Predicting PTSD in trauma survivors: prospective evaluation of self-report and clinician-administered instruments

1997 ◽  
Vol 170 (6) ◽  
pp. 558-564 ◽  
Author(s):  
Arieh Y. Shalev ◽  
Sara. Freedman ◽  
Tuvia Peri ◽  
Dalia Brandes ◽  
Tali Sahar
Keyword(s):  
Self Report ◽  
Trauma Survivors ◽  
Trauma Recovery ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Clinical Interviews ◽  
Hospital Emergency Room ◽  
Mississippi Scale ◽  
Ptsd Scale ◽  
Better Than

BackgroundThis study examined the ability of commonly used questionnaires and a structured clinical interview to predict PTSD in recent trauma survivors.MethodHorowitz's Impact of Event Scale (IES), Speilberger's State Anxiety (SANX) and the Peri Traumatic Dissociation Questionnaire (PDEQ) were administered one week post-trauma to 239 traumatised individuals recruited from a general hospital emergency room. The IES, the SANX, the civilian version of the Mississippi Scale for Combat Related PTSD (MISS), and the Clinician Administered PTSD Scale (CAPS) were administered one month and four months post-trauma. Receiver operator characteristic (ROC) analysiswas used with these data.ResultsAll questionnaires were better than chance at predicting PTSD. The so called PTSD questionnaires (IES and MISS) were not better than the more general ones. No difference in predictive value was found when questionnaires were carried outone week or one month after a trauma. Recovery was better predicted than PTSD, and the CAPS was better than the questionnaires.DiscussionThe use of psychometrics and clinical interviews to predict PTSD should be guided by clinical relevance and by the availability of resources.

The Long-Term Psychiatric Consequences of Accidental Injury

1988 ◽  
Vol 153 (6) ◽  
pp. 810-818 ◽  
Author(s):  
Ulrik Malt
Keyword(s):  
Psychiatric Disorders ◽  
Depressive Disorders ◽  
Rating Scale ◽  
General Health Questionnaire ◽  
Self Report ◽  
Accidental Injury ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Clinical Interviews

One hundred and seven accidentally injured adults were studied while in hospital and assessed prospectively twice more in a mean period of 28 months. The patients were studied by means of taped clinical interviews, including the Comprehensive Psycho-pathological Rating Scale (which includes the Montgomery-åsberg Depression Rating Scale), and several self-report measures of distress (Schedule of Recent Life Events, General Health Questionnaire, Impact of Event Scale and State Anxiety Inventory) at the three assessments. The total incidence of psychiatric disorders considered to be caused by the accident during the follow-up period was 22.4%. The incidence of non-organic psychiatric disorders caused by the accident was 16.8% at the first follow-up and 9.3% at the final follow-up. Depressive disorders of different severity were most often seen. Only one patient suffered from a posttraumatic stress disorder during the follow-up, and none at the final follow-up (DSM-III). Organic mental disorders were diagnosed in 9.3% of the patients. In 5.6% of the patients this was the only disorder.

Validation of the MCMI-III PTSD Scale among Combat Veterans

1997 ◽  
Vol 80 (3) ◽  
pp. 720-722 ◽  
Author(s):  
Lee Hyer ◽  
Stephanie Boyd ◽  
Ellen Stanger ◽  
Harry Davis ◽  
Paul Walters
Keyword(s):  
Treatment Group ◽  
Combat Veterans ◽  
Stress Disorder ◽  
Combat Exposure ◽  
Response Style ◽  
Self Report ◽  
Ptsd Treatment ◽  
Mississippi Scale ◽  
Ptsd Scale ◽  
The Impact

The new MCMI-III Posttraumatic Stress Disorder (PTSD) scale was validated on 104 combat veterans who were divided into two groups, PTSD Treatment Group and Non-PTSD Treatment Group. PTSD status was carefully determined by clinical interview and therapists' reports. The Combat Exposure Scale, the Mississippi Scale for Combat-related PTSD, and the Impact of Events Scale were also given. Analysis showed that the MCMI-III PTSD scale had a low internal consistency, but that it significantly differentiated the two groups and significantly correlated to those on other PTSD self-report scales. This scale appeared to be influenced by an acquiescent response style. Further validation studies are needed.

