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월남전 참전 노인에서 한글판 외상후 스트레스 장애 체크리스트-5의 정신측정학적 특성

Psychometric Properties of the Korean version of the PTSD Checklist-5 in Elderly Korean Veterans of the Vietnam War

  • 김종원 (중앙보훈병원 정신건강의학과) ;
  • 정혜경 (중앙보훈병원 정신건강의학과) ;
  • 최진희 (중앙보훈병원 정신건강의학과) ;
  • 소형석 (중앙보훈병원 정신건강의학과) ;
  • 강석훈 (중앙보훈병원 정신건강의학과) ;
  • 김동수 (보은성모병원) ;
  • 문정윤 (중앙보훈병원 정신건강의학과) ;
  • 김태용 (중앙보훈병원 정신건강의학과)
  • Kim, Jong Won (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Chung, Hae Gyung (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Choi, Jin Hee (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • So, Hyung Seok (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Kang, Suk-Hoon (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Kim, Dong Soo (Department of Psychiatry, Boeun Sungmo Hospital) ;
  • Moon, Jung Yoon (Department of Psychiatry, Veterans Health Service Medical Center) ;
  • Kim, Tae Yong (Department of Psychiatry, Veterans Health Service Medical Center)
  • 투고 : 2017.08.18
  • 심사 : 2017.10.11
  • 발행 : 2017.10.31

초록

Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (${\alpha}=0.972$) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ${\geq}37$ with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool.

키워드

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