The Validation of the Posttraumatic Stress Disorder Checklist Scale in Posttraumatic Stress Disorder and Nonclinical Subjects
Background: The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects. Meth...
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Published in | Psychotherapy and psychosomatics Vol. 71; no. 1; pp. 47 - 53 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Basel, Switzerland
S. Karger AG
01.01.2002
Karger |
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Abstract | Background: The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects. Methods: One-hundred and thirteen outpatients suffering from PTSD according to DSM-IV were administered the PCLS. The patients’ scores on the PCLS were then compared to those of 31 nonclinical control subjects. Thirty-five of the patients were administered the PCLS twice over an interval of 1–2 weeks and also completed questionnaires measuring depression, phobia and anxiety. Results: The patients’ total score and subscores on the PCLS were found to be significantly higher than those of control subjects. The cutoff score of 44 on the French version PCLS distinguishes well between the PTSD group and control group with a high diagnostic efficacy (0.94). Factor analysis revealed 3 main factors corresponding to the reexperiencing, numbing and hyperarousal syndromes. The PCLS showed satisfactory test-retest reliability and internal consistency. Conclusions: The PCLS is therefore a valid and effective measurement of PTSD. It may be a useful tool for screening and assessing PTSD in psychiatric as well as in primary-care settings. |
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AbstractList | The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects. One-hundred and thirteen outpatients suffering from PTSD according to DSM-IV were administered the PCLS. The patients' scores on the PCLS were then compared to those of 31 nonclinical control subjects. Thirty-five of the patients were administered the PCLS twice over an interval of 1-2 weeks and also completed questionnaires measuring depression, phobia and anxiety. The patients' total score and subscores on the PCLS were found to be significantly higher than those of control subjects. The cutoff score of 44 on the French version PCLS distinguishes well between the PTSD group and control group with a high diagnostic efficacy (0.94). Factor analysis revealed 3 main factors corresponding to the reexperiencing, numbing and hyperarousal syndromes. The PCLS showed satisfactory test-retest reliability and internal consistency. The PCLS is therefore a valid and effective measurement of PTSD. It may be a useful tool for screening and assessing PTSD in psychiatric as well as in primary-care settings. The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects.BACKGROUNDThe Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects.One-hundred and thirteen outpatients suffering from PTSD according to DSM-IV were administered the PCLS. The patients' scores on the PCLS were then compared to those of 31 nonclinical control subjects. Thirty-five of the patients were administered the PCLS twice over an interval of 1-2 weeks and also completed questionnaires measuring depression, phobia and anxiety.METHODSOne-hundred and thirteen outpatients suffering from PTSD according to DSM-IV were administered the PCLS. The patients' scores on the PCLS were then compared to those of 31 nonclinical control subjects. Thirty-five of the patients were administered the PCLS twice over an interval of 1-2 weeks and also completed questionnaires measuring depression, phobia and anxiety.The patients' total score and subscores on the PCLS were found to be significantly higher than those of control subjects. The cutoff score of 44 on the French version PCLS distinguishes well between the PTSD group and control group with a high diagnostic efficacy (0.94). Factor analysis revealed 3 main factors corresponding to the reexperiencing, numbing and hyperarousal syndromes. The PCLS showed satisfactory test-retest reliability and internal consistency.RESULTSThe patients' total score and subscores on the PCLS were found to be significantly higher than those of control subjects. The cutoff score of 44 on the French version PCLS distinguishes well between the PTSD group and control group with a high diagnostic efficacy (0.94). Factor analysis revealed 3 main factors corresponding to the reexperiencing, numbing and hyperarousal syndromes. The PCLS showed satisfactory test-retest reliability and internal consistency.The PCLS is therefore a valid and effective measurement of PTSD. It may be a useful tool for screening and assessing PTSD in psychiatric as well as in primary-care settings.CONCLUSIONSThe PCLS is therefore a valid and effective measurement of PTSD. It may be a useful tool for screening and assessing PTSD in psychiatric as well as in primary-care settings. The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects. One-hundred and thirteen outpatients suffering from PTSD according to DSM-IV were administered the PCLS. The patients' scores on the PCLS were then compared to those of 31 nonclinical control subjects. Thirty-five of the patients were administered the PCLS twice over an