The PCL as a brief screen for posttraumatic stress disorder within schizophrenia

Int J Psychiatry Clin Pract. 2017 Jun;21(2):148-150. doi: 10.1080/13651501.2016.1271897. Epub 2017 Feb 2.

Abstract

Objectives: To assess the utility of using the posttraumatic checklist (PCL) as a screening measure for identifying posttraumatic stress disorder (PTSD) in individuals diagnosed with a psychotic disorder.

Methods: The PCL was administered to 165 participants as part of a clinical trial. Those scoring 44 or above on the PCL underwent further assessment using the clinician administered PTSD scale (CAPS).

Results: Overall 18.2% of the sample exhibited a diagnostic level of PTSD symptoms, as indicated by the CAPS assessment. Only 29.7% of those who scored above the PCL threshold were diagnostic of PTSD.

Conclusions: The use of PCL for identifying PTSD within this population is not recommended.

Keywords: Posttraumatic stress disorder; assessment; psychosis; schizophrenia; trauma.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Checklist*
  • False Positive Reactions*
  • Female
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Schizophrenia / epidemiology*
  • Stress Disorders, Post-Traumatic / epidemiology
  • United Kingdom
  • Young Adult