Predictive validity of the Trauma Screening Questionnaire in detecting post-traumatic stress disorder in patients with psychotic disorders
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Background: Post-traumatic stress disorder (PTSD) is highly prevalent in patients with a psychotic disorder. Because a PTSD diagnosis is often missed in patients with psychosis in routine care, a valid screening instrument could be helpful. Aims: To determine the validity of the Trauma Screening Questionnaire (TSQ) as a screening tool for PTSD among individuals with psychotic disorders. Method: Among 2608 patients with a psychotic disorder, the rate of trauma exposure was determined and the TSQ was administered to screen for PTSD. PTSD status was verified in 455 patients using the Clinician-Administered PTSD Scale (trial registration: ISRCTN 79584912). Results: Trauma exposure was reported by 78.2% of the 2608 patients. PTSD prevalence was estimated at 16% (95% CI 14.6–17.4%) compared with 0.5% reported in the patients' clinical charts. A TSQ cut-off score of six predicted PTSD with 78.8% sensitivity, 75.6% specificity, 44.5% correct positives and 93.6% correct negatives. Conclusions: The TSQ seems to be a valid screening tool for PTSD in patients with a psychotic disorder.
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The estimated under-report of PTSD in clinical practice is as much as 96.9%.
“Research of de Bont et al. (19) indicates an estimated under-report of PTSD of as much as 96,9% in clinical practice.”
From Making meaning of trauma in psychosis (2023) · cites this paper as de Bont et al. (19)
The section ‘Clinical documentation of PTSD in patients with psychotic disorders’ reports an estimated 96.9% under-report in clinical practice, comparing estimated PTSD prevalence with diagnoses recorded by mental health organisations. That estimate is for the study’s sample of patients with psychotic disorders; the citing sentence omits this population limit. (LLM, conf=0.87)
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- Authors
- de Bont, P. A. J. M., van den Berg, D. P. G., van der Vleugel, B. M., de Roos, C., de Jongh, A., van der Gaag, M., & van Minnen, A.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2015-05
- Volume
- 206
- Issue
- 5
- Pages
- 408-416
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2119539464
- Cited by
- 133
- References
- 39
- Citations by year
- 2026: 11 · 2025: 11 · 2024: 9 · 2023: 12 · 2022: 33 · 2021: 13 · 2020: 6 · 2019: 9 · 2018: 7 · 2017: 8 · 2016: 12 · 2015: 2
- FWCI
- 12.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion)
- VU Research Portal (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- VU Research Portal (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Stichting tot Steun Vereniging tot Christelijke Verzorging van Geestes- en Zenuwzieken
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, psychosis, PTSD screening, predictive validity, trauma exposure, PTSD prevalence, Clinician-Administered PTSD Scale, sensitivity and specificity
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Male, Mass Screening, Middle Aged, Predictive Value of Tests, Psychiatric Status Rating Scales, Psychotic Disorders, Surveys and Questionnaires, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Young Adult
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