ArticleBMC psychiatry2017
Validity of the posttraumatic stress disorders (PTSD) checklist in pregnant women.
Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.
- Physician Posttraumatic Stress Disorder During COVID-19: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- A systematic review of validated screening tools for anxiety disorders and PTSD in low to middle income countries.BMC psychiatry · 2020Pooled it
- Hereditary angioedema and post traumatic stress disorder: a reciprocal relationship?Orphanet journal of rare diseases · 2026Article
- Psychological symptom clusters in pregnant women: a scoping review.BMC psychology · 2026Article
- Post-traumatic stress disorder symptoms in high-risk pregnant women during the perinatal period: a longitudinal study.Frontiers in psychology · 2026Article
- The psychological impact of childbirth: Unscheduled cesarean delivery associates with increased risk for acute stress response.Pregnancy (Hoboken, N.J.) · 2026Article
- Maternal Trauma history, Maternal Mental health, and Child Behavior: A Prospective Study of mother-child Dyads in Lima, Peru.Child psychiatry and human development · 2025Article
- Experiences of attending prenatal ultrasounds during the COVID-19 pandemic in Australia: A cross-sectional survey.Birth (Berkeley, Calif.) · 2025Article
- The mental health toll of conflict-induced violence on teachers: evidence from a longitudinal survey in DRC and Niger.BMJ public health · 2025Article
- Understanding the effect of occupational stress on sleep quality in firefighters: the modulating role of depression and burnout.International archives of occupational and environmental health · 2024Article
- Barriers and risk factors associated with non-treatment-seeking for suicidality onset during the COVID-19 pandemic among young adults.Psychiatry research · 2024Article
- The bridge relationships of PTSD and depression symptoms among snakebite victims: a cross-sectional community-based survey.BMC psychology · 2024Article
- A diagnostic questionnaire for childbirth related posttraumatic stress disorder: a validation study.American journal of obstetrics and gynecology · 2024Article
- Risk and resilience factors for psychopathology during pregnancy: An application of the Hierarchical Taxonomy of Psychopathology (HiTOP).Development and psychopathology · 2024Article
- Risk factors for postpartum posttraumatic stress disorder after emergency admission.World journal of emergency medicine · 2024Article
- Associations among maternal lifetime trauma, psychological symptoms in pregnancy, and infant stress reactivity and regulation.Development and psychopathology · 2023Article
- Identification of postpartum symptom subgroups and associated long-term maternal depressive symptoms and well-being.Research in nursing & health · 2023Article
- Prevalence and Factors Associated with Eating Disorders in Military First Line of Defense against COVID-19: A Cross-Sectional Study during the Second Epidemic Wave in Peru.International journal of environmental research and public health · 2023Article
- Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study.BMC public health · 2022Article
- Posttraumatic stress disorder and coping strategies in the postpartum period: A symptomics approach.Journal of psychiatric research · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThe PTSD Checklist-civilian (PCL-C) is one of the most commonly used self-report measures of PTSD symptoms, however, little is known about its validity when used in pregnancy. This study aims to evaluate the reliability and validity of the PCL-C as a screen for detecting PTSD symptoms among pregnant women.
methodsA total of 3372 pregnant women who attended their first prenatal care visit in Lima, Peru participated in the study. We assessed the reliability of the PCL-C items using Cronbach's alpha. Criterion validity and performance characteristics of PCL-C were assessed against an independent, blinded Clinician-Administered PTSD Scale (CAPS) interview using measures of sensitivity, specificity and receiver operating characteristics (ROC) curves. We tested construct validity using exploratory and confirmatory factor analytic approaches.
resultsThe reliability of the PCL-C was excellent (Cronbach's alpha =0.90). ROC analysis showed that a cut-off score of 26 offered optimal discriminatory power, with a sensitivity of 0.86 (95% CI: 0.78-0.92) and a specificity of 0.63 (95% CI: 0.62-0.65). The area under the ROC curve was 0.75 (95% CI: 0.71-0.78). A three-factor solution was extracted using exploratory factor analysis and was further complemented with three other models using confirmatory factor analysis (CFA). In a CFA, a three-factor model based on DSM-IV symptom structure had reasonable fit statistics with comparative fit index of 0.86 and root mean square error of approximation of 0.09.
conclusionThe Spanish-language version of the PCL-C may be used as a screening tool for pregnant women. The PCL-C has good reliability, criterion validity and factorial validity. The optimal cut-off score obtained by maximizing the sensitivity and specificity should be considered cautiously; women who screened positive may require further investigation to confirm PTSD diagnosis.
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