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The Value of Physical Symptoms in Screening For Posttraumatic Stress Disorder in the Military

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dc.contributor.authorGraham, K.
dc.contributor.authorSearle, A.
dc.contributor.authorVan Hooff, M.
dc.contributor.authorLawrence-Wood, E.
dc.contributor.authorMcFarlane, A.
dc.date.issued2020
dc.description.abstractPhysical symptoms are highly comorbid with posttraumatic stress disorder (PTSD). As PTSD is underdiagnosed, this study explored the value of self-reported physical symptoms in screening for 30-day PTSD in military personnel. Two physical symptom scales were constructed using items from a 67-item health symptom checklist, clinical interviews were used as the diagnostic reference standard, and diagnostic utility of physical symptoms was compared with the current gold standard screen, the PTSD checklist (PCL). Receiver operating characteristic analyses showed that both a 9-item and a 10-item physical symptom scale were of value in predicting PTSD (areas under the curve 0.81 and 0.85). Importantly, two thirds of PTSD positive personnel missed by the PCL were captured with physical symptoms scales, and when physical symptoms were added to the PCL, prediction was improved (areas under the curve 0.90 to 0.92). Our findings highlight the value of including assessing physical symptoms in PTSD screening.
dc.identifier.citationAssessment, 2020; 27(6):1139-1150
dc.identifier.doi10.1177/1073191119864662
dc.identifier.issn1073-1911
dc.identifier.issn1552-3489
dc.identifier.orcidGraham, K. [0000-0002-1864-1856]
dc.identifier.orcidSearle, A. [0000-0002-8602-0146]
dc.identifier.orcidVan Hooff, M. [0000-0002-9376-3714]
dc.identifier.orcidLawrence-Wood, E. [0000-0003-4643-6232]
dc.identifier.orcidMcFarlane, A. [0000-0002-3829-9509]
dc.identifier.urihttps://hdl.handle.net/11541.2/139393
dc.language.isoen
dc.publisherSAGE Publications
dc.rightsCopyright 2019 The author(s).
dc.source.urihttps://doi.org/10.1177/1073191119864662
dc.subjectmilitary
dc.subjectphysical symptoms
dc.subjectposttraumatic stress
dc.subjectreceiver operating characteristic curve
dc.titleThe Value of Physical Symptoms in Screening For Posttraumatic Stress Disorder in the Military
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9916319191301831

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