Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions)

Pereira-Lima, Karina; Loureiro, Sônia Regina; Bolsoni, Lívia Maria; Silva, Thiago Dornela Apolinário da; Osório, Flávia L.

doi:10.1080/20008198.2019.1581020

Cited by 48 publications

(39 citation statements)

References 15 publications

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“…Based on previous evaluations (e.g. Blevins et al, 2015;Bovin et al, 2015;Hall et al, 2019;Pereira-Lima et al, 2019), we hypothesised that the PCL-5 would show high levels of internal consistency and acceptable to good testretest reliability. From previous studies (e.g.…”

Section: Aims Of the Studymentioning

confidence: 99%

Psychometric properties of the PTSD Checklist for DSM-5 in a sample of trauma exposed mental health service users

Roberts

Kitchiner

Lewis

et al. 2021

European Journal of Psychotraumatology

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Background: PTSD self-report measures are frequently used in mental health services but very few have been evaluated in clinical samples that include civilians. The PCL-5 was developed to assess for DSM-5 PTSD. Objective: The aim of this study was to evaluate the psychometric properties of the PCL-5 in a sample of trauma-exposed mental health service users who were evidencing symptoms of PTSD. Method: Reliability and validity of the PCL-5 were investigated in a sample of 273 participants who reported past diagnosis for PTSD or who had screened positively for traumatic stress symptoms. Diagnostic utility was evaluated in comparison to the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Results: The PCL-5 demonstrated high internal consistency, good convergent and divergent validity, acceptable stability and good diagnostic utility. However, operating characteristics differed from those found in other samples. Scores of 43-44 provided optimal efficiency for diagnosing PTSD. A post hoc regression analysis showed that depression explained more of the variance in PCL-5 total score than the CAPS-5. Conclusion: Whilst the PCL-5 is psychometrically sound it appears to have difficulty differentiating self-reported depression and anxiety symptoms from PTSD in trauma-exposed mental health service users and clinicians should take care to assess full symptomatology when individuals screen positively on the PCL-5. Clinicians and researchers should also take care not to assume that operating characteristics of self-report PTSD measures are valid for mental health service users, when these have been established in other populations.Propiedades psicométricas de la lista de chequeo de los síntomas del trastorno de estrés postraumático para el DSM-5 en una muestra de usuarios de servicios de salud mental Antecedentes: Las mediciones auto reportadas para el trastorno de estrés postraumático (TEPT) se emplean con frecuencia en los servicios de salud mental pero muy pocas han sido evaluadas en muestras clínicas que incluyan a civiles. Se desarrolló la lista de chequeo de los síntomas del trastorno de estrés postraumático (PCL-5, por sus siglas en inglés) para la evaluación de los síntomas del TEPT según el DSM-5. Objetivo: El objetivo del estudio fue evaluar las propiedades psicométricas de la PCL-5 en una muestra de usuarios de servicios de salud mental expuestos a trauma y que mostraban síntomas del TEPT. Métodos: Se investigaron la confiabilidad y la validez de la PCL-5 en una muestra de 273 participantes que reportaron un diagnóstico previo de TEPT o que fueron tamizados como positivos para síntomas de estrés traumático. La utilidad diagnóstica se evaluó mediante la comparación con la escala para el TEPT administrada por un clínico según el DSM-5 (CAPS-5, por sus siglas en inglés). Resultados: La PCL-5 mostró alta consistencia interna, buena convergencia y validez divergente, estabilidad aceptable y buena utilidad diagnóstica. Sin embargo, las características operativas eran distintas de aquellas encontradas en otras muestra...

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Section: Aims Of the Studymentioning

confidence: 99%

Psychometric properties of the PTSD Checklist for DSM-5 in a sample of trauma exposed mental health service users

Roberts

Kitchiner

Lewis

et al. 2021

European Journal of Psychotraumatology

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“…More recently, Weathers et al (2013) developed the PCL for the DSM‐5 (PCL‐5) but its psychometric analyses are still scarce to date. In general, the available findings suggest that the measure has adequate psychometric properties across different samples: war Veterans (Bovin et al, 2016; Lee et al, 2019; Wortmann et al, 2016), college students (Ashbaugh, Houle‐Johnson, Herbert, El‐Hage, & Brunet, 2016; Blevins, Weathers, Davis, Witte, & Domino, 2015), earthquake survivors (Demirchyan, Goenjian, & Khachadourian, 2015; P. Liu et al, 2014; Wang et al, 2015), internally displaced people and refugees affected by war (Ibrahim, Ertl, Catani, Ismail, & Neuner, 2018), trauma‐exposed individuals (Krüger‐Gottschalk et al, 2017; Pereira‐Lima, Loureiro, Bolsoni, Apolinario da Silva, & Osório, 2019; Seligowski & Orcutt, 2016), and parents of children with burns (Sveen, Bondjers, & Willebrand, 2016). Table 2 summarizes the main psychometric properties of the PCL‐5 found in some of these studies.…”

