Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions)
Background: With the release of the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5), the Posttraumatic Stress Disorder Checklist (PCL) has been updated to meet the revisions of the diagnostic criteria for Posttraumatic Stress Disorder (PTSD). However, the diagnost...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2019-12-01
|
| Series: | European Journal of Psychotraumatology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20008198.2019.1581020 |
| _version_ | 1797954539881496576 |
|---|---|
| author | Karina Pereira-Lima Sonia Regina Loureiro Lívia Maria Bolsoni Thiago Dornela Apolinario da Silva Flávia Lima Osório |
| author_facet | Karina Pereira-Lima Sonia Regina Loureiro Lívia Maria Bolsoni Thiago Dornela Apolinario da Silva Flávia Lima Osório |
| author_sort | Karina Pereira-Lima |
| collection | DOAJ |
| description | Background: With the release of the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5), the Posttraumatic Stress Disorder Checklist (PCL) has been updated to meet the revisions of the diagnostic criteria for Posttraumatic Stress Disorder (PTSD). However, the diagnostic utility and reliability of a Brazilian version of the new Posttraumatic Stress Disorder Checklist (PCL-5) have not been investigated yet. Objective: To investigate the internal consistency, test-retest reliability, and diagnostic utility of the complete version (21-item) and two abbreviated (8-item and 4-item) versions of the Brazilian PCL-5. Methods: A total of 85 individuals with a history of exposure to at least one traumatic event underwent a diagnostic interview using the Structured Clinical Interview for DSM-5 (SCID-5-CV) and completed the Brazilian version of the PCL-5. Moreover, participants were invited to complete the checklist for a second time 10–30 days after the first assessment. Results: Both the complete and abbreviated versions of the Brazilian PCL-5 showed good internal consistency (complete PCL-5, α = .96; 8-item, α = .93; 4-item, α = .85) and test-retest reliability (complete PCL-5, ICC .87 [95% CI, 0.65–0.95]; 8-item, ICC .84 [95% CI, 0.60–0.94]; 4-item, ICC .84 [95% CI, 0.58–0.94]). Diagnostic utility analyses using the Structured Clinical Interview for DSM-5 (SCID-5-CV) revealed that a cutoff point of 36 presented the higher overall efficiency for predicting a PTSD diagnosis Overall Efficiency (OE, .80) and corresponded to Youden’s index J (.65). For the 8-item version, a cutoff point of 13 corresponded to Youden’s index J (.61), while scores of 21 or more were associated with the highest OE (.78). For the 4-item PCL-5, scores > 7 presented the highest OE (.77) and corresponded to Youden’s index J (.59). Conclusions: Overall, the findings provide relevant evidence regarding the high reliability and diagnostic utility of this Brazilian version of the PCL-5. |
| first_indexed | 2024-04-10T23:20:14Z |
| format | Article |
| id | doaj.art-bbec102f77ca44b38063af5fb9abc207 |
| institution | Directory Open Access Journal |
| issn | 2000-8066 |
| language | English |
| last_indexed | 2024-04-10T23:20:14Z |
| publishDate | 2019-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj.art-bbec102f77ca44b38063af5fb9abc2072023-01-12T15:31:30ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662019-12-0110110.1080/20008198.2019.15810201581020Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions)Karina Pereira-Lima0Sonia Regina Loureiro1Lívia Maria Bolsoni2Thiago Dornela Apolinario da Silva3Flávia Lima Osório4University of São PauloUniversity of São PauloUniversity of São PauloUniversity of São PauloUniversity of São PauloBackground: With the release of the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5), the Posttraumatic Stress Disorder Checklist (PCL) has been updated to meet the revisions of the diagnostic criteria for Posttraumatic Stress Disorder (PTSD). However, the diagnostic utility and reliability of a Brazilian version of the new Posttraumatic Stress Disorder Checklist (PCL-5) have not been investigated yet. Objective: To investigate the internal consistency, test-retest reliability, and diagnostic utility of the complete version (21-item) and two abbreviated (8-item and 4-item) versions of the Brazilian PCL-5. Methods: A total of 85 individuals with a history of exposure to at least one traumatic event underwent a diagnostic interview using the Structured Clinical Interview for DSM-5 (SCID-5-CV) and completed the Brazilian version of the PCL-5. Moreover, participants were invited to complete the checklist for a second time 10–30 days after the first assessment. Results: Both the complete and abbreviated versions of the Brazilian PCL-5 showed good internal consistency (complete PCL-5, α = .96; 8-item, α = .93; 4-item, α = .85) and test-retest reliability (complete PCL-5, ICC .87 [95% CI, 0.65–0.95]; 8-item, ICC .84 [95% CI, 0.60–0.94]; 4-item, ICC .84 [95% CI, 0.58–0.94]). Diagnostic utility analyses using the Structured Clinical Interview for DSM-5 (SCID-5-CV) revealed that a cutoff point of 36 presented the higher overall efficiency for predicting a PTSD diagnosis Overall Efficiency (OE, .80) and corresponded to Youden’s index J (.65). For the 8-item version, a cutoff point of 13 corresponded to Youden’s index J (.61), while scores of 21 or more were associated with the highest OE (.78). For the 4-item PCL-5, scores > 7 presented the highest OE (.77) and corresponded to Youden’s index J (.59). Conclusions: Overall, the findings provide relevant evidence regarding the high reliability and diagnostic utility of this Brazilian version of the PCL-5.http://dx.doi.org/10.1080/20008198.2019.1581020ptsddsm-5psychometricsbraziltrauma and stressor related disorders |
| spellingShingle | Karina Pereira-Lima Sonia Regina Loureiro Lívia Maria Bolsoni Thiago Dornela Apolinario da Silva Flávia Lima Osório Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions) European Journal of Psychotraumatology ptsd dsm-5 psychometrics brazil trauma and stressor related disorders |
| title | Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions) |
| title_full | Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions) |
| title_fullStr | Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions) |
| title_full_unstemmed | Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions) |
| title_short | Psychometric properties and diagnostic utility of a Brazilian version of the PCL-5 (complete and abbreviated versions) |
| title_sort | psychometric properties and diagnostic utility of a brazilian version of the pcl 5 complete and abbreviated versions |
| topic | ptsd dsm-5 psychometrics brazil trauma and stressor related disorders |
| url | http://dx.doi.org/10.1080/20008198.2019.1581020 |
| work_keys_str_mv | AT karinapereiralima psychometricpropertiesanddiagnosticutilityofabrazilianversionofthepcl5completeandabbreviatedversions AT soniareginaloureiro psychometricpropertiesanddiagnosticutilityofabrazilianversionofthepcl5completeandabbreviatedversions AT liviamariabolsoni psychometricpropertiesanddiagnosticutilityofabrazilianversionofthepcl5completeandabbreviatedversions AT thiagodornelaapolinariodasilva psychometricpropertiesanddiagnosticutilityofabrazilianversionofthepcl5completeandabbreviatedversions AT flavialimaosorio psychometricpropertiesanddiagnosticutilityofabrazilianversionofthepcl5completeandabbreviatedversions |