Psychometric properties of post-traumatic stress disorder (PTSD) checklist for DSM-5 in persons with serious mental illness.

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Title: Psychometric properties of post-traumatic stress disorder (PTSD) checklist for DSM-5 in persons with serious mental illness.
Alternate Title: Propiedades psicométricas de la lista de verificación del trastorno de estrés postraumático (TEPT) para el DSM-5 en Personas con Enfermedad Mental Grave.
严重精神障碍患者中 DSM-5 创伤后应激障碍 (PTSD) 检查表的心理测量学特性.
Authors: Lu, Weili (AUTHOR), Yanos, Philip T. (AUTHOR), Waynor, William (AUTHOR), Jia, Yuane (AUTHOR), Siriram, Amanda (AUTHOR), Leong, Alyssa (AUTHOR), Gill, Kenneth (AUTHOR), Mueser, Kim T. (AUTHOR)
Source: European Journal of Psychotraumatology. 2022, Vol. 13 Issue 1, p1-13. 13p.
Subjects: Post-traumatic stress disorder, Community mental health services, People with mental illness, Psychometrics, Confirmatory factor analysis, Supported employment, Mental illness
Abstract (English): PCL-5 is a self-report measure consisting of 20 items that are used to assess the symptoms of Post-Traumatic Stress Disorder (PTSD) according to the DSM-5. This study evaluated the factor structure of the Post-Traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) in people with serious mental illness. The sample in Study 1 included 536 participants with serious mental illness who were receiving supported employment services through community mental health agencies or supported housing programmes. Confirmatory factor analysis assessed the fit of six different models of PTSD. Results indicated that Armour's Hybrid 7-factor model composed of re-experiencing, avoidance, dysphoria, dysphoric arousal, anxious arousal, negative affect, anhedonia, and externalizing behaviours demonstrated the best fit. Study 2 found support for convergent validity for PCL-5 among 132 participants who met criteria for PTSD. Findings provide support for the psychometric properties of the PCL-5 and the conceptualization of the 7-factor hybrid model and the 4-factor DSM-5 model of PTSD among persons living with serious mental illness. This study evaluated the factor structure of the Post- Traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) in people with serious mental illness (SMI). Findings support the psychometric properties of the PCL-5 and the seven- symptom-clusters of PTSD in persons with SMI. The PCL-5 was found to be psychometrically sound among persons with psychiatric diagnoses receiving community mental health services, as evidenced by excellent internal consistency and convergent/divergent validity for both the 4-factor DSM-5 model and the 7-factor model of PTSD. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes:PCL-5 es una medida de autoinforme que consta de 20 ítems que se utilizan para evaluar los síntomas del TEPT de acuerdo al DSM-5. Objetivo:Este estudio evaluó la estructura factorial de la Lista de verificación de Trastorno de Estrés Postraumático (TEPT) para DSM-5 (PCL-5) en personas con enfermedades mentales graves. Método:La muestra del Estudio 1 incluyó a 536 participantes con enfermedad mental grave que estaban recibiendo servicios de empleo subvencionado a través de agencias comunitarias de salud mental o programas de vivienda subvencionados. El análisis factorial confirmatorio evaluó el ajuste de seis modelos diferentes de TEPT. Resultados:Los resultados indicaron que el modelo híbrido de 7 factores de Armour - compuesto de reexperimentación, evitación, disforia, excitación disfórica, excitación ansiosa, afecto negativo, anhedonia y conductas de externalización - demostró el mejor ajuste. El estudio 2 encontró sustento para la validez convergente de PCL-5 entre 132 participantes que cumplieron con los criterios para TEPT. Conclusión:Los hallazgos respaldan las propiedades psicométricas del PCL-5 y la conceptualización del modelo híbrido de 7 factores y el modelo DSM-5 de 4 factores de TEPT entre personas que viven con una enfermedad mentales graves. [ABSTRACT FROM AUTHOR]
Abstract (Chinese): 背景:PCL-5 是一项由 20个条目组成、根据 DSM-5 评估 PTSD 症状的自我报告测量工具。 目的:本研究评估了严重精神障碍患者中 DSM-5 创伤后应激障碍 (PTSD) 检查表(PCL-5)的因素结构。 方法:研究 1 中的样本包括 536 名通过社区心理健康机构或支持性住房计划接受支持性就业服务的严重精神障碍患者的参与者。验证性因素分析评估了六种不同 PTSD 模型的拟合度。 结果:结果表明, 由再体验、回避、精神痛苦、精神痛苦性唤醒、焦虑性唤醒、负性情绪、快感缺失和外化行为组成的Armour 混合 7 因素模型, 表现出最佳拟合。研究 2 在符合 PTSD 标准的 132 名参与者中发现支持 PCL-5 的收敛效度 结论:研究结果为 PCL-5 的心理测量学特性以及严重精神疾病患者 PTSD 的 7 因子混合模型和 4 因子 DSM-5 模型的概念化提供了支持。 [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:PCL-5 is a self-report measure consisting of 20 items that are used to assess the symptoms of Post-Traumatic Stress Disorder (PTSD) according to the DSM-5. This study evaluated the factor structure of the Post-Traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) in people with serious mental illness. The sample in Study 1 included 536 participants with serious mental illness who were receiving supported employment services through community mental health agencies or supported housing programmes. Confirmatory factor analysis assessed the fit of six different models of PTSD. Results indicated that Armour's Hybrid 7-factor model composed of re-experiencing, avoidance, dysphoria, dysphoric arousal, anxious arousal, negative affect, anhedonia, and externalizing behaviours demonstrated the best fit. Study 2 found support for convergent validity for PCL-5 among 132 participants who met criteria for PTSD. Findings provide support for the psychometric properties of the PCL-5 and the conceptualization of the 7-factor hybrid model and the 4-factor DSM-5 model of PTSD among persons living with serious mental illness. This study evaluated the factor structure of the Post- Traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) in people with serious mental illness (SMI). Findings support the psychometric properties of the PCL-5 and the seven- symptom-clusters of PTSD in persons with SMI. The PCL-5 was found to be psychometrically sound among persons with psychiatric diagnoses receiving community mental health services, as evidenced by excellent internal consistency and convergent/divergent validity for both the 4-factor DSM-5 model and the 7-factor model of PTSD. [ABSTRACT FROM AUTHOR]
ISSN:20008066
DOI:10.1080/20008198.2022.2038924