Southeast Louisiana Veterans Health Care System.
Department of Psychiatry, Louisiana State University.
Psychol Trauma. 2024 Mar;16(3):400-406. doi: 10.1037/tra0001564. Epub 2023 Aug 17.
Despite widespread use of the posttraumatic stress disorder (PTSD) Checklist for -fifth edition (PCL-5) across various trauma-exposed populations, little is known about the psychometric properties of the instrument in certain ethnic minority groups with increased risk of trauma exposure, including Black veterans. To this end, the current study examined the internal consistency of the PCL-5, convergent validity using correlations between the PCL-5 and another measure of PTSD, and discriminant validity using correlations between the PCL-5 and other commonly occurring psychiatric symptoms, including depression as well as alcohol and substance misuse.
The sample was composed of 327 Black veterans (84% male, = 51.87, = 13.72) presenting to a PTSD specialty clinic at a large Veterans Affairs hospital in the Midwest United States to receive psychological services. In addition to a diagnostic interview, veterans were asked to complete a brief battery of self-report questionnaires to assist with diagnostic clarification and treatment planning.
The PCL-5 demonstrated excellent internal consistency. Furthermore, the PCL-5 was significantly and positively correlated with PTSD diagnostic status, suggesting evidence of convergent validity. Finally, the PCL-5 was strongly correlated with symptoms of depression and moderately correlated with alcohol and substance misuse.
Findings suggest that the PCL-5 is a psychometrically sound measure to assess PTSD symptoms among Black veterans. Considering the brevity of PCL-5 administration, clinicians should consider utilizing this and other psychometric tests in clinical care to reduce disparities in health equity among Black patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
尽管创伤后应激障碍检查表第五版（PCL-5）在各种创伤暴露人群中广泛使用，但对于某些创伤暴露风险增加的少数民族群体，包括黑人退伍军人，该工具的心理测量特性知之甚少。为此，本研究考察了 PCL-5 的内部一致性，使用 PCL-5 与另一种 PTSD 测量方法之间的相关性来检验其聚合效度，以及使用 PCL-5 与其他常见精神症状（包括抑郁以及酒精和物质滥用）之间的相关性来检验其判别效度。
该样本由 327 名黑人退伍军人组成（84%为男性，平均年龄为 51.87 岁，标准差为 13.72），他们在中西部地区的一家大型退伍军人事务部医院的 PTSD 专科诊所接受心理服务。除了诊断访谈外，退伍军人还被要求完成一份简短的自我报告问卷，以协助诊断澄清和治疗计划。
PCL-5 表现出良好的内部一致性。此外，PCL-5 与 PTSD 诊断状态显著正相关，表明具有聚合效度的证据。最后，PCL-5 与抑郁症状高度相关，与酒精和物质滥用中度相关。
研究结果表明，PCL-5 是一种评估黑人退伍军人 PTSD 症状的心理测量学上合理的测量工具。鉴于 PCL-5 管理的简短性，临床医生应考虑在临床护理中利用这一工具和其他心理测量测试，以减少黑人患者在健康公平方面的差异。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
