TY - JOUR
T1 - Validation of lay-administered mental health assessments in a large Army National Guard cohort
AU - Prescott, Marta R.
AU - Tamburrino, Marijo
AU - Calabrese, Joseph R.
AU - Liberzon, Israel
AU - Slembarski, Renee
AU - Shirley, Edwin
AU - Fine, Thomas
AU - Goto, Toyomi
AU - Wilson, Kimberly
AU - Ganocy, Stephen
AU - Chan, Philip
AU - Derus, Alphonse
AU - Serrano, Mary Beth
AU - Sizemore, James
AU - Kauffman, Jeremy
AU - Galea, Sandro
PY - 2014/3
Y1 - 2014/3
N2 - To report the reliability and validity of key mental health assessments in an ongoing study of the Ohio Army National Guard (OHARNG). The 2616 OHARNG soldiers received hour-long structured telephone surveys including the post-traumatic stress disorder (PTSD) checklist (PCV-C) and Patient Health Questionnaire - 9 (PHQ-9). A subset (N=500) participated in two hour clinical reappraisals, using the Clinician-Administered PTSD Scale (CAPS) and the Structured Clinical Interview for DSM (SCID). The telephone survey assessment for PTSD and for any depressive disorder were both highly specific [92% (standard error, SE 0.01), 83% (SE 0.02)] with moderate sensitivity [54% (SE 0.09), 51% (SE 0.05)]. Other psychopathologies assessed included alcohol abuse [sensitivity 40%, (SE 0.04) and specificity 80% (SE 0.02)] and alcohol dependence [sensitivity, 60% (SE 0.05) and specificity 81% (SE 0.02)].The baseline prevalence estimates from the telephone study suggest alcohol abuse and dependence may be higher in this sample than the general population. Validity and reliability statistics suggest specific, but moderately sensitive instruments.
AB - To report the reliability and validity of key mental health assessments in an ongoing study of the Ohio Army National Guard (OHARNG). The 2616 OHARNG soldiers received hour-long structured telephone surveys including the post-traumatic stress disorder (PTSD) checklist (PCV-C) and Patient Health Questionnaire - 9 (PHQ-9). A subset (N=500) participated in two hour clinical reappraisals, using the Clinician-Administered PTSD Scale (CAPS) and the Structured Clinical Interview for DSM (SCID). The telephone survey assessment for PTSD and for any depressive disorder were both highly specific [92% (standard error, SE 0.01), 83% (SE 0.02)] with moderate sensitivity [54% (SE 0.09), 51% (SE 0.05)]. Other psychopathologies assessed included alcohol abuse [sensitivity 40%, (SE 0.04) and specificity 80% (SE 0.02)] and alcohol dependence [sensitivity, 60% (SE 0.05) and specificity 81% (SE 0.02)].The baseline prevalence estimates from the telephone study suggest alcohol abuse and dependence may be higher in this sample than the general population. Validity and reliability statistics suggest specific, but moderately sensitive instruments.
KW - "alcohol use disorders"
KW - "depressive disorders"
KW - "posttraumatic stress disorder"
KW - Assessment
KW - Military
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U2 - 10.1002/mpr.1416
DO - 10.1002/mpr.1416
M3 - Article
C2 - 24615746
AN - SCOPUS:84897806018
SN - 1049-8931
VL - 23
SP - 109
EP - 119
JO - International Journal of Methods in Psychiatric Research
JF - International Journal of Methods in Psychiatric Research
IS - 1
ER -