Defense and Veterans Brain Injury Center, Richmond VA Medical Center, 1201 Broad Rock Boulevard, Richmond, VA 23249, USA.
Clin Psychol Rev. 2010 Dec;30(8):976-87. doi: 10.1016/j.cpr.2010.06.012. Epub 2010 Jul 6.
The PTSD Checklist (PCL) is the most frequently used self-report measure of PTSD symptoms. Although the PCL has been in use for nearly 20 years and over a dozen validation studies have been conducted, this paper provides the first comprehensive review of its diagnostic utility. Eighteen diagnostic accuracy studies of the PCL are presented, followed by an examination of the potential roles of spectrum effects, bias, and prevalence in understanding the variation in sensitivity, specificity, and other operating characteristics across these studies. Two related issues as to the interchangeability of the PCL's three versions (civilian, military, and specific) and various scoring methods are also discussed. Findings indicate that the PCL has several strengths as a PTSD screening test and suggest that it can be a useful tool when followed by a second-tier diagnostic test such as a standardized interview. However, the PCL's operating characteristics demonstrate significant variation across populations, settings, and research methods and few studies have examined such factors that may moderate the PCL's utility. Recommendations and cautions regarding the use of the PCL as a clinical screening test, a diagnostic tool in research, and as an estimator of PTSD population prevalence are provided.
创伤后应激障碍检查表（PCL）是最常用于评估 PTSD 症状的自我报告测量工具。尽管 PCL 已经使用了近 20 年，并且已经进行了十多项验证研究，但本文首次全面审查了其诊断效用。本文介绍了 18 项 PCL 的诊断准确性研究，随后检查了谱效应、偏差和流行率在理解这些研究中敏感性、特异性和其他操作特征变化中的潜在作用。还讨论了 PCL 的三个版本（民用、军事和特定）和各种评分方法的可互换性以及其他相关问题。研究结果表明，PCL 作为 PTSD 筛查测试具有多项优势，并表明当紧随其后的是二级诊断测试（如标准化访谈）时，它可能是一种有用的工具。然而，PCL 的操作特征在人群、环境和研究方法上存在显著差异，并且很少有研究检查可能调节 PCL 效用的这些因素。本文就 PCL 作为临床筛查测试、研究中的诊断工具以及 PTSD 人群流行率的估计器的使用提供了建议和注意事项。
