Felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused?.Felt numb or detached from people, activities, or your surroundings?.Been constantly on guard, watchful, or easily startled?.Tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)?.Had nightmares about the event(s) or thought about the event(s) when you did not want to?.If yes, please answer the questions below. Have you ever experienced this kind of event? having a loved one die through homicide or suicide.seeing someone be killed or seriously injured.Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. Because performance parameters will change according to sample, clinicians should consider sample characteristics and screening purposes when selecting a cut-point. In contrast, a higher cut-point may be preferable if resources are such that false positives will substantially decrease clinician availability. Practitioners may consider a lower cut-point for women in some settings if evaluation resources are available. However, for women, a cut-point of 4 resulted in high numbers of false negatives. Research in a large sample of VA primary care patients found that a cut-point of 4 ideally balanced false negatives and false positives for the overall sample and for men. If a respondent endorses a trauma exposure, they can score a 0-5 on the PC-PTSD-5, which is a count of "yes" responses to the 5 questions about how the trauma has affected them in the past month. This additional item is consistent with more up-to-date knowledge about the PTSD diagnosis as described in DSM-5. PC-PTSD included 4 questions about DSM-IV PTSD symptoms, whereas the PC-PTSD-5 added a 5th item to assess whether the respondent has experienced guilt and/or a distorted sense of blame regarding the trauma(s). If they do endorse prior exposure to trauma(s), they respond to questions about DSM-5 PTSD symptoms related to those trauma(s). If respondents have not been exposed to any traumatic events, they do not complete the remainder of the PC-PTSD-5. To avoid this, the PC-PTSD-5 asks respondents whether they have experienced prior trauma(s), and provides examples of events that qualify (e.g., sexual assault, war). PC-PTSD asked individuals to respond to questions about DSM-IV PTSD symptoms in reference to an experience that was "frightening, horrible, or upsetting," which could lead respondents to refer to events that, while stressful, were not considered Criterion A traumas (e.g., divorce). Several important revisions were made to the PC-PTSD in updating it for DSM-5: Specifically, the PTSD Checklist for DSM-5 (PCL-5) is a psychometrically sound self-report questionnaire that can be used for this purpose. In these cases, it is recommended that additional assessment is conducted using a validated self-report measure. Administration of a clinical interview is not always possible due to time and personnel requirements. However, if a respondent indicates that they have had any lifetime exposure to trauma, the respondent is instructed to respond to 5 additional yes/no questions about how that trauma exposure has affected them over the past month.īecause the PC-PTSD-5 was designed to identify respondents with probable PTSD, those screening positive require further assessment, preferably with a structured interview such as the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). If a respondent denies exposure, the PC-PTSD-5 is complete with a score of 0. The measure begins with an item which assesses lifetime exposure to traumatic events. The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) is a 5-item screen that was designed to identify individuals with probable PTSD in primary care settings. #Computer cut 9 softwareVA Software Documentation Library (VDL).Clinical Trainees (Academic Affiliations).War Related Illness & Injury Study Center.
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