J Korean Neuropsychiatr Assoc.  2014 Nov;53(6):410-417. 10.4306/jknpa.2014.53.6.410.

Reliability and Validity of the Korean Version of the PTSD Checklist Civilian Version in North Korean Defectors

Affiliations
  • 1Keyo Medical Foundation Keyo Hospital, Uiwang, Korea.
  • 2Department of Psychiatry, National Medical Center, Seoul, Korea. psyhee@hanmail.net

Abstract


OBJECTIVES
This study was conducted for development of the Korean version of the Posttraumatic stress disorder (PTSD) Checklist civilian version (PCL-C) by evaluating its reliability and validity for the North Korean defectors population.
METHODS
A total of 69 North Korean defectors participated in this study. All patients were recruited from the psychiatric outpatient or inpatient ward. We categorized the participants into two groups according to the Clinician-Administered PTSD Scale (CAPS) diagnosis of PTSD (PTSD, n=32 ; Non-PTSD, n=37). All Subjects completed psychometric assessments, including the PCL-C, Minnesota Multiphasic Personality Inventory (MMPI-PTSD), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI).
RESULTS
Findings provided support for psychometric properties of the Korean version of the PCL-C. The PCL-C showed good internal consistency (Cronbach alpha=0.93), and a significantly positive correlation with CAPS and MMPI-PTSD (r=0.47, r=0.61, respectively). The optimal cutoff point of PCL-C for the North Korean defectors was at a total score of 56 with sensitivity and specificity of 0.88, and 0.50, respectively.
CONCLUSION
Overall, the Korean version of the PCL-C appears to be a valid and reliable measure of PTSD symptoms among the North Korean defectors.

Keyword

PTSD Checklist; Screening test; North Korean defectors; Reliability; Validity

MeSH Terms

Anxiety
Depression
Diagnosis
Humans
Inpatients
MMPI
Outpatients
Psychometrics
Reproducibility of Results*
Sensitivity and Specificity
Stress Disorders, Post-Traumatic*

Figure

  • Fig. 1 The ROC curve for the PCL-C compared to the CAPS diagnosis of PTSD (AUC=0.73). ROC : Receiver operating characteristic, PCL-C : PCL-Checklist civilian version, CAPS : Clinician-Administered PTSD Scale, AUC : Area under the curve.


Cited by  2 articles

A Study on Reliability and Validity of the Impact of Event Scale-Revised-North Korea (IES-R-NK)
Sung-Doo Won, So Hee Lee, Jin Pyo Hong, Jin Yong Jun, Jeong Mee Han, Mi Nyeo Shin, Myung Hee Ahn, Taeyeop Lee
J Korean Neuropsychiatr Assoc. 2015;54(1):97-104.    doi: 10.4306/jknpa.2015.54.1.97.

Characteristics Associated with High Resilience among Aged People Exposed to the Jeju 4·3 Incident
Moon-Doo Kim, Young-Eun Jung
J Korean Med Sci. 2021;36(34):e220.    doi: 10.3346/jkms.2021.36.e220.


