PMID- 16635648
OWN - NLM
STAT- MEDLINE
DCOM- 20061020
LR  - 20061115
IS  - 0010-440X (Print)
IS  - 0010-440X (Linking)
VI  - 47
IP  - 3
DP  - 2006 May-Jun
TI  - Can structured interviews for posttraumatic stress disorder assist clinical 
      decision-making after motor vehicle accidents? An exploratory analysis.
PG  - 194-200
AB  - Motor vehicle accidents (MVAs) represent one of the most common causes of 
      posttraumatic stress disorder (PTSD) worldwide. Predicting those MVA survivors 
      who are likely to experience PTSD in the longer-term has attracted substantial 
      research attention, but most investigators have concluded that early traumatic 
      stress symptoms have only moderate predictive power. The present study focuses on 
      a decision-tree approach that might be useful to clinicians attempting to 
      identify subgroups of MVA survivors with graduated degrees of risk. Eighty-three 
      consecutive MVA admissions (response rate, 65%) were assessed by structured 
      clinical interview within 2 weeks of the accident and at 18 months follow-up. 
      Meeting full criteria for PTSD (other than the time criterion) at baseline 
      achieved a positive predictive power of 0.92 in identifying those who had PTSD 
      over the following 18 months. For the remainder, the PTSD "arousal" domain 
      achieved a positive predictive power of 0.81 for predicting those with either 
      subthreshold PTSD or full PTSD over the 18-month follow-up period. The 
      implications for further research into a stepped approach to intervention and 
      monitoring are discussed.
FAU - Silove, Derrick
AU  - Silove D
AD  - Psychiatry Research and Teaching Unit, School of Psychiatry, University of New 
      South Wales, and Centre for Population Mental Health Research, Sydney South West 
      Area Health Service, New South Wales 2170, Australia. d.silove@unsw.edu.au
FAU - Brooks, Robert
AU  - Brooks R
FAU - Steel, Zachary
AU  - Steel Z
FAU - Blaszczynski, Alex
AU  - Blaszczynski A
FAU - Hillman, Ken
AU  - Hillman K
FAU - Tyndall, Karen
AU  - Tyndall K
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Compr Psychiatry
JT  - Comprehensive psychiatry
JID - 0372612
SB  - IM
MH  - Accidents, Traffic/*psychology
MH  - Adolescent
MH  - Adult
MH  - *Decision Making
MH  - Decision Trees
MH  - Female
MH  - Humans
MH  - Interview, Psychological
MH  - Male
MH  - Middle Aged
MH  - Predictive Value of Tests
MH  - Risk Assessment
MH  - Stress Disorders, Post-Traumatic/*diagnosis/psychology
MH  - Time Factors
EDAT- 2006/04/26 09:00
MHDA- 2006/10/21 09:00
CRDT- 2006/04/26 09:00
PHST- 2005/01/24 00:00 [received]
PHST- 2005/05/18 00:00 [revised]
PHST- 2005/08/24 00:00 [accepted]
PHST- 2006/04/26 09:00 [pubmed]
PHST- 2006/10/21 09:00 [medline]
PHST- 2006/04/26 09:00 [entrez]
AID - S0010-440X(05)00103-3 [pii]
AID - 10.1016/j.comppsych.2005.08.004 [doi]
PST - ppublish
SO  - Compr Psychiatry. 2006 May-Jun;47(3):194-200. doi: 
      10.1016/j.comppsych.2005.08.004.