title: Validation of lay-administered mental health assessments in a large Army National Guard cohort.
abstract: To report the reliability and validity of key mental health assessments in an ongoing study of the Ohio Army National Guard (OHARNG). The 2616 OHARNG soldiers received hour-long structured telephone surveys including the post-traumatic stress disorder (PTSD) checklist (PCV-C) and Patient Health Questionnaire - 9 (PHQ-9). A subset (N = 500) participated in two hour clinical reappraisals, using the Clinician-Administered PTSD Scale (CAPS) and the Structured Clinical Interview for DSM (SCID). The telephone survey assessment for PTSD and for any depressive disorder were both highly specific [92% (standard error, SE 0.01), 83% (SE 0.02)] with moderate sensitivity [54% (SE 0.09), 51% (SE 0.05)]. Other psychopathologies assessed included alcohol abuse [sensitivity 40%, (SE 0.04) and specificity 80% (SE 0.02)] and alcohol dependence [sensitivity, 60% (SE 0.05) and specificity 81% (SE 0.02)].The baseline prevalence estimates from the telephone study suggest alcohol abuse and dependence may be higher in this sample than the general population. Validity and reliability statistics suggest specific, but moderately sensitive instruments.
authors.affiliation: Columbia University, New York, USA; University of Michigan, Ann Arbor, MI, USA.
authors.forename: Marta R
authors.initials: MR
authors.lastname: Prescott
authors.forename: Marijo
authors.initials: M
authors.lastname: Tamburrino
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Calabrese
authors.forename: Israel
authors.initials: I
authors.lastname: Liberzon
authors.forename: Renee
authors.initials: R
authors.lastname: Slembarski
authors.forename: Edwin
authors.initials: E
authors.lastname: Shirley
authors.forename: Thomas
authors.initials: T
authors.lastname: Fine
authors.forename: Toyomi
authors.initials: T
authors.lastname: Goto
authors.forename: Kimberly
authors.initials: K
authors.lastname: Wilson
authors.forename: Stephen
authors.initials: S
authors.lastname: Ganocy
authors.forename: Philip
authors.initials: P
authors.lastname: Chan
authors.forename: Alphonse
authors.initials: A
authors.lastname: Derus
authors.forename: Mary Beth
authors.initials: MB
authors.lastname: Serrano
authors.forename: James
authors.initials: J
authors.lastname: Sizemore
authors.forename: Jeremy
authors.initials: J
authors.lastname: Kauffman
authors.forename: Sandro
authors.initials: S
authors.lastname: Galea
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000437:Alcoholism / Q000175:diagnosis* / Q000453:epidemiology*; D015331:Cohort Studies; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology; D011569:Psychiatric Status Rating Scales / Q000592:standards; D015203:Reproducibility of Results; D012737:Sex Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology*; D055815:Young Adult
keywords: assessment; military; “alcohol use disorders”; “depressive disorders”; “posttraumatic stress disorder”