The Posttraumatic Stress Disorder (PTSD) Checklist for DSM-5: A Systematic Review of Existing Psychometric Evidence.

IF 4.7 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology-science and Practice Pub Date : 2023-03-01 Epub Date: 2022-09-08 DOI:10.1037/cps0000111
Shannon R Forkus, Alexa M Raudales, Hanan S Rafiuddin, Nicole H Weiss, Brett A Messman, Ateka A Contractor
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Abstract

The PTSD Checklist for DSM-5 (PCL-5) is a widely used self-rated measure of DSM-5 PTSD symptoms. The goal of this systematic review was to synthesize research on the psychometric properties of the PCL-5 to guide clinical and research applications. We focused on reliability, validity, factor structure, optimal cutoff scores, and sensitivity to clinical change indices. A systematic review of the literature following PRISMA guidelines was conducted using PubMed, PsycINFO, CINAHL, and PTSDpubs with search terms capturing selected psychometric indices of the PCL-5. The inclusion criteria were: peer-reviewed publication in English; primary focus on the PCL-5 psychometrics; empirical study; and study with adult samples. The search yielded 265 studies; 56 papers (amounting to 64 studies) met inclusion criteria and were reviewed. Findings generally indicated evidence for: acceptable internal consistency and test-retest reliability; construct validity; a 7-factor Hybrid Model; recommended cutoff scores between 31-33; and ability to index sensitivity to clinical change. To further advance knowledge and applications of the PCL-5, we need more research on abbreviated versions of the PCL-5, bifactor modeling as applied to the PCL-5, as well as on PCL-5 item difficulty estimates, discrimination parameters, and clinical change score estimates.

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DSM-5 中的创伤后应激障碍(PTSD)核对表:对现有心理测量证据的系统回顾。
用于 DSM-5 的创伤后应激障碍核对表(PCL-5)是一种广泛使用的 DSM-5 创伤后应激障碍症状自评量表。本系统综述的目的是综合 PCL-5 的心理测量特性研究,为临床和研究应用提供指导。我们将重点放在信度、效度、因子结构、最佳截断分数以及对临床变化指数的敏感性上。我们按照 PRISMA 指南,使用 PubMed、PsycINFO、CINAHL 和 PTSDpubs 对文献进行了系统性综述,检索词包括 PCL-5 的选定心理测量指标。纳入标准为:经同行评审的英文出版物;主要关注 PCL-5 心理测量学;实证研究;成人样本研究。搜索结果包括 265 项研究;56 篇论文(共计 64 项研究)符合纳入标准并接受了审查。研究结果普遍表明了以下方面的证据:可接受的内部一致性和重测可靠性;建构效度;7 因子混合模型;建议截断分数在 31-33 之间;以及对临床变化的敏感性指标能力。为了进一步促进对 PCL-5 的了解和应用,我们需要对 PCL-5 的缩写版本、应用于 PCL-5 的双因素模型以及 PCL-5 项目难度估计值、区分参数和临床变化分数估计值进行更多的研究。
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来源期刊
CiteScore
5.70
自引率
3.40%
发文量
78
期刊介绍: Clinical Psychology: Science and Practice presents cutting-edge developments in the science and practice of clinical psychology and related mental health fields by publishing scholarly articles, primarily involving narrative and systematic reviews as well as meta-analyses related to assessment, intervention, and service delivery.
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