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Re-Validation of the
Cologne Risk Index-Military Version
Robert 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.unikoeln.de/volltexte/2010/3021.
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
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
Life
History
Traumatic
Situation
e.g. disaster
Shock
Traumatic
Reaction
Recovery
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
Intervalidation of the Cologne Risk Index
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
Bering
et al., 2007, ZPPM
SEPET+D
Re-Validation CRI-military
longitudinal Design
CRI-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.
Mission in
Afghanistan
4 month
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
N=650
CRI
PTSS-10
SCL
PCL-M-dt
N=222
PTSS-10
SCL
PCL-M-dt
T1
T2
2-4 month
6-7 month
SEPET+D
A-1 Criterion T1/T2 approx.50%
Dunker 2009
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
Dunker 2009
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
Dunker 2009
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
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
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
Dunker 2009
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
Take home messages:
1. The CRI predicts the development of
PTSD like symptoms. Yes
2. 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.
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
SEPET+D
Target Group Intervention Programme
Trauma
lapse of time
Group of Recovery
Guidance in Self-Help
Psychological
First Aid
Psychoeducation
Screening: CRI-D
Switcher
Guidance in Self-Help
High-Risk-Persons
(Individual) Guidance in
Self-Help
Psychological Aftercare
Information about
professional help
Project co funded by the European Commission –
Grant Agreement N° 07.030601/2006/447903/SUB/A3''
Psychotraumatological
Diagnostic
In need of Trauma Therapy
Psychotraumatological
Diagnostic
Trauma Therapy
SEPET+D