD-related outcomes such as poor decision making, inconsistent parenting, and behavior dysfunction among their children. The gold standard for diagnosing PTSD is the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) (CAPS-5). A seven-item PTSD screen has been used for in this population and has a well-established cutoff score but has not been validated against the DSM-5 diagnostic criteria for PTSD. The study purpose was to establish concurrent validity for a seven-item screen for PTSD with the CAPS-5. Participants were 75 women, 18 years or older, who were residents of a 120-bed shelter in the southern United States. They spoke English or Spanish. They reported intimate partner physical or sexual violence within 4 months of their entry into the study. Following informed consent, data were collected in individual interviews, conducted in either English or Spanish. In addition to demographic data, the seven-item PTSD screen and the CAPS-5 were administered. A receiver operating characteristic (ROC) curve analysis was conducted to assess the concurrent validity of the seven-item PTSD screen with the CAPS-5. The seven-item PTSD screen results were significantly correlated with the CAPS-5 results in this sample (area under the curve [AUC] = .640, z = 2.670, p = .008). Sensitivity was 96.2, and observed specificity was 31.8. The seven-item PTSD screen demonstrates excellent sensitivity (e.g., 96% of true PTSD cases) and acceptable specificity (32% of non-PTSD cases) and can be used to quickly and accurately identify individuals for diagnostic assessment and intervention. |
| Databáze: | OpenAIRE |
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