Volume 28, Issue 6 p. 489-498
Research Article

The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation

Christy A. Blevins

Corresponding Author

Christy A. Blevins

VA Portland Health Care System, Portland, Oregon, USA

Correspondence concerning this article should be addressed to Christy Blevins, VA Portland Health Care System, 3710 SW U.S. Veterans Hospital Rd, Portland, OR 97239. E-mail: [email protected]Search for more papers by this author
Frank W. Weathers

Frank W. Weathers

Department of Psychology, Auburn University, Auburn, Alabama, USA

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Margaret T. Davis

Margaret T. Davis

Department of Psychology, Auburn University, Auburn, Alabama, USA

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Tracy K. Witte

Tracy K. Witte

Department of Psychology, Auburn University, Auburn, Alabama, USA

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Jessica L. Domino

Jessica L. Domino

South Texas Veterans Health Care System, San Antonio, Texas, USA

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First published: 25 November 2015
Citations: 2,732

Abstract

en

The Posttraumatic Stress Disorder Checklist (PCL) is a widely used DSM-correspondent self-report measure of PTSD symptoms. The PCL was recently revised to reflect DSM-5 changes to the PTSD criteria. In this article, the authors describe the development and initial psychometric evaluation of the PCL for DSM-5 (PCL-5). Psychometric properties of the PCL-5 were examined in 2 studies involving trauma-exposed college students. In Study 1 (N = 278), PCL-5 scores exhibited strong internal consistency (α = .94), test-retest reliability (r = .82), and convergent (rs = .74 to .85) and discriminant (rs = .31 to .60) validity. In addition, confirmatory factor analyses indicated adequate fit with the DSM-5 4-factor model, χ2(164) = 455.83, p < .001, standardized root mean square residual (SRMR) = .07, root mean squared error of approximation (RMSEA) = .08, comparative fit index (CFI) = .86, and Tucker-Lewis index (TLI) = .84, and superior fit with recently proposed 6-factor, χ2 (164) = 318.37, p < .001, SRMR = .05, RMSEA = .06, CFI = .92, and TLI = .90, and 7-factor, χ2 (164) = 291.32, p < .001, SRMR = .05, RMSEA = .06, CFI = .93, and TLI = .91, models. In Study 2 (N = 558), PCL-5 scores demonstrated similarly strong reliability and validity. Overall, results indicate that the PCL-5 is a psychometrically sound measure of PTSD symptoms. Implications for use of the PCL-5 in a variety of assessment contexts are discussed.

Resumen

es

Spanish Abstracts by the Asociacion Chilena de Estres Traumatico

Lista de verificación del Trastorno por Estrés Postraumatico para el

DSM-5

La lista de verificación del Trastorno por Estrés Post-Traumático (LVP o PCL por sus siglas en ingles: Posttraumatic Stress Disorder Checklist) es una medida DSM-correspondiente de auto-reporte de síntomas de TEPT ampliamente usada. La LVP fue recientemente revisada para reflejar los cambios DSM-5 a los criterios de TEPT. Este artículo describe el desarrollo y evaluación psicométrica inicial de LVP para DSM-5 (LVP-5). Fueron examinadas propiedades psicométricas de LVP-5 en dos estudios que involucraron estudiantes universitarios expuestos a trauma. En el estudio 1 (N = 278) las puntuaciones LVP- 5 exhibían fuerte consistencia interna (a = .94), y confiabilidad test-re-test (r = .82), y convergente (rs = .74 a .85) y validez discriminativa (rs = .31 a .60). Adicionalmente, análisis factoriales confirmatorios indicaron un ajuste adecuado con el modelo cuatro-factores DSM-5, Χ2 (164) = 455.83, p < .001; raíz cuadrada media estandarizada residual (RMER) = .07; error cuadrado medio de aproximación (ECMA) = .08; Índice de Ajuste Comparativo (IAC) = .86; y el Índice Tucker-Lewis (ITL) = .84, y ajuste superior con el recientemente propuesto seis- (Χ2 (164) = 318.37, p < .001; RMER = .05; ECMA = .06; IAC = .92; y ITL = .90 y siete- (Χ2 (164) = 291.32, p < .001; RMER = .05; ECMA = 0.6; IAC = .93; y ITL = .91) modelos factoriales. En el Estudio 2 (N = 558) las puntuaciones LVP-5 demostraron similarmente fuerte confiabilidad y validez. En general, los resultados indican que el LVP-5 es una medida psicométrica sólida de TEPT. Son discutidas las implicaciones para el uso de LVP-5 en una variedad de contextos de evaluación.

