Abstract
Many women have unidentified anxiety or trauma histories that can impact their health and medical treatment-seeking behavior. This study examined the sensitivity, specificity, efficiency, and sensitivity to change of the Overall Anxiety Severity and Impairment Scale (OASIS) for identifying an anxiety disorder in a female sample with and without trauma history related to intimate partner violence (IPV). Forty-three women with full or partial PTSD from IPV and 41 women without PTSD completed the OASIS. All participants with trauma history completed the Clinician Administered PTSD Scale. This report is a secondary analysis of a study on the neurobiology of psychological trauma in survivors of IPV recruited from the community. A cut-score of 5 best discriminated those with PTSD from those without, successfully classifying 91 % of the sample with 93 % sensitivity and 90 % specificity. The measure showed strong sensitivity to change in a subsample of 20 participants who completed PTSD treatment and strong convergent and divergent validity in the full sample. This study suggests that the OASIS can identify the presence of an anxiety disorder among a female sample of IPV survivors when PTSD is present.
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Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Gusman FD, Charney DS et al (1995) The development of a clinician-administered PTSD scale. J Trauma Stress 8:75–90
Breslau N (2001) Outcomes of posttraumatic stress disorder. J Clin Psychiatry 62:55–59
Campbell JC (2002) Health consequences of intimate partner violence. Lancet 359:1331–1336
Campbell-Sills L, Norman SB, Craske MG, Sullivan G, Lang AJ, Chavira DA et al (2009) Validation of a brief measure of anxiety-related severity and impairment: the overall anxiety severity and impairment scale (OASIS). J Affect Disord 112:92–101
Connor KM, Davidson JRT (2003) Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety 18:76–82
Costa J, McCrae RR (1992) Normal personality assessment in clinical practice: the NEO personality inventory. Psychol Assess 4:5–13
Dennis MF, Flood AM, Reynolds V et al (2009) Evaluation of lifetime trauma exposure and physical health in women with posttraumatic stress disorder or major depressive disorder. Violence Against Women 15:618–627
Derogatis LR, Melisaratos N (1983) The brief symptom inventory: an introductory report. Psychol Med 13:595–605
Farley M, Patsalides BM (2001) Physical symptoms, posttraumatic stress disorder, and healthcare utilization of women with and without childhood physical and sexual abuse. Psychol Rec 89:595–606
First MB, Spitzer RL, Gibbon M, Williams JB (1997) Structured clinical interview for DSM-IV axis I disorders (SCID I). Biometric Research Department, New York
Gillespie CF, Bradley B, Mercer K, Smith AK, Conneely K, Gapen M et al (2009) Trauma exposure and stress-related disorders in inner city primary care patients. Gen Hosp Psychiatry 31:505–514
Goodwin RD, Stein MB (2004) Association between childhood trauma and physical disorders among adults in the united states. Psychol Med 34:509–520
Kroenke K, Spitzer RL, Williams JBW, Monahan PO, Lowe B (2007) Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med 146:317–325
Kubany ES, Hill EE, Owens JA, Iannce-Spencer C, McCaig MA, Tremayne KJ, Williams PL (2004) Cognitive trauma therapy for battered women with PTSD (CTT-BW). J Consult Clin Psychol 72(1):3
Lecrubier Y (2004) Posttraumatic stress disorder in primary care: a hidden diagnosis. J Clin Pharmacol 65:49–54
Lechner ME, Vogel ME, Garcia-Shelton LM, Leichter JL, Steibel KR (1993) Self-reported medical problems of adult female survivors of childhood sexual abuse. J Fam Pract 36:633–638
Mezey G, Bacchus L, Bewley S, White S (2005) Domestic violence, lifetime trauma and psychological health of childbearing women. (Br J Obstet Gynaecol 112(2):197–204
Nakell L (2007) Adult post-traumatic stress disorder: screening and treating in primary care. Prim Care 34:593–610
Newman MG, Clayton L, Zuellig A, Cashman L, Arnow B, Dea R, Taylor CB (2000) The relationship of childhood sexual abuse and depression with somatic symptoms and medical utilization. Psychol Med 30:1063–1077
Norman SB, Campbell-Sills L, Hitchcock CA, Sullivan S, Rochlin A, Wilkins KC et al (2010) Psychometrics of a brief measure of anxiety to detect severity and impairment: the overall anxiety severity and impairment scale (OASIS). J Psychiatr Res 45(2):262–268
Norman SB, Hami Cissell S, Means-Christensen AJ, Stein MB (2006) Development and validation of an overall anxiety severity and impairment scale (OASIS). Depress Anxiety 23:245–249
Norman SB, Stein MB, Davidson JRT (2007) Profiling posttraumatic functional impairment. J Nerv Ment Dis 195:48–53
Reiss S, Peterson RA, Gursky DM, McNally RJ (1986) Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther 24:1–8
Spielberger CD (1983) Manual of the state-trait anxiety inventory. Consulting Psychologists, Palo Alto
Spielberger CD, Gorsuch RL, Lushene RE (1970) Manual for the state-trait anxiety inventory. Consulting Psychologists, Palo Alto
Stein MB, McQuaid JR, Pedrelli P, Lenox R, McCahill ME (2000) Posttraumatic stress disorder in the primary care medical setting. Gen Hosp Psychiatry 22:261–269
Stein MB, Roy-Byrne PP, Craske MG, Bystritsky L, Sullivan G, Pyne JM et al (2005) Functional impact and health utility of anxiety disorders in primary care outpatients. Med Care 43:1164–1170
Telch MJ, Schmidt NB, Jaimez TLN, Jacquin KM, Harrington PJ (1995) Impact of cognitive-behavioral treatment on quality-of-life in panic disorder patients. J Consult Clin Psychol 63:823–830
Twamley EW, Allard CB, Thorp SR, Norman SB, Cissell SH, Berardi KH et al (2009) Cognitive impairment and functioning in PTSD related to intimate partner violence. J Int Neuropsychol Soc 15:879–887
Ware JE, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233
Zlotnik C, Franklin C, Zimmerman M (2002) Does “subthreshold” posttraumatic stress disorder have any clinical relevance? Compr Psychiatry 43:413–419
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Norman, S.B., Allard, C.B., Trim, R.S. et al. Psychometrics of the overall anxiety severity and impairment scale (OASIS) in a sample of women with and without trauma histories. Arch Womens Ment Health 16, 123–129 (2013). https://doi.org/10.1007/s00737-012-0325-8
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DOI: https://doi.org/10.1007/s00737-012-0325-8