Evidence map›Paper›PMID 26386484›Full record

ArticleGeneral hospital psychiatry

Validation of a brief PTSD screener for underserved patients in federally qualified health centers.

Bing Han, Eunice C Wong, Zhimin Mao, Lisa S Meredith, Andrea Cassells, Jonathan N Tobin

Open access · greenAbstract readValidation Study
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. COVID Stressed, but Not due to the Virus.The Journal of surgical research · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Bing HanRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA. Electronic address: bhan@rand.org.
Eunice C WongRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA.
Zhimin MaoRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA.
Lisa S MeredithRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407-2138, USA; VA HSR&D Center for the Study of Healthcare Provider Behavior, 16111 Plummer Street (152), North Hills, CA, 91343, USA.
Andrea CassellsClinical Directors Network (CDN), 5 W 37th St # 10, New York, NY, 10018, USA.
Jonathan N TobinClinical Directors Network (CDN), 5 W 37th St # 10, New York, NY, 10018, USA; Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, 1300 Morris Park Ave, Bronx, NY, 10461, USA; Center for Clinical and Translational Sciences, The Rockefeller University, 1230 York Avenue, New York, NY, 10065, USA.
RAND Corporation · USClinical Directors Network · US

Funding

Improving PTSD Management in Primary CareR01MH082768 · NIMH · RAND CORPORATION · PI MEREDITH, LISA SEIDEL · 2009 to 2013
$3.5M
NIMH NIH HHS R01 MH082768NIMH NIH HHS R01MH082768NIMH NIH HHS R01MH082768-02S1
6 · The paper itself

Abstract

objectiveThe objective was to validate the reliability and efficiency of alternative cutoff values on the abbreviated six-item Posttraumatic Stress Disorder (PTSD) Checklist (PCL-6) [1] for underserved, largely minority patients in primary care settings of Federally Qualified Health Centers (FQHCs).

methodUsing a sample of 760 patients recruited from six FQHCs in the New York City and New Jersey metropolitan area from June 2010 to April 2013, we compared the PCL-6 with the Clinician Administered PTSD Scale (CAPS) for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. We used reliability statistics for single cutoff values on PCL-6 scores. We examined the relationship between probabilities of meeting CAPS diagnostic criteria and PCL-6 scores by nonparametric regression.

resultsPCL-6 scores range between 6 and 30. Reliability and efficiency statistics for cutoff between 12 and 26 were reported. There is a strong monotonic relationship between PCL-6 scores and the probability of meeting CAPS diagnostic criteria.

conclusionNo single cutoff on PCL-6 scores has acceptable reliability on both false positive and false negative simultaneously. An ordinal decision rule (low risk: 12 or less, medium risk: 13 to 16, high risk: 17 to 25 and very high risk: 26 and above) can differentiate the risk of PTSD. A single cutoff (17 or higher as positive) may be suitable for identifying those with the greatest need for care given limited mental health capacity in FQHC settings.

Indexed as

ChecklistCommunity Health CentersVulnerable PopulationsAdultCase-Control StudiesFemaleHumansMaleMass ScreeningMiddle AgedNew JerseyNew York CityPsychometricsRegression AnalysisReproducibility of ResultsSensitivity and SpecificityPCL-6PTSDScreeningValidation

Identifiers

PMID26386484
PMCPMC4698219
OpenAlexW951568126

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.