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The Posttraumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) is a widely used self-report measure of PTSD symptoms that has demonstrated strong psychometric properties across settings and samples. Co-occurring hazardous alcohol use and PTSD are prevalent among veterans, and the effects of alcohol use may impact the performance of the PCL-5. However, this possibility is untested. In this study, we evaluated the PCL-5 diagnostic accuracy for veterans who did and did not screen positive for hazardous alcohol use according to the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). Participants were 385 veterans recruited from Veterans Affairs primary care clinics. Results indicated that PCL-5 performance, AUC = .904, 95% CI [.870, .937], did not differ as a product of hazardous alcohol use. PCL-5 diagnostic utility was comparably high for veterans with, AUC = .904; 95% CI [.846, .962], and without, AUC = .904 95% CI [.861, .946], positive AUDIT-C screens. Although optimally efficient cutoff scores for veterans who screened positive were higher (i.e., 34-36) than for those with negative screens (i.e., 30), neither were significantly different from the overall PCL-5 cutoff score (i.e., 32), suggesting that neither veterans with nor without positive AUDIT-C screens require differential PCL-5 cutoff scores. The results do underscore the importance of using PCL-5 cutoff scores in concert with clinical judgment when establishing a provisional PTSD diagnosis and highlight the need for additional study of the impact of comorbidities on PCL-5 diagnostic accuracy and cutoff scores.

Titel:	The impact of screening positive for hazardous alcohol use on the diagnostic accuracy of the PTSD Checklist for DSM-5 among veterans.
Autor/in / Beteiligte Person:	Sistad, RE ; Kimerling, R ; Schnurr, PP ; Bovin, MJ
Link:	Full Text Finder (Volltext)
Zeitschrift:	Journal of traumatic stress, Jg. 37 (2024-04-01), Heft 2, S. 328-336
Veröffentlichung:	2005- : Hoboken, NJ : Wiley ; <i>Original Publication</i>: New York ; London : Plenum Press, c1988-, 2024
Medientyp:	academicJournal
ISSN:	1573-6598 (electronic)
DOI:	10.1002/jts.22999
Schlagwort:	Humans Checklist Diagnostic and Statistical Manual of Mental Disorders Veterans Stress Disorders, Post-Traumatic diagnosis Alcoholism diagnosis
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, Non-U.S. Gov't Language: English [J Trauma Stress] 2024 Apr; Vol. 37 (2), pp. 328-336. <i>Date of Electronic Publication: </i>2023 Dec 12. MeSH Terms: Veterans* ; Stress Disorders, Post-Traumatic* / diagnosis ; Alcoholism* / diagnosis ; Humans ; Checklist ; Diagnostic and Statistical Manual of Mental Disorders References: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596. ; Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM‐5 (PCL‐5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059. ; Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar‐Quiñonez, H. R., & Young, S. 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Grant Information: Office of Academic Affiliations, U.S. Department of Veteran Affairs; I01 HX001876-01A2 US Department of Veterans Affairs Health Services Research & Development Service Entry Date(s): Date Created: 20231212 Date Completed: 20240403 Latest Revision: 20240610 Update Code: 20240610

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The impact of screening positive for hazardous alcohol use on the diagnostic accuracy of the PTSD Checklist for DSM-5 among veterans.