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Using the PCL-5 to Determine PTSD Severity Severity can be determined adding scores of each item together to determine a total score. A total score of 33 or higher may indicate severe PTSD and suggests the patient needs further assessment to confirm a diagnosis of PTSD. 2. DSM-5 symptom cluster severity scores.
DSM-5 pays more attention to the behavioral symptoms that accompany PTSD and proposes four distinct diagnostic clusters instead of three. They are described as re-experiencing, avoidance, negative cognitions and mood, and arousal.
The Posttraumatic Stress Disorder Checklist (PCL) is a widely used DSM-correspondent self-report measure of PTSD symptoms. The PCL was recently revised to reflect DSM-5 changes to the PTSD criteria.
For various reasons it often makes sense to administer the PCL-5 more or less frequently than once a month, and in those cases the timeframe in the directions may be changed to meet the purpose of the assessment, though providers should be aware that such changes may alter the psychometric properties of the measure.
PCL-5 ratings are based on subjective distress, whereas CAPS-5 ratings consider the intensity and frequency of symptoms. Additionally, intensity ratings on the CAPS-5 are not limited to subjective distress; for example, assessment of hypervigilance focuses on the nature and pervasiveness of hypervigilant behavior.
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The Clinician Administered PTSD Scale (CAPS-5) is based on the DSM-5 and is the gold standard in PTSD assessment. The CAPS-5 is a 30-item structured interview that can be used to: Make current (past month) diagnosis of PTSD. Make lifetime diagnosis of PTSD.
The PCL-5 has a few limitations related to the fact that its a self-report measure: As mentioned, the PCL-5 should not be used to determine diagnostic status without the assistance of a clinical interview.
The PCL-5 is a 20-item questionnaire, corresponding to the DSM-5 symptom criteria for PTSD. The wording of PCL-5 items reflects both changes to existing symptoms and the addition of new symptoms in DSM-5. The self-report rating scale is 0-4 for each symptom, reflecting a change from 1-5 in the DSM-IV version.

pcl 5 questionnaire pdf