Section: Introductionmentioning

confidence: 99%

Portuguese version of the Posttraumatic Stress Disorder Checklist for DSM‐5 (PCL‐5): Comparison of latent models and other psychometric analyses

2020

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Objective: This psychometric study explores the Portuguese version of the Posttraumatic Stress Disorder (PTSD) Checklist (PCL-5). It aims to clarify the best-fitting latent structure among competing PTSD models (Diagnostic and Statistical Manual of Mental Disorders-fifth edition [DSM-5], Dysphoria, Dysphoric Arousal, Anhedonia, Externalizing Behavior, And Hybrid models) and its implications for PTSD measurement. Method: Psychometric analyses were conducted in a sample from the general population of firefighters (N = 446), except the temporal stability, which was tested in a subsample of 100 participants. Results: The models presented significant differences in a global fit. The Hybrid model presented the best-fitting structure, but the DSM-5 model showed more favorable reliability and convergent validity in Confirmatory Factor Analyses. The DSM-5 model also proved to be internally consistency, temporally stable, and presented convergent validity. Conclusion: The Portuguese version of PCL-5 is reliable and valid. The findings suggest the appropriateness of the DSM-5 model to assess PTSD symptomatology, encouraging its use in clinical, and research settings. K E Y W O R D S firefighters, Portuguese version, Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), Portuguese version, psychometric properties, PTSD model comparison

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“…This 5-point Likert scale is a 20-item self-report assessing the 20 DSM-5 PTSD symptoms. Responses vary according to how much each symptom of PTSD has bothered the individual in the last 4 weeks, rated from 0 (not at all) to 4 (extremely) [ 42 ].…”

Section: Methodsmentioning

confidence: 99%

Posttraumatic Stress Disorder and Neuroprogression in Women Following Sexual Assault: Protocol for a Randomized Clinical Trial Evaluating Allostatic Load and Aging Process Acceleration

Coimbra¹,

Yeh²,

Delia³

et al. 2020

JMIR Res Protoc

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Background Posttraumatic stress disorder (PTSD) is a prevalent, chronic, and severe disorder related to traumatic events. Women are disproportionately affected by PTSD than men and are more at risk in the occurrence of sexual assault victimization. Estimates suggest that 50% of women develop PTSD following sexual assault and successful clinical management can be challenging. Growing evidence has implicated neural, immune, and endocrine alterations underpinning PTSD, but only few studies have assessed the evolution of acute PTSD in women. Objective This study aims to measure whether the onset of PTSD is associated with accelerated aging in women following sexual assault. We hypothesize that the increase of allostatic load caused by PTSD leads to neuroprogression. We will implement a randomized clinical trial to compare responses to treatment with either interpersonal psychotherapy adapted for PTSD (IPT-PTSD) or the selective serotonin reuptake inhibitor sertraline. Methods We will include women between 18 and 45 years of age, who experienced sexual assault from 1 to 6 months before the initial evaluation, and present with a Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) diagnosis of PTSD. Baseline evaluation will comprise clinical and psychometric assessments, structural and functional magnetic resonance imaging, neuropsychological testing, polysomnography, evaluation of immune and endocrine parameters, and genetic analyses. Age-matched female healthy controls will be included and subjected to the same evaluation. Patients will be randomized for treatment in 1 of the 2 arms of the study for 14 weeks; follow-up will continue until 1 year after inclusion via treatment as usual. The researchers will collect clinical and laboratory data during periodic clinical assessments up to 1-year follow-up. Results Data collection started in early 2016 and will be completed by the end of the first semester of 2020. Analyses will be performed soon afterward, followed by the elaboration of several articles. Articles will be submitted in early 2021. This research project has obtained a grant from the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP 2014/12559-5). Conclusions We expect to provide insight into the consequences of recent sexual assault exposure in women by investigating the degree of neuroprogression developing from an early stage of PTSD. We also expect to provide important evidence on the efficacy of a non-exposure psychotherapy (IPT-PTSD) to mitigate PTSD symptoms in recently sexually assaulted women. Further, we aim to obtain evidence on how treatment outcomes are associated with neuroprogression measures. Trial Registration Brazilian Clinical Trials Registry RBR-3z474z; http://www.ensaiosclinicos.gov.br/rg/RBR-3z474z/ International Registered Report Identifier (IRRID) DERR1-10.2196/19162

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Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions)

Cited by 48 publications

References 15 publications

Psychometric properties of the PTSD Checklist for DSM-5 in a sample of trauma exposed mental health service users

Psychometric properties of the PTSD Checklist for DSM-5 in a sample of trauma exposed mental health service users

Portuguese version of the Posttraumatic Stress Disorder Checklist for DSM‐5 (PCL‐5): Comparison of latent models and other psychometric analyses

Posttraumatic Stress Disorder and Neuroprogression in Women Following Sexual Assault: Protocol for a Randomized Clinical Trial Evaluating Allostatic Load and Aging Process Acceleration

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