Predicting violence in veterans with posttraumatic stress disorder
Background/Aim. Frequent expression of negative affects, hostility and violent behavior in individuals suffering from posttraumatic stress disorder (PTSD) were recognized long ago, and have been retrospectively well documented in war veterans with PTSD who were shown to have an elevated risk for vio...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2009-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500901013J.pdf |
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| author | Jovanović Aleksandar A. Lečić-Toševski Dušica Ivković Maja Damjanović Aleksandar Jašović-Gašić Miroslava |
| author_facet | Jovanović Aleksandar A. Lečić-Toševski Dušica Ivković Maja Damjanović Aleksandar Jašović-Gašić Miroslava |
| author_sort | Jovanović Aleksandar A. |
| collection | DOAJ |
| description | Background/Aim. Frequent expression of negative affects, hostility and violent behavior in individuals suffering from posttraumatic stress disorder (PTSD) were recognized long ago, and have been retrospectively well documented in war veterans with PTSD who were shown to have an elevated risk for violent behavior when compared to both veterans without PTSD and other psychiatric patients. The aim of this study was to evaluate the accuracy of clinical prediction of violence in combat veterans suffering from PTSD. Methods. The subjects of this study, 104 male combat veterans with PTSD were assessed with the Historical, Clinical and Risk Management 20 (HCR-20), a 20-item clinicianrated instrument for assessing the risks for violence, and their acts of violence during one-year follow-up period were registered based on bimonthly check-up interviews. Results. Our findings showed that the HCR-20, as an actuarial measure, had good internal consistency reliability (α = 0.82), excellent interrater reliability (Interaclass Correlation ICC = 0.85), as well as excellent predictive validity for acts of any violence, non-physical violence or physical violence in the follow-up period (AUC = 0.82-0.86). The HCR-20 also had good interrater reliability (Cohen's kappa = 0.74), and acceptable predictive accuracy for each outcome criterion (AUC = 0.73-0.79). Conclusion. The results of this research confirm that the HCR-20 may also be applied in prediction of violent behavior in the population of patients suffering from PTSD with reliability and validity comparable with the results of previous studies where this instrument was administered to other populations of psychiatric patients. |
| format | Article |
| id | doaj-art-3c2b33b6c836450285b2a67bc6de1fd2 |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-3c2b33b6c836450285b2a67bc6de1fd22025-08-20T03:55:37ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502009-01-01661132110.2298/VSP0901013JPredicting violence in veterans with posttraumatic stress disorderJovanović Aleksandar A.Lečić-Toševski DušicaIvković MajaDamjanović AleksandarJašović-Gašić MiroslavaBackground/Aim. Frequent expression of negative affects, hostility and violent behavior in individuals suffering from posttraumatic stress disorder (PTSD) were recognized long ago, and have been retrospectively well documented in war veterans with PTSD who were shown to have an elevated risk for violent behavior when compared to both veterans without PTSD and other psychiatric patients. The aim of this study was to evaluate the accuracy of clinical prediction of violence in combat veterans suffering from PTSD. Methods. The subjects of this study, 104 male combat veterans with PTSD were assessed with the Historical, Clinical and Risk Management 20 (HCR-20), a 20-item clinicianrated instrument for assessing the risks for violence, and their acts of violence during one-year follow-up period were registered based on bimonthly check-up interviews. Results. Our findings showed that the HCR-20, as an actuarial measure, had good internal consistency reliability (α = 0.82), excellent interrater reliability (Interaclass Correlation ICC = 0.85), as well as excellent predictive validity for acts of any violence, non-physical violence or physical violence in the follow-up period (AUC = 0.82-0.86). The HCR-20 also had good interrater reliability (Cohen's kappa = 0.74), and acceptable predictive accuracy for each outcome criterion (AUC = 0.73-0.79). Conclusion. The results of this research confirm that the HCR-20 may also be applied in prediction of violent behavior in the population of patients suffering from PTSD with reliability and validity comparable with the results of previous studies where this instrument was administered to other populations of psychiatric patients.http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500901013J.pdfstress disorders, post-traumaticrisk assessmentveteranspredictive value of testsaggression |
| spellingShingle | Jovanović Aleksandar A. Lečić-Toševski Dušica Ivković Maja Damjanović Aleksandar Jašović-Gašić Miroslava Predicting violence in veterans with posttraumatic stress disorder Vojnosanitetski Pregled stress disorders, post-traumatic risk assessment veterans predictive value of tests aggression |
| title | Predicting violence in veterans with posttraumatic stress disorder |
| title_full | Predicting violence in veterans with posttraumatic stress disorder |
| title_fullStr | Predicting violence in veterans with posttraumatic stress disorder |
| title_full_unstemmed | Predicting violence in veterans with posttraumatic stress disorder |
| title_short | Predicting violence in veterans with posttraumatic stress disorder |
| title_sort | predicting violence in veterans with posttraumatic stress disorder |
| topic | stress disorders, post-traumatic risk assessment veterans predictive value of tests aggression |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500901013J.pdf |
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