Department of Midwifery, University of West Attica, Aigaleo, Greece.
Department of Psychology, National and Kapodistrian University of Athens, Aigaleo, Greece.
PLoS One. 2021 Aug 13;16(8):e0255689. doi: 10.1371/journal.pone.0255689. eCollection 2021.
The aim of this study was to examine psychometric properties of the revised Posttraumatic Stress Checklist (PCL-5) for Diagnostic and Statistical Manual- 5th Edition (DSM-5) in Greek postpartum women after Cesarean Section(CS) (emergency-elective).So far, there was no study in Greece assessing psychometric properties of the PCL-5 in women after CS. The participating women (N = 469), who gave birth with emergency and elective CS at the Greek University Hospital of Larisa, have consented to participate in two phases of the survey and completed self-report questionnaires, the 2nd day after CS and at the 6th week after CS. Measures used in this study were the PCL-5 for DSM-5, the Life Events Checklist (LEC-5), Criteria B, C, D, E, and Criterion A, specifically designed for detection of posttraumatic stress disorder (PTSD) symptoms in postpartum period. To evaluate the internal reliability of the PCL-5 two different indices of internal consistency were calculated, i.e., Cronbach's alpha (.97) and Guttman'ssplit-half (.95), demonstrating high reliability level. The data were positively skewed, suggesting that the reported levels of PTSD among our participants were low. Factor analyses demonstrated acceptable construct validity; a comparison of thePCL-5 with the other measures of the same concept showed a good convergent validity of the scale. Overall, all the results suggest that the four-factor PCL-5 seemed to work adequately for the Greek sample of women after CS.
这项研究的目的是检验修订后的创伤后应激检查表（PCL-5）在希腊行剖宫产（CS）（紧急-择期）后的产后妇女中用于诊断和统计手册-5 版（DSM-5）的心理测量特性。到目前为止，希腊还没有研究评估 PCL-5 在 CS 后妇女中的心理测量特性。参与研究的妇女（N=469）在希腊拉里萨大学医院行紧急和择期 CS 分娩后，同意参与调查的两个阶段，并在 CS 后第 2 天和第 6 周后完成自我报告问卷。本研究使用的测量工具是 DSM-5 的 PCL-5、生活事件检查表（LEC-5）、B、C、D、E 标准和专门用于检测产后创伤后应激障碍（PTSD）症状的 A 标准。为了评估 PCL-5 的内部可靠性，计算了两种不同的内部一致性指标，即 Cronbach 的 alpha（.97）和 Guttman 的半分位（.95），显示出较高的可靠性水平。数据呈正偏态，表明我们参与者中报告的 PTSD 水平较低。因素分析显示具有可接受的结构有效性；PCL-5 与同一概念的其他测量方法的比较表明该量表具有良好的收敛有效性。总体而言，所有结果表明，四因素 PCL-5 似乎对希腊 CS 后妇女样本有效。
