The German version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): psychometric properties and diagnostic utility

Krüger-Gottschalk, Antje; Knaevelsrud, Christine; Rau, Heinrich; Dyer, Anne; Schäfer, Ingo; Schellong, Julia; Ehring, Thomas

doi:10.1186/s12888-017-1541-6

Cited by 224 publications

(224 citation statements)

References 34 publications

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“…A total of N = 341 trauma-exposed participants were included (Münster n = 83, Berlin n = 100, Hamburg n = 74, Dresden n = 58, Mannheim n = 26; for details, see Krüger-Gottschalk et al, 2017). Participants were either treatment-seeking or were recruited via newspaper announcements.…”

Section: Methodsmentioning

confidence: 99%

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Testing the ICD-11 proposal for complex PTSD in trauma-exposed adults: factor structure and symptom profiles

Böttche

Ehring

Krüger-Gottschalk

et al. 2018

European Journal of Psychotraumatology

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Background: The proposed ICD-11 criteria for trauma-related disorders define posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (cPTSD) as separate disorders. Results of previous studies support the validity of this concept. However, due to limitations of existing studies (e.g. homogeneity of the samples), the present study aimed to test the construct validity and factor structure of cPTSD and its distinction from PTSD using a heterogeneous trauma-exposed sample. Method: Confirmatory factor analyses (CFAs) were conducted to explore the factor structure of the proposed ICD-11 cPTSD diagnosis in a sample of 341 trauma-exposed adults (n = 191 female, M = 37.42 years, SD = 12.04). In a next step, latent profile analyses (LPAs) were employed to evaluate predominant symptom profiles of cPTSD symptoms. Results: The results of the CFA showed that a six-factor structure (i.e. symptoms of intrusion, avoidance, hyperarousal and symptoms of affective dysregulation, negative self-concept, and interpersonal problems) fits the data best. According to LPA, a four-class solution optimally characterizes the data. Class 1 represents moderate PTSD and low symptoms in the specific cPTSD clusters (PTSD group, 30.4%). Class 2 showed low symptom severity in all six clusters (low symptoms group, 24.1%). Classes 3 and 4 both exhibited cPTSD symptoms but differed with respect to the symptom severity (Class 3: cPTSD, 34.9% and Class 4: severe cPTSD, 10.6%). Conclusions: The findings replicate previous studies supporting the proposed factor structure of cPTSD in ICD-11. Additionally, the results support the validity and usefulness of conceptualizing PTSD and cPTSD as discrete mental disorders.

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Section: Methodsmentioning

confidence: 99%

“…Posttraumatic Stress Disorder Checklist (PCL-5, Weathers et al, 2013; German version: Krüger-Gottschalk et al, 2017), a 20-item self-report questionnaire assessing PTSD symptoms according to the DSM-5 (American Psychiatric Association, 2013). Items are scored on a 5-point Likert scale (0 = ‘not at all’ to 4 = ‘extremely’).…”

Section: Methodsmentioning

confidence: 99%

Testing the ICD-11 proposal for complex PTSD in trauma-exposed adults: factor structure and symptom profiles

Böttche

Ehring

Krüger-Gottschalk

et al. 2018

European Journal of Psychotraumatology

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“…Participants were instructed to complete the PCL-5 based on a ‘worst event that still troubles them the most today’. The PCL-5 was developed based on the DSM-5 criteria, and preliminary psychometric evaluations revealed high internal consistency (α = .94), good test-retest reliability (.56 < r < .82), and high discriminability and convergence (Blevins, Weathers, Davis, Witte, & Domino, 2015; Krüger-Gottschalk et al, 2016). In the current study, internal consistency was satisfactory (total scale α = .97; intrusion α = .93; avoidance α = .88; cognitions and mood α = .91; hyperarousal α = .89).…”

Section: Methodsmentioning

confidence: 99%

Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: changes in PTSD prevalence in military personnel

