Psychometric property study of the posttraumatic stress disorder checklist for DSM-5 (PCL-5) in Chinese healthcare workers during the outbreak of corona virus disease 2019
Psychometric property study of the posttraumatic stress disorder checklist for DSM-5 (PCL-5) in Chinese healthcare workers during the outbreak of corona virus disease 2019
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DOI：
10.1016/j.jad.2020.08.038
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发表时间：
2020-12-01
影响因子：
6.6
通讯作者：
Li, Wei-Hui
中科院分区：
文献类型：
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作者：
Cheng, Peng;Xu, Li-Zhi;Li, Wei-Hui
背景：此前关于第五版精神障碍诊断与统计手册（PCL-5）更新PCL版本的信度和效度的研究仅在某些人群样本中进行了评估，缺乏医护人员样本。我们的研究重点是2019年冠状病毒病爆发期间中国医护人员PCL-5的因素结构、信度和效度。方法：我们使用PCL-5针对PTSD对一线医护人员进行了在线调查。本研究共纳入了 212 名一线医疗保健提供者。结果：研究结果表明，PCL-5 在我们的样本中是一种可靠的工具。总分和分量表得分显示出良好的内部一致性。 PCL-5 的收敛和判别有效性也得到了很好的证明。我们的结果显示，与其他模型相比，七因素混合模型具有更好的拟合度，并支持PCL-5中文版可以作为可靠的筛查工具，对中国医护人员进行心理筛查。 局限性：我们无法检查信度和效度的其他方面，如重测信度或标准效度。在我们的研究中，我们没有使用针对创伤后应激障碍（PTSD）的黄金标准结构化访谈。此外，我们的大多数样本都是能够上网的年轻人。由于我们的样本平均收入和教育水平较低，因此并未列出所有专业水平和资历。结论：我们的研究表明，中国 PCL-5 在疫情期间对一线医护人员具有良好的效度和信度。
Background: Previous studies about the reliability and validity of the updated PCL version for the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (PCL-5) have only been evaluated in certain samples of the population, which lacks in the sample of Healthcare Workers. Our study focused on the factor structure, reliability and validity of the PCL-5 among Chinese Healthcare Workers during the Outbreak of Corona Virus Disease 2019.Methods: We conducted an online survey of frontline healthcare workers using the PCL-5 for PTSD. Total of 212 frontline healthcare providers were included in this study.Results: The findings showed that PCL-5 is a reliable instrument in our sample. The total and subscale scores showed good internal consistency. The convergent and discriminant validity of the PCL-5 were also well demonstrated. Our result showed a better fit with the seven-factor hybrid model compared with other models and supported that the PCL-5 Chinese version can be used as a reliable screening tool to conduct psychological screening for Chinese healthcare workers.Limitation: We could not examine other aspects of reliability and validity like test-retest reliability or criterion validity. We didn't use the gold-standard structured interview for PTSD in our study. Besides, most of our samples were young people who had access to the internet. Not all professional levels and seniorities were presented because our sample had a lower mean income and educational level.Conclusion: Our study shows that the Chinese PCL-5 has good validity and reliability in frontline healthcare workers during the outbreak.