Psychometric Validation of the English and French Versions of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

Andrea R Ashbaugh, Stephanie Houle-Johnson, Christophe Herbert, Wissam El-Hage, Alain Brunet, Andrea R Ashbaugh, Stephanie Houle-Johnson, Christophe Herbert, Wissam El-Hage, Alain Brunet

Abstract

The purpose of this study is to assess the psychometric properties of a French version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), a self-report measure of posttraumatic stress disorder (PTSD) symptoms, and to further validate the existing English version of the measure. Undergraduate students (n = 838 English, n = 262 French) completed the PCL-5 as well as other self-report symptom measures of PTSD and depression online. Both the English and French versions PCL-5 total scores demonstrated excellent internal consistency (English: α = .95; French: α = .94), and strong convergent and divergent validity. Strong internal consistency was also observed for each of the four subscales for each version (α's > .79). Test-retest reliability for the French version of the measure was also very good (r = .89). Confirmatory factor analysis indicated that the four-factor DSM-5 model was not a good fit of the data. The seven-factor hybrid model best fit the data in each sample, but was only marginally superior to the six-factor anhedonia model. The French version of the PCL-5 demonstrated the same psychometric qualities as both the English version of the same measure and previous versions of the PCL. Thus clinicians serving French-speaking clients now have access to this highly used screening instrument. With regards to the structural validity of the PCL-5 and of the new PTSD diagnostic structure of the DSM-5, additional research is warranted. Replication of our results in clinical samples is much needed.

Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Weathers FW, Litz BT, Herman DS, Huska JA, Keane TM. The PTSD Checklist: Reliability, validity, and diagnostic utility. Annual meeting of the International Society for Traumatic Stress Studies. San Antonio (USA). 1993.
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders Fifth Edition American Psychiatric Association; 2013.
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fourth edition—text revision Washington, DC: American Psychiatric Association; 2000.
    1. King DW, Leskin GA, King LA, Weathers FW. Confirmatory factor analysis of the Clinician-Administered PTSD Scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychol Assess. 1998. June;10(2):90–6. 10.1037//1040-3590.10.2.90
    1. Palmieri PA, Weathers FW, Difede J, King DW. Confirmatory factor analysis of the PTSD Checklist and the Clinician-Administered PTSD Scale in disaster workers exposed to the World Trade Center Ground Zero. J Abnorm Psychol. 2007. May;116(2):329–41. 10.1037/0021-843X.116.2.329
    1. Shelby RA, Golden-Kreutz DM, Andersen BL. Mismatch of posttraumatic stress disorder (PTSD) symptoms and DSM-IV symptom clusters in a cancer sample: Exploratory factor analysis of the PTSD Checklist-Civilian Version. J Trauma Stress. 2005. August 1;18(4):347–57. 10.1002/jts.20033
    1. Simms LJ, Watson D, Doebbeling BN. Confirmatory factor analyses of posttraumatic stress symptoms in deployed and non-deployed veterans of the Gulf War. J Abnorm Psychol. 2002. November;111(4):637–47. 10.1037//0021-843x.111.4.637
    1. Friedman MJ, Resick PA, Bryant RA, Brewin CR. Considering PTSD for DSM-5. Depress Anxiety. 2011. September 1;28(9):750–69. 10.1002/da.20767
    1. Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP. The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at . 2013.
    1. McDonald SD, Calhoun PS. The diagnostic accuracy of the PTSD Checklist: A critical review. Clin Psychol Rev. 2010. December;30(8):976–87. 10.1016/j.cpr.2010.06.012
    1. Blevins CA, Weathers FW, Davis MT, Witte TK, Domino JL. The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. J Trauma Stress. 2015. December;28(6):489–98. 10.1002/jts.22059
    1. Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA. Psychometric properties of the PTSD checklist (PCL). Behav Res Ther. 1996. August;34(8):669–73. 10.1016/0005-7967(96)00033-2
    1. Conybeare D, Behar E, Solomon A, Newman MG, Borkovec TD. The PTSD Checklist—Civilian Version: Reliability, validity, and factor structure in a nonclinical sample. J Clin Psychol. 2012. June 1;68(6):699–713. 10.1002/jclp.21845
    1. Liu P, Wang L, Cao C, Wang R, Zhang J, Zhang B, et al. The underlying dimensions of DSM-5 posttraumatic stress disorder symptoms in an epidemiological sample of Chinese earthquake survivors. J Anxiety Disord. 2014. May;28(4):345–51. 10.1016/j.janxdis.2014.03.008
    1. Armour C, Tsai J, Durham TA, Charak R, Biehn TL, Elhai JD, et al. Dimensional structure of DSM-5 posttraumatic stress symptoms: Support for a hybrid anhedonia and externalizing behaviors model. J Psychiatr Res. 2015. February;61:106–13. 10.1016/j.jpsychires.2014.10.012
    1. Ventureyra VAG, Yao S-N, Cottraux J, Note I, Mey-Guillard CD. The validation of the Posttraumatic Stress Disorder Checklist scale in posttraumatic stress disorder and nonclinical subjects. Psychother Psychosom. 2002. February;71(1):47–53. 10.1159/000049343
    1. Statistics Canada. French and the francophonie in Canada [Internet]. [Place unknown]: Statistics Canada; 2015 [cited April 22, 2016]. Available from: .
    1. Ryan C. Language use in the United States: 2011 [Internet]. [Place unknown] US Census Bureau; 2013 [cited April 22, 2016]. Available from: . 2013.
    1. French ministry of Foreign Affairs and International Development [Internet]. The status of French in the world; 2016 [cited April 22, 2016]. Available from: .
    1. Yao SN, Cottraux J, Note I, De Mey-Guillard C, Mollard E, Ventureyra V. Evaluation of post-traumatic stress disorder: Validation of a measure, the PCLS. Enceph-Rev Psychiatr Clin Biol Ther. 2003. June;29(3):232–8.
    1. Ashbaugh AR, Herbert CF, Butler LD, Brunet A. A aew frontier: Trauma research on the internet. In: Ashbaugh AR, Herbert CF, Brunet A, editors. Internet use in the aftermath of trauma. c2010. p. 99–120.
    1. Gray MJ, Litz BT, Hsu JL, Lombardo TW. Psychometric properties of the Life Events Checklist. Assessment. 2004. December 1;11(4):330–41. 10.1177/1073191104269954
    1. Weiss DS. The Impact of Event Scale–Revised: Assessing psychological trauma and PTSD In: Wilson JP & Keane TM, editors Assessing psychological trauma and PTSD. New York, NY: The Guilford Press; c2004. p. 168–89.
    1. Brunet A, St-Hilaire A, Jehel L, King S. Validation of a French version of the Impact of Events Scale-Revised. Can J Psychiatry Rev Can Psychiatr. 2003. February;48(1):56–61.
    1. Radloff LS. The CES-D scale: A self report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401. 10.1177/014662167700100306
    1. Nezu AM, Ronan GF, Meadows EA, McClure KS, editors. Practitioner’s guide to empirically based measures of depression Boston: Kluwer Academic Publishers; 2000.
    1. Fuhrer R, Rouillon F. Description et traduction de l’échelle d’autoévaluation [The French version of CES-D: Description and translation of the self-report scale]. Psychiatr Psychobiol. 1989;4(3):163–6.
    1. IBM SPSS Statistics. Armonk, NY: IBM Corp.; 2012.
    1. Arbuckle, JL. AMOS. Chicago: IBM SPSS. 2014.
    1. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model Multidiscip J. 1999. January 1;6(1):1–55. 10.1080/10705519909540118
    1. Zou GY. Sample size formulas for estimating intraclass correlation coefficients with precision and assurance. Stat Med. 2012;31(29):3972–81. 10.1002/sim.5466
    1. Kline RB. Principles and practice of structural equation modeling Guilford Press; 2011.
    1. Statistics Canada. Linguistic characteristics of canadians [Internet]. [Place unknown]: Statistics Canada, 2015 [cited 2016 Jun 30]. Available from:
    1. Bentler P. Comparative fit indexes in structural models. Psychol Bull. 1990. March;107(2):238–46. 10.1037//0033-2909.107.2.238
    1. Browne MW, Cudeck R. Alternate ways of assessing model fit In: Bollen KA, Long JS, editors. Testing structural equation models. Newbury Park: Sage Publications; c1993. p. 136–62.
    1. MacCallum RC, Browne MW, Sugawara HM. Power analysis and determination of sample size for covariance structure modeling. Psychol Methods. 1996. June;1(2):130–49. 10.1037//1082-989x.1.2.130
    1. Tabachnick BG, Fidell LS. Using multivariate statistics. 5th edition Boston: Pearson; 2006.
    1. Bernat JA, Ronfeldt HM, Calhoun KS, Arias I. Prevalence of traumatic events and peritraumatic predictors of posttraumatic stress symptoms in a nonclinical sample of college students. J Trauma Stress. 1998. October;11(4):645–64. 10.1023/A:1024485130934
    1. Frazier P, Anders S, Perera S, Tomich P, Tennen H, Park C, et al. Traumatic events among undergraduate students: Prevalence and associated symptoms. J Couns Psychol. 2009. July;56(3):450–60. 10.1037/a0016412
    1. Elhai JD, Miller ME, Ford JD, Biehn TL, Palmieri PA, Frueh BC. Posttraumatic stress disorder in DSM-5: Estimates of prevalence and symptom structure in a nonclinical sample of college students. J Anxiety Disord. 2012. January;26(1):58–64. 10.1016/j.janxdis.2011.08.013
    1. Weathers FW, Blake DD, Schnurr PP, Kaloupek DG, Marx BP, Keane TM. The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Interview available from the National Center for PTSD at ; 2013.
    1. Brown TA. Confirmatory factor analysis for applied research Guilford Press; 2006.
    1. Elhai JD, Palmieri PA. The factor structure of posttraumatic stress disorder: A literature update, critique of methodology, and agenda for future research. J Anxiety Disord. 2011. August;25(6):849–54. 10.1016/j.janxdis.2011.04.007
    1. Zelazny K, Simms LJ. Confirmatory factor analyses of DSM-5 posttraumatic stress disorder symptoms in psychiatric samples differing in Criterion A status. J Anxiety Disord. 2015. August;34:15–23. 10.1016/j.janxdis.2015.05.009

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