抽象

zh

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題 : DSM-5的創傷後壓力症檢查表(PCL-5)發展和初步心理測量評估

撮要: 與《精神疾病診斷與統計手冊》對應的創傷後壓力症檢查表(PCL)是普遍為人使用的PTSD症狀自評測量工具༌其最近因配合DSM-5對PTSD診斷準則的修改而更新。本論文描述PCL(PCL-5)為配合DSM-5作出的發展和PCL-5的初步心理測量評估༌利用兩項有關受創大學生的研究檢視PCL-5的心理測量特性。研究一(N = 278)的PCL-5分數反映強的內部一致性(α = .94)、重測信度(r = .82)、匯聚(rs = .74 至 .85)及判別效度(rs = .31 至 .60)。驗證性因數分析亦顯示PCL-5跟DSM-5的四因素模型有足夠適配度༌χ2 (164) = 455.83, p < .001༌

標準化殘差均方根 (SRMR) = .07༌漸進誤差均方根(RMSEA) = .08༌比較適配指數 (CFI) = .86༌Tucker Lewis指數(TLI) = .84༛並與最近提出的六因素模型(χ2 (164) = 318.37, p < .001; SRMR = .05; RMSEA = .06; CFI = .92; and TLI = .90)及七因素模型(χ2 (164) = 291.32, p < .001; SRMR = .05; RMSEA = .06; CFI = .93; and TLI = .91)有優越適配度。研究二(N = 558)的PCL-5分數反映相近強度的信度和效度。整體結果反映PCL-5是測量PTSD的好方法。論文亦討論到在各種評估情境下使用PCL-5的意味。

标题 : DSM-5的创伤后压力症检查表(PCL-5)发展和初步心理测量评估

撮要: 与《精神疾病诊断与统计手册》对应的创伤后压力症检查表(PCL)是普遍为人使用的PTSD症状自评测量工具༌其最近因配合DSM-5对PTSD诊断准则的修改而更新。本论文描述PCL(PCL-5)为配合DSM-5作出的发展和PCL-5的初步心理测量评估༌利用两项有关受创大学生的研究检视PCL-5的心理测量特性。研究一(N = 278)的PCL-5分数反映强的内部一致性(α = .94)、重测信度(r = .82)、汇聚(rs = .74 至 .85)及判别效度(rs = .31 至 .60)。验证性因子分析亦显示PCL-5跟DSM-5的四因素模型有足够适配度༌χ2 (164) = 455.83, p < .001༌

标准化残差均方根 (SRMR) = .07༌渐进误差均方根(RMSEA) = .08༌比较适配指数 (CFI) = .86༌Tucker Lewis指数(TLI) = .84༛并与最近提出的六因素模型(χ2 (164) = 318.37, p < .001; SRMR = .05; RMSEA = .06; CFI = .92; and TLI = .90)及七因素模型(χ2 (164) = 291.32, p < .001; SRMR = .05; RMSEA = .06; CFI = .93; and TLI = .91)有优越适配度。研究二(N = 558)的PCL-5分数反映相近强度的信度和效度。整体结果反映PCL-5是测量PTSD的好方法。论文亦讨论到在各种评估情境下使用PCL-5的意味。

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