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(PDF) Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study | Richard Bryant - Academia.edu

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Administering the CAPS is burdensome, requires skilled professionals, and relies on symptoms that are not fully expressed upon acute care admission. Predicting chronic PTSD from peritraumatic responses, which are obtainable upon acute care admission, has yielded conflicting results, hence the rationale for a stepwise screening-and-prediction practice. This work explores the ability of peritraumatic responses to produce risk likelihood estimates of early CAPS-based PTSD symptoms indicative of chronic PTSD risk. It specifically evaluates the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) as a risk-likelihood estimator. Methods We used individual participant data (IPD) from five ac...","author":[{"@context":"https://schema.org","@type":"Person","name":"Richard Bryant"}],"contributor":[],"dateCreated":"2024-10-05","dateModified":null,"datePublished":"2020-01-01","headline":"Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study","inLanguage":"en","keywords":["Medicine","Logistic Regression","Emergency Medical Services","Clinical Sciences","Acute Care","Receiver Operating Characteristic"],"locationCreated":null,"publication":"BMC Emergency Medicine","publisher":{"@context":"https://schema.org","@type":"Organization","name":"Springer Science and Business Media LLC"},"image":null,"thumbnailUrl":null,"url":"https://www.academia.edu/124454624/Evaluating_a_screener_to_quantify_PTSD_risk_using_emergency_care_information_a_proof_of_concept_study","sourceOrganization":[{"@context":"https://schema.org","@type":"EducationalOrganization","name":null}]}</script><link 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[{"id":118676550,"identifier":"Attachment_118676550","shouldShowBulkDownload":false}]; window.loswp.shouldDetectTimezone = true; window.loswp.shouldShowBulkDownload = true; window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":124454624,"created_at":"2024-10-05T14:53:01.001-07:00","from_world_paper_id":259877886,"updated_at":"2024-10-05T15:29:02.767-07:00","_data":{"abstract":"Background Previous work has indicated that post-traumatic stress disorder (PTSD) symptoms, measured by the Clinician-Administered PTSD Scale (CAPS) within 60 days of trauma exposure, can reliably produce likelihood estimates of chronic PTSD among trauma survivors admitted to acute care centers. Administering the CAPS is burdensome, requires skilled professionals, and relies on symptoms that are not fully expressed upon acute care admission. Predicting chronic PTSD from peritraumatic responses, which are obtainable upon acute care admission, has yielded conflicting results, hence the rationale for a stepwise screening-and-prediction practice. This work explores the ability of peritraumatic responses to produce risk likelihood estimates of early CAPS-based PTSD symptoms indicative of chronic PTSD risk. It specifically evaluates the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) as a risk-likelihood estimator. Methods We used individual participant data (IPD) from five ac...","publisher":"Springer Science and Business Media LLC","publication_date":"2020,,","publication_name":"BMC Emergency Medicine"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [31403809]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;swp-splash-paper-cover&quot;,&quot;attachmentId&quot;:118676550,&quot;attachmentType&quot;:&quot;pdf&quot;}"><img alt="First page of “Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/118676550/mini_magick20241005-1-mp94yu.png?1728165184" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/assets/single_work_splash/adobe.icon-574afd46eb6b03a77a153a647fb47e30546f9215c0ee6a25df597a779717f9ef.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="31403809" href="https://independent.academia.edu/RichardBryant6"><img alt="Profile image of Richard Bryant" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/31403809/89489018/78203791/s65_richard.bryant.jpg" />Richard Bryant</a></div><p class="ds-work-card--detail ds2-5-body-sm">2020, BMC Emergency Medicine</p><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Background Previous work has indicated that post-traumatic stress disorder (PTSD) symptoms, measured by the Clinician-Administered PTSD Scale (CAPS) within 60 days of trauma exposure, can reliably produce likelihood estimates of chronic PTSD among trauma survivors admitted to acute care centers. Administering the CAPS is burdensome, requires skilled professionals, and relies on symptoms that are not fully expressed upon acute care admission. Predicting chronic PTSD from peritraumatic responses, which are obtainable upon acute care admission, has yielded conflicting results, hence the rationale for a stepwise screening-and-prediction practice. This work explores the ability of peritraumatic responses to produce risk likelihood estimates of early CAPS-based PTSD symptoms indicative of chronic PTSD risk. It specifically evaluates the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) as a risk-likelihood estimator. Methods We used individual participant data (IPD) from five ac...</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--work-card&quot;,&quot;attachmentId&quot;:118676550,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:&quot;https://www.academia.edu/124454624/Evaluating_a_screener_to_quantify_PTSD_risk_using_emergency_care_information_a_proof_of_concept_study&quot;}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--work-card&quot;,&quot;attachmentId&quot;:118676550,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:&quot;https://www.academia.edu/124454624/Evaluating_a_screener_to_quantify_PTSD_risk_using_emergency_care_information_a_proof_of_concept_study&quot;}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div></div><div data-auto_select="false" data-client_id="331998490334-rsn3chp12mbkiqhl6e7lu2q0mlbu0f1b" data-doc_id="118676550" data-landing_url="https://www.academia.edu/124454624/Evaluating_a_screener_to_quantify_PTSD_risk_using_emergency_care_information_a_proof_of_concept_study" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="2258984" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/2258984/A_brief_screening_tool_for_assessing_psychological_trauma_in_clinical_practice_development_and_validation_of_the_New_York_PTSD_Risk_Score">A brief screening tool for assessing psychological trauma in clinical practice: development and validation of the New York PTSD Risk Score</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="2858055" href="https://tulane.academia.edu/CharlesFigley">Charles R Figley</a></div><p class="ds-related-work--metadata ds2-5-body-xs">General Hospital Psychiatry, 2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;A brief screening tool for assessing psychological trauma in clinical