Citation

Iverson KM, King MW, Gerber MR, Resick PA, Kimerling R, Street AE, Vogt DS. J. Trauma. Stress 2015; 28(1): 79-82.

Affiliation

National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA; Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.

Copyright

(Copyright © 2015, International Society for Traumatic Stress Studies, Publisher John Wiley and Sons)

DOI

10.1002/jts.21985

PMID

25624170

Abstract

The 4-item Hurt/Insult/Threaten/Scream (HITS) tool accurately detects past-year intimate partner violence (IPV) among female United States Veterans Health Administration (VHA) patients; however, it lacks a sexual IPV item. This study evaluated the accuracy of an extended HITS (E-HITS), which adds a sexual IPV item, in female VHA patients. A sample of 80 female U.S. veteran VHA patients in New England completed a mail survey (50.0% response rate) that included the 5-item E-HITS and the Revised Conflict Tactics Scales (CTS-2). Women were included if they were in an intimate relationship in the past year. The women averaged 49 years of age and 86.0% of the sample was White. Accuracy of the 4-item HITS was compared to the 5-item E-HITS, using the CTS-2 as the reference. There were 20 women (25.0%) who reported past-year IPV on the CTS-2. The receiver operator characteristic curves demonstrated that the HITS and E-HITS performed nearly identically at their optimal cutoff scores of 6 and 7, respectively. At these cutoff scores, the sensitivity of both tools was.75, 95% CI [.55,.95]. The specificities were similar;.83 for the HITS, 95% CI [.73,.92], and.82 for the E-HITS, 95% CI [.72,.90]. Including a sexual IPV item may be clinically beneficial; it also attains the same accuracy of case identification as the HITS.

Language: en