Ayudia Ligina, Purba Fredrick Dermawan, Samuels Annemarie, Iskandarsyah Aulia
Postgraduate Program in Psychology, Faculty of Psychology, Universitas Padjadjaran, Bandung, Indonesia.
Department of Psychology, Faculty of Psychology, Universitas Padjadjaran, Bandung, Indonesia.
Eur J Psychotraumatol. 2025 Dec;16(1):2543629. doi: 10.1080/20008066.2025.2543629. Epub 2025 Sep 3.
The PTSD Checklist for DSM-5 (PCL-5) is the most widely used questionnaire to screen for symptoms of post-traumatic stress disorder (PTSD) in the literature and clinical contexts. This study aimed to: (1) perform a cross-cultural adaptation of PCL-5 to the Indonesian sociolinguistic context; (2) assess the psychometric validity and reliability of the adapted version; (3) examine the prevalence of PTSD in the sample using the diagnostic guidelines from DSM-5 and a cut-off score derived from empirical analysis; (4) evaluate PTSD factor structures using confirmatory factor analysis (CFA); and (5) investigate the convergent and discriminant validity of the adapted scale. The study focused on a sample of Indonesian women, including women who had experienced sexual assault, other types of trauma, or no traumatic exposure. The adapted Indonesian version of the PCL-5 showed strong internal consistency across all subscales. Convergent and discriminant validity were supported by moderate correlations with anxiety measures and lower correlations with quality-of-life indicators. The prevalence of PTSD based on diagnostic criteria from DSM-5 in the population was 77.6%. A cut-off score of 39 points in total showed a prevalence of PTSD of 70.1%. CFA supported the seven-factor hybrid model. The findings support the use of the Indonesian PCL-5 as a culturally valid and psychometrically sound instrument for assessing PTSD symptoms in Indonesian women.
《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）是文献和临床环境中筛查创伤后应激障碍（PTSD）症状使用最广泛的问卷。本研究旨在：（1）将PCL-5进行跨文化改编以适应印度尼西亚的社会语言环境；（2）评估改编版本的心理测量效度和信度；（3）使用《精神疾病诊断与统计手册》第5版的诊断指南和实证分析得出的临界值来检查样本中PTSD的患病率；（4）使用验证性因素分析（CFA）评估PTSD因素结构；（5）调查改编量表的聚合效度和区分效度。该研究聚焦于印度尼西亚女性样本，包括经历过性侵犯、其他类型创伤或未经历过创伤暴露的女性。改编后的印度尼西亚版PCL-5在所有子量表上均显示出很强的内部一致性。与焦虑测量指标的适度相关性以及与生活质量指标的较低相关性支持了聚合效度和区分效度。根据《精神疾病诊断与统计手册》第5版诊断标准，该人群中PTSD的患病率为77.6%。总分39分的临界值显示PTSD患病率为70.1%。CFA支持七因素混合模型。研究结果支持将印度尼西亚版PCL-5作为一种在文化上有效且心理测量合理的工具，用于评估印度尼西亚女性的PTSD症状。
