Compared to PCL-M/PCL-C/PCL-S which conforms to the DSM-IV criteria, PCL-5 is the only version designed to evaluate the severity of PTSD symptoms across various types of traumas. The PTSD Checklist (PCL) is one of the most frequently used self-report screener for PTSD, and the PCL-5 is the updated version that conforms to the DSM-5 criteria. According to the Statistical Manual of Mental Disorders-version 5 (DSM-5), PTSD is characterized by four clusters of symptoms: recurrent involuntary intrusive memories, avoidance, negative alterations in cognition and mood, and alterations in arousal and reactivity. Post-traumatic stress disorder (PTSD) is a psychiatric disorder which develops as a result of exposure to life-threatening traumatic events. Our findings supported the use of PCL-5 as a psychometrically adequate measure of post-stroke PTSD in the Chinese patients. Receiver operating characteristic (ROC) analyses revealed a PCL-5 score of 37 achieved optimal sensitivity and specificity for detecting PTSD. The PCL-5 also showed good convergent validity and discriminant validity. By CFA analysis, the seven-factor hybrid model demonstrated the best model fit. Exploratory and confirmatory factor analyses indicated acceptable construct validity, and confirmed the multi-dimensionality of the PCL-5. PCL-5 scores in our sample were positively skewed, suggesting low levels of PTSD symptoms. The cutoff scores, reliability and validity of the PCL-5 were analyzed. ![]() They were instructed to complete the PCL-5 scales and were interviewed for PTSD diagnosis with the Clinician Administered PTSD Scale for DSM-5 (CAPS-5). Three hundred and forty-eight Chinese stroke patients came to our hospital for outpatient service were recruited. This was a cross-sectional observational study conducted at our hospital. Our study was conducted to examine the psychometric properties of the PTSD Checklist for DSM-5 (PCL-5) in Chinese stroke patients. Post-stroke PTSD is attracting increasing attention, but there was no study assessing the psychometric properties of the PCL-5 in stroke populations. We are based in London Paddington and Hertfordshire.Stroke is a devastating disease and can be sufficiently traumatic to induce post-traumatic stress disorder (PTSD). ![]() The symptoms are not attributable to medication, substance use or illnessįor a PTSD assessment please contact us.The symptoms impair social function, occupation and other areas in everyday living.Acute distress disorder symptoms are experienced for longer than one month.Exaggerated startle response - being startled easily.Feeling in a hypervigilant state – feeling as if you are constantly on guard.Self-destructive, impulsive or reckless behaviour.The inability to experience positive emotions – for example happiness and loveĬriterion E – Alterations in arousal and reactivityĪt least two of the following changes in arousal and reactivity.Feelings of detachment or estrangement from others.Loss of interest in activities or interests once enjoyed.Negative trauma related emotions – for example: shame, anger, guilt or fear.Persistent or cognitive distortions in relation to blaming self or others for causing or consequences of the traumatic incident.'I am a bad person, or the world is an unsafe place'. Persistent and negative beliefs or cognitions about self, other people or the world.Dissociative amnesia – not being able to remember important aspects of the traumatic event.Avoiding external reminders of the traumatic event which can include: people, places and activitiesĬriterion D – Negative Alterations in Cognitions and Moods.Avoiding thoughts, feelings and physical symptoms which trigger memories of the traumatic event. ![]() Strong physiological reaction to reminders of the traumatic event.Psychological distress caused by cues that serve as reminders of the traumatic event.Dissociation symptoms which include flashbacks (feeling as if the traumatic event is happening again in the present moment).Traumatic dreams in relation to the traumatic event.Recurrent memories of the traumatic incident.Repeated or extreme indirect exposure to a traumatic eventĮxperience of at least one of the following symptoms.Recognition of direct or indirect exposure The categories are: Exposure to stressor, intrusion symptoms, persistent avoidance, negative alterations in cognitions and mood, alterations in arousal and reactivity, duration, functional significance or exclusion. Symptoms might be experienced in one or more category and severity of symptoms can vary in different categories. ![]() Criterion are separated into a number of different categories. The following information is based on the DSM-5 PTSD criteria. It is important to get a professional opinion regarding a PTSD diagnosis.
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