Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utility

Objective: War veterans are at high risk of developing posttraumatic stress disorder (PTSD), and the development of brief self-report instruments that enable screening for PTSD in this population is crucial. The PTSD Checklist-Military Version (PCL-M) is widely used for this purpose. This study soug...

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Main Authors: Teresa Carvalho, José Pinto-Gouveia, Marina Cunha, Joana Duarte
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP) 2015-03-01
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000100055&lng=en&tlng=en
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author Teresa Carvalho
José Pinto-Gouveia
Marina Cunha
Joana Duarte
author_facet Teresa Carvalho
José Pinto-Gouveia
Marina Cunha
Joana Duarte
author_sort Teresa Carvalho
collection DOAJ
description Objective: War veterans are at high risk of developing posttraumatic stress disorder (PTSD), and the development of brief self-report instruments that enable screening for PTSD in this population is crucial. The PTSD Checklist-Military Version (PCL-M) is widely used for this purpose. This study sought to explore the diagnostic utility of the Portuguese version of the PCL-M. Methods: The participants were 86 Portuguese Colonial War veterans (42 with a PTSD diagnosis and 44 without PTSD). Participants completed a self-report instrument designed to collect sociodemographic data, the PCL-M, and the Clinician-Administered PTSD Scale (CAPS). Results: The area under the receiver operator characteristic (ROC) curve showed excellent discriminant ability between subjects with and without PTSD (AUC = 0.94). To achieve a positive PTSD diagnosis, an optimal cutoff point of 49 for the PCL-M total score and cutoff points for each of its 17 items are recommended. Conclusions: This work is a relevant contribution for research and clinical practice in the vast population of Portuguese Colonial War veterans. Use of the PCL-M as a screening tool for PTSD symptoms will allow easier, resource-aware targeting of subjects with a potential PTSD diagnosis, adding to the improvement of public health in Portugal.
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spelling doaj.art-e5900343724f4bfa8fa434d1bd91f5e92022-12-21T21:43:22ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2015-03-01371556210.1590/1516-4446-2013-1319S1516-44462015000100055Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utilityTeresa CarvalhoJosé Pinto-GouveiaMarina CunhaJoana DuarteObjective: War veterans are at high risk of developing posttraumatic stress disorder (PTSD), and the development of brief self-report instruments that enable screening for PTSD in this population is crucial. The PTSD Checklist-Military Version (PCL-M) is widely used for this purpose. This study sought to explore the diagnostic utility of the Portuguese version of the PCL-M. Methods: The participants were 86 Portuguese Colonial War veterans (42 with a PTSD diagnosis and 44 without PTSD). Participants completed a self-report instrument designed to collect sociodemographic data, the PCL-M, and the Clinician-Administered PTSD Scale (CAPS). Results: The area under the receiver operator characteristic (ROC) curve showed excellent discriminant ability between subjects with and without PTSD (AUC = 0.94). To achieve a positive PTSD diagnosis, an optimal cutoff point of 49 for the PCL-M total score and cutoff points for each of its 17 items are recommended. Conclusions: This work is a relevant contribution for research and clinical practice in the vast population of Portuguese Colonial War veterans. Use of the PCL-M as a screening tool for PTSD symptoms will allow easier, resource-aware targeting of subjects with a potential PTSD diagnosis, adding to the improvement of public health in Portugal.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000100055&lng=en&tlng=enPosttraumatic stress disorderdiagnosis and classificationmilitary psychiatrytests/interviewspsychometric, statistics
spellingShingle Teresa Carvalho
José Pinto-Gouveia
Marina Cunha
Joana Duarte
Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utility
Brazilian Journal of Psychiatry
Posttraumatic stress disorder
diagnosis and classification
military psychiatry
tests/interviews
psychometric, statistics
title Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utility
title_full Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utility
title_fullStr Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utility
title_full_unstemmed Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utility
title_short Portuguese version of the PTSD Checklist-Military Version (PCL-M) - II: diagnostic utility
title_sort portuguese version of the ptsd checklist military version pcl m ii diagnostic utility
topic Posttraumatic stress disorder
diagnosis and classification
military psychiatry
tests/interviews
psychometric, statistics
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462015000100055&lng=en&tlng=en
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