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Establishment of a Disaster-Related Psychological Screening Test

Establishment of a Disaster-Related Psychological Screening Test,10.1046/j.1440-1614.2003.01087.x,Australian and New Zealand Journal of Psychiatry,Fra

Establishment of a Disaster-Related Psychological Screening Test   (Citations: 14)
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Objective: To create a short screening scale for the detection of posttraumatic stress disorder (PTSD) and major depressive disorder (MDE) in earthquake survivors in Taiwan.Method: Trained research assistants used the Disaster-Related Psychological Screening Test (DRPST) to assess 461 residents of a village that had experienced a major earthquake. The participants were also evaluated by psychiatrists using the Mini-International Neuropsychiatric Interview (MINI). Best subset regression analysis and the receiver operating characteristics curve were used to select a subset of items and cut-off points from the DRPST.Results: A seven-symptom scale and a three-symptom analogue were selected for PTSD and MDE screening, respectively. Scores of three or more on the PTSD scale and two or more on the MDE scale were used to define a group of positive cases that provide useful information for the patient cohort and will be valuable in long-term follow-up studies of the prevalence of psychiatric diseases following a natural disaster. However, higher scores could also be used to define positive cases under limited psychiatric care resources.Conclusion: The DRPST, which was administered for phase 1 of this two-phase study, may be used for effective and rapid screening for PTSD and MDE after an earthquake, despite the usual limitations on resources following a disaster.
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    • ...Compared with major depressive episodes diagnosed by psychiatrists via the Mini-International Neuropsychiatric Interview, the sensitivity, specificity, positive predictive value, and negative predictive values were 92.1, 98.3, 83.3, and 99.3%, respectively [15]...

    Frank Huang-Chih Chouet al. A comparison of quality of life and depression between female married ...

    • ...The DRPST developed by Chou et al. [16] is a rapid screening scale for major depression (MD) and posttraumatic stress disorder (PTSD)...
    • ...The second part investigates the psychological symptoms of MD and PTSD based on DSM-IV criteria and is validated by psychiatrists [16]...
    • ...Compared with PTSD diagnosed by psychiatrists with the MINI, its sensitivity was 76.1%, specificity was 99.8%, positive predictive value was 97.2%, and negative predictive value was 97.4% [16]...

    Yong-Shing Chenet al. The relationship between quality of life and posttraumatic stress diso...

    • ...Our screening instrument, Breslau’s scale [25] and Chou’s scale [29] are all sevensymptom scales, but the items included are not the same...
    • ...In Chou’s scale, three are from the re-experiencing symptom cluster, three are from the avoidance and numbing symptom cluster, and one is from the arousal symptom cluster [29]...
    • ...The threshold in our scale was the same as Chou’s 3 scores for earthquake [29] but lower than Breslau’s 4 scores for the community [25]...

    AiZhong Liuet al. Brief Screening Instrument of Posttraumatic Stress Disorder for Childr...

    • ...We also used the Disaster-Related Psychological Screening Test (DRPST) [11] to evaluate the probability of depression and to survey the stressors that are predictive of depression in police officers...
    • ...The DRPST developed by Chou et al. [11] is a rapid screening scale for major depressive episode (MDE) and posttraumatic stress disorder (PTSD)...
    • ...The second part investigates the psychological symptoms of MDE and PTSD based on DSM-IV criteria and validated by psychiatrists [11]...
    • ...Although DRPST is not a diagnostic tool, the positive predictive value for a major depressive episode was 83.3% [11]...

    Hsiu-Chao Chenet al. A Survey of Quality of Life and Depression for Police Officers in Kaoh...

    • ...As Yu-Chi Township was near the earthquake’s epicenter, all residents were deemed equally exposed to the tremors [4, 18]...
    • ...Five psychiatrists and two publichealth professionals designed the DRPST [4]...
    • ...Further, the questionnaire was designed to account for idiosyncrasies in local language and grammar [4]...
    • ...More-detailed information, including the assistants’ training program, has been provided in previous papers [4, 18]...
    • ...The research assistants used the questionnaires to collect basic information and assess related risk factors for all residents aged 16 years of age or over, with analogous information for nonrespondents derived using cluster sampling of local government records 4–6 months after the earthquake [4, 18]...
    • ...The DRPST was developed for quick and effective screening of psychological impairment [4], while the SF-36 was selected because it has been validated for quality-of-life evaluation [13]...
    • ...Older respondents that had sought medical help after the earthquake [4], scored lower on every quality-of-life subscale, regardless of whether they had experienced major physical injuries and/or had a pre-existing medical condition...

    F. H.-C. Chouet al. The Relationship Between Quality of Life and Psychiatric Impairment fo...

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