Cited by 278Posttraumatic Stress Disorder ResearchIntensive Care Unit Cognitive DisordersCOVID-19 and Mental Health

Sensitivity and specificity of a screening test to document traumatic experiences and to diagnose post-traumatic stress disorder in ARDS patients after intensive care treatment

Stoll, C., Kapfhammer, H. P., Rothenhäusler, H. B., Haller, M., Briegel, J., Schmidt, M., Krauseneck, T., Durst, K. +1 more·1999·Intensive Care Medicine

Abstract

Objective Many survivors of critical illness and intensive care unit (ICU) treatment have traumatic memories such as nightmares, panic or pain which can be associated with the development of posttraumatic stress disorder (PTSD). In order to simplify the rapid and early detection of PTSD in such patients, we modified an existing questionnaire for diagnosis of PTSD and validated the instrument in a cohort of ARDS patients after long-term ICU therapy.Design Follow-up cohort study.Setting The 20-bed ICU of a university teaching hospital.Patients A cohort of 52 long-term survivors of the acute respiratory distress syndrome (ARDS).Interventions and measurements The questionnaire was administered to the study cohort at two time points 2 years apart. At the second evaluation, the patients underwent a structured interview with two trained psychiatrists to diagnose PTSD according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria. The reliability and validity of the questionnaire was then estimated and its specificity, sensitivity and optimal decision threshold determined using receiver operating characteristic (ROC) curve analyses.Results The questionnaire showed a high internal consistency (Crohnbach's alpha = 0.93) and a high test-retest reliability (intraclass correlation coefficient alpha = 0.89). There was evidence of construct validity by a linear relationship between scores and the number of traumatic memories from the ICU the patients described (Spearman's rho = 0.48, p < 0.01). Criterion validity was demonstrated by ROC curve analyses resulting in a sensitivity of 77.0% and a specificity of 97.5% for the diagnosis of PTSD.Conclusions The questionnaire was found to be a responsive, valid and reliable instrument to screen survivors of intensive care for PTSD.

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Crossref · 10.1007/s001340050932

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Authors
Stoll, C., Kapfhammer, H. P., Rothenhäusler, H. B., Haller, M., Briegel, J., Schmidt, M., Krauseneck, T., Durst, K., & Schelling, G.
Affiliations
  • LMU Klinikum (DE)
  • Ludwig-Maximilians-Universität München (DE)
  • Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie (DE)
Venue
Intensive Care Medicine
Published
1999-07-22
Volume
25
Issue
7
Pages
697-704
ISSN
  • 0342-4642 (ISSN-L)
  • 1432-1238
OpenAlex
W2034958484
Cited by
278
References
24
Citations by year
2026: 8 · 2025: 8 · 2024: 20 · 2023: 14 · 2022: 10 · 2021: 14 · 2020: 7 · 2019: 18 · 2018: 6 · 2017: 11 · 2016: 13 · 2015: 8 · 2014: 8 · 2013: 19 · 2012: 9
FWCI
8.61
Type
journal article
Language
en
Open access
closed
Locations
  • Intensive Care Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
Philipps-Universität Marburg
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords
post-traumatic stress disorder, acute respiratory distress syndrome, intensive care unit survivors, traumatic memory, critical illness, diagnostic accuracy, sensitivity and specificity, questionnaire validation
MeSH terms
Adolescent, Adult, Critical Care, Female, Follow-Up Studies, Humans, Male, Mass Screening, Middle Aged, Surveys and Questionnaires, Respiratory Distress Syndrome, ROC Curve, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Reproducibility of Results, Cohort Studies, Survivors, APACHE

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