interval of 1-2 weeks and also completed questionnaires measuring depression, phobia and anxiety. The patients' total score and subscores on the PCLS were found to be significantly higher than those of control subjects. The cutoff score of 44 on the French version PCLS distinguishes well between the PTSD group and control group with a high diagnostic efficacy (0.94). Factor analysis revealed 3 main factors corresponding to the reexperiencing, numbing and hyperarousal syndromes. The PCLS showed satisfactory test-retest reliability and internal consistency. The PCLS is therefore a valid and effective measurement of PTSD. It may be a useful tool for screening and assessing PTSD in psychiatric as well as in primary-care settings. Background: The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects. Methods: One-hundred and thirteen outpatients suffering from PTSD according to DSM-IV were administered the PCLS. The patients' scores on the PCLS were then compared to those of 31 nonclinical control subjects. Thirty-five of the patients were administered the PCLS twice over an interval of 1-2 weeks and also completed questionnaires measuring depression, phobia and anxiety. Results: The patients' total score and subscores on the PCLS were found to be significantly higher than those of control subjects. The cutoff score of 44 on the French version PCLS distinguishes well between the PTSD group and control group with a high diagnostic efficacy (0.94). Factor analysis revealed 3 main factors corresponding to the reexperiencing, numbing and hyperarousal syndromes. The PCLS showed satisfactory test-retest reliability and internal consistency. Conclusions: The PCLS is therefore a valid and effective measurement of PTSD. It may be a useful tool for screening and assessing PTSD in psychiatric as well as in primary-care settings. Copyright [copy 2001 S. Karger AG, Basel Background: The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder (PTSD). The aim of this study was the validation of the French version of the PCLS in PTSD subjects and nonclinical subjects. Methods: One-hundred and thirteen outpatients suffering from PTSD according to DSM-IV were administered the PCLS. The patients’ scores on the PCLS were then compared to those of 31 nonclinical control subjects. Thirty-five of the patients were administered the PCLS twice over an interval of 1–2 weeks and also completed questionnaires measuring depression, phobia and anxiety. Results: The patients’ total score and subscores on the PCLS were found to be significantly higher than those of control subjects. The cutoff score of 44 on the French version PCLS distinguishes well between the PTSD group and control group with a high diagnostic efficacy (0.94). Factor analysis revealed 3 main factors corresponding to the reexperiencing, numbing and hyperarousal syndromes. The PCLS showed satisfactory test-retest reliability and internal consistency. Conclusions: The PCLS is therefore a valid and effective measurement of PTSD. It may be a useful tool for screening and assessing PTSD in psychiatric as well as in primary-care settings. |
Author | De Mey-Guillard, Chantal Ventureyra, Valérie A.G. Cottraux, Jean Note, Ivan Yao, Sai-Nan |
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Cites_doi | 10.1037//1040-3590.9.4.445 10.1037//0022-006X.60.3.409 10.1159/000056222 |
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Keywords | Intrusion Posttraumatic stress disorder (PTSD) PTSD Checklist Scale (PCLS) Arousal Depression Anxiety Psychometric parameters Numbing Avoidance Human Evaluation Foreign language version Factor analysis Posttraumatic syndrome Questionnaire Healthy subject Anxiety disorder Prediction Psychometrics Test reliability Intertrial interval Stress Test validation Construct validity Symptomatology French Follow up study Convergent validity Test scoring Comparative study |
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References | Marks IM, Matthews AM: Brief standard rating for phobic patients: Behav Res Ther 1979;17:263-267. Kessler RC, Sonnega A, Bromet E, Nelson CB: Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry. 1995;52:1048-1060. Cottraux J: Inventaire abrégé de dépression de Beck (13 items); in Guelfi J (ed): L'évaluation clinique standardisée en psychiatrie. Paris, Editions Médicales Pierre-Fabre, 1993, vol 1, pp 291-295. Norris FH: Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. J Consult Clin Psychol 1992;60:409-418.161909510.1037//0022-006X.60.3.409 Hidalgo RB, Davidson JRT: Posttraumatic stress disorder: Epidemiology and health-related considerations. J Clin Psychiatry 2000;61(suppl 7):5-13. Foa EB, Cashman L, Jaycox L, Perry K: The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychol Assess 1997;9:445-451.10.1037//1040-3590.9.4.445 Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA: Psychometric properties of the PTSD Checklist. Behav Res Ther 1996;34:669-673.8870294 Cottraux J, Bouvard M, Messy P: Validation et analyse factorielle d'une échelle de phobies: La version française du questionnaire des peurs de Marks et Matthews. Encéphale 1987;13:23-29.3582263 Cottraux J: French version of the PTSD Checklist Scale, 1996; in Cottraux J (ed): Les thérapies comportementales et cognitives. Paris, Masson, 1998. Beck AT, Real WY, Rickels K: Short form of the depression inventory: Cross-validation. Psychol Rep 1974;34:1184-1186.4424377 Hovens JE, van der Ploeg HM, Bramsen I, Klaarenbeek MTA, Schreuder JN, Rivero VV: The development of the self-rating inventory for posttraumatic stress disorder. Acta Psychiatr Scand 1994;90:172-183.7810340 Weathers FW, Litz BT, Herman DS, Huska JA, Keane TM: The PTSD checklist: Reliability, validity and diagnostic utility. