title: [Validation and comparison of four instruments to detect partner violence in health-care setting].
abstract: OBJECTIVE
  To validate four instruments to detect domestic violence in health-care settings against external criteria -Index of Spouse Abuse (ISA), Psychological Maltreatment of Women Inventory short form (PMWI-SF), Woman Abuse Screening Tool (WAST), Partner Violence Screen (PVS)- and to assess the concordance and compare the diagnostic accuracy.
  
  
  METHODS
  This was a case-control study. The study sample was recruited from primary care and domestic violence centers. The ISA, PMWI-SF, WAST and PVS were administered to 223 controls and 182 intimate partner violence cases. Received Operating Characteristic (ROC) curve analysis was carried out. Measures were compared in terms of ROC curves and overall agreement.
  
  
  RESULTS
  The areas under the curve (AUC) were: ISA 0.99 (IC 95%, 0.98-0.99), PMWI-SF 0.98 (IC 95% 0.97-0.99), WAST 0.95 (IC 95% 0.93-0.97), PVS 0.91 (IC 95% 0.87-0.94). The overall agreement between the four tools was excellent (Fleiss Kappa=0.82). The ISA and the PMWI-SF performed slightly better than WAST, and these three instruments performed better than PVS for detecting domestic violence. The PVS had lower concordance values with the other instruments.
  
  
  CONCLUSIONS
  The four instruments demonstrated adequate diagnostic accuracy and overall agreement for detect domestic violence. Some overestimation of sensitivity may occur due to different source of cases.
authors.affiliation: Servicio de Psiquiatría, Institut Clínic de Neurociències, Barcelona, España. lesteve@clinic.ub.es
authors.forename: Lluïsa
authors.initials: L
authors.lastname: Garcia-Esteve
authors.forename: Anna
authors.initials: A
authors.lastname: Torres
authors.forename: Purificación
authors.initials: P
authors.lastname: Navarro
authors.forename: Carlos
authors.initials: C
authors.lastname: Ascaso
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Imaz
authors.forename: Zoe
authors.initials: Z
authors.lastname: Herreras
authors.forename: Manuel
authors.initials: M
authors.lastname: Valdés
mesh_terms: D000328:Adult; D019540:Area Under Curve; D018585:Battered Women / Q000523:psychology*; D016022:Case-Control Studies; D060447:Emergency Shelter; D005260:Female; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care; D012372:ROC Curve; D015203:Reproducibility of Results; D013030:Spain / Q000453:epidemiology; D013179:Spouse Abuse / Q000175:diagnosis* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult