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Re-Validation of the Cologne Risk Index-Military Version Robert Bering. Thesis: Sibylle Dunker
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Re-Validation of the Cologne Risk Index-Military VersionRobert Bering Thesis: Sibylle Dunker Dunker, S. (2009). Prognose und Verlauf der Poststraumatischen Belastungsstörung bei Soldaten der Bundeswehr. Längsschnittstudie zur Neuvalidierung des Kölner Risikoindex-Bundeswehr (KRI-Bw). http://kups.ub.uni-koeln.de/volltexte/2010/3021.
Risk factors and screening instruments Screen for: 1. Symptoms, 2. Diagnosis, 3. Predictors 4. Functions Pre-traumatic Outline Coping Strategies and Effects Situational Components Traumatic Process Traumatic Reaction Traumatic Situation e.g. disaster Life History Shock Recovery
Intervalidation of the Cologne Risk Index Bering et al., 2007, ZPPM
Re-Validation CRI-militarylongitudinal DesignCRI-military self questionare Thesis: The CRI predicts the development of PTSD like symptoms. The predictive power of risk factors is better than the predictive power of symptoms. N=650 CRI PTSS-10 SCL PCL-M-dt N=222 PTSS-10 SCL PCL-M-dt Mission in Afghanistan T1 T2 6-7 month 4 month 2-4 month
A-1 Criterion T1/T2 approx.50% Dunker 2009
Sensitivity of CRI for Risk-Group T2 0.76 measured by PTSS-10 Sensitivity of CRI for Risk-Group and Switchers T2 1.0 measured by PTSS-10
Take home messages: • The CRI predicts the development of PTSD like symptoms. Yes • The predictive power of risk factors is better than the predictive power of symptoms. Yes Do not forget: The CRI is a check list that functions as a precurser for clinical diagnostics. The Screening and the Diagnostics are two different modules in the TGIP.
Trauma Screening: CRI-D Target Group Intervention Programme Psychological First Aid Psychoeducation lapse of time Group of Recovery High-Risk-Persons Switcher (Individual) Guidance in Self-Help Guidance in Self-Help Guidance in Self-Help Psychological Aftercare Psychotraumatological Diagnostic Psychotraumatological Diagnostic Information about professional help In need of Trauma Therapy Trauma Therapy