@article{ref1,
title="Post-Hurricane Distress Scale (PHDS): determination of general and disorder-specific cutoff scores",
journal="International journal of environmental research and public health",
year="2022",
author="Carl, Yonatan and Vega, Andy and Cardona-Acevedo, Gina and Stukova, Marina and Matos-Rivera, Melissa and Torres-Sanchez, Anamaris and Milián-Rodríguez, Melissa and Torres-Mercado, Brian and Burgos, Grisel and Tremblay, Raymond L.",
volume="19",
number="9",
pages="e5204-e5204",
abstract="The Post-Hurricane Distress Scale (PHDS) was developed to assess mental health risk in the aftermath of hurricanes. We derive both disorder-specific cutoff values and a single nonspecific cutoff for the PHDS for field use by disaster relief and mental health workers. Data from 672 adult residents of Puerto Rico, sampled 3 to 12 months after Hurricane Maria, were collected. Participants completed a five-tool questionnaire packet: PHDS, Kessler K6, Patient Health Questionnaire 9, Generalized Anxiety Disorder 7, and Post-Traumatic Stress Disorder Checklist for DSM V (PCL-5). ROC curves, AUC values, sensitivities, specificities, Youden's index, and LR+ ratios are reported. The recommended single cutoff value for the PHDS is 41, whereby a respondent with a PHDS score of 41 or above is deemed high-risk for a mental health disorder. The single field use PHDS cutoff demonstrated high specificity (0.80), an LR + ratio (2.84), and a sensitivity of 0.56. The mean ROC values of PHDS for Kessler K6, Patient Health Questionnaire 9, Generalized Anxiety Disorder 7, and PCL-5 were all above 0.74. The derived cutoff for the PHDS allows efficient assessment of respondents' and/or a community's risk status for mental health disorders in the aftermath of hurricanes and natural disasters.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph19095204",
url="http://dx.doi.org/10.3390/ijerph19095204"
}