The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq

Ibrahim H, Ertl V, Catani C, Ismail AA, Neuner F (2018)
BMC Psychiatry 18(1): 259: 259.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Ibrahim, Hawkar; Ertl, VerenaUniBi; Catani, ClaudiaUniBi; Ismail, Azad Ali; Neuner, FrankUniBi
Abstract / Bemerkung
Background The Posttraumatic Stress Disorder Checklist (PCL) is a valid and reliable self-report measure for the assessment of Posttraumatic Stress Disorder (PTSD). Recently the PCL was updated according to the DSM-5 criteria for PTSD. So far only a few studies have examined the psychometric properties of the PCL-5, and all of these are restricted to populations living in industrialized countries. The aim of this study was to determine the psychometric properties and diagnostic utility of the PCL-5 as a screening instrument for war-affected displaced Kurdish and Arab populations. The specific goal was to determine a contextually valid cut-off score for a probable diagnosis of PTSD. Methods The PCL-5 was translated into Arabic and two Kurdish dialects. Trained interviewers administered these translations as assisted self-reports to 206 adults living in camps for displaced people in Iraq, together with depression and war-exposure instruments. Two weeks later, 98 randomly chosen subjects were reassessed by expert clinical psychologists. In the absence of a gold-standard instrument with proven validity in this context, the expert interviewers applied the PCL-5 items in the form of a clinical interview and used a DSM-5-algorithm to determine a diagnosis of PTSD. Receiver operator characteristics (ROC) were performed to determine a valid cutoff-score. Results The internal consistency of the PCL-5 was high (alpha = .85) and the instrument showed an adequate convergent validity. Using the cut-off score of 23, the PCL-5 achieved the optimal balance of sensitivity and specificity (area under the curve = .82, p < .001; sensitivity = .82, specificity = .70). Conclusions Given that the comparison of the two assessments included both a re-test interval and validation by different interviewers, our results indicate that the PCL-5 can be recommended as an assessment and screening instrument for Kurdish and Arab populations.
Stichworte
PCL PTSD Validation Arab spring Displaced people
Erscheinungsjahr
2018
Zeitschriftentitel
BMC Psychiatry
Band
18
Ausgabe
1
Art.-Nr.
259
Seite(n)
259
ISSN
1471-244x
eISSN
1471-244X
Page URI
https://pub.uni-bielefeld.de/record/2930599

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Ibrahim H, Ertl V, Catani C, Ismail AA, Neuner F. The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq. BMC Psychiatry. 2018;18(1):259: 259.
Ibrahim, H., Ertl, V., Catani, C., Ismail, A. A., & Neuner, F. (2018). The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq. BMC Psychiatry, 18(1), 259., 259. doi:10.1186/s12888-018-1839-z
Ibrahim, H., Ertl, V., Catani, C., Ismail, A. A., and Neuner, F. (2018). The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq. BMC Psychiatry 18, 259:259.
Ibrahim, H., et al., 2018. The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq. BMC Psychiatry, 18(1), p 259: 259.
H. Ibrahim, et al., “The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq”, BMC Psychiatry, vol. 18, 2018, pp. 259, : 259.
Ibrahim, H., Ertl, V., Catani, C., Ismail, A.A., Neuner, F.: The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq. BMC Psychiatry. 18, 259 : 259 (2018).
Ibrahim, Hawkar, Ertl, Verena, Catani, Claudia, Ismail, Azad Ali, and Neuner, Frank. “The validity of Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) as screening instrument with Kurdish and Arab displaced populations living in the Kurdistan region of Iraq”. BMC Psychiatry 18.1 (2018): 259: 259.
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