A predictive screening index for posttraumatic stress disorder and depression following traumatic injury.

摘要: Posttraumatic stress disorder (PTSD) and major depressive episode (MDE) are frequent disabling consequences of surviving severe injury. The majority those who develop these problems not identified or treated. aim this study was to validate a screening instrument that identifies, during hospitalization, adults at high risk for developing PTSD and/or MDE. Hospitalized injury patients (n = 527) completed pool questions represented 13 constructs vulnerability. They were followed up 12 months assessed resulting database split into 2 subsamples. A principal-axis factor analysis then confirmatory conducted on the 1st subsample, in 5-factor solution. Two selected from each factor, 10-item scale. final model cross-validated with 2nd subsample. Receiver-operating characteristic curves created. Adjustment Scale had sensitivity .82 specificity .84 when predicting .72 .75 posttraumatic This index represents clinically useful identify trauma survivors later development