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Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 37(1): 55-62, Jan-Mar/2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-741939

RESUMO

Objective: War veterans are at high risk of developing posttraumatic stress disorder (PTSD), and the development of brief self-report instruments that enable screening for PTSD in this population is crucial. The PTSD Checklist-Military Version (PCL-M) is widely used for this purpose. This study sought to explore the diagnostic utility of the Portuguese version of the PCL-M. Methods: The participants were 86 Portuguese Colonial War veterans (42 with a PTSD diagnosis and 44 without PTSD). Participants completed a self-report instrument designed to collect sociodemographic data, the PCL-M, and the Clinician-Administered PTSD Scale (CAPS). Results: The area under the receiver operator characteristic (ROC) curve showed excellent discriminant ability between subjects with and without PTSD (AUC = 0.94). To achieve a positive PTSD diagnosis, an optimal cutoff point of 49 for the PCL-M total score and cutoff points for each of its 17 items are recommended. Conclusions: This work is a relevant contribution for research and clinical practice in the vast population of Portuguese Colonial War veterans. Use of the PCL-M as a screening tool for PTSD symptoms will allow easier, resource-aware targeting of subjects with a potential PTSD diagnosis, adding to the improvement of public health in Portugal. .


Assuntos
Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Sistema Nervoso Autônomo/fisiopatologia , Pressão Sanguínea/fisiologia , Doenças Cardiovasculares/psicologia , Frequência Cardíaca/fisiologia , Negativismo , Estresse Psicológico/complicações , Barorreflexo/fisiologia , Determinação da Pressão Arterial , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/fisiopatologia , Estudos Transversais , Técnicas de Diagnóstico Cardiovascular , Eletrocardiografia/métodos , Personalidade , Psicometria , Valores de Referência , Fala
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