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Examination of the PC-PTSD in previously deployed Air Force Medical Service personnel
Authors:Anthony P. Tvaryanas  Edward D. White  Valarie M. Schroeder  Heather J. Mahaney
Affiliation:1. Human Systems Integration Directorate, 711th Human Performance Wing, Wright-Patterson Air Force Base, Ohio;2. Department of Mathematics and Statistics, Air Force Institute of Technology, Wright-Patterson Air Force Base, Ohio;3. Department of Aeromedical Research, U.S. Air Force School of Aerospace Medicine, Wright-Patterson Air Force Base, Ohio
Abstract:This study assessed the performance of the PC-PTSD in diagnosing postdeployment posttraumatic stress disorder (PTSD) in a cohort of Air Force Medical Services personnel (N = 18,530). The prevalence of PTSD in the cohort was 5.18% based on medical record data. The area under the receiver operating characteristic curve was 0.69, indicating poor classification accuracy. Sensitivity was 47.55%, specificity was 90.68%, positive predictive value was 21.79%, and negative predictive value was 96.94%. The positive and negative likelihood ratios were 5.10 and 0.58, respectively. Several risk factors were found to be associated with a diagnosis of postdeployment PTSD: being a nurse, being enlisted in the medical service career field, being enlisted in the mental health service career field, those over age 30, being a member of the Active Duty service component, and having one’s first deployment be to Iraq. Being an officer was found to be a protective characteristic. These factors could potentially improve screening for PTSD among Air Force healthcare personnel.
Keywords:Deployment  mental health  military  medical personnel  health assessment  air force  PTSD  posttraumatic stress disorder
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