@article{ref1,
title="Can structured interviews for posttraumatic stress disorder assist clinical decision-making after motor vehicle accidents? An exploratory analysis",
journal="Comprehensive psychiatry",
year="2006",
author="Silove, Derrick and Brooks, Robert and Steel, Zachary and Blaszczynski, Alex and Hillman, Ken and Tyndall, Karen",
volume="47",
number="3",
pages="194-200",
abstract="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 &quot;arousal&quot; 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.<p /><p>Language: en</p>",
language="en",
issn="0010-440X",
doi="10.1016/j.comppsych.2005.08.004",
url="http://dx.doi.org/10.1016/j.comppsych.2005.08.004"
}