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A Risk Assessment Tool to Predict Sustained PTSD Symptoms Among Women Reporting Abuse.

Symes L, Maddoux J, McFarlane J, Pennings J - J Womens Health (Larchmt) (2015)

Bottom Line: Nationally and worldwide, 30% or more of women are likely to have experienced intimate partner violence.Maternal mental health symptoms predict child function.The tool consists of four key measures.

View Article: PubMed Central - PubMed

Affiliation: 1 College of Nursing, Office of Research and Sponsored Programs, Texas Woman's University , Houston, Texas.

ABSTRACT

Background: Nationally and worldwide, 30% or more of women are likely to have experienced intimate partner violence. Maternal mental health symptoms predict child function. When mothers have sustained posttraumatic stress disorder (PTSD), their children at are risk for growth and developmental delays and poor behavioral outcomes that may adversely affect the course of their lives. While many who experience trauma will recover without intervention, a significant proportion will experience PTSD, with negative consequences for their personal lives and the lives of their families. Early identification of those at high risk for PTSD symptoms will support early interventions to prevent PTSD and its negative consequences.

Methods: This paper describes the development of a tool that can predict PTSD symptoms at 8 months in mothers who are primarily of low socioeconomic status and primarily members of underrepresented groups. The tool consists of four key measures.

Conclusions: Using this tool to identify mothers at high risk for sustained PTSD and entering them into early intervention programs may protect mothers and their children from negative outcomes and promote their health and wellbeing.

No MeSH data available.


Related in: MedlinePlus

Rapid Assessment Tool to predict risk for sustained PTSD symptoms.
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f1: Rapid Assessment Tool to predict risk for sustained PTSD symptoms.

Mentions: A summary of the final predictors is outlined in Table 3. As shown, the final predictor tool consists of 4 key measures: adverse childhood experiences, emotional support, general self-efficacy, and total PTSD symptom counts at baseline. The final scores after transformation are shown in the final rapid assessment tool (see Fig. 1). Final model beta coefficients and associated model statistics, including the AUC, are presented in Table 3. The AUC predicting a positive screen for PTSD at 8 months was high (0.804) good model discrimination. After 2000 cycles of bootstrapping, the average reduction in AUC was 0.002 (95% CI change < 0.01), suggesting very minimal overfitting. Furthermore, the discrimination coefficients, or in other words, the absolute difference in the average prediction for positive and negative PTSD screens at 8 months was 27.3% (standard error [SE] = 2.9%, p < 0.001). Mothers with sustained PTSD had significantly higher average predicted probabilities than mothers who did not have clinical level PTSD symptoms.


A Risk Assessment Tool to Predict Sustained PTSD Symptoms Among Women Reporting Abuse.

Symes L, Maddoux J, McFarlane J, Pennings J - J Womens Health (Larchmt) (2015)

Rapid Assessment Tool to predict risk for sustained PTSD symptoms.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4834525&req=5

f1: Rapid Assessment Tool to predict risk for sustained PTSD symptoms.
Mentions: A summary of the final predictors is outlined in Table 3. As shown, the final predictor tool consists of 4 key measures: adverse childhood experiences, emotional support, general self-efficacy, and total PTSD symptom counts at baseline. The final scores after transformation are shown in the final rapid assessment tool (see Fig. 1). Final model beta coefficients and associated model statistics, including the AUC, are presented in Table 3. The AUC predicting a positive screen for PTSD at 8 months was high (0.804) good model discrimination. After 2000 cycles of bootstrapping, the average reduction in AUC was 0.002 (95% CI change < 0.01), suggesting very minimal overfitting. Furthermore, the discrimination coefficients, or in other words, the absolute difference in the average prediction for positive and negative PTSD screens at 8 months was 27.3% (standard error [SE] = 2.9%, p < 0.001). Mothers with sustained PTSD had significantly higher average predicted probabilities than mothers who did not have clinical level PTSD symptoms.

Bottom Line: Nationally and worldwide, 30% or more of women are likely to have experienced intimate partner violence.Maternal mental health symptoms predict child function.The tool consists of four key measures.

View Article: PubMed Central - PubMed

Affiliation: 1 College of Nursing, Office of Research and Sponsored Programs, Texas Woman's University , Houston, Texas.

ABSTRACT

Background: Nationally and worldwide, 30% or more of women are likely to have experienced intimate partner violence. Maternal mental health symptoms predict child function. When mothers have sustained posttraumatic stress disorder (PTSD), their children at are risk for growth and developmental delays and poor behavioral outcomes that may adversely affect the course of their lives. While many who experience trauma will recover without intervention, a significant proportion will experience PTSD, with negative consequences for their personal lives and the lives of their families. Early identification of those at high risk for PTSD symptoms will support early interventions to prevent PTSD and its negative consequences.

Methods: This paper describes the development of a tool that can predict PTSD symptoms at 8 months in mothers who are primarily of low socioeconomic status and primarily members of underrepresented groups. The tool consists of four key measures.

Conclusions: Using this tool to identify mothers at high risk for sustained PTSD and entering them into early intervention programs may protect mothers and their children from negative outcomes and promote their health and wellbeing.

No MeSH data available.


Related in: MedlinePlus