Elsevier

Journal of Anxiety Disorders

Volume 22, Issue 8, December 2008, Pages 1393-1402
Journal of Anxiety Disorders

Psychometric properties of seven self-report measures of posttraumatic stress disorder in college students with mixed civilian trauma exposure

https://doi.org/10.1016/j.janxdis.2008.02.002Get rights and content

Abstract

In this study psychometric properties of seven self-report measures of posttraumatic stress disorder (PTSD) were compared. The seven scales evaluated were the Davidson Trauma Scale (DTS), the PTSD Checklist (PCL), the Posttraumatic Stress Diagnostic Scale (PDS), the Civilian Mississippi Scale (CMS), the Impact of Event Scale-Revised (IES-R), the Penn Inventory for Posttraumatic Stress Disorder (Penn), and the PK scale of the MMPI-2 (PK). Participants were 239 (79 male and 160 female) trauma-exposed undergraduates. All seven measures exhibited good test–retest reliability and internal consistency. The PDS, PCL and DTS demonstrated the best convergent validity; the IES-R, PDS, and PCL demonstrated the best discriminant validity; and the PDS, PCL, and IES-R demonstrated the best diagnostic utility. Overall, results most strongly support the use of the PDS and the PCL for the assessment of PTSD in this population.

Section snippets

Participants

Participants were 239 undergraduates (79 male, 160 female) enrolled in psychology courses at a large Southeastern university who participated for course extra credit. The ethnic distribution of the sample was 84% Caucasian, 12% African American, and 4% other ethnicity. Participants ranged in age from 18 to 29 years (M = 19.4, S.D. = 1.59). All participants reported at least one stressful event that met Criterion A of the DSM-IV PTSD diagnostic criteria (APA, 1994). Participants were divided into

Test–retest reliability

Test–retest results are presented in Table 1. Good test–retest reliability was found for all self-report measures in the study, with all but three measures (IES-R, BAI, and CCL-A) obtaining a test–retest correlation of .80 or higher.

Internal consistency

Results of the internal consistency analysis are presented in Table 2. All self-report measures exhibited high internal consistency. Alphas ranged from .88 to .95, and median item-total correlations ranged from .39 to .63 for the PTSD measures, and .53 to .69 for

Discussion

In this study the psychometric properties of seven self-report measures of PTSD were compared in a sample of college students with mixed civilian trauma exposure. Consistent with previous research, all of the PTSD measures exhibited excellent reliability, as did the self-report measures of depression, anxiety and social phobia. Consistency of the measures across occasions was indicated by high test–retest correlations, and internal consistency was indicated by high alpha coefficients and

References (35)

  • R.G. Heimberg et al.

    Assessment of anxiety in social interaction and being observed by others: the Social Interaction Anxiety Scale and the Social Phobia Scale

    Behavior Therapy

    (1992)
  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington,...
  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington,...
  • A.T. Beck et al.

    Differentiating anxiety and depression: a test of the cognitive content specificity hypothesis

    Journal of Abnormal Psychology

    (1987)
  • A.T. Beck et al.

    Beck Anxiety Inventory

    (1990)
  • A.T. Beck et al.

    Beck Depression Inventory-Second Edition

    (1996)
  • A.T. Beck et al.

    An inventory for measuring depression

    Archives of General Psychiatry

    (1961)
  • D.D. Blake et al.

    The development of a clinician-administered PTSD scale

    Journal of Traumatic Stress

    (1995)
  • E.B. Blanchard et al.

    After the crash: assessment and treatment of motor vehicle accident survivors

    (1997)
  • J. Briere

    Trauma Symptom Inventory

    (1995)
  • J. Davidson

    Davidson Trauma Scale

    (1996)
  • E.B. Foa

    Posttraumatic Stress Diagnostic Scale

    (1995)
  • M. Hammarberg

    Penn Inventory for posttraumatic stress disorder: psychometric properties

    Psychological Assessment

    (1992)
  • D.S. Herman et al.

    Psychometric properties of the embedded and stand-alone versions of the MMPI-2 Keane PTSD Scale

    Assessment

    (1996)
  • M.J. Horowitz et al.

    Impact of Event Scale: a measure of subjective stress

    Psychosomatic Medicine

    (1979)
  • T.M. Keane et al.

    Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: three studies in reliability and validity

    Journal of Consulting and Clinical Psychology

    (1988)
  • T.M. Keane et al.

    Empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorder

    Journal of Consulting and Clinical Psychology

    (1984)
  • Cited by (150)

    • Childhood trauma and posttraumatic stress symptoms in adolescents and young adults: The mediating role of mentalizing and emotion regulation strategies

      2022, Child Abuse and Neglect
      Citation Excerpt :

      The RFQ demonstrated good internal consistencies for the Uncertainty subscale (α = 0.73) and for the Certainty subscale (α = 0.67). The Posttraumatic Stress Disorder Checklist Scale (PCL) was used to evaluate the 3 main symptoms of PTSD (Adkins et al., 2008; Blanchard et al., 1996; Yao et al., 2003). The PCL is a 17-item questionnaire with a 5-point Likert scale (from 1- not at all - to 5 - extremely).

    • Baseline sleep quality moderates symptom improvement in veterans with comorbid PTSD and TBI receiving trauma-focused treatment

      2021, Behaviour Research and Therapy
      Citation Excerpt :

      Scores are calculated by summing responses, with higher scores being indicative of more severe PTSD symptoms experienced over the past week. The PCL-S has good internal consistency, convergent and divergent validity, and test-retest reliability (Adkins, Weathers, McDevitt-Murphy, & Daniels, 2008; Weathers et al., 1994; Wilkins, Lang, & Norman, 2011). For the current study, ratings for one question pertaining to sleep (“trouble falling or staying asleep”) were not included in the total PCL-S score for each participant.

    View all citing articles on Scopus
    View full text