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- Title
Impact of Evidence-Based Standardized Assessment on the Disability Clinical Interview for Diagnosis of Service-Connected PTSD: A Cluster-Randomized Trial.
- Authors
Speroff, Theodore; Sinnott, Patricia L.; Marx, Brian; Owen, Richard R.; Jackson, James C.; Greevy, Robert; Sayer, Nina; Murdoch, Maureen; Shane, Andrea C.; Smith, Jeffrey; Alvarez, JoAnn; Nwosu, Samuel K.; Keane, Terence; Weathers, Frank; Schnurr, Paula P.; Friedman, Matthew J.
- Abstract
Posttraumatic stress disorder (PTSD) is one of the fastest growing compensated medical conditions. The present study compared usual disability examiner practices for PTSD with a standardized assessment that incorporates evidence-based assessments. The design was a multicenter, cluster randomized, parallel-group study involving 33 clinical examiners and 384 veterans at 6 Veterans Affairs medical centers. The standardized group incorporated the Clinician Administered PTSD Scale and the World Health Organization Disability Assessment Schedule-II into their assessment interview. The main outcome measures were completeness and accuracy of PTSD diagnosis and completeness of functional assessment. The standardized assessments were 85% complete for diagnosis compared to 30% for nonstandardized assessments ( p < .001), and, for functional impairment, 76% versus 3% ( p < .001). The findings demonstrate that the quality of PTSD disability examination would be improved by using evidence-based assessment.
- Subjects
DIAGNOSIS of post-traumatic stress disorder; MENTAL health of medical personnel; FUNCTIONAL assessment of people with disabilities; EVIDENCE-based medicine; DISABILITIES; PSYCHOLOGY
- Publication
Journal of Traumatic Stress, 2012, Vol 25, Issue 6, p607
- ISSN
0894-9867
- Publication type
Article
- DOI
10.1002/jts.21759