ArticleBMC emergency medicine2020
Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study.
Article in BMC emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00146900 (Prevention of Post Traumatic Stress Disorder by Early Treatment), which is not on this map. Cited by 7 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.
Prevention of Post Traumatic Stress Disorder by Early Treatment
Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Development and external validation of a short prognostic screening instrument for PTSD one year following individual civilian trauma.European journal of psychotraumatology · 2025Article
- Altered brain activity and functional connectivity after MDMA-assisted therapy for post-traumatic stress disorder.Frontiers in psychiatry · 2022Article
- The opportunities and challenges of machine learning in the acute care setting for precision prevention of posttraumatic stress sequelae.Experimental neurology · 2021Review
- Peritraumatic Stress Symptoms during Early Post-Intensive Care Unit Recovery.Annals of the American Thoracic Society · 2021Article
- Symptoms of Anxiety, Depression, and Peritraumatic Dissociation in Critical Care Clinicians Managing Patients with COVID-19. A Cross-Sectional Study.American journal of respiratory and critical care medicine · 2020Article
- Correction to: Evaluating a screener to quantify PTSD risk using emergency care information: a proof of concept study.BMC emergency medicine · 2020Article
- Development and validation of a brief screener for posttraumatic stress disorder risk in emergency medical settings.General hospital psychiatryArticle
Corrections and comments
- Erratum issued
Authors and funding
17 authors at 12 institutions in 5 countries.
Funding
Abstract
backgroundPrevious work has indicated that post-traumatic stress disorder (PTSD) symptoms, measured by the Clinician-Administered PTSD Scale (CAPS) within 60 days of trauma exposure, can reliably produce likelihood estimates of chronic PTSD among trauma survivors admitted to acute care centers. Administering the CAPS is burdensome, requires skilled professionals, and relies on symptoms that are not fully expressed upon acute care admission. Predicting chronic PTSD from peritraumatic responses, which are obtainable upon acute care admission, has yielded conflicting results, hence the rationale for a stepwise screening-and-prediction practice. This work explores the ability of peritraumatic responses to produce risk likelihood estimates of early CAPS-based PTSD symptoms indicative of chronic PTSD risk. It specifically evaluates the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) as a risk-likelihood estimator.
methodsWe used individual participant data (IPD) from five acute care studies that used both the PDEQ and the CAPS (n = 647). Logistic regression calculated the probability of having CAPS scores ≥ 40 between 30 and 60 days after trauma exposure across the range of initial PDEQ scores, and evaluated the added contribution of age, sex, trauma type, and prior trauma exposure. Brier scores, area under the receiver-operating characteristic curve (AUC), and the mean slope of the calibration line evaluated the accuracy and precision of the predicted probabilities.
resultsTwenty percent of the sample had CAPS ≥ 40. PDEQ severity significantly predicted having CAPS ≥ 40 symptoms (p < 0.001). Incremental PDEQ scores produced a reliable estimator of CAPS ≥ 40 likelihood. An individual risk estimation tool incorporating PDEQ and other significant risk indicators is provided.
conclusionPeritraumatic reactions, measured here by the PDEQ, can reliably quantify the likelihood of acute PTSD symptoms predictive of chronic PTSD and requiring clinical attention. Using them as a screener in a stepwise chronic PTSD prediction strategy may reduce the burden of later CAPS-based assessments. Other peritraumatic metrics may perform similarly and their use requires similar validation.
trial registrationJerusalem Trauma Outreach and Prevention Study (J-TOPS): NCT00146900.
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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.