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PTSD screening using a ten-item checklist of psychological symptoms: a large-scale military veteran sample and a civilian comparison group
Swedish Defence University, Institutionen för ledarskap och ledning, Leadership and Command & Control Division Karlstad. Department of Health and Welfare, Inland University, Elverum, Norway.ORCID iD: 0000-0001-8274-6065
Swedish Defence University, Institutionen för ledarskap och ledning, Leadership and Command & Control Division Karlstad.ORCID iD: 0000-0002-8422-8840
Swedish Defence University, Institutionen för ledarskap och ledning, Leadership and Command & Control Division Karlstad.ORCID iD: 0000-0001-9423-5916
Swedish Defence University, Institutionen för ledarskap och ledning, Leadership and Command & Control Division Karlstad.ORCID iD: 0009-0000-6738-7463
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2025 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 79, no 3, p. 227-232Article in journal (Refereed) Published
Abstract [en]

Purpose

The aim was to explore if self-rated psychological symptoms in military veterans covary strong enough with established PTSD scales to make a symptom checklist a useful screening tool.

Methodology

A Swedish sample of military veterans (n = 1,859) responded to a questionnaire which contained a checklist of ten psychological symptoms and a test of PTSD indication. The items measured the situation during the last month. All symptoms had the following response choices: 1 (Never), 2 (Seldom), 3 (Sometimes), 4 (Often) and 5 (Very often). The choices Often and Very often were combined and form the basis of the analysis.

Findings

The majority of individuals in the military sample reported that they had not experienced any of the ten psychological symptoms often or very often during the last month. Approximately 5% of the men and 9% of the women scored five symptoms or more. Among the men who reported five symptoms or more, about one third scored above a higher established PTSD cut-off value (PCL-4 > 44).

Originality

The psychological symptom checklist represents a new approach to PTSD indication screening and identification of individuals who may need further support.

Research limitations and strengths

Clinical assessment of PTSD would be a necessary complement for those that indicate further need. Study strengths include a large sample, use of established scales and a straightforward and simple statistical analysis.

Practical implications

The checklist is easy to administer and score. After a brief introduction, it takes about two minutes to complete.

Place, publisher, year, edition, pages
2025. Vol. 79, no 3, p. 227-232
Keywords [en]
Screening, PTSD, psychological symptoms, military veterans, civilian comparison group
National Category
Psychiatry
Research subject
Leadership and Command & Control
Identifiers
URN: urn:nbn:se:fhs:diva-14225DOI: 10.1080/08039488.2025.2479684OAI: oai:DiVA.org:fhs-14225DiVA, id: diva2:2016319
Available from: 2025-11-25 Created: 2025-11-25 Last updated: 2025-11-27Bibliographically approved

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Larsson, GerryNilsson, SofiaOhlsson, AliciaSvensén, Sofia

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Larsson, GerryNilsson, SofiaOhlsson, AliciaSvensén, SofiaStensvehagen, Marianne
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