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Diagnostic Utility of the Impact of Event Scale–Revised in Two Samples of Survivors of War

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  • Nexhmedin Morina
  • Thomas Ehring
  • Stefan Priebe

Abstract

The study aimed at examining the diagnostic utility of the Impact of Event Scale-Revised (IES-R) as a screening tool for post-traumatic stress disorder (PTSD) in survivors of war. The IES-R was completed by two independent samples that had survived the war in the Balkans: a sample of randomly selected people who had stayed in the area of former conflict (n = 3,313) and a sample of refugees to Western European countries (n = 854). PTSD was diagnosed using the MINI International Neuropsychiatric Interview. Prevalence of PTSD was 20.1% in the Balkan sample and 33.1% in the refugee sample. Results revealed that when considering a minimum value of specificity of 0.80, the optimally sensitive cut-off score for screening for PTSD in the Balkan sample was 34. In both the Balkan sample and the refugee sample, this cut-off score provided good values on sensitivity (0.86 and 0.89, respectively) and overall efficiency (0.81 and 0.79, respectively). Further, the kappa coefficients for sensitivity for the cut-off of 34 were 0.80 in both samples. Findings of this study support the clinical utility of the IES-R as a screening tool for PTSD in large-scale research studies and intervention studies if structured diagnostic interviews are regarded as too labor-intensive and too costly.

Suggested Citation

  • Nexhmedin Morina & Thomas Ehring & Stefan Priebe, 2013. "Diagnostic Utility of the Impact of Event Scale–Revised in Two Samples of Survivors of War," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-8, December.
    • Handle: RePEc:plo:pone00:0083916
    DOI: 10.1371/journal.pone.0083916
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    References listed on IDEAS

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    1. Priebe, Stefan & Bogic, Marija & Ashcroft, Richard & Franciskovic, Tanja & Galeazzi, Gian Maria & Kucukalic, Abdulah & Lecic-Tosevski, Dusica & Morina, Nexhmedin & Popovski, Mihajlo & Roughton, Michae, 2010. "Experience of human rights violations and subsequent mental disorders - A study following the war in the Balkans," Social Science & Medicine, Elsevier, vol. 71(12), pages 2170-2177, December.
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    1. Stefania Scuri & Marina Tesauro & Fabio Petrelli & Ninfa Argento & Genny Damasco & Giovanni Cangelosi & Cuc Thi Thu Nguyen & Demetris Savva & Iolanda Grappasonni, 2022. "Use of an Online Platform to Evaluate the Impact of Social Distancing Measures on Psycho-Physical Well-Being in the COVID-19 Era," IJERPH, MDPI, vol. 19(11), pages 1-10, June.

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