ArticleBMC psychology2024
Validation of the PCL-5 in Dutch trauma-exposed adults.
Article in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Moral injury in Dutch treatment-seeking veterans: a latent profile analysis.European journal of psychotraumatology · 2026Article
- Role of baseline emotion dysregulation and perceived daily stress in adherence to and completion of narrative exposure therapy among forced migrants.European journal of psychotraumatology · 2026Observational
- Psychometric properties of the Swedish version of the PTSD checklist for DSM-5 (PCL-5) in a mixed trauma sample - examining internal consistency, convergent validity, latent structure, and screening performance.European journal of psychotraumatology · 2026Article
- Childhood maltreatment and disrupted parenting in mothers exposed to intimate partner violence: Mediation via mothers' posttraumatic stress symptoms?Infant mental health journal · 2026Article
- Hereditary angioedema and post traumatic stress disorder: a reciprocal relationship?Orphanet journal of rare diseases · 2026Article
- Associations between PTSD and psychotic symptoms: A network analysis of patients with psychotic disorders in Uganda: Psychosis-PTSD network analysis.SSM. Mental health · 2026Article
- Alexithymia and Symptoms of Post-Traumatic Stress Disorder: The Mediation Roles of Self-Compassion and Deficits in Emotion Regulation.European journal of investigation in health, psychology and education · 2026Article
- Horsepower: equine-assisted interventions are associated with reduced PTSD symptoms, improved sleep quality, and quality of life in military veterans with treatment-resistant PTSD.Frontiers in psychology · 2026Article
- Article
- A non-trauma-focused equine-assisted intervention was associated with reductions in all four PTSD symptom clusters in treatment-resistant military veterans.Frontiers in psychology · 2026Article
- Development and external validation of a short prognostic screening instrument for PTSD one year following individual civilian trauma.European journal of psychotraumatology · 2025Article
- Gender differences in early posttraumatic stress disorder symptoms: a network analysis.European journal of psychotraumatology · 2025Article
- EMDR-therapy for child-related PTSD in parents of adolescents with autism spectrum disorder and severe emotional dysregulation: a multiple baseline evaluation.European journal of psychotraumatology · 2025Article
- Assessing trauma-related symptomatology in the Netherlands: the Dutch Global Psychotrauma Screen (GPS).European journal of psychotraumatology · 2025Article
- Beyond one-cutoff-fits-all: determining cutoff values for the PTSD checklist for DSM-5 (PCL-5).European journal of psychotraumatology · 2025Article
- Associations between childhood maltreatment, PTSD and metabolic outcomes in patients with common mental disorders at outpatient clinics in specialized care.BMC psychiatry · 2025Article
- Post-Traumatic Stress Disorder (PTSD) Among Algerian Cancer Patients: Validity of the Arabic DSM-5 PTSD Checklist (PCL-5) and Associated Factors.Psycho-oncology · 2025Article
- 'If I am Reminded of my Trauma, I will …': Assessing Threat Expectancies for Being Confronted with Trauma Reminders.Cognitive therapy and research · 2025Article
- Long-term PTSD prevalence and associated adverse psychological, functional, and economic outcomes: a 12-15 year follow-up of adults with suspected serious injury.European journal of psychotraumatology · 2024Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe PTSD Checklist for DSM-5 (PCL-5) is an internationally widely used self-report questionnaire that can be used to screen for probable diagnosis of posttraumatic stress disorder (PTSD). Information on the psychometric properties of the Dutch PCL-5 is currently lacking.
objectiveWe aimed to validate the Dutch PCL-5 in a sample of Dutch adults with prior (suspected) serious injury and establish the optimal cut-off for probable PTSD diagnosis herein.
methodsData for the current study were collected as part of a long-term follow-up measurement of the TraumaTIPS cohort, where adults admitted to an emergency department following (suspected) serious injury completed a follow-up measurement 12-15 years post-trauma. Of N = 333 eligible participants, n = 192 (57.7%) consented and completed the PCL-5 alongside self-report instruments measuring depression (QIDS), PTSD (IES-R), and quality of life (WHO-QOL and EQ-6D). In total, n = 185 participants also completed a clinician administered interview for PTSD (CAPS-5). Most participants were men (66%) and on average 54 years old (SD = 12.41). We evaluated the diagnostic utility of the PCL-5 using Youden index and tested reliability and convergent validity.
resultsThe PCL-5 demonstrated excellent diagnostic accuracy with a cut-off point of 16 resulting in an optimal Youden index (0.90) for screening purposes with a high sensitivity (1.00) and specificity (0.90). A cut-off of 22 yielded a slightly lower Youden index (0.84) but better positive predictive value (0.50 instead of 0.33) than the cut-off of 16. A cut-off of 29 resulted in the most accurate prevalence estimates. The PCL-5 showed a high internal consistency (Cronbach's α = 0.94), excellent inter-item and item-total correlations and good convergent validity (r > .5 for CAPS-5, IES-R and QIDS).
conclusionsThe PCL-5 is a reliable and valid measurement for PTSD symptoms and probable diagnosis and shows excellent screening abilities in Dutch adults with prior (suspected) serious injury, with a lower optimal cut-off compared to previously found in clinical populations. We recommend a cut-off of 22 for screening purposes and a cut-off of 29 for prevalence estimates in Dutch trauma-exposed adults.
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