The primary care PTSD screen (PC-PTSD)

Development and operating characteristics

Annabel Prins, Paige Ouimette, Rachel Kimerling, Rebecca P. Cameron, Daniela S. Hugelshofer, Jennifer Shaw-Hegwer, Ann Thrailkill, Fred D. Gusman, Javaid Sheikh

Research output: Contribution to journalArticle

740 Citations (Scopus)

Abstract

Posttraumatic stress disorder (PTSD) is a frequently unrecognized anxiety disorder in primary care settings. This study reports on the development and operating characteristics of a brief 4-item screen for PTSD in primary care (PC-PTSD). 188 VA primary care patients completed the PC-PTSD, the PTSD Symptom Checklist (PCL) and the Clinician Administered Scale for PTSD (CAPS). The prevalence of PTSD was 24.5%. Signal detection analyses showed that with this base rate, the PC-PTSD had an optimally efficient cutoff score of 3 for both male and female patients. A cutoff score of 2 is recommended when sensitivity rather than efficiency is optimized. The PC-PTSD outperformed the PCL in terms of overall quality, sensitivity, specificity, efficiency, and quality of efficiency. The PC-PTSD appears to be a psychometrically sound screen for PTSD with comparable operating characteristics to other screens for mental disorders.

Original languageEnglish
Pages (from-to)9-14
Number of pages6
JournalPrimary Care Psychiatry
Volume9
Issue number1
DOIs
Publication statusPublished - 2003
Externally publishedYes

Fingerprint

Post-Traumatic Stress Disorders
Primary Health Care
Checklist
Anxiety Disorders
Mental Disorders
Sensitivity and Specificity

Keywords

  • Posttraumatic stress disorder
  • Primary care
  • PTSD
  • Screen
  • Veterans

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Prins, A., Ouimette, P., Kimerling, R., Cameron, R. P., Hugelshofer, D. S., Shaw-Hegwer, J., ... Sheikh, J. (2003). The primary care PTSD screen (PC-PTSD): Development and operating characteristics. Primary Care Psychiatry, 9(1), 9-14. https://doi.org/10.1185/135525703125002360

The primary care PTSD screen (PC-PTSD) : Development and operating characteristics. / Prins, Annabel; Ouimette, Paige; Kimerling, Rachel; Cameron, Rebecca P.; Hugelshofer, Daniela S.; Shaw-Hegwer, Jennifer; Thrailkill, Ann; Gusman, Fred D.; Sheikh, Javaid.

In: Primary Care Psychiatry, Vol. 9, No. 1, 2003, p. 9-14.

Research output: Contribution to journalArticle

Prins, A, Ouimette, P, Kimerling, R, Cameron, RP, Hugelshofer, DS, Shaw-Hegwer, J, Thrailkill, A, Gusman, FD & Sheikh, J 2003, 'The primary care PTSD screen (PC-PTSD): Development and operating characteristics', Primary Care Psychiatry, vol. 9, no. 1, pp. 9-14. https://doi.org/10.1185/135525703125002360
Prins A, Ouimette P, Kimerling R, Cameron RP, Hugelshofer DS, Shaw-Hegwer J et al. The primary care PTSD screen (PC-PTSD): Development and operating characteristics. Primary Care Psychiatry. 2003;9(1):9-14. https://doi.org/10.1185/135525703125002360
Prins, Annabel ; Ouimette, Paige ; Kimerling, Rachel ; Cameron, Rebecca P. ; Hugelshofer, Daniela S. ; Shaw-Hegwer, Jennifer ; Thrailkill, Ann ; Gusman, Fred D. ; Sheikh, Javaid. / The primary care PTSD screen (PC-PTSD) : Development and operating characteristics. In: Primary Care Psychiatry. 2003 ; Vol. 9, No. 1. pp. 9-14.
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