Evidence map›Paper›PMID 30597679›Full record

ArticleDepression and anxiety2019

Detecting PTSD in a traumatically injured population: The diagnostic utility of the PTSD Checklist for DSM-5.

Timothy J Geier, Joshua C Hunt, Lindsay D Nelson, Karen J Brasel, Terri A deRoon-Cassini

Open access · greenAbstract read
In one paragraph

Article in Depression and anxiety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% 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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Revictimisation Across Types of Interpersonal Violence: A Meta-Regression Analysis of PTSD and Associated Factors.Stress and health : journal of the International Society for the Investigation of Stress · 2025
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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

5 authors at 2 institutions in 1 country.

Timothy J GeierDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0002-8545-4487
Joshua C HuntDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Lindsay D NelsonDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Karen J BraselDepartment of Surgery, Oregon Health & Science University, Portland, Oregon.
Terri A deRoon-CassiniDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Medical College of Wisconsin · USOregon Health & Science University · US

Funding

Role of ECS in Resilience & Psychopathology After TraumaR21MH102838 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI DEROON-CASSINI, TERRI A., HILLARD, CECILIA J · 2014 to 2015
$347k
NIMH NIH HHS R21 MH102838
6 · The paper itself

Abstract

backgroundThe posttraumatic stress disorder (PTSD) Checklist for DSM-5 (PCL-5) is among few validated measures of PTSD severity in line with the DSM-5. Validation efforts among veteran samples have recommended cut scores of 33 and 38 to indicate PTSD; cut scores vary across populations depending on factors such as trauma type. The purpose of this study was to evaluate the diagnostic utility of and identify optimal cut scores for the PCL-5 in relation to the gold standard Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) among traumatically injured individuals 6 months after discharge from a level I trauma center.

methodsA total of 251 participants completed the PCL-5 and CAPS-5 6 months after discharge from a level I trauma center following traumatic injury. Receiver operating characteristic curve analyses detailed diagnostic accuracy of the PCL-5 and identified the optimal cut score via Youden's J index. Cut scores were also broken down by intentional versus nonintentional injury.

resultsThe PCL-5 produces satisfactory diagnostic accuracy, with adequate sensitivity and specificity, in a traumatically injured population. Estimates indicate the optimal cut score as >30; the optimal cut score for intentional injuries was >34 and >22 for nonintentional injuries.

conclusionsThis investigation provides support for the PCL-5 in detection of PTSD among injured individuals 6 months after discharge from a level I trauma center. PCL-5 specificity and sensitivity suggest clinicians working with this population can feel confident in using this measure over more onerous structured interviews (e.g., CAPS-5). This study signifies a move toward ensuring those experiencing mental health difficulties after traumatic injury are identified and connected to resources.

Indexed as

ChecklistDiagnostic and Statistical Manual of Mental DisordersAdultFemaleHumansMaleROC CurveSensitivity and SpecificityStress Disorders, Post-Traumaticassessment/diagnosishealth servicesmeasurement/psychometricsPTSD/posttraumatic stress disordertrauma

Identifiers

PMID30597679
PMCPMC6373876
OpenAlexW2907587603

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.