Psychometric Properties of the Chinese Version of the Primary Care Post-Traumatic Stress Disorder Screen-5 for Medical Staff Exposed to the COVID-19 Pandemic
The COVID-19 pandemic may increase the development of psychiatric disorders, such as posttraumatic stress disorder (PTSD) among medical staff. A brief validated screening tool is essential for the early diagnosis of PTSD. The purpose of the present study was to evaluate the validation of a Chinese v...
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| Veröffentlicht in: | Psychology research and behavior management 2021-01, Vol.14, p.1371-1378 |
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| creator | Huang, Rui-Wen Shen, Tao Ge, Lei-Ming Cao, Lu Luo, Jian-Feng Wu, Shi-Yu |
| description | The COVID-19 pandemic may increase the development of psychiatric disorders, such as posttraumatic stress disorder (PTSD) among medical staff. A brief validated screening tool is essential for the early diagnosis of PTSD. The purpose of the present study was to evaluate the validation of a Chinese version of the Primary Care-PTSD-5 (C-PC-PTSD-5) and determine an appropriate cutoff score with optimal sensitivity and specificity for medical staff in China during the COVID-19 pandemic.
An online cross-sectional survey was conducted on medical staff (n = 1104) from 17 medical institutions in Shanghai. Questionnaires comprising general information, medical-related traumatic event experiences, the PTSD Checklist (PCL-5), and C-PC-PTSD-5 were distributed to participants using the online Questionnaire Star electronic system. Internal consistency, convergent validity, and test-retest reliability were calculated. Receiver operating characteristic (ROC) analysis was performed to determine diagnostic accuracy and the optimal cutoff score of the C-PC-PTSD-5 for medical staff.
We included 1062 valid questionnaires for the analysis. Data of 838 traumatic experiences were analyzed. Internal consistency of the C-PC-PTSD-5 was satisfied (Cronbach's α = 0.756). The total score of the C-PC-PTSD-5 showed good test-retest reliability (r = 0.746). We found a strong correlation between the C-PC-PTSD-5 score and PCL-5 total score (r = 0.669,
< 0.001), which indicated good convergent validity. The ROC analysis showed an area under the curve of 0.81 ± 0.016. A cutoff score of 2 provided optimal sensitivity and specificity for the C-PC-PTSD-5 (sensitivity = 0.632, specificity = 0.871, Youden index = 0.503, and overall efficiency = 0.768).
Our results indicated that the C-PC-PTSD-5 can be employed as a brief and efficient screening instrument for medical staff exposed to the COVID-19 pandemic. A score of 2 was identified as the optimal threshold for probable clinical PTSD symptoms. |
| doi_str_mv | 10.2147/PRBM.S329380 |
| format | Article |
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An online cross-sectional survey was conducted on medical staff (n = 1104) from 17 medical institutions in Shanghai. Questionnaires comprising general information, medical-related traumatic event experiences, the PTSD Checklist (PCL-5), and C-PC-PTSD-5 were distributed to participants using the online Questionnaire Star electronic system. Internal consistency, convergent validity, and test-retest reliability were calculated. Receiver operating characteristic (ROC) analysis was performed to determine diagnostic accuracy and the optimal cutoff score of the C-PC-PTSD-5 for medical staff.
We included 1062 valid questionnaires for the analysis. Data of 838 traumatic experiences were analyzed. Internal consistency of the C-PC-PTSD-5 was satisfied (Cronbach's α = 0.756). The total score of the C-PC-PTSD-5 showed good test-retest reliability (r = 0.746). We found a strong correlation between the C-PC-PTSD-5 score and PCL-5 total score (r = 0.669,
< 0.001), which indicated good convergent validity. The ROC analysis showed an area under the curve of 0.81 ± 0.016. A cutoff score of 2 provided optimal sensitivity and specificity for the C-PC-PTSD-5 (sensitivity = 0.632, specificity = 0.871, Youden index = 0.503, and overall efficiency = 0.768).
