학술논문
Impact of Evidence-Based Standardized Assessment on the Disability Clinical Interview for Diagnosis of Service-Connected PTSD: A Cluster-Randomized Trial.
Document Type
Article
Author
Source
Subject
*DIAGNOSIS of post-traumatic stress disorder
*FUNCTIONAL assessment of people with disabilities
*EVIDENCE-based medicine
*DISABILITIES
*PSYCHOLOGY
MENTAL health of medical personnel
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Language
ISSN
0894-9867
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. [ABSTRACT FROM AUTHOR]