| Author | Reichenheim, Michael E. | |
| Author | Oliveira, Aline G. | |
| Author | Moraes, Claudia L. | |
| Author | Coutinho, Evandro S. | |
| Author | Figueira, Ivan | |
| Author | Lobato, Gustavo | |
| Access date | 2019-04-15T14:39:29Z | |
| Available date | 2019-04-15T14:39:29Z | |
| Document date | 2018 | |
| Citation | REICHENHEIM, Michael E. et al. Reappraising the dimensional structure of the PTSD Checklist: lessons from the DSM-IV-based PCL-C. Brazilian Journal of Psychiatry, v. 40, n. 2, p. 154–162, Apr./June 2018. | pt_BR |
| ISSN | 1516-4446 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/32490 | |
| Language | eng | pt_BR |
| Publisher | Associação Brasileira de Psiquiatria | |
| Rights | open access | |
| Title | Reappraising the dimensional structure of the PTSD Checklist: lessons from the DSM-IV-based PCL-C | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1590/1516-4446-2017-2239 | |
| Abstract | Objective: The dimensional structure of posttraumatic stress disorder (PTSD) has been extensively debated, but the literature is still inconclusive and contains gaps that require attention. This article sheds light on hitherto unvisited methodological issues, reappraising several key models advanced for the DSM-IV-based civilian version of the PTSD Checklist (PCL-C) as to their configural and metric structures. Methods: The sample comprised 456 women, interviewed at 6-8 weeks postpartum, who attended a high-complexity facility in Rio de Janeiro, Brazil. Confirmatory factor analysis (CFA) and exploratory structural equation models (ESEM) were used to evaluate the dimensional structure of the PCL-C. Results: The original three-factor solution was rejected, along with the four-factor structures most widely endorsed in the literature (PTSD-dysphoria and PTSD-numbing models). Further exploration supported a model comprised of two factors (re-experience/avoidance and numbing/hyperarousal). Conclusion: These findings are at odds with the dimensional structure proposed in both DSM-IV and DSM-5. This also entails a different presumption regarding the latent structure of PTSD and how the PCL should be operationalized. | pt_BR |
| Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brasil / Universidade Estácio de Sá. Programa de Mestrado em Saúde da Família. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Departamento de Epidemiologia. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil . | pt_BR |
| Affilliation | Universidade Federal do Rio de Janeiro. Instituto de Psiquiatria. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil. | |
| Subject | Posttraumatic stress disorder | pt_BR |
| Subject | Psychometric tests interviews | pt_BR |
| Subject | Diagnosis and classification | pt_BR |
| Subject | Epidemiology | pt_BR |
| Subject | Women | |
| xmlui.metadata.dc.subject.ods | 05 Igualdade de gênero | |