The EMDR Protocol for Recent Critical Incidents: Brief Report of an Application in a Human Massacre Situation

2011 ◽  
Vol 5 (4) ◽  
pp. 156-165 ◽  
Author(s):  
Ignacio Jarero ◽  
Susana Uribe
Keyword(s):  
Posttraumatic Stress ◽  
Critical Incidents ◽  
Attorney General ◽  
Self Report ◽  
Natural Setting ◽  
Ptsd Symptoms ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Delayed Treatment ◽  
The Impact

This ongoing field study was conducted subsequent to the discovery of clandestine graves with 218 bodies recovered in the Mexican state of Durango in April 2011. A preliminary psychometric assessment was conducted with the 60 State Attorney General employees who were working with the corpses to establish a triage criterion and provide baseline measures. The Impact of Event Scale (IES) and the short posttraumatic stress disorder (PTSD) rating interview were administered, and the 32 individuals whose scores indicated moderate-to-severe posttraumatic stress and PTSD symptoms were treated with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI). Participants were assigned to two groups: immediate treatment (severe scores) and waitlist/delayed treatment (moderate scores). Each individual client session lasted between 90 and 120 minutes. Results showed that one session of EMDR-PRECI produced significant improvement on self-report measures of posttraumatic stress and PTSD symptoms for both the immediate treatment and waitlist/delayed treatment groups. This study provides preliminary evidence in support of the protocol’s efficacy in a natural setting of a human massacre situation to a group of traumatized adults working under extreme stressors. More controlled research is recommended to evaluate further the protocol’s efficacy.

Full and partial PTSD among young adult survivors after the l’aquila 2009 earthquake: Gender differences

2011 ◽  
Vol 26 (S2) ◽  
pp. 1065-1065
Author(s):  
L. Dell’Osso ◽  
C. Carmassi ◽  
E. Massimetti ◽  
I. Pergentini ◽  
M. Corsi ◽  
...  
Keyword(s):  
Gender Differences ◽  
Central Italy ◽  
Adult Survivors ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Richter Scale ◽  
Young Adult Survivors ◽  
The Impact

IntroductionEarthquakes are one of the most frequently occurring natural disasters and lot of studies have been conducted on exposed populations, particularly to evaluate post-traumatic stress disorder (PTSD). On April 6th 2009, the town of L’Aquila, central Italy, was struck by an earthquake, with a strength of 5.9 on the Richter scale, and 309 people have died, 1600 were injuried and more than 65000 were displaced.ObjectivesTo investigate the impact of PTSD in a sample of L’Aquila's people.AimsTo evaluate the prevalence rates of PTSD, either full-blown or partial, among 512 students attending the last year of high school in L’Aquila, 10 months after the earthquake.MethodsAssessments included the trauma and loss spectrum-self report (TALS-SR) and the Impact of Event Scale (IES). Gender differences in the symptoms reported were investigated. Partial PTSD is defined as the presence of symptoms in the DSM-IV Criterion B and C or D for PTSD diagnosis.ResultsOur results showed the presence of PTSD in 192 (37.5%) of the students examined, with significantly (p = .000) higher rates in women than men (N = 120, 51.7% and N = 72, 25.7%, respectively). Moreover, 153 (29.9%) students reported partial PTSD (75, 32.3% women and 78, 27.9% men respectively). Significantly higher PTSD symptoms were reported by women with respect to men.ConclusionsOur results show high rates of full or partial PTSD in adolescents survived to L’Aquila's earthquake. Women resulted more affected than men. These results highlight the need to carefully explore these conditions.

Utility of the Impact of Event Scale in Screening for Posttraumatic Stress Disorder

2005 ◽  
Vol 97 (1) ◽  
pp. 297-308 ◽  
Author(s):  
Anke B. Witteveen ◽  
Inge Bramsen ◽  
Johannes E. Hovens ◽  
Henk M. van der Ploeg
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
The Self ◽  
Characteristic Analysis ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Self Rating ◽  
Ptsd Scale ◽  
The Impact

This study assesses the optimal cut-off point for the Impact of Event Scale and compares its screening properties with those of the Self-rating Inventory for Posttraumatic Stress Disorder among war-related trauma victims. 74 patients with war-related trauma were administered the Impact of Event Scale and the Self-rating Inventory for Posttraumatic Stress Disorder, followed 1 wk. later by the Clinician-administered PTSD Scale. Receiver operating characteristic analysis indicated for the Impact of Event Scale a sensitivity of .77 and a specificity of .51 at a cut-off value of 36. For the Self-rating Inventory for Posttraumatic Stress Disorder a sensitivity of .86 and a specificity of .69 were found at a cut-off value of 52. The authors conclude that careful use of the Impact of Event Scale as a screening measure for Posttraumatic Stress Disorder is warranted.

scholarly journals Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2

2021 ◽  
Vol 12 ◽  
Author(s):  
Luca Moderato ◽  
Davide Lazzeroni ◽  
Annalisa Oppo ◽  
Francesco Dell’Orco ◽  
Paolo Moderato ◽  
...  
Keyword(s):  
Stress Response ◽  
Acute Stress ◽  
Health Workers ◽  
Severe Depression ◽  
Severity Index ◽  
Self Report ◽  
Cross Sectional ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Acute Stress Response

ObjectiveThe study is an explorative investigation aimed to assess the differences in acute stress response patterns of health workers facing coronavirus disease 2019 (COVID-19) during Italy’s first lockdown.MethodsA cross-sectional investigation using convenience sampling method was conducted in Italy during April 2020. Eight hundred fifty-eight health workers participated in the research filling out self-report measures including Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), Insomnia Severity Index (ISI), and Impact of Event Scale–Revised (IES-R).ResultsModerate/severe depression was found in 28.9% (95% CI, 25.8–32.04), moderate/severe anxiety in 55.4% (95% CI, 51.9–58.8), insomnia in 15% (95% CI, 12.5–17.5), and distress in 52.5% (95% CI, 48.5%–56.6) of participants. The 3% of health workers reported frequent suicidal thoughts. Female sex, working for >15 h/week in a COVID-19 unit, and living apart from family were associated with a significantly higher risk of distress, anxiety, insomnia, depression, and functional impairment. Four profiles were identified on the basis of psychopathological measures: Profile_0 included 44% (N = 270); Profile_1, 25.6% (N = 157); Profile_2, 19.1% (N = 117); and Profile_3, 11.3% (N = 69) of participants. Results showed a significant effect for Profiles X IES-R (η2 = 0.079; f = 0.29), indicating that in all profiles, except for Profile_0, avoidance scale is lower than hyperarousal and intrusion symptoms scales of the IES-R. This characteristic could be a probable index of the control exerted by the responders to not fly away from their job.ConclusionThe identification of specific profiles could help psychiatrists and emergency psychologists to build specific interventions in terms of both primary and secondary prevention to face future waves of the COVID-19 outbreak.

scholarly journals ĮVYKIO POVEIKIO SKALĖS – REVIZUOTOS (IES-R) LIETUVIŠKOS VERSIJOS PSICHOMETRINĖS SAVYBĖS

Psichologija ◽  
2006 ◽  
Vol 33 ◽  
Author(s):  
Evaldas Kazlauskas ◽  
Danutė Gailienė ◽  
Vėjūnė Domanskaitė-Gota ◽  
Jelena Trofimova
Keyword(s):  
Psychometric Properties ◽  
Traumatic Stress ◽  
Life Time ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Factor Solution ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

