Hall Brian J, Yip Paul S Y, Garabiles Melissa R, Lao Chao Kei, Chan Edward W W, Marx Brian P
Global and Community Mental Health Research Group, Faculty of Social Sciences, The University of Macau, Macau (SAR), People's Republic of China.
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Eur J Psychotraumatol. 2019 Feb 4;10(1):1571378. doi: 10.1080/20008198.2019.1571378. eCollection 2019.
Migrant populations are at increased risk for exposure to traumatic life events. Presently, there are no reliable and valid screening instruments for posttraumatic stress disorder (PTSD) among Filipino migrant workers, a population that numbers over 2.3 million worldwide. This study evaluated the psychometric properties of the PTSD Checklist for DSM-5 (PCL-5) in a sample of female Filipino migrant workers in Macao (SAR), China, in two studies. The first examined the reliability (internal and test-retest), convergent validity (with depression, anxiety, and rumination), and discriminant validity (with pain and social support) in a sample of 131 participants. The second study established criterion validity of the PCL-5 using the PTSD module of the Mini-International Neuropsychiatric Interview (MINI), delivered by a female Filipino psychologist as the criterion, in a sample of 100 participants. Results indicated excellent internal consistency (Cronbach's alpha = 0.95) and moderate 10-day test-retest reliability (ρ = 0.58, < .001). PCL-5 scores correlated strongly with scores on measures of depression (ρ = 0.71, < .001), anxiety (ρ = 0.61, < .001), and rumination (ρ = 0.68, < .001), supporting convergent validity. Discriminant validity was demonstrated by a weaker association with scores on measures of pain (ρ = 0.33, < .001) and social support (ρ = -0.11, = .22). The diagnostic accuracy of the scale was good (AUC = 0.87). The optimal cutoff score of 25 optimized sensitivity (0.89) while maintaining adequate specificity (0.73), with a weighted Kappa of κ[1]) = 0.82. Our results demonstrated that the PCL-5 is a reliable and valid screening instrument for use among female Filipino migrant workers.
流动人群遭受创伤性生活事件的风险更高。目前，对于全球数量超过230万的菲律宾移民工人，尚无可靠且有效的创伤后应激障碍（PTSD）筛查工具。本研究在两项研究中评估了《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表（PCL-5）在中国澳门特别行政区女性菲律宾移民工人样本中的心理测量特性。第一项研究在131名参与者的样本中检验了信度（内部信度和重测信度）、聚合效度（与抑郁、焦虑和沉思的相关性）以及区分效度（与疼痛和社会支持的相关性）。第二项研究在100名参与者的样本中，以一名菲律宾女心理学家使用的《迷你国际神经精神病学访谈》（MINI）中的PTSD模块作为标准，确立了PCL-5的标准效度。结果显示出极佳的内部一致性（克朗巴哈系数α = 0.95）和中等的10天重测信度（ρ = 0.58，P <.001）。PCL-5得分与抑郁量表得分（ρ = 0.71，P <.001）、焦虑量表得分（ρ = 0.61，P <.001）和沉思量表得分（ρ = 0.68，P <.001）密切相关，支持聚合效度。与疼痛量表得分（ρ = 0.33，P <.001）和社会支持量表得分（ρ = -0.11，P =.22）的较弱关联证明了区分效度。该量表的诊断准确性良好（曲线下面积 = 0.87）。最佳临界值25优化了敏感度（0.89），同时保持了足够的特异度（0.73），加权卡帕系数κ[1] = 0.82。我们的结果表明，PCL-5是用于菲律宾女性移民工人的可靠且有效的筛查工具。
