CG123 Common mental health disorders - National Institute for ...

Case identification and formal assessmentTable 20: (Continued)Post-traumaticStress Disorder(NCCMH, 2005)by a doctor or a nurse and takes less than 1 minute toadminister) (Fineberg & Roberts, 2001) – it was validatedagainst the Mini International Neuropsychiatric Interview ina relatively small population of UK dermatology outpatients(Lecrubier et al., 1997) where it was found to have goodpatient acceptability as well as satisfactory sensitivity(94.4%) and specificity (85.1%) (Fineberg et al., 2003). Itspsychometric properties are undergoing further evaluation ina range of psychiatric and non-psychiatric settings. In viewof its brevity and utility, it can be considered as a possiblescreening tool for further evaluation.A variety of self-report questionnaires have been developed forOCD that may be useful for detection (Taylor, 1995; Tayloret al., 2002) – self-report versions of the Yale-BrownObsessive Compulsive Scale, both paper and computer administered,have been developed (Rosenfeld et al., 1992; Steketeeet al., 1996) and have equivalent properties to the clinicianadministeredYale-Brown Obsessive Compulsive Scale.Other information relevant to assessmentIt should not be underestimated how difficult it can be forpeople with OCD to first disclose their symptoms to familyand friends and to the medical profession (Newth &Rachman, 2001).Clinical utility of formal assessmentWell-validated, structured clinical interviews that facilitate thediagnosis of PTSD include the SCID-IV (First et al., 1997), theClinician-Administered PTSD Scale (Blake et al., 1995) andthe PTSD Symptom Scale – Interview version (Foa et al.,1993). All these instruments are based on the DSM-IVdefinition of PTSD.There is a range of useful self-report instruments of PTSDsymptoms, including: Impact of Event Scale (Horowitzet al., 1979) and Impact of Event Scale – Revised (Weiss &Marmar, 1997), Post-traumatic Diagnostic Scale (Foa et al.,1997), Davidson Trauma Scale (Davidson et al., 1997) andPTSD Checklist (Weathers & Ford, 1996).Good practice point checklists of common traumatic experiencesand symptoms may be helpful for some patients whofind it hard to name them. Both the Clinician-Administered126