Validation of the PTSD checklist–civilian version in survivors of bone marrow transplantation

Authors

  • Meredith Y. Smith,

    Corresponding author
    1. Derald H. Ruttenburg Cancer Center, Mt. Sinai School of Medicine, New York, New York 10029
    • Box 1130, One Gustave L. Levy Pl., New York, New York 10029
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  • William Redd,

    1. Derald H. Ruttenburg Cancer Center, Mt. Sinai School of Medicine, New York, New York 10029
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  • Katherine DuHamel,

    1. Derald H. Ruttenburg Cancer Center, Mt. Sinai School of Medicine, New York, New York 10029
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  • Suzanne Johnson Vickberg,

    1. Derald H. Ruttenburg Cancer Center, Mt. Sinai School of Medicine, New York, New York 10029
    2. Department of Social Personality Psychology, The Graduate School and University Center, City University of New York, New York, New York 10036
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  • Patricia Ricketts

    1. Department of Social Personality Psychology, The Graduate School and University Center, City University of New York, New York, New York 10036
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Abstract

Life-threatening illness now qualifies as a precipitating stressor 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.

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