practice: development and validation of the New York PTSD Risk Score&quot;,&quot;attachmentId&quot;:39464863,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/2258984/A_brief_screening_tool_for_assessing_psychological_trauma_in_clinical_practice_development_and_validation_of_the_New_York_PTSD_Risk_Score&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/2258984/A_brief_screening_tool_for_assessing_psychological_trauma_in_clinical_practice_development_and_validation_of_the_New_York_PTSD_Risk_Score"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="24463527" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/24463527/Predicting_Future_PTSD_using_a_Modified_New_York_Risk_Score_Implications_for_Patient_Screening_and_Management">Predicting Future PTSD using a Modified New York Risk Score: Implications for Patient Screening and Management</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="46743899" href="https://independent.academia.edu/JBoscarino">Joseph Boscarino</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Minerva psichiatrica, 2012</p><p class="ds-related-work--abstract ds2-5-body-sm">AIM: We previously developed a posttraumatic stress disorder (PTSD) screening instrument - the New York PTSD Risk Score - that was effective in predicting PTSD. 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18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="23994829" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/23994829/The_Predictive_Power_of_Peritraumatic_Dissociation_and_Acute_Stress_Symptoms_for_Posttraumatic_Stress_Symptoms_A_Three_Month_Prospective_Study">The Predictive Power of Peritraumatic Dissociation and Acute Stress Symptoms for Posttraumatic Stress Symptoms: A Three-Month Prospective Study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="46246508" href="https://univ-tlse2.academia.edu/HenriSztulman">Henri Sztulman</a></div><p class="ds-related-work--metadata ds2-5-body-xs">American Journal of Psychiatry, 2003</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline 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href="https://www.academia.edu/23994829/The_Predictive_Power_of_Peritraumatic_Dissociation_and_Acute_Stress_Symptoms_for_Posttraumatic_Stress_Symptoms_A_Three_Month_Prospective_Study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="22909660" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/22909660/Evaluating_the_Merits_of_Using_Brief_Measures_of_PTSD_or_General_Mental_Health_Measures_in_Two_Stage_PTSD_Screening">Evaluating the Merits of Using Brief Measures of PTSD or General Mental Health Measures in Two-Stage PTSD Screening</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="44600468" href="https://usq.academia.edu/GerardFogarty">Gerard Fogarty</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Military Medicine, 2014</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Evaluating the Merits of Using Brief Measures of PTSD or General Mental Health Measures in Two-Stage PTSD Screening&quot;,&quot;attachmentId&quot;:43449255,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/22909660/Evaluating_the_Merits_of_Using_Brief_Measures_of_PTSD_or_General_Mental_Health_Measures_in_Two_Stage_PTSD_Screening&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/22909660/Evaluating_the_Merits_of_Using_Brief_Measures_of_PTSD_or_General_Mental_Health_Measures_in_Two_Stage_PTSD_Screening"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="14154586" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/14154586/Low_predictive_power_of_peritraumatic_dissociation_for_PTSD_symptoms_in_accident_survivors">Low predictive power of peritraumatic dissociation for PTSD symptoms in accident survivors</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="33144204" href="https://uzh.academia.edu/UlrichSchnyder">Ulrich Schnyder</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2006</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Low predictive power of peritraumatic dissociation for PTSD symptoms in accident survivors&quot;,&quot;attachmentId&quot;:44558292,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/14154586/Low_predictive_power_of_peritraumatic_dissociation_for_PTSD_symptoms_in_accident_survivors&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/14154586/Low_predictive_power_of_peritraumatic_dissociation_for_PTSD_symptoms_in_accident_survivors"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="75079823" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/75079823/Post_traumatic_stress_disorder_can_be_predicted_in_hospitalized_blunt_trauma_patients_using_a_simple_screening_tool">Post-traumatic stress disorder can be predicted in hospitalized blunt trauma patients using a simple screening tool</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="430738" href="https://rochester.academia.edu/AbbasSmiley">Abbas Smiley</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Trauma Surgery &amp; Acute Care Open, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Background Post-traumatic stress disorder (PTSD) has debilitating psychiatric and medical consequences. The purpose of this study was to identify whether PTSD diagnosis and PTSD symptom scale score (PTSD severity) could be predicted by assessing peritraumatic experiences using a single question or screening tools at different time points in patients hospitalized after admission to the hospital after significant physical trauma, but with stable vitals (level II trauma). Methods Patients completed the ‘initial question’ and the National Stressful Events Survey Acute Stress Disorder Scale (NSESSS) at 3 days to 5 days after trauma (NSESSS-1). The same scale was administered 2 weeks to 4 weeks after trauma (NSESSS-2). The Posttraumatic Stress Disorder Symptoms Scale Interview for DSM-5 (PSSI-5) was administered 2 months after trauma. PTSD diagnosis and PTSD severity were extracted from the PSSI-5. Linear multivariate regression analyses were used to establish whether scores for NSESSS-1 ...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Post-traumatic stress disorder can be predicted in hospitalized blunt trauma patients using a simple screening tool&quot;,&quot;attachmentId&quot;:82993867,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/75079823/Post_traumatic_stress_disorder_can_be_predicted_in_hospitalized_blunt_trauma_patients_using_a_simple_screening_tool&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/75079823/Post_traumatic_stress_disorder_can_be_predicted_in_hospitalized_blunt_trauma_patients_using_a_simple_screening_tool"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--sticky-ctas&quot;,&quot;attachmentId&quot;:118676550,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--sticky-ctas&quot;,&quot;attachmentId&quot;:118676550,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_118676550" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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