European Journal of Psychotraumatology
Volume 10, Issue 1, 2019

Psychometric validation of the PTSD Checklist-5 among female Filipino migrant workers [菲律宾女性移民工人中的《PTSD检查表－5》心理测量验证] [Validación psicométrica de la lista de chequeo-5 para TEPT entre trabajadoras migrantes filipinas] (Article) (Open Access)

Hall B.J.* , Yip P.S.Y. , Garabiles M.R. , Lao C.K. , Chan E.W.W. , Marx B.P.
  • a Global and Community Mental Health Research Group, Faculty of Social Sciences, The University of Macau, Macau, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  • b Global and Community Mental Health Research Group, Faculty of Social Sciences, The University of Macau, Macau
  • c Global and Community Mental Health Research Group, Faculty of Social Sciences, The University of Macau, Macau, Department of Psychology, Ateneo de Manila University, Quezon City, Philippines
  • d Global and Community Mental Health Research Group, Faculty of Social Sciences, The University of Macau, Macau
  • e Global and Community Mental Health Research Group, Faculty of Social Sciences, The University of Macau, Macau
  • f Department of Veteran Affairs, National Center for PTSD, Boston, United States, Department of Psychiatry, Boston University, Boston, United States

Abstract

Migrant populations are at increased risk for exposure to traumatic life events. Presently, there are no reliable and valid screening instruments for posttraumatic stress disorder (PTSD) among Filipino migrant workers, a population that numbers over 2.3 million worldwide. This study evaluated the psychometric properties of the PTSD Checklist for DSM-5 (PCL-5) in a sample of female Filipino migrant workers in Macao (SAR), China, in two studies. The first examined the reliability (internal and test-retest), convergent validity (with depression, anxiety, and rumination), and discriminant validity (with pain and social support) in a sample of 131 participants. The second study established criterion validity of the PCL-5 using the PTSD module of the Mini-International Neuropsychiatric Interview (MINI), delivered by a female Filipino psychologist as the criterion, in a sample of 100 participants. Results indicated excellent internal consistency (Cronbach’s alpha = 0.95) and moderate 10-day test-retest reliability (ρ = 0.58, p < .001). PCL-5 scores correlated strongly with scores on measures of depression (ρ = 0.71, p < .001), anxiety (ρ = 0.61, p < .001), and rumination (ρ = 0.68, p < .001), supporting convergent validity. Discriminant validity was demonstrated by a weaker association with scores on measures of pain (ρ = 0.33, p < .001) and social support (ρ = −0.11, p = .22). The diagnostic accuracy of the scale was good (AUC = 0.87). The optimal cutoff score of 25 optimized sensitivity (0.89) while maintaining adequate specificity (0.73), with a weighted Kappa of κ[1]) = 0.82. Our results demonstrated that the PCL-5 is a reliable and valid screening instrument for use among female Filipino migrant workers. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Author Keywords

Migrants psychometric validation Filipino posttraumatic stress disorder Posttraumatic stress disorder checklist Domestic workers trauma

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070316813&doi=10.1080%2f20008198.2019.1571378&partnerID=40&md5=74ed929de86bde198ef66e4e34dc632c
DOI: 10.1080/20008198.2019.1571378
ISSN: 20008198
Cited by: 2
Original Language: English