월남전 참전 노인에서 한글판 외상후 스트레스 장애 체크리스트-5의 정신측정학적 특성
Psychometric Properties of the Korean version of the PTSD Checklist-5 in Elderly Korean Veterans of the Vietnam War
2
조회
0
다운로드
33
인용
0
참고문헌
키워드
초록
Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (α=0.972) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ≥37 with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool. (Anxiety and Mood 2017;13(2):123-131)
Abstract
Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (α=0.972) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ≥37 with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool. (Anxiety and Mood 2017;13(2):123-131)
참고문헌 (25)
- Kessler RC, "Posttraumatic stress disorder in the National Comorbidity Survey", Arch Gen Psychiatry, 52, pp.1048~1060 (1995)
- Resnick HS, "Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women", J Consult Clin Psychol, 61, pp.984~991 (1993)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-5", American Psychiatric Association, ~ (2013)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders DSM-IV-TR", American Psychiatric Association, ~ (2000)
- Weathers FW, "The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility", annual meeting of the International Society for Traumatic Studies (1993)
- McDonald SD, "The diagnostic accuracy of the PTSD checklist : a critical review", Clin Psychol Rev, 30, pp.976~987 (2010)
- Blanchard EB, "Psychometric properties of the PTSD Checklist(PCL)", Behav Res Ther, 34, pp.669~673 (1996)
- Conybeare D, "The PTSD Checklist-Civilian Version: Reliability, validity, and factor structure in a nonclinical sample", J Clin Psychol, 68, pp.699~713 (2012)
- [URL]
- Hoge CW, "The prevalence of post-traumatic stress disorder(PTSD)in US combat soldiers : a head-to-head comparison of DSM-5 versus DSM-IV-TR symptom criteria with the PTSD checklist", Lancet Psychiatry, 1, pp.269~277 (2014)
- Wortmann JH, "Psychometric analysis of the PTSD Checklist-5(PCL-5)among treatment-seeking military service members", Psychol Assess, 28, pp.1392~1403 (2016)
- Bovin MJ, "Psychometric Properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in Veterans", Psychol Assess, 28, pp.1379~1391 (2016)
- Blevins CA, "The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation", J Trauma Stress, 28, pp.489~498 (2015)
- Horowitz M, "Impact of Event Scale: a measure of subjective stress", Psychosom Med, 41, pp.209~218 (1979)
- Weiss DS, "Cross-Cultural Assessment of Psychological Trauma and PTSD", pp.219~238 (2007), Springer US
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- 김동수, "한국판 전투 노출 척도의 신뢰도와 타당도", 대한불안의학회지, 8(2), pp.106~112 (2012), 대한불안의학회
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-5" (2015), Hakjisa
- Sveen J, "Psychometric properties of the PTSD Checklist for DSM-5: a pilot study", Eur J Psychotraumatol, 7, pp.30165~ (2016)
- Armour C, "Dimensional structure of DSM-5 posttraumatic stress symptoms : support for a hybrid Anhedonia and Externalizing Behaviors model", J Psychiatr Res, 61, pp.106~113 (2015)
- Pietrzak RH, "Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms : results from the National Health and Resilience in Veterans study", J Affect Disord, 174, pp.522~526 (2015)
- Kanuri N, "A preliminary evaluation of the psychometric properties of the PTSD Checklist for DSM-5", Poster session presented at the 48th annual convention of the Association for Behavioral and Cognitive Therapies (2014)
- Boysan M, "Psychometric properties of the Turkish version of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, (PCL-5)", Psychiatry Clin Psychopharmacol, 27, pp.306~316 (2017)
- Yeager DE, "PTSD checklist scoring rules for elderly veterans affairs outpatients", Am J Geriatr Psychiatry, 22, pp.545~550 (2014)
- Elhai JD, "Which instruments are most commonly used to assess traumatic event exposure and posttraumatic effects? : A survey of traumatic stress professionals", J Trauma Stress, 18, pp.541~545 (2005)