Tyrimo tikslas yra plačiai traumų psichologijos tyrimuose naudojamos potrauminio streso įvertinimo metodikos – Įvykio poveikio skalės – revizuotos versijos (IES-R) adaptavimas Lietuvoje. Ištyrus 406 asmenis, patyrusius per gyvenimą nors vieną trauminį įvykį, nustatyta, kad metodikos struktūra ir patikimumas yra artimas angliškosios versijos rodikliams. IES-R metodikos lietuviškosios versijos subskalių Cronbacho alpha lygi 0,82–0,88, visos IES-R metodikos alpha lygi 0,93. IES-R metodikos lietuviškoji versija parengta taikyti Lietuvoje.Pagrindiniai žodžiai: potrauminis stresas, įvykio poveikio skalė, metodikos. PSYCHOMETRIC PROPERTIES OF THE LITHUANIAN VERSION OF THE IMPACT OF EVENT SCALE–REVISED (IES-R)Evaldas Kazlauskas, Danutė Gailienė, Vėjūnė Domanskaitė-Gota, Jelena Trofimova SummaryObjective: The impact of Event Scale–Revised is widely used self-report measure for assessment of PTSD symptoms after a variety of traumatic events. The aim of this study was to examined the psychometric properties of the Lithuanian version of the Impact of Event Scale–Revised.Method: A non-clinical population sample of 406 young adults participated in the study. All participants were exposed to at least one life-time traumatic event meeting A criteria of PTSD according to DSM-IV. Traumatic experiences were assessed using the list of life-time traumatic experiences.Results: The Lithuanian version of Impact of Event Scale–Revised has a good internal consistency. The coefficient alpha for the instrusion subscale was .88, for avoidance subscale alpha .82, and for hyperarousal subscale alpha .85. The Coefficient alpha for the total of Impact of Event Scale–Revised was .93. Subscale intercorrelations were: Intrusion with Avoidance r = .62, Intrusion with Hyperarousal r = .79, and Avoidance with Hyperarousal r = .60. A series of factor principal component analysis using varimax rotation with forced two-, three- and four- factor solutions was undertaken. The two-factor solution explained 49.1% of variance – comprising two gactors Instruction (including Hyperarousal) and Avoidance. The three-factor solution accounted for 54.8% of the variance consistent with three symptom criteria of PTSD: Intrusion, Hyperarousal and Avoidance. Items 2, 12 and 20 loaded on improper factors; item 7 did not load on any of the factors. The four-factor solution explained 59.5% of the variance, yielding four factors: Hyperarausal, Avoidance, Intrusion and Numbing.Conclusions: The Lithuanian version of Impact of Event Scale–Revised was found to have satisfactory psychometric properties. We conclude that the new self-report means of post-traumatic stress is adapted for useon Lithuanian population. Issues concerning norms of Impact of Event Scale–Revised and the limitations of the present study are discussed. Keywords: post-traumatic stress, Impact of Event Scale–Revised, Assessment methods.

scholarly journals The Relationship between Mindfulness and Sleep Quality is Mediated by Emotion Regulation

2020 ◽  
Vol 1 (2) ◽  
pp. 42-66
Author(s):  
Garrett Talley ◽  
John Shelley-Tremblay
Keyword(s):  
Emotion Regulation ◽  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Self Report ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Acting With Awareness ◽  
The Impact ◽  
The Relationship