Reference

1. Ministry of Unification [homepage on the Internet]. Seoul: Ministry of Unification;cited 2014 Oct 1. Available from: http://goo.gl/Vi4TQO.
2. Kang SR. Development of trauma scale for North Korean refugee [dissertation]. Seoul: Yonsei Univ.;2001.
3. Lee SH. Development of psychiatric treatment model for North Korean defectors [Internet]. Seoul: National Medical Center;2012. cited 2014 Aug 13. Available from: http://goo.gl/MLafpO.
4. Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Gusman FD, Charney DS, et al. The development of a clinician-administered PTSD scale. J Trauma Stress. 1995; 8:75–90.
Article
5. Weathers FW, Litz BT, Herman DS, Huska JA, Keane TM. The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. In : Proceeding of the 9th Annual Conference of the International Society for Traumatic Stress Studies; 1993 October; San Antonio, TX:
6. Foa EB, Cashman L, Jaycox L, Perry K. The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychol Assess. 1997; 9:445.
Article
7. Davidson JR, Book SW, Colket JT, Tupler LA, Roth S, David D, et al. Assessment of a new self-rating scale for post-traumatic stress disorder. Psychol Med. 1997; 27:153–160.
Article
8. Nam B, Kwon HI, Kwon JH. Psychometric qualities of the Korean version of the Post-traumatic Diagnosis Scale (PDS-K). Korean J Clin Psychol. 2010; 29:147–167.
9. Seo HJ, Chung SK, Lim HK, Chee IS, Lee KU, Paik KC, et al. Reliability and validity of the Korean version of the Davidson Trauma Scale. Compr Psychiatry. 2008; 49:313–318.
Article
10. Korean Academy of Anxiety Disorder, Korean College of Neuropsychopharmacology. Evidence-based medicine guideline for posttraumatic stress disorder 2009 [Internet]. Seoul: Korean Guidline-Cleainghouse;2009. cited 2014 May 5. Available from: http://goo.gl/91ZPRD.
11. Wilkins KC, Lang AJ, Norman SB. Synthesis of the psychometric properties of the PTSD checklist (PCL) military, civilian, and specific versions. Depress Anxiety. 2011; 28:596–606.
Article
12. Ruggiero KJ, Del Ben K, Scotti JR, Rabalais AE. Psychometric properties of the PTSD Checklist-Civilian Version. J Trauma Stress. 2003; 16:495–502.
Article
13. Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA. Psychometric properties of the PTSD Checklist (PCL). Behav Res Ther. 1996; 34:669–673.
Article
14. McDonald SD, Calhoun PS. The diagnostic accuracy of the PTSD checklist: a critical review. Clin Psychol Rev. 2010; 30:976–987.
Article
15. Conybeare D, Behar E, Solomon A, Newman MG, Borkovec TD. The PTSD Checklist-Civilian Version: reliability, validity, and factor structure in a nonclinical sample. J Clin Psychol. 2012; 68:699–713.
Article
16. Weathers FW, Ruscio AM, Keane TM. Psychometric properties of nine scoring rules for the Clinician-Administered Posttraumatic Stress Disorder Scale. Psychol Assess. 1999; 11:124–133.
Article
17. Lee BY, Kim Y, Yi SM, Eun HJ, Kim DI, Kim JY. A reliability and validity study of a clinician-administered PTSD scale. J Korean Neuropsychiatr Assoc. 1999; 38:514–522.
18. Keane TM, Malloy PF, Fairbank JA. Empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorder. J Consult Clin Psychol. 1984; 52:888–891.
Article
19. Kang YS. A comparative study of the Mississippi Scale and MMPIPTSD Scale to diagnose PTSD [dissertation]. Jeonju: Chonbuk National University;1997.
20. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4:561–571.
Article
21. Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol. 1991; 10:98–113.
22. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press;1970.
23. Hahn DW, Lee CH, Chon KK. Korean adaptation of Spielberger's STAI (K-STAI). Korean J Health Psychol. 1996; 1:1–14.
24. Jeon WT, Yu SE, Cho YA, Eom JS. Traumatic experiences and mental health of north Korean refugees in South Korea. Psychiatry Investig. 2008; 5:213–220.
Article
25. Shapinsky AC, Rapport LJ, Henderson MJ, Axelrod BN. Civilian PTSD scales: relationships with trait characteristics and everyday distress. Assessment. 2005; 12:220–230.
26. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988; 54:1063–1070.
Article
27. Weiss DS, Marmar CR. The impact of event scale-revised. In : Wilson JP, Keane TM, editors. Assessing psychological trauma and PTSD. New York, NY: Guilford Press;1996. p. 399–411.
28. Cuevas CA, Bollinger AR, Vielhauer MJ, Morgan EE, Sohler NL, Brief DJ, et al. HIV/AIDS Cost Study: construct validity and factor structure of the PTSD Checklist in dually diagnosed HIV-seropositive adults. J Trauma Pract. 2007; 5:29–51.
29. McDonald SD, Beckham JC, Morey RA, Calhoun PS. The validity and diagnostic efficiency of the Davidson Trauma Scale in military veterans who have served since September 11th, 2001. J Anxiety Disord. 2009; 23:247–255.
Article
30. Weathers FW, Litz BT, Keane TM, Palmieri PA, Marx BP, Schnurr PP. The PTSD checklist for DSM-5 (PCL-5) [Internet]. National Center for PTSD;2013. cited 2014 Sep 30. Available from: http://goo.gl/WiZHbN.
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr