Psychometric properties of the Post Traumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Greek women after cesarean section

PLoS One. 2021 Aug 13;16(8):e0255689. doi: 10.1371/journal.pone.0255689. eCollection 2021.

Abstract

The aim of this study was to examine psychometric properties of the revised Posttraumatic Stress Checklist (PCL-5) for Diagnostic and Statistical Manual- 5th Edition (DSM-5) in Greek postpartum women after Cesarean Section(CS) (emergency-elective).So far, there was no study in Greece assessing psychometric properties of the PCL-5 in women after CS. The participating women (N = 469), who gave birth with emergency and elective CS at the Greek University Hospital of Larisa, have consented to participate in two phases of the survey and completed self-report questionnaires, the 2nd day after CS and at the 6th week after CS. Measures used in this study were the PCL-5 for DSM-5, the Life Events Checklist (LEC-5), Criteria B, C, D, E, and Criterion A, specifically designed for detection of posttraumatic stress disorder (PTSD) symptoms in postpartum period. To evaluate the internal reliability of the PCL-5 two different indices of internal consistency were calculated, i.e., Cronbach's alpha (.97) and Guttman'ssplit-half (.95), demonstrating high reliability level. The data were positively skewed, suggesting that the reported levels of PTSD among our participants were low. Factor analyses demonstrated acceptable construct validity; a comparison of thePCL-5 with the other measures of the same concept showed a good convergent validity of the scale. Overall, all the results suggest that the four-factor PCL-5 seemed to work adequately for the Greek sample of women after CS.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Cesarean Section / adverse effects*
  • Cesarean Section / psychology*
  • Checklist*
  • Diagnostic and Statistical Manual of Mental Disorders*
  • Elective Surgical Procedures / adverse effects
  • Elective Surgical Procedures / psychology
  • Factor Analysis, Statistical
  • Female
  • Greece / epidemiology
  • Hospitals, University
  • Humans
  • Postpartum Period / psychology
  • Pregnancy
  • Psychometrics / methods*
  • Reproducibility of Results
  • Self Report
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / etiology*

Grants and funding

We have no funders.