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Approximately 80 percent of patients with PTSD have at least one comorbid psychiatric disorder. Before a diagnosis of PTSD can be made, the patient's symptoms must significantly disrupt normal activities and last for more than one month. The emotional and physical symptoms of PTSD occur in three clusters: re-experiencing the trauma, marked avoidance of usual activities, and increased symptoms of arousal. The lifetime prevalence of PTSD in the United States is 8 to 9 percent, and approximately 25 to 30 percent of victims of significant trauma develop PTSD. Screening is an essential step toward getting patients the care they need.Although post-traumatic stress disorder (PTSD) is a debilitating anxiety disorder that may cause significant distress and increased use of health resources, the condition often goes undiagnosed. PTSD is a treatable condition, with numerous treatment options. “The prevalence of PTSD among patients seeking primary care - 15% of men and 29% of women in our sample - underscores the importance of screening. “Regardless of the cut point, the PC-PTSD-5 has demonstrated utility in screening for PTSD in VA primary care settings,” Bovin and colleagues wrote. Participants considered the PC-PTSD-5 to be highly acceptable. For women, a cut point of three fit better, although it increased the number of false positives. For the overall sample and for men, a cut point of four ideally balanced false negatives and false positives. Results showed high levels of diagnostic accuracy for the PC-PTSD-5 for the overall sample, men and women. Bovin and colleagues assessed the range of PC-PTSD-5 cut points overall and across gender, and they used calculating weighted kappa values to evaluate diagnostic performance. In the second session, conducted within 30 days via telephone, participants completed the PC-PTSD-5 administered by a research assistant, and then a clinician assessor blind to the results of the screen conducted a structured diagnostic interview for PTSD. In the first session, conducted in person, participants completed questionnaires. The researchers noted demographic similarity between participants and the VA primary care population and that participants were predominantly white men. They analyzed data of 396 veterans aged 18 years or older who were scheduled for a primary care visit from clinics across two VA medical centers. The investigators conducted the current study to evaluate whether the PC-PTSD-5 could accurately diagnose and acceptably measure PTSD in VA primary care clinics. Pilot testing suggested that the PC-PTSD-5 had sound diagnostic accuracy.” Furthermore, language to assess traumatic exposure was clarified to ensure that respondents understood that symptom questions referred to traumatic events and not to other stressors. “The was revised as the PC-PTSD-5 to reflect DSM-5 criteria. Bovin, PhD, of the National Center for PTSD at VA Boston Healthcare System, and colleagues wrote.
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“In 2013, the American Psychiatric Association presented revised PTSD diagnostic criteria in the ,” Michelle J. The Primary Care PTSD screen for the DSM-5 effectively and efficiently screened for PTSD in Veterans Affairs primary care clinics, according to results of a cross-sectional, diagnostic accuracy study published in JAMA Network Open. If you continue to have this issue please contact to Healio