Cited by 280Posttraumatic Stress Disorder ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSleep and related disorders

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Abbreviated PTSD Checklist (PCL) as a guide to clinical response

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Lang, Ariel J., Wilkins, Kendall, Roy-Byrne, Peter P., Golinelli, Daniela, Chavira, Denise, Sherbourne, Cathy, Rose, Raphael D., Bystritsky, Alexander, Sullivan, Greer, Craske, Michelle G., Stein, Murray B.·2012·General Hospital Psychiatry

DOI 10.1016/j.genhosppsych.2012.02.003PMC PMC3383936

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Abstract

Objective The objective of this study was to evaluate two abbreviated versions of the PTSD Checklist (PCL), a self-report measure of posttraumatic stress disorder (PTSD) symptoms, as an index of change related to treatment.Method Data for this study were from 181 primary care patients diagnosed with PTSD who enrolled in a large randomized trial. These individuals received a collaborative care intervention (cognitive behavioral therapy (CBT) and/or medication) or usual care and were followed 6 and 12 months later to assess their symptoms and functioning. The sensitivity of the PCL versions (i.e., full, two-item, six-item), correlations between the PCL versions and other measures, and use of each as indicators of reliable and clinically significant change were evaluated.Results All versions had high sensitivity (.92-.99). Correlations among the three versions were high, but the six-item version corresponded more closely to the full version. Both shortened versions were adequate indicators of reliable and clinically significant change.Conclusion Whereas prior research has shown the two-item or six-item versions of the PCL to be good PTSD screening instruments for primary care settings, the six-item version appears to be the better alternative for tracking treatment-related change.

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Authors: Lang, A. J., Wilkins, K., Roy-Byrne, P. P., Golinelli, D., Chavira, D., Sherbourne, C., Rose, R. D., Bystritsky, A., Sullivan, G., Craske, M. G., & Stein, M. B.
Affiliations: University of California San Diego (US)
San Diego State University (US)
RAND Corporation (US)
University of California, Los Angeles (US)
University of Arkansas for Medical Sciences (US)
ORCID: Lang, Ariel J.
Golinelli, Daniela
Chavira, Denise
Bystritsky, Alexander
Craske, Michelle G.
Stein, Murray B.
Venue: General Hospital Psychiatry
Publisher: Elsevier BV
Published: 2012-07
Volume: 34
Issue: 4
Pages: 332-338
ISSN: 0163-8343 (ISSN-L)
DOI: 10.1016/j.genhosppsych.2012.02.003
PMC: PMC3383936
OpenAlex: W1975028092
Cited by: 280
References: 35
Citations by year: 2026: 26 · 2025: 31 · 2024: 33 · 2023: 33 · 2022: 38 · 2021: 30 · 2020: 30 · 2019: 17 · 2018: 14 · 2017: 13 · 2016: 7 · 2015: 5 · 2014: 1 · 2013: 2
FWCI: 2.91
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: General Hospital Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: post-traumatic stress disorder, PTSD Checklist, treatment response monitoring, clinically significant change, primary care patients, collaborative care, cognitive behavioral therapy, sensitivity to change, self-report measures
MeSH terms: Adult, Aged, Female, Health Surveys, Humans, Male, Middle Aged, Primary Health Care, Stress Disorders, Post-Traumatic, United States, Randomized Controlled Trials as Topic, Young Adult, Checklist

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