Validation of embedded PCL-5 symptom validity indices in active-duty military population.

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Title: Validation of embedded PCL-5 symptom validity indices in active-duty military population.
Authors: Troili-Fletes, Alexis N. (AUTHOR), Chicota-Carroll, Cammy L. (AUTHOR), Aden, James K. (AUTHOR), Armistead-Jehle, Patrick J. (AUTHOR)
Source: Journal of Clinical & Experimental Neuropsychology. Jul2026, Vol. 48 Issue 5, p419-426. 8p.
Subjects: Military personnel, Psychological tests, Post-traumatic stress disorder, Replication (Experimental design)
Geographic Terms: United States
Abstract: Introduction: PTSD is among the most commonly diagnosed mental health conditions in the military and veteran populations. Shura et al. (2023) and Schroeder and Bieu (2024) developed three symptom validity indices for the PTSD Checklist for the DSM-5 (PCL-5) examining overreported PTSD symptomatology in veteran populations. The current study aimed to cross-validate these SVTs in an active-duty United States military sample. Methods: The sample consisted of multiple criterion groups comprised active-duty service members (N = 165). Criterion for valid or invalid responses were based on Personality Assessment Inventory symptom validity scales. The three PCL-5 symptom validity indices included PCL-5 Symptom Severity (PSS), PCL-5 Extreme Symptom (PES), and PCL-5 Rare Items (PRI). Results: Areas under the curve ranged from.73 to.76 for valid full sample group versus invalid group, which met classification accuracy goals. Optimal cutoff scores were identified for each scale (PES ≥ 16, PSS ≥ 59, PRI ≥ 3) with corresponding sensitivities of PSS = 0.50, PES = 0.40, and PRI = 0.20 with specificity ≥0.90. Conclusion: These findings provide support for the cross-validation of all three embedded symptom validity indices at the identified cutoff scores as PCL-5 over-report measures within an active-duty sample. The PSS and PES demonstrated superior classification statistics, as the PRI was hampered by lower sensitivity. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical & Experimental Neuropsychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Validation of embedded PCL-5 symptom validity indices in active-duty military population.
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  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Troili-Fletes%2C+Alexis+N%2E%22">Troili-Fletes, Alexis N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chicota-Carroll%2C+Cammy+L%2E%22">Chicota-Carroll, Cammy L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aden%2C+James+K%2E%22">Aden, James K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Armistead-Jehle%2C+Patrick+J%2E%22">Armistead-Jehle, Patrick J.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+%26+Experimental+Neuropsychology%22">Journal of Clinical & Experimental Neuropsychology</searchLink>. Jul2026, Vol. 48 Issue 5, p419-426. 8p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Military+personnel%22">Military personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Replication+%28Experimental+design%29%22">Replication (Experimental design)</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: PTSD is among the most commonly diagnosed mental health conditions in the military and veteran populations. Shura et al. (2023) and Schroeder and Bieu (2024) developed three symptom validity indices for the PTSD Checklist for the DSM-5 (PCL-5) examining overreported PTSD symptomatology in veteran populations. The current study aimed to cross-validate these SVTs in an active-duty United States military sample. Methods: The sample consisted of multiple criterion groups comprised active-duty service members (N = 165). Criterion for valid or invalid responses were based on Personality Assessment Inventory symptom validity scales. The three PCL-5 symptom validity indices included PCL-5 Symptom Severity (PSS), PCL-5 Extreme Symptom (PES), and PCL-5 Rare Items (PRI). Results: Areas under the curve ranged from.73 to.76 for valid full sample group versus invalid group, which met classification accuracy goals. Optimal cutoff scores were identified for each scale (PES ≥ 16, PSS ≥ 59, PRI ≥ 3) with corresponding sensitivities of PSS = 0.50, PES = 0.40, and PRI = 0.20 with specificity ≥0.90. Conclusion: These findings provide support for the cross-validation of all three embedded symptom validity indices at the identified cutoff scores as PCL-5 over-report measures within an active-duty sample. The PSS and PES demonstrated superior classification statistics, as the PRI was hampered by lower sensitivity. [ABSTRACT FROM AUTHOR]
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  Label:
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  Data: <i>Copyright of Journal of Clinical & Experimental Neuropsychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/13803395.2026.2627996
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        Text: English
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        Type: general
      – SubjectFull: Psychological tests
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      – SubjectFull: Post-traumatic stress disorder
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      – SubjectFull: Replication (Experimental design)
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      – SubjectFull: United States
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      – TitleFull: Validation of embedded PCL-5 symptom validity indices in active-duty military population.
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              Text: Jul2026
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              Y: 2026
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