Validation of the PTSD Checklist-Civilian Version in survivors of bone marrow transplantation.
Life-threatening illness now qualifies as a precipitating stessor for posttraumatic stress disorder (PTSD). We examined the validity of the PTSD Checklist-Civilian Version (PCL-C; Weathers, Litz, Herman, Juska, & Keane, 1993), a brief 17-item inventory of PTSD-like symptoms, in a sample of 111 adults who had undergone bone marrow transplantation an average of 4.04 years previously. Exploratory factor analysis of the PCL-C identified four distinct patterns of symptom responses: Numbing-Hyperarousal, Dreams-Memories of the Cancer Treatment, General Hyperarousal, Responses to Cancer-Related Reminders and Avoidance-Numbing. Respondents meeting PTSD symptom criteria on the PCL-C had significantly lower physical, role, and social functioning, greater distress and anxiety, and significantly more intrusive and avoidant responses than individuals who did not meet PTSD symptom criteria.
Smith
M Y
MY
Derald H. Ruttenburg Cancer Center, Mt. Sinai School of Medicine, New York, New York 10029, USA.
Redd
W
W
DuHamel
K
K
Vickberg
S J
SJ
Ricketts
P
P
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D001143:Arousal; D001294:Attitude to Health; D001362:Avoidance Learning; D016026:Bone Marrow Transplantation / Q000009:adverse effects / Q000523:psychology*; D016002:Discriminant Analysis; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D015985:Precipitating Factors; D011594:Psychometrics; D015203:Reproducibility of Results; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology*; D011795:Surveys and Questionnaires / Q000592:standards*; D017741:Survivors / Q000523:psychology*