The Posttraumatic Stress Disorder Checklist (Pcl)

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The Posttraumatic Stress Disorder Checklist (PCL)
The PCL (Weathers et al, 1993) is an easily administered self-report rating scale for
assessing the 17 DSM-IV symptoms of PTSD. It has excellent test-retest reliability
over a 2-3 day period. Internal consistency is very high for each of the three groups of
items corresponding to the DSM-IV symptom clusters as well as for the full 17-item
scale. The PCL correlates strongly with other measures of PTSD, such as the
Mississippi Scale, the PK scale of the MMPI-2, and the Impact of Events Scale, and
also correlates moderately with level of combat exposure.
Three versions of the PCL are available, although the differences are very small. The
PCL-M is a military version and questions refer to “a stressful military experience”. The
PCL-S is a non-military version that can be referenced to any specific traumatic event;
the questions refer to “the stressful experience”. The PCL-C is a general civilian
version that is not linked to a specific event; the questions refer to “a stressful
experience from the past”. The scoring is the same for all three versions.
A total score is computed by adding the 17 items, so that possible scores range from
17 to 85. Used as a continuous measure, the PCL has good diagnostic utility. In
Vietnam combat veterans a cut-off of 50 on the PCL is a good predictor of a PTSD
diagnosis based on the SCID PTSD module. Principal components analysis revealed
one large factor, consisting primarily of re-experiencing and hyperarousal items, and
one much small factor, consisting primarily of emotional numbing items.
References:
Blanchard, E.B., Jones-Alexander, J., Buckley, T.C., & Forneris, C.A. (1996).
Psychometric properties of the PTSD Checklist (PCL). Behaviour Research and
Therapy, 34, 669-673.
Cardove, M.J., Andrykowski, M.A., Redd, W.H., Kenady, D.E., McGrath, P.C., & Sloan,
D.A. (1995). Frequency and correlates of posttraumatic stress disorder like symptoms
after treatment for breast cancer. Journal of Consulting and Clinical Psychology, 63,
981-986.
Forbes, D., Creamer, M., and Biddle, D. (2001). The validity of the PTSD checklist as a
measure of symptomatic change in combat-related PTSD. Behavior Therapy and
Research, 39, 977-986.
Weathers, F.W., Litz, B.T., Herman, D.S., Huska, J.A. & Keane, T.M. (1993) The
PTSD Checklist (PCL): Reliablity, validity, and diagnostic utility. Paper presented at
the 9th Annual Conference of the ISTSS, San Antonio.
Common assessment measures: PTSD Checklist
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