Our results indicated that the C-PC-PTSD-5 can be employed as a brief and efficient screening instrument for medical staff exposed to the COVID-19 pandemic. A score of 2 was identified as the optimal threshold for probable clinical PTSD symptoms.</description><identifier>ISSN: 1179-1578</identifier><identifier>EISSN: 1179-1578</identifier><identifier>DOI: 10.2147/PRBM.S329380</identifier><identifier>PMID: 34512047</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Analysis ; Bilingualism ; China ; Coronaviruses ; COVID-19 ; Development and progression ; Diagnosis ; Epidemics ; Hospitals ; Medical personnel ; Medical screening ; medical staff ; Mental disorders ; Microcomputers ; Original Research ; Pandemics ; pc-ptsd-5 ; pcl-5 ; Post traumatic stress disorder ; Primary care ; ptsd ; Quantitative psychology ; Questionnaires ; self-reported screens</subject><ispartof>Psychology research and behavior management, 2021-01, Vol.14, p.1371-1378</ispartof><rights>2021 Huang et al.</rights><rights>COPYRIGHT 2021 Dove Medical Press Limited</rights><rights>2021. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Huang et al. 2021 Huang et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c619t-1efd7fbd34e18e75a598a37caed623d922991a11db82932348289761f4a304c93</citedby><cites>FETCH-LOGICAL-c619t-1efd7fbd34e18e75a598a37caed623d922991a11db82932348289761f4a304c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8421668/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8421668/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,3849,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34512047$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Rui-Wen</creatorcontrib><creatorcontrib>Shen, Tao</creatorcontrib><creatorcontrib>Ge, Lei-Ming</creatorcontrib><creatorcontrib>Cao, Lu</creatorcontrib><creatorcontrib>Luo, Jian-Feng</creatorcontrib><creatorcontrib>Wu, Shi-Yu</creatorcontrib><title>Psychometric Properties of the Chinese Version of the Primary Care Post-Traumatic Stress Disorder Screen-5 for Medical Staff Exposed to the COVID-19 Pandemic</title><title>Psychology research and behavior management</title><addtitle>Psychol Res Behav Manag</addtitle><description>The COVID-19 pandemic may increase the development of psychiatric disorders, such as posttraumatic stress disorder (PTSD) among medical staff. A brief validated screening tool is essential for the early diagnosis of PTSD. The purpose of the present study was to evaluate the validation of a Chinese version of the Primary Care-PTSD-5 (C-PC-PTSD-5) and determine an appropriate cutoff score with optimal sensitivity and specificity for medical staff in China during the COVID-19 pandemic.
An online cross-sectional survey was conducted on medical staff (n = 1104) from 17 medical institutions in Shanghai. Questionnaires comprising general information, medical-related traumatic event experiences, the PTSD Checklist (PCL-5), and C-PC-PTSD-5 were distributed to participants using the online Questionnaire Star electronic system. Internal consistency, convergent validity, and test-retest reliability were calculated. Receiver operating characteristic (ROC) analysis was performed to determine diagnostic accuracy and the optimal cutoff score of the C-PC-PTSD-5 for medical staff.
We included 1062 valid questionnaires for the analysis. Data of 838 traumatic experiences were analyzed. Internal consistency of the C-PC-PTSD-5 was satisfied (Cronbach's α = 0.756). The total score of the C-PC-PTSD-5 showed good test-retest reliability (r = 0.746). We found a strong correlation between the C-PC-PTSD-5 score and PCL-5 total score (r = 0.669,
< 0.001), which indicated good convergent validity. The ROC analysis showed an area under the curve of 0.81 ± 0.016. A cutoff score of 2 provided optimal sensitivity and specificity for the C-PC-PTSD-5 (sensitivity = 0.632, specificity = 0.871, Youden index = 0.503, and overall efficiency = 0.768).