Background: Sleep is critical to a person’s overall physical and mental health. The current study investigated the relationship between mindfulness and sleep quality, to determine if this relationship is influenced by emotion regulation and perceived stress. Method: Three hundred sixty-seven undergraduate students responded to five self-report measures, (1) The Cognitive and Affective Mindfulness Scale (CAMS-R), (2) The Impact of Event Scale (IES-R), (3) The Five Facet Mindfulness Questionnaire (FFMQ), (4) The Emotion Regulation Questionnaire (ERQ), and (5) The Pittsburgh Sleep Quality Index (PSQI). Results: Results revealed (1) sleep quality was predicted by the presence of hyperarousal, acting with awareness, and the CAMS-R, (2) the Impact of Event Scale was moderately positively correlated with a person’s global score on the Pittsburgh Sleep Quality Index, and (3) the relationship between mindfulness and sleep quality was mediated by hyperarousal. Conclusions: Together, our findings suggest that higher levels of intrusive thoughts, avoidance, and hyperarousal are correlated with lower overall sleep quality, and the use of mindfulness techniques such as acting with awareness and being non-reacting to negative thoughts or hyperarousal may help predict an individual’s sleep quality.

A Parent's Tears: Primary Results from the Traumatic Experiences and Resiliency Study

2014 ◽  
Vol 68 (3) ◽  
pp. 183-205 ◽  
Author(s):  
Joanne Cacciatore ◽  
Jeffrey R. Lacasse ◽  
Cynthia A. Lietz ◽  
Jane McPherson
Keyword(s):  
Online Survey ◽  
Self Report ◽  
Traumatic Experiences ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Family Assessment Device ◽  
Bereaved Parents ◽  
Wide Range ◽  
Physical Health Problems ◽  
The Impact

This study examined health/mental health status, family functioning, and resiliency among a sample of bereaved parents ( N = 503). Participants were recruited from an online support community to complete an online survey instrument (response rate = 51.75%). The questionnaire contained an array of self-report instruments, such as the Hopkins Symptoms Checklist-25 (HSCL-25), the Impact of Event Scale-Revised (IES-R), and the Family Assessment Device (FAD), as well as open-ended questions. Many respondents scored over the clinical cut-off for the HSCL-25 (51.3%, n = 258) and IES-R (42.3%, n = 213). IES-R scores were negatively correlated with years-since loss ( r = −0.24, p < .05). In narrative responses, participants described a wide range of deeply impactful mental and physical health problems. The results indicate significant clinical distress in this sample of bereaved parents, with many reporting enduring psychological, familial, and health consequences following the death of a child.

scholarly journals Forensic psychiatric expertise: Posttraumatic stress disorder

2011 ◽  
Vol 139 (suppl. 1) ◽  
pp. 46-51
Author(s):  
Milan Stojakovic
Keyword(s):  
Stress Disorder ◽  
Personality Change ◽  
Material Damage ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Psychiatric Expertise ◽  
Mississippi Scale ◽  
Forensic Psychiatric ◽  
Military Engagement

Introduction. This article presents our experiences in the field of forensic post-traumatic stress disorder (PTSD). Objective. The study examined parameters of 30 patients with PTSD who were the subject of forensic expertise (PTSDF) and in 30 patients with PTSD who were not (PTSDN). Methods. Clinical research and the battery of tests (Impact of Event Scale - IES, Mississippi Scale, and list of symptoms of PCL-M) covered a total of 60 male subjects with a verified diagnosis of PTSD. The study involved socio-demographic variables, catastrophic experience, enduring personality change after catastrophic experience (EPCACE), comorbidity disorders and non-material damage. Results. In terms of respondents? average age, years of education, marital status, time of military engagement, there were no statistically significant differences between PTSDF and PTSDN groups. In terms of EPCACE statistically significant differences were found in both PTSDF and PTSDN groups. Among PTSDF respondents (N=30) EPCACE was verified in 83.33% (N=25), and among PTSDN in 23.33% (N=7) (p<0.05). In terms of comorbidity disorders and the parameter of non-material damage no statistically significant differences were found either in PTSDF or PTSDN group. Conclusion. In terms of EPCACE there were statistically significant differences both in PTSDF and PTSDN group. Forensic and psychiatric meaning of PTSD encompasses a number of complex elements on which forensic expert opinion depends, while the existence of PTSD diagnosis itself does not affect creation of opinions. The study should serve to identify methodological and conceptual problems in the field of forensic aspects of PTSD.

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