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, October 1993. Madianos MG, Pagaghelis M, Ioannovich J, Dafni R: Psychiatric disorders in burn patients: A follow-up study. Psychother Psychosom 2001;70:30-37.1115093610.1159/000056222 Hamilton M: Diagnosis and rating of anxiety. Br J Psychiatry Spec Publ 1969;3:76-79. Cottler LB, Compton WM, Mager D, Spitznagel EL, Aleksander J: Post-traumatic stress disorder among substance abusers for the general population. Am J Psychiatry 1992;149:664-670.1575258 American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 4. Washington, American Psychiatric Association, 1994. Pichot P, Pull CB, von Frecknell R, Pull MC: Une analyse factorielle de l'échelle d'appréciation de l'anxiété de Hamilton. Helsinki, Psychiatrica Fennica International Edition, 1981, pp 183-189. ref3 ref2 ref1 |
References_xml | – reference: Beck AT, Real WY, Rickels K: Short form of the depression inventory: Cross-validation. Psychol Rep 1974;34:1184-1186.4424377 – reference: Norris FH: Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. J Consult Clin Psychol 1992;60:409-418.161909510.1037//0022-006X.60.3.409 – reference: Madianos MG, Pagaghelis M, Ioannovich J, Dafni R: Psychiatric disorders in burn patients: A follow-up study. Psychother Psychosom 2001;70:30-37.1115093610.1159/000056222 – reference: Cottraux J: French version of the PTSD Checklist Scale, 1996; in Cottraux J (ed): Les thérapies comportementales et cognitives. Paris, Masson, 1998. – reference: Kessler RC, Sonnega A, Bromet E, Nelson CB: Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry. 1995;52:1048-1060. – reference: American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 4. Washington, American Psychiatric Association, 1994. – reference: Pichot P, Pull CB, von Frecknell R, Pull MC: Une analyse factorielle de l'échelle d'appréciation de l'anxiété de Hamilton. Helsinki, Psychiatrica Fennica International Edition, 1981, pp 183-189. – reference: Hamilton M: Diagnosis and rating of anxiety. Br J Psychiatry Spec Publ 1969;3:76-79. – reference: Cottraux J: Inventaire abrégé de dépression de Beck (13 items); in Guelfi J (ed): L'évaluation clinique standardisée en psychiatrie. Paris, Editions Médicales Pierre-Fabre, 1993, vol 1, pp 291-295. – reference: Marks IM, Matthews AM: Brief standard rating for phobic patients: Behav Res Ther 1979;17:263-267. – reference: Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA: Psychometric properties of the PTSD Checklist. Behav Res Ther 1996;34:669-673.8870294 – reference: Foa EB, Cashman L, Jaycox L, Perry K: The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychol Assess 1997;9:445-451.10.1037//1040-3590.9.4.445 – reference: Cottler LB, Compton WM, Mager D, Spitznagel EL, Aleksander J: Post-traumatic stress disorder among substance abusers for the general population. Am J Psychiatry 1992;149:664-670.1575258 – reference: Cottraux J, Bouvard M, Messy P: Validation et analyse factorielle d'une échelle de phobies: La version française du questionnaire des peurs de Marks et Matthews. Encéphale 1987;13:23-29.3582263 – reference: Hovens JE, van der Ploeg HM, Bramsen I, Klaarenbeek MTA, Schreuder JN, Rivero VV: The development of the self-rating inventory for posttraumatic stress disorder. Acta Psychiatr Scand 1994;90:172-183.7810340 – reference: Hidalgo RB, Davidson JRT: Posttraumatic stress disorder: Epidemiology and health-related considerations. J Clin Psychiatry 2000;61(suppl 7):5-13. – reference: Weathers FW, Litz BT, Herman DS, Huska JA, Keane TM: The PTSD checklist: Reliability, validity and diagnostic utility. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, October 1993. – ident: ref2 doi: 10.1037//1040-3590.9.4.445 – ident: ref3 doi: 10.1037//0022-006X.60.3.409 – ident: ref1 doi: 10.1159/000056222 |
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Snippet | Background: The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic... The Posttraumatic Stress Disorder Checklist Scale (PCLS) is a short self-report inventory for assessing the 3 main syndromes of Posttraumatic Stress Disorder... |
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SubjectTerms | Adolescent Adult Aged Biological and medical sciences Female Humans Male Medical sciences Middle Aged Personality Inventory - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychometrics Psychometrics. Diagnostic aid systems Psychopathology. Psychiatry Regular Article Reproducibility of Results Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - psychology Techniques and methods |
Title | The Validation of the Posttraumatic Stress Disorder Checklist Scale in Posttraumatic Stress Disorder and Nonclinical Subjects |
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