User:Rachelpeltzer/sandbox

Utility

The CPSS provides a symptom severity score by assessing PTSD symptoms in three clusters, reexperiencing, avoidance, and arousal (the three clusters defined by the DSM-IV). Its classification as a self-report measure requires "minimal clinician and administration time". It should be seen as a practical tool for use in schools, communities, and research settings.

"Results suggest a large discrepancy between rates of probable PTSD identified through standardized assessment and during the emergency room psychiatric evaluation (28.6% vs. 2.2%). Upon discharge, those with probable PTSD were more than those without to be assigned a diagnosis of PTSD (45% vs. 7.1%), a comorbid diagnosis of major depressive disorder (30% vs .14.3%), to be prescribed an antidepressant medication (52.5% vs. 33.7%), and to be prescribed more medications. The underidentification of trauma exposure and PTSD has important implications for the care of adolescents given that accurate diagnosis is a prerequisite for providing effective care. Improved methods for identifying trauma-related problems in standard clinical practice are needed"

The CPSS scale assesses avoidance and change of activities, which may not accurately reflect pathology. This could possibly result in higher PTSD prevalence estimations. In a study, the CPSS scale correctly classified 72.2% of children. Nearly one quarter of children were misclassified and 5.6% were misclassified (false negative)

asdfads