Predicting Future PTSD using a Modified New York Risk Score: Implications for Patient Screening and Management

摘要: AIM: We previously developed a posttraumatic stress disorder (PTSD) screening instrument - the New York PTSD Risk Score that was effective in predicting PTSD. In present study, we assessed 12-month prospective version of this risk score, which is important for patient management, follow-up, and emergency medicine. METHODS: Using data collected study City adults after World Trade Center Disaster (WTCD), new prediction tool. diagnostic test methods, including receiver operating curve (ROC) bootstrap procedures, examined different variables to assess status 12 months initial assessment among 1,681 trauma-exposed adults. RESULTS: While our original screener worked well short term, it not specifically predict long-term current found Primary Care Screener (PCPS), when combined with psychosocial predictors from NY Score, depression, trauma exposure, sleep disturbance, healthcare access, increased area under ROC (AUC) 0.707 0.774, significant improvement (p<0.0001). When additional risk-factor were added, negative life events, handedness, self-esteem, pain status, AUC 0.819, also (p=0.001). Adding Latino foreign model further 0.839 (p=0.007). CONCLUSION: A appears be Further research advised validate expand these findings.