ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
Reappraising the dimensional structure of the PTSD Checklist: lessons from the DSM-IV-based PCL-C.
Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- The Role of Psychological Distress and Unhealthy Lifestyle in Angina with Nonobstructive Coronary Arteries: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
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- Income loss and subsequent poor psychological well-being among the Chinese population during the early COVID-19 pandemic.International journal for equity in health · 2023Article
- The latent factor structure and assessment of childbirth-related PTSD: psychometric characteristics of the City Birth Trauma Scale-Persian version (City-BiTS-P).Frontiers in psychiatry · 2023Article
- Underlying Role of Rumination-Mediated Attachment Style Plays in PTSD after TIA and Stroke.Brain sciences · 2022Article
- Post-Traumatic Stress Disorder, Major Depressive Disorder, and Wildfires: A Fifth-Year Postdisaster Evaluation among Residents of Fort McMurray.International journal of environmental research and public health · 2022Article
- One Year after the Flood: Prevalence and Correlates of Post-Traumatic Stress Disorder among Residents in Fort McMurray.Behavioral sciences (Basel, Switzerland) · 2022Article
- Elucidating posttraumatic stress symptom dimensions and health correlates among postpartum women.Journal of affective disorders · 2021Article
- Mental distress and its associations with behavioral outcomes during the COVID-19 pandemic: a national survey of Chinese adults.Public health · 2021Article
- Racial and ethnic disparities in posttraumatic psychopathology among postpartum women.Journal of psychiatric research · 2021Article
- Income-related health inequality among Chinese adults during the COVID-19 pandemic: evidence based on an online survey.International journal for equity in health · 2021Article
- Development and Validation of a Measure of Birth-Related PTSD for Fathers and Birth Partners: The City Birth Trauma Scale (Partner Version).Frontiers in psychology · 2021Article
- Article
- Development of a Measure of Postpartum PTSD: The City Birth Trauma Scale.Frontiers in psychiatry · 2018Article
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Authors and funding
6 authors.
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Abstract
objectiveThe dimensional structure of posttraumatic stress disorder (PTSD) has been extensively debated, but the literature is still inconclusive and contains gaps that require attention. This article sheds light on hitherto unvisited methodological issues, reappraising several key models advanced for the DSM-IV-based civilian version of the PTSD Checklist (PCL-C) as to their configural and metric structures.
methodsThe sample comprised 456 women, interviewed at 6-8 weeks postpartum, who attended a high-complexity facility in Rio de Janeiro, Brazil. Confirmatory factor analysis (CFA) and exploratory structural equation models (ESEM) were used to evaluate the dimensional structure of the PCL-C.
resultsThe original three-factor solution was rejected, along with the four-factor structures most widely endorsed in the literature (PTSD-dysphoria and PTSD-numbing models). Further exploration supported a model comprised of two factors (re-experience/avoidance and numbing/hyperarousal).
conclusionThese findings are at odds with the dimensional structure proposed in both DSM-IV and DSM-5. This also entails a different presumption regarding the latent structure of PTSD and how the PCL should be operationalized.
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