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International Journal of Culture and Mental Health Volume 1, 2008 - Issue 2
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Screening for PTSD and depression in Bosnia and Herzegovina: validating the Harvard Trauma Questionnaire and the Hopkins Symptom Checklist

Lilijana Oruc Psychiatric Clinic, Clinical Centre, University of Sarajevo, Bosnia and Herzegovina
,
Aida Kapetanovic Psychiatric Clinic, Clinical Centre, University of Sarajevo, Bosnia and Herzegovina
,
Naris Pojskic Psychiatric Clinic, Clinical Centre, University of Sarajevo, Bosnia and Herzegovina
,
Kate Miley Harvard Program in Refugee Trauma, Bosnia and Herzegovina
,
Sharon Forstbauer Harvard Program in Refugee Trauma, Bosnia and Herzegovina
,
Richard F. Mollica Harvard Program in Refugee Trauma, Bosnia and Herzegovina; Harvard Medical School, Boston, Massachusetts, USA
&
David C. Henderson Psychiatric Clinic, Clinical Centre, University of Sarajevo, Bosnia and Herzegovina; Harvard Program in Refugee Trauma, Bosnia and HerzegovinaCorrespondence[email protected]
 show all
Pages 105-116 | Received 07 Mar 2008, Published online: 16 Jan 2009
 
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Abstract

This study aimed to test the validity of the Harvard Trauma Questionnaire (HTQ) and the Hopkins Symptom Checklist-25 (HSCL-25) in screening for post-traumatic stress disorder (PTSD) and major depressive disorder (MDD), respectively, in primary healthcare centers in Bosnia and Herzegovina. Validating interviews were conducted with 180 randomly selected primary care patients in Middle Bosnia. Statistical analysis performed to assess diagnostic accuracy, sensitivity and specificity of the diagnostic materials revealed an optimal cut-off points of 2.06 on the HTQ for the diagnosis of PTSD and 1.8 on the HSCL-25 for the diagnosis of MDD. The HTQ and HSCL-25 are accurate and useful for identifying PTSD and MDD in primary care centers in Bosnia and Herzegovina.

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