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J Gen Intern Med. 2006 Jan;21(1):65-7.

Brief report: Utility of a short screening scale for DSM-IV PTSD in primary care.

Author information

  • 1VA Palo Alto Health Care System, Palo Alto, CA 94025, USA. Rachel.kimerling@med.va.gov

Abstract

OBJECTIVE:

To evaluate Breslau's 7-item screen for posttraumatic stress disorder (PTSD) for use in primary care.

DESIGN:

One hundred and thirty-four patients were recruited from primary care clinics at a large medical center. Participants completed the self-administered 7-item PTSD screen. Later, psychologists blinded to the results of the screen-interviewed patients using the Clinician Administered PTSD Scale (CAPS). Sensitivity, specificity, and likelihood ratios (LR) were calculated using the CAPS as the criterion for PTSD.

RESULTS:

The screen appears to have test-retest reliability (r=.84), and LRs range from 0.04 to 13.4.

CONCLUSIONS:

Screening for PTSD in primary care is time efficient and has the potential to increase the detection of previously unrecognized PTSD.

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