Evidence map›Paper›PMID 39985923›Full record

ArticleJournal of anxiety disorders2025

The diagnostic utility of the PCL-5 in a traumatically injured black population.

Timothy J Geier, Kaylen Vine, Lucas Torres, Christine L Larson, Terri A deRoon-Cassini

Abstract read
In one paragraph

Article in Journal of anxiety disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Timothy J GeierDepartment of Surgery, Division of Trauma and Acute Care Surgery, Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address: tgeier@mcw.edu.
Kaylen VineDepartment of Psychology, Marquette University, Milwaukee, WI, USA.
Lucas TorresDepartment of Psychology, Marquette University, Milwaukee, WI, USA.
Christine L LarsonDepartment of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Terri A deRoon-CassiniDepartment of Surgery, Division of Trauma and Acute Care Surgery, Medical College of Wisconsin, Milwaukee, WI, USA; Comprehensive Injury Center, Division of Data Surveillance and Informatics, Medical College of Wisconsin, Milwaukee, WI, USA.

Funding

Acute Neurocognitive-affective Predictors of Chronic Post-trauma OutcomesR01MH106574 · NIMH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI LARSON, CHRISTINE L · 2015 to 2019
$3.1M
Acute Endocannabinoid activity involved in hyperarousal, memory formation, and non-remitting PTSD: A dense sampling approachR56MH116656 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI DEROON-CASSINI, TERRI A., HILLARD, CECILIA J · 2019 to 2019
$376k
Role of ECS in Resilience & Psychopathology After TraumaR21MH102838 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI DEROON-CASSINI, TERRI A., HILLARD, CECILIA J · 2014 to 2015
$347k
NIMH NIH HHS R01 MH106574NIMH NIH HHS R21 MH102838NIMH NIH HHS R56 MH116656
6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) is common after traumatic injury, negatively impacting recovery. Black Americans face elevated PTSD risk following traumatic injury, yet diagnostic accuracy of assessments in trauma center settings serving this population is unknown. The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) exhibits strong psychometric properties but optimal cut-scores by race require examination.

methodsData were combined from three ongoing projects of injured Black American adults (N = 270). Participants completed the PCL-5 and Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) six months post-injury. Receiver operating characteristic analysis determined the PCL-5's diagnostic utility against the CAPS-5. Sensitivity, specificity, predictive values, and diagnostic efficiency were calculated across cut scores.

resultsPrevalence of CAPS-5 PTSD at 6-months post-injury was 34.4 %. The PCL-5 demonstrated good accuracy in detecting PTSD (AUC=.931). A PCL-5 cut-score of > 33 maximized diagnostic efficiency (89.1 %), with sensitivity of 89.1 % and specificity of 87.6 %.

conclusionsThe PCL-5 is an accurate PTSD screening tool for injured Black Americans using an appropriate threshold. Findings have implications for improving mental health care access in trauma settings serving marginalized groups.

Indexed as

Black or African AmericanPsychiatric Status Rating ScalesStress Disorders, Post-TraumaticWounds and InjuriesAdultFemaleHumansMaleMiddle AgedPsychometricsSensitivity and SpecificityYoung AdultBlack AmericansDiagnosisInjuryPCL-5Posttraumatic stress disorder

Identifiers

PMID39985923
PMCPMC11985301

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.