Kuester

Köhler²,

Ehring

et al. 2017

European Journal of Psychotraumatology

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Background: Recently, changes have been introduced to the diagnostic criteria for posttraumatic stress disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD). Objectives:This study investigated the effect of the diagnostic changes made from DSM-IV to DSM-5 and from ICD-10 to the proposed ICD-11. The concordance of provisional PTSD prevalence between the diagnostic criteria was examined in a convenience sample of 100 members of the German Armed Forces. Method: Based on questionnaire measurements, provisional PTSD prevalence was assessed according to DSM-IV, DSM-5, ICD-10, and proposed ICD-11 criteria. Consistency of the diagnostic status across the diagnostic systems was statistically evaluated. Results: Provisional PTSD prevalence was the same for DSM-IV and DSM-5 (both 56%) and comparable under DSM-5 versus ICD-11 proposal (48%). Agreement between DSM-IV and DSM-5, and between DSM-5 and the proposed ICD-11, was high (both p < .001). Provisional PTSD prevalence was significantly increased under ICD-11 proposal compared to ICD-10 (30%) which was mainly due to the deletion of the time criterion. Agreement between ICD-10 and the proposed ICD-11 was low (p = .014). Conclusion: This study provides preliminary evidence for a satisfactory concordance between provisional PTSD prevalence based on the diagnostic criteria for PTSD that are defined using DSM-IV, DSM-5, and proposed ICD-11. This supports the assumption of a set of PTSD core symptoms as suggested in the ICD-11 proposal, when at the same time a satisfactory concordance between ICD-11 proposal and DSM was given. The finding of increased provisional PTSD prevalence under ICD-11 proposal in contrast to ICD-10 can be of guidance for future epidemiological research on PTSD prevalence, especially concerning further investigations on the impact, appropriateness, and usefulness of the time criterion included in ICD-10 versus the consequences of its deletion as proposed for ICD-11.

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“…This was necessary due to the much greater burden of CAPS‐5 administration on participants. Research suggests a high level of diagnostic agreement between the PCL‐5 and CAPS‐5 (Geier, Hunt, Nelson, Brasel, & deRoon‐Casini, ) and that a PCL‐5 score of ≥33 has high diagnostic accuracy (Bovin et al, ; Krüger‐Gottschalk et al, ). All of the participants classified as PTSD+ scored over 33, giving a high degree of confidence in the accuracy of their classification.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic stress disorder predicts non‐completion of day hospital treatment for bulimia nervosa and other specified feeding/eating disorder

Trottier

2020

Euro Eating Disorders Rev

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Objective: The aim of this study was to determine whether posttraumatic stress disorder (PTSD) predicts non-completion of CBT-based day hospital treatment for bulimia nervosa (BN) and other specified feeding and eating disorder (OSFED). Method: Participants were 151 day hospital patients with BN or OSFED. Participants were assessed at pretreatment via interview and self-report measures. Cox regression was used to model the rate and timing of treatment termination; pretreatment binge and vomit frequencies, eating disorder-related clinical impairment, depression, and ED psychopathology were entered as covariates.Results: Participants who screened positive for PTSD (n = 64) had more severe ED psychopathology, ED-related impairment, negative schemas, and depression relative to those who did not screen positive. Cox regression indicated that PTSD significantly predicted premature termination and was associated with a 2.32 times greater risk. Individuals with BN or OSFED and cooccurring PTSD were particularly likely to terminate in the early phase of treatment compared with later in treatment.Conclusion: PTSD appears to affect some individuals' ability to complete intensive ED treatment. Future research should examine whether PTSD predicts premature termination from less intensive ED treatments, as well as in other intensive treatment settings, and whether PTSD predicts poorer outcomes from ED treatment. K E Y W O R D S bulimia nervosa, dropout, eating disorders, posttraumatic stress disorder, trauma

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The German version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): psychometric properties and diagnostic utility

Cited by 224 publications

References 34 publications

Testing the ICD-11 proposal for complex PTSD in trauma-exposed adults: factor structure and symptom profiles

Testing the ICD-11 proposal for complex PTSD in trauma-exposed adults: factor structure and symptom profiles

Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: changes in PTSD prevalence in military personnel

Posttraumatic stress disorder predicts non‐completion of day hospital treatment for bulimia nervosa and other specified feeding/eating disorder

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