Journal of Rehabilitation Research & Development (JRRD)

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Volume 48 Number 5, 2011
   Pages 493 — 902

Abstract —  Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain

Andrew S. Dunn, DC, MEd, MS;1-2* Terri Julian, PhD;3 Lance R. Formolo, DC, MS;1 Bart N. Green, DC, MSEd;4-5 David R. Chicoine2

1Department of Veterans Affairs (VA) Western New York Healthcare System, Buffalo VA Medical Center, Buffalo, NY; 2New York Chiropractic College, Seneca Falls, NY; 3VA Western New York Healthcare System, Batavia VA Medical Center, Batavia, NY; 4Department of Physical and Occupational Therapy, Chiropractic Division, Naval Medical Center San Diego, Marine Corps Air Station Miramar Branch Medical Clinic, San Diego, CA; 5National University of Health Sciences, Lombard, IL

Abstract — Escalating prevalence estimates of posttraumatic stress disorder (PTSD) among recently returning Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans highlight the need for early detection and management for reducing chronic mental illness and disability. Because PTSD and chronic pain are common comorbid conditions among veterans, PTSD screening within specialty clinic settings addressing musculoskeletal pain may be of value. This retrospective study evaluated measures of diagnostic value for the PTSD Checklist (PCL) for a sample (n = 79) of OIF/OEF veterans seeking care for neck or back pain within a Department of Veterans Affairs specialty clinic. Because published accounts of optimal PCL cutoff scores vary considerably, we used receiver operating characteristic curves to identify whether the optimal PCL cutoff score for the sample differed from a conventional cutoff score of 50. A clinical psychologist experienced in diagnosing and managing PTSD confirmed the diagnosis of PTSD for 37 veterans through a review of clinical records. The prevalence of diagnosed PTSD was 46.8%, with an optimal PCL cutoff score of 44. These findings may guide future research and influence clinical practice regarding PTSD screening for recently returning veterans with chronic pain.

Key words: back pain, health psychology, musculoskeletal phenomena, neck pain, neural physiological phenomena, Operation Enduring Freedom, Operation Iraqi Freedom, posttraumatic stress disorder, rehabilitation, sensitivity, specificity, veterans.


View HTML  ¦  View PDF  ¦  Contents Vol. 48, No. 5
This article and any supplementary material should be cited as follows:
Dunn AS, Julian T, Formolo LR, Green BN, Chicoine DR. Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain. J Rehabil Res Dev. 2011;48(5):493-502.
DOI:10.1682/JRRD.2010.05.0104
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Last Reviewed or Updated  Tuesday, May 31, 2011 9:22 AM

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