Psychometric properties of PTSD Checklist in sample of male veterans

Keen, Stefanie M.; Kutter, Catherine J.; Niles, Barbara L.; Krinsley, Karen E.

doi:10.1682/jrrd.2007.09.0138

Cited by 265 publications

(212 citation statements)

References 19 publications

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“…Recommended cut points have ranged from 31 [19] to 60 [20], and there remains lack of consensus regarding the best diagnostic threshold for the PCL-C [21][22]. The minimum possible score that corresponds with a Diagnostic and Statistical Manual of Mental Disorders-IV [23] diagnosis of PTSD is 41 and is thus considered clinically significant [17].…”

Section: Posttraumatic Stress Disordermentioning

confidence: 99%

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Outcalt

Ang

et al. 2014

J Rehabil Res Dev

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Abstract-Chronic pain and posttraumatic stress disorder (PTSD) co-occur at high rates, and Veterans from recent wars in Iraq and Afghanistan may be particularly vulnerable to both conditions. The objective of this study was to identify key aspects of chronic pain, cognitions, and psychological distress associated with comorbid PTSD among this sample of Veterans. Baseline data were analyzed from a randomized controlled trial testing a stepped-care intervention for chronic musculoskeletal pain. Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with chronic pain only (n = 173) were compared with those with chronic pain and clinically significant posttraumatic stress symptoms (n = 68). Group differences on pain characteristics, pain cognitions, and psychological distress were evaluated. Results demonstrated that OIF/OEF Veterans with comorbid chronic musculoskeletal pain and PTSD experienced higher pain severity, greater painrelated disability and increased pain interference, more maladaptive pain cognitions (e.g., catastrophizing, self-efficacy, pain centrality), and higher affective distress than those with chronic pain alone. Veterans of recent military conflicts in Iraq and Afghanistan may be particularly vulnerable to the compounded adverse effects of chronic pain and PTSD. These results highlight a more intense and disabling pain and psychological experience for those with chronic pain and PTSD than for those without PTSD. Clinical

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Section: Posttraumatic Stress Disordermentioning

confidence: 99%

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Outcalt

Ang

et al. 2014

J Rehabil Res Dev

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“…It is one of the most widely used self-report instruments for assessing PTSD [23][24]. Published accounts of PTSD screening for both civilian and military versions of the PCL, with variations in populations, settings, reference standards, research methods, and optimality criteria, have reported optimal cutoff scores ranging from 28 to 60 [22,[25][26][27][28][29][30][31][32][33][34][35][36][37]. Each patient was given the PCL during consultation, with an opportunity to complete in a self-reported manner so that we could gain a raw score measure of PTSD symptom severity.…”

Section: Source Of Datamentioning

confidence: 99%

Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain

Dunn¹,

Julian²,

Formolo³

et al. 2011

JRRD

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Abstract-Escalating prevalence estimates of posttraumatic stress disorder (PTSD) among recently returning Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans highlight the need for early detection and management for reducing chronic mental illness and disability. Because PTSD and chronic pain are common comorbid conditions among veterans, PTSD screening within specialty clinic settings addressing musculoskeletal pain may be of value. This retrospective study evaluated measures of diagnostic value for the PTSD Checklist (PCL) for a sample (n = 79) of OIF/OEF veterans seeking care for neck or back pain within a Department of Veterans Affairs specialty clinic. Because published accounts of optimal PCL cutoff scores vary considerably, we used receiver operating characteristic curves to identify whether the optimal PCL cutoff score for the sample differed from a conventional cutoff score of 50. A clinical psychologist experienced in diagnosing and managing PTSD confirmed the diagnosis of PTSD for 37 veterans through a review of clinical records. The prevalence of diagnosed PTSD was 46.8%, with an optimal PCL cutoff score of 44. These findings may guide future research and influence clinical practice regarding PTSD screening for recently returning veterans with chronic pain.

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“…The PCL has revealed strong connections with other PTSD symptom questionnaires -i.e. correlations with the Mississippi Combat Related PTSD r = .93, Impact of Events Questionnaire r = .90 [4] and Clinician-Administered PTSD Scale r = .79 [10]. In comparison to afflicted individuals, individuals without PTSD reported significantly lower mean scale scores [3] and scale scores were sensitive to treatment [11].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Turkish version of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5)

Boysan

Özdemir

et al. 2017

Psychiatry and Clinical Psychopharmacology

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Objective: The posttraumatic stress disorder (PTSD) Checklist is one of the most widely used screening tool in assessing PTSD symptomatology. Several changes to PTSD definition were made in the recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The aim of the study was to assess psychometric properties of the Turkish version of the PTSD Checklist for DSM-5 (PCL-5), the revised version conforming to the advances in DSM-5. Method: Psychiatric outpatients with PTSD (n = 29) and major depressive disorder (n = 73) and a community group (n = 360) included in the study. Respondents completed the PCL-5, Trauma Symptom Checklist-40, Life Events Checklist for DSM-5, Dissociative Experiences Scale, Beck Anxiety Inventory, Beck Depression Inventory and Posttraumatic Cognitions Inventory. Results: We found a four-factor solution best fit to the data providing support for the vast array of PTSD research. The PCL-5 demonstrated good reliability with composite reliability coefficients of re-experiencing (.79-.92), avoidance (.73-.91), negative alterations (.85-.90) and hyperarousal (.81-.88) and temporal reliability with two-week test retest intra-correlation coefficients of .70, .64, .78, and .76, respectively. Strong associations of the total and subscale scores of the PCL-5 with other measures of trauma-related symptoms were indicative of construct validity of the screening tool. The current investigation suggested a cut-off score ≥47 for PTSD diagnosis, with .76 sensitivity and .69 specificity. Conclusion: The PCL-5 is a promising screening tool with sound psychometric properties. ARTICLE HISTORY

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Psychometric properties of PTSD Checklist in sample of male veterans

Cited by 265 publications

References 19 publications

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain

Psychometric properties of the Turkish version of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5)

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