Table 5Screen Performance Characteristics

ScreenAuthor, YearCut Points UsedPTSD Base rateSensitivitySpecificityPPVNPVAUCLR+LR-
BreslauFreedy 201011≥432.1%85%76%31%98%0.883.580.20
≥571%88%43%96%5.900.33
≥654%93%49%94%7.510.50
Kimerling 200613≥425%85%84%64%94%NR5.310.18
≥576%91%74%92%8.440.26
PC-PTSDFreedy 201011332.1%85%82%38%98%0.924.720.18
Gore 20081029%

(estimated)
91%84%37%99%0.892.89NR
370%92%46%97%3.64NR
447%98%71%95%24.9NR
Prins 20039326%77%85%63%91%NR5.130.27
4*25.0%54%93%71%86%7.170.49
3 (women only)70%85%61%91%4.380.36
SIPSGore, 200810Bothered a little

Bothered a lot
9%

(estimated)
76%79%26%97%0.772.28NR
36%96%49%94%9.9NR
SPANFreedy 201011332.1%76%72%25%96%0.842.670.34
453%85%31%93%3.520.56
Meltzer-Brody 2004553Unclear80%29%80%28%0.751.120.70
476%43%83%33%1.330.56
572%71%90%42%2.520.39
Yeager 20078311.3%77%73%27%96%0.842.870.32
475%78%30%96%3.410.32
574%82%34%96%4.090.32
PCLAndrykowski 199847

PCL-C
30Current PTSD: 6%

Lifetime subsyndromal PTSD: 9%
100%83%24%100%NR5.880.00
4060%93%33%97%8.570.43
5060%99%75%97%60.00.40
DSM-IV Symptom cluster60%97%60%97%20.00.41
Dobie 200253

PCL-C
3836%79%79%68%87%0.863.780.26
4468%86%73%83%4.690.38
5058%92%79%80%7.540.45
Freedy 201011

PCL-C
4332.1%80%82%37%97%0.934.540.24
4675%88%44%96%6.110.29
Lang 200549

PCL-C
2 item16%96%58%29%99%0.882.290.07
6 item92%72%36%98%0.893.290.11
17 item – 3096%59%30%99%0.902.340.07
17 item – 5054%94%62%92%0.909.000.49
Lang 200353

PCL-C
2831%94%68%58%96%0.892.940.09
3078%71%55%86%2.690.31
4061%94%80%82%10.170.41
5039%94%75%22%6.500.65
Prins, 20039

PCL-S version
4826%84%90%62%94%NR8.400.18
Walker 200256

version not specified
30NA82%76%28%97%0.843.400.24
4536%95%43%93%6.590.68
5021%98%50%91%8.570.81
Yeager 20078

version not specified
3111.3%81%81%35%97%0.884.310.23
4463%91%47%95%7.020.41
5053%95%57%94%10.320.50
M-3Gaynes 20101226.3% PTSD

35% any disorder
88%76%20%99%NR3.690.16
PDI-4AHouston 201150PTSD item and functioning item both rated at least sometimes4.9%71%72%12%98%NR2.540.40
ADDMeans-Christensen 200651PTSD item only (Yes/No)
3 items (1 specific to PTSD)
18.5%62%83%48%89%NR3.540.46
18.5%96%35%27%97%1.470.11
GAD-7Kroenke 200714GAD-7 ≥88.6%76%75%22%97%0.833.10.32
GAD-2 ≥359%81%23%95%0.803.10.51

PPV = positive predictive value; NPV = negative predictive value; AUC = area under ROC curve; LR+ = positive likelihood ratio; LR- = negative likelihood ratio; NA = not applicable; NR = not reported

*

Based on data from n=188 who completed the PC-PTSD; base rate in that group was 24.5%

From: RESULTS

Cover of Screening for Post-Traumatic Stress Disorder (PTSD) in Primary Care: A Systematic Review
Screening for Post-Traumatic Stress Disorder (PTSD) in Primary Care: A Systematic Review [Internet].
Spoont M, Arbisi P, Fu S, et al.
Washington (DC): Department of Veterans Affairs (US); 2013 Jan.

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