TY  - JOUR
PY  - 2011//
TI  - Postdeployment traumatic brain injury screening questions: Sensitivity, specificity, and predictive values in returning soldiers
JO  - Rehabilitation psychology
A1  - Terrio, Heidi P.
A1  - Nelson, Lonnie A.
A1  - Betthauser, Lisa M.
A1  - Harwood, Jeri E.
A1  - Brenner, Lisa Anne
SP  - 26
EP  - 31
VL  - 56
IS  - 1
N2  - Objective: To evaluate the sensitivity, specificity, and predictive values of Post-Deployment Health Assessment traumatic brain injury (TBI) screening questions employed by the Department of Defense (DOD). Participants: Complete data was obtained from 3,072 soldiers upon return from a 15-month deployment to Iraq. Method: Comparisons were made between responses to the DOD four-item screener and a brief structured clinical interview for likely deployment-related TBI history. The interview process was facilitated using responses to the Warrior Administered Retrospective Casualty Assessment Tool (WARCAT). Results: The sensitivity and specificity of the DOD screening tool (positive response to all four items) in comparison to the clinician-confirmed diagnosis was 60% and 96%, respectively. The sensitivity increased to 80%, with a slight decrease in specificity to 93%, for positive TBI screening when affirmative responses to questions 1 and 2 only were included. Conclusions: Affirmative responses to questions 1 and 2 of the DOD TBI screening tool demonstrated higher sensitivity for clinician-diagnosed deployment-related TBI. These two items perform better than positive responses to all four questions; the criteria presently being used for documentation and referral of a deployment-related TBI. These findings support further exploration of TBI screening and assessment procedures. (PsycINFO Database Record (c) 2011 APA, all rights reserved).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-5550
UR  - http://dx.doi.org/10.1037/a0022685
ID  - ref1
ER  -