Trial reportJournal of general internal medicine2007
Screening for posttraumatic stress disorder in VA primary care patients with depression symptoms.
Trial report in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00105833 (Improving Outcomes of Depression in Primary Care), which is not on this map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Outcomes of Depression in Primary Care
Who cites it
15 citing papers in PubMed, 36 citations in OpenAlex.
- PTSD risk and mental health care engagement in a multi-war era community sample of women veterans.Journal of general internal medicine · 2013Trial
- Kidnapping-Induced Post-Traumatic Stress Disorder in an Elderly Nigerian Woman: Biopsychosocial Insights and Cognitive Processing Therapy Outcomes.Rwanda journal of medicine and health sciences · 2024Article
- Neurophenotypes of COVID-19: Risk factors and recovery outcomes.Brain, behavior, & immunity - health · 2023Article
- Neurophenotypes of COVID-19: risk factors and recovery outcomes.Research square · 2023Article
- Presence of PTSD is Associated with Clinical and Functional Impact in Veterans with Depression Treated in Community-Based Clinics.Journal of clinical psychology in medical settings · 2022Article
- Article
- Treatment of depression and PTSD in primary care clinics serving uninsured low-income mostly Latina/o immigrants: A naturalistic prospective evaluation.Cultural diversity & ethnic minority psychology · 2019Article
- Posttraumatic Stress Symptoms and their Relationship to Drug and Alcohol use in an International Sample of Latino Immigrants.Journal of immigrant and minority health · 2017Article
- PTSD in primary care--an update on evidence-based management.Current psychiatry reports · 2013Review
- Meeting the mental health needs of low-income immigrants in primary care: a community adaptation of an evidence-based model.The American journal of orthopsychiatry · 2011Article
- Trauma, Depression, and Comorbid PTSD/Depression in a Community Sample of Latina Immigrants.Psychological trauma : theory, research, practice and policy · 2010Article
- A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan.American journal of public health · 2010Article
- Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women.Journal of women's health (2002) · 2009Article
- Experiences of traumatic events and associations with PTSD and depression development in urban health care-seeking women.Journal of urban health : bulletin of the New York Academy of Medicine · 2008Article
- Evaluating risk factors and possible mediation effects in posttraumatic depression and posttraumatic stress disorder comorbidity.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnrecognized posttraumatic stress disorder (PTSD) is common and may be an important factor in treatment-resistant depression. Brief screens for PTSD have not been evaluated for patients with depression.
objectiveThe objective was to evaluate a 4-item screen for PTSD in patients with depression.
designBaseline data from a depression study were used to evaluate sensitivity, specificity, and likelihood ratios (LRs) using the PTSD checklist (PCL-17) as the reference standard. SUBJECTS: Subjects are 398 depressed patients seen in Veterans Affairs (VA) primary care clinics. MEASURES: The Patient Health Questionnaire (PHQ) for depression, PCL-17, and 4-item screen for PTSD were used.
resultsPatients had a mean PHQ score of 14.8 (SD 3.7). Using a conservative PCL-17 cut point "(>50)", the prevalence of PTSD was 37%. PCL-17 scores were strongly associated with PHQ scores (r = 0.59, P < 0.001). Among the 342 (86%) patients endorsing trauma, a score of 0 on the remaining 3 symptom items had a LR = 0.21, score of 1 a LR = .62, score of 2 a LR = 1.36, and score of 3 a LR = 4.38.
conclusionsMost depressed VA primary care patients report a history of trauma, and one third may have comorbid PTSD. Our 4-item screen has useful LRs for scores of 0 and 3. Modifying item rating options may improve screening characteristics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.