The differential diagnostic accuracy of the PTSD Checklist among men versus women in a community sample

PSYCHIATRY RESEARCH

卷:220

Article

Parker-Guilbert, Kelly S.¹  Leifer, Feea R.¹  Sippel, Lauren M.¹  Marshall, Amy D.¹ 

[1] Penn State Univ, Dept Psychol, University Pk, PA 16802 USA

关键词: PCL;    Assessment;    Gender;    Trauma;    Recruitment;    Screening;   

DOI  :  10.1016/j.psychres.2014.08.001

来源: Elsevier

【 摘 要 】

We evaluated the specific version of the PTSD Checklist (PCL-S) as a screening tool for the recruitment of community-residing men and women with diverse trauma experiences. We administered the PCL-S via telephone in the context of participant recruitment, as well as in a laboratory setting preceding administration of the Clinician Administered PTSD Scale (CAPS), the gold standard PTSD assessment tool. In the laboratory, the PCL-S performed reasonably well for men and women, yielding overall diagnostic efficiency (ODE) values (representing percentage of cases accurately identified) of 0.78 and 0.73, respectively, for our recommended cut-points of 42 for men and 49 for women. In contrast, as a recruitment tool, the PCL-S yielded an acceptable ODE of 0.79 for men at the recommended cut-point of 47, but only an ODE of 0.56 (representing diagnostic efficiency no greater than chance) for women at the recommended cut-point of 50. A recruitment cut-point of 57 for women yields a similarly modest ODE of 0.61, but with substantial cost to sensitivity. These findings suggest that use of the PCL-S to screen for PTSD among potential study participants may lead to gender biased study results, even when separate diagnostic cut-points for men and women are used. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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