Evidence map›Paper›PMID 40086904›Full record

ArticleInternational psychogeriatrics2025

Psychometric properties, factor structure, and functional correlates of the PTSD checklist for DSM-5 in a U.S. national sample of older veterans.

Joan M Cook, Michelle J Bovin, Mia Maria Günak, Karen A Lawrence, Robert H Pietrzak

Abstract read
In one paragraph

Article in International psychogeriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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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

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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 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Joan M CookDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Michelle J BovinDepartment of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA; Behavioral Science Division, National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
Mia Maria GünakDepartment of Psychology, Division of Clinical Psychology and Psychological Treatment, LMU Munich, Munich, Germany.
Karen A LawrenceCollege of Social Work, University of Kentucky, Lexington, KY, USA.
Robert H PietrzakDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA; Department of Psychology, Yale University, New Haven, CT, USA; US Department of Veterans Affairs National Center for PTSD, VA Connecticut Healthcare System, West Haven, CT, USA. Electronic address: robert.pietrzak@yale.edu.

Funding

Cognitive Aging Trajectories in Survivors of TraumaK01AG070279 · NIA · UNIVERSITY OF KENTUCKY · PI KAREN Ann LAWRENCE · 2023 to 2026
$501k
NIA NIH HHS K01 AG070279NIA NIH HHS L30 AG088356
6 · The paper itself

Abstract

objectivesTo examine the psychometric properties of an assessment measure for posttraumatic stress disorder (PTSD) that corresponds with the current version of the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) in older adults.

designCross-sectional study.

settingNationally representative web-based survey (National Health and Resilience in Veterans Study; NHRVS) between November 18, 2019 and March 8, 2020.

participantsA total of 3001 veterans aged 60 years and older (mean age=73.2 years) MEASUREMENTS: PTSD symptoms were assessed using the PTSD Checklist for DSM-5 (PCL-5).

resultsPCL-5 scores demonstrated excellent internal consistency, and strong convergent and discriminant validity. Veterans who met criteria for probable PTSD and subthreshold PTSD had higher rates of childhood and adult trauma exposure than those who did not meet criteria for either of these groups. A recently proposed 8-factor model provided the best fit to item-level PCL-5 data, with dysphoric (i.e., anhedonia, dysphoric arousal) symptoms having the strongest most consistent associations with measures of functioning.

conclusionsThis is the first known study to examine the psychometric properties of the PCL-5 among older veterans. Results indicate that the PCL-5 is a reliable and valid instrument for use with community-dwelling older veterans. The finding that dysphoric symptoms of PTSD were most consistently linked to measures of functioning underscores the importance of targeting these symptoms as part of prevention, assessment, and treatment efforts in this population.

Indexed as

Psychiatric Status Rating ScalesStress Disorders, Post-TraumaticVeteransAgedAged, 80 and overChecklistCross-Sectional StudiesDiagnostic and Statistical Manual of Mental DisordersFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsUnited StatesAgingOlder adultsPTSDTraumaVeterans

Identifiers

PMID40086904
PMCPMC12599405

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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.