alexa Analyzing Optimal Screening Policies For Post-traumatic Stress Disorder (PTSD) In The Presence Of Social Stigma
ISSN: 2167-1044

Journal of Depression and Anxiety
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3rd International Conference on Depression, Anxiety and Stress Management
June 21-22, 2017 London, UK

Mohammad S Jalali
MIT Sloan School of Management, USA
Posters & Accepted Abstracts: J Depress Anxiety
DOI: 10.4172/2167-1044-C1-003
Post-traumatic stress disorder (PTSD) stands out as a major life-threatening mental illness and screening policies have played a critical role in mitigating the effects of PTSD; however, little agreement exists on the “optimal” cutoff value a threshold above which screening scores should be considered as PTSD positive. Some of the screening problems are related to uncertainties and complexities of PTSD, limits of using questionnaires as screening tools, but most importantly social stigma, i.e., labeling and social exclusions associated with mental illnesses which impede patients from seeking care. We develop a simulation model of PTSD screening which includes social forces that inhibit accurate screening. We simulate the model to analyze the characteristics of the optimal screening policies for PTSD. The results show that there is a tipping dynamic in this system, and to make a long-term difference, the screening threshold should be set much lower than the current numbers. Otherwise, investments based on the current optimal thresholds will only have short term effects. Policy implications include potentially screening everyone, e.g., all military members, and replacing dichotomous digenesis of PTSD vs. No PTSD with a continuous variable.

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