Psychometric properties of the Post Traumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Greek women after cesarean section

Abstract

The aim of this study was to examine psychometric properties of the revised Posttraumatic Stress Checklist (PCL-5) for Diagnostic and Statistical Manual– 5th Edition (DSM-5) in Greek postpartum women after Cesarean Section(CS) (emergency-elective).So far, there was no study in Greece assessing psychometric properties of the PCL-5 in women after CS. The participating women (N = 469), who gave birth with emergency and elective CS at the Greek University Hospital of Larisa, have consented to participate in two phases of the survey and completed self-report questionnaires, the 2nd day after CS and at the 6th week after CS. Measures used in this study were the PCL-5 for DSM-5, the Life Events Checklist (LEC-5), Criteria B, C, D, E, and Criterion A, specifically designed for detection of posttraumatic stress disorder (PTSD) symptoms in postpartum period. To evaluate the internal reliability of the PCL-5 two different indices of internal consistency were calculated, i.e., Cronbach’s alpha (.97) and Guttman’ssplit-half (.95), demonstrating high reliability level. The data were positively skewed, suggesting that the reported levels of PTSD among our participants were low. Factor analyses demonstrated acceptable construct validity; a comparison of thePCL-5 with the other measures of the same concept showed a good convergent validity of the scale. Overall, all the results suggest that the four-factor PCL-5 seemed to work adequately for the Greek sample of women after CS.

Psychometric properties of the post-traumatic stress disorder checklist for DSM-5 (PCL-5) in Chinese stroke patients

“…The most prominent structure discrepancies were that the factor of avoidance was integrated into the factor of intrusion, and the factor of negative alterations in cognitions and mood was split into two factors. This result was quite similar to the previous study on Greek women after cesarean section [ 4 ]. The possibility of symptom overlaps or interdependence of the two symptom clusters of intrusion and avoidance has been proposed by some previous studies in different samples [ 6 , 53 ].…”

“…In previous studies of other populations, the Cronbach’s alpha value of PCL-5 total score ranged from 0.91 to 0.97, with that of individual item ranged from 0.79 to 0.93 [ 4 – 6 ]. The Cronbach’ alpha in our sample was also excellent (total score, 0.94; individual item, 0.81 to 0.87).…”

“…Since models of EFA and CFA are different, previous studies showed that factor structures obtained by EFA often turn out to fit poorly in CFA [ 4 , 52 ]. Thus we conducted both analyses.…”

“…Most previous studies focused on the PTSD secondary to external traumatic events such as combat and sexual violence, while less studies focused on medical conditions or acute illness [ 4 , 10 , 11 ]. Stroke is a serious health event and presents one of the leading causes of death and disability in the worldwide [ 12 ].…”

Affective Symptoms and Traumatic Stress Among College Students at Risk for ADHD During the Second Lockdown in Greece

“…Scoring over 33 is indicative of PTSD (Bridgland et al, 2021). PCL-5 has been used before in Greek and has demonstrated high reliability (.97) (Orovou et al, 2021), and similarly, in this study, it was translated using best cultural practices (Beaton et al, 2000). In our sample the scale indicated high internal consistency (a = .93).…”