Our results indicated that the C-PC-PTSD-5 can be employed as a brief and efficient screening instrument for medical staff exposed to the COVID-19 pandemic. A score of 2 was identified as the optimal threshold for probable clinical PTSD symptoms.</description><subject>Analysis</subject><subject>Bilingualism</subject><subject>China</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Development and progression</subject><subject>Diagnosis</subject><subject>Epidemics</subject><subject>Hospitals</subject><subject>Medical personnel</subject><subject>Medical screening</subject><subject>medical staff</subject><subject>Mental disorders</subject><subject>Microcomputers</subject><subject>Original Research</subject><subject>Pandemics</subject><subject>pc-ptsd-5</subject><subject>pcl-5</subject><subject>Post traumatic stress disorder</subject><subject>Primary care</subject><subject>ptsd</subject><subject>Quantitative psychology</subject><subject>Questionnaires</subject><subject>self-reported screens</subject><issn>1179-1578</issn><issn>1179-1578</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>DOA</sourceid><recordid>eNptkk9vFCEYxidGY5vam2dDYmI8OOsAM8NwManbqpu06catvRIGXnZoZoYtzBj7Yfyusn9ad41wAF5-PISHJ0le42xCcM4-zr9_vposKOG0yp4lxxgznuKCVc_35kfJaQh32bqxLCf0ZXJE8wKTLGfHye95eFCN62DwVqG5dyvwg4WAnEFDA2ja2B4CoFvwwbr-sTz3tpP-AU2ljwsXhvTGy7GTQxRZDB5CQOc2OK_Bo4XyAH1aIOM8ugJtlWwjJI1BF79WLoBGg9tedn07O08xR3PZa-isepW8MLINcLobT5IfXy5upt_Sy-uvs-nZZapKzIcUg9HM1JrmgCtghSx4JSlTEnRJqOaEcI4lxrquolOE5hWpOCuxySXNcsXpSTLb6mon78Rq-zjhpBWbgvNLIaMtqgUR5XRNKK9NWeQAnNfaSKJ4UdWK8VJFrU9brdVYd6AV9IOX7YHo4U5vG7F0P0WVE1yWVRR4vxPw7n6EMIjOBgVtK3twYxCkYISQkmMc0bf_oHdu9H20ak3RkmLM2V9qKeMDbG9cvFetRcVZyXhBOd9Qk_9QsW9-wvVgbKwfHHi3d6AB2Q5NcO04xJyEQ_DDFlTeheDBPJmBM7GOsVjHWOxiHPE3-wY-wY-hpX8Ad7Lrqg</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Huang, Rui-Wen</creator><creator>Shen, Tao</creator><creator>Ge, Lei-Ming</creator><creator>Cao, Lu</creator><creator>Luo, Jian-Feng</creator><creator>Wu, Shi-Yu</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210101</creationdate><title>Psychometric Properties of the Chinese Version of the Primary Care Post-Traumatic Stress Disorder Screen-5 for Medical Staff Exposed to the COVID-19 Pandemic</title><author>Huang, Rui-Wen ; 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A brief validated screening tool is essential for the early diagnosis of PTSD. The purpose of the present study was to evaluate the validation of a Chinese version of the Primary Care-PTSD-5 (C-PC-PTSD-5) and determine an appropriate cutoff score with optimal sensitivity and specificity for medical staff in China during the COVID-19 pandemic.
An online cross-sectional survey was conducted on medical staff (n = 1104) from 17 medical institutions in Shanghai. Questionnaires comprising general information, medical-related traumatic event experiences, the PTSD Checklist (PCL-5), and C-PC-PTSD-5 were distributed to participants using the online Questionnaire Star electronic system. Internal consistency, convergent validity, and test-retest reliability were calculated. Receiver operating characteristic (ROC) analysis was performed to determine diagnostic accuracy and the optimal cutoff score of the C-PC-PTSD-5 for medical staff.
We included 1062 valid questionnaires for the analysis. Data of 838 traumatic experiences were analyzed. Internal consistency of the C-PC-PTSD-5 was satisfied (Cronbach's α = 0.756). The total score of the C-PC-PTSD-5 showed good test-retest reliability (r = 0.746). We found a strong correlation between the C-PC-PTSD-5 score and PCL-5 total score (r = 0.669,
< 0.001), which indicated good convergent validity. The ROC analysis showed an area under the curve of 0.81 ± 0.016. A cutoff score of 2 provided optimal sensitivity and specificity for the C-PC-PTSD-5 (sensitivity = 0.632, specificity = 0.871, Youden index = 0.503, and overall efficiency = 0.768).
Our results indicated that the C-PC-PTSD-5 can be employed as a brief and efficient screening instrument for medical staff exposed to the COVID-19 pandemic. A score of 2 was identified as the optimal threshold for probable clinical PTSD symptoms.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>34512047</pmid><doi>10.2147/PRBM.S329380</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Bilingualism China Coronaviruses COVID-19 Development and progression Diagnosis Epidemics Hospitals Medical personnel Medical screening medical staff Mental disorders Microcomputers Original Research Pandemics pc-ptsd-5 pcl-5 Post traumatic stress disorder Primary care ptsd Quantitative psychology Questionnaires self-reported screens |
| title | Psychometric Properties of the Chinese Version of the Primary Care Post-Traumatic Stress Disorder Screen-5 for Medical Staff Exposed to the COVID-19 Pandemic |
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