Measurement invariance of six language versions of the post-traumatic stress disorder checklist for DSM-5 in civilians after traumatic brain injury

Fabian Bockhop; Marina Zeldovich; Katrin Cunitz; Dominique Van Praag; Marjolein van der Vlegel; Tim Beissbarth; York Hagmayer; Nicole von Steinbuechel; Peter Ylén; CENTER-TBI participants and investigators

doi:10.1038/s41598-022-20170-2

Measurement invariance of six language versions of the post-traumatic stress disorder checklist for DSM-5 in civilians after traumatic brain injury

Fabian Bockhop^*
, Marina Zeldovich
, Katrin Cunitz
, Dominique Van Praag
, Marjolein van der Vlegel
, Tim Beissbarth
, York Hagmayer
, Nicole von Steinbuechel
, Peter Ylén
, CENTER-TBI participants and investigators

^*Corresponding author for this work

BA46 Foresight and data economy

University of Göttingen
University of Antwerp
Erasmus University Rotterdam
Karolinska Institutet
University of Pecs
University of Oslo
University Hospital Northern Norway
Medical University of Vienna
University Hospital Nancy
Assistance Publique – Hôpitaux de Paris
Vita-Salute San Raffaele University
Radboud University Nijmegen
University of Szeged
Arttic (Germany)
Innsbruck Medical University
NIHR Surgical Reconstruction and Microbiology Research Centre
Société Française d’Anesthésie et de Réanimation (SFAR)
AOU Città della Salute e della Scienza di Torino - Orthopedic and Trauma Center
University of Southern Denmark
Monash University
University of Trnava
Quesgen Systems Inc.
Umeå University
University Medical Center Hamburg-Eppendorf
University of Cambridge
University of Milan
Hospital of Cruces
Niguarda Hospital
A.S.S.T. di Monza
RWTH Aachen University
University of Bonn
Cambridge University Hospitals NHS Foundation Trust

Research output: Contribution to journal › Article › Scientific › peer-review

16 Citations (Scopus)

Abstract

Traumatic brain injury (TBI) is frequently associated with neuropsychiatric impairments such as symptoms of post-traumatic stress disorder (PTSD), which can be screened using self-report instruments such as the Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5). The current study aims to inspect the factorial validity and cross-linguistic equivalence of the PCL-5 in individuals after TBI with differential severity. Data for six language groups (n ≥ 200; Dutch, English, Finnish, Italian, Norwegian, Spanish) were extracted from the CENTER-TBI study database. Factorial validity of PTSD was evaluated using confirmatory factor analyses (CFA), and compared between four concurrent structural models. A multi-group CFA approach was utilized to investigate the measurement invariance (MI) of the PCL-5 across languages. All structural models showed satisfactory goodness-of-fit with small between-model variation. The original DSM-5 model for PTSD provided solid evidence of MI across the language groups. The current study underlines the validity of the clinical DSM-5 conceptualization of PTSD and demonstrates the comparability of PCL-5 symptom scores between language versions in individuals after TBI. Future studies should apply MI methods to other sociodemographic (e.g., age, gender) and injury-related (e.g., TBI severity) characteristics to improve the monitoring and clinical care of individuals suffering from PTSD symptoms after TBI.

Original language	English
Article number	16571
Journal	Scientific Reports
Volume	12
Issue number	1
DOIs	https://doi.org/10.1038/s41598-022-20170-2
Publication status	Published - 4 Oct 2022
MoE publication type	A1 Journal article-refereed

Funding

Open Access funding enabled and organized by Projekt DEAL. CENTER-TBI was supported by the European Union 7th Framework programme (EC Grant 602150). Additional funding was obtained from the Hannelore Kohl Stiftung (Germany), from OneMind (USA), and from Integra LifeSciences Corporation (USA). The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report. All the analyses in the present investigation utilized data from the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) project, supported by the European Union (EU) Framework 7 program (EC grant 602,150; clinicaltrials.gov NCT02210221).

Keywords

Brain Injuries, Traumatic/complications
Checklist
Diagnostic and Statistical Manual of Mental Disorders
Humans
Language
Stress Disorders, Post-Traumatic/psychology

Access to Document

10.1038/s41598-022-20170-2Licence: CC BY

Cite this

Bockhop, F., Zeldovich, M., Cunitz, K., Van Praag, D., van der Vlegel, M., Beissbarth, T., Hagmayer, Y., von Steinbuechel, N., Ylén, P., & CENTER-TBI participants and investigators (2022). Measurement invariance of six language versions of the post-traumatic stress disorder checklist for DSM-5 in civilians after traumatic brain injury. Scientific Reports, 12(1), Article 16571. https://doi.org/10.1038/s41598-022-20170-2

@article{b1fcf981b5f3485391be1a4b853e59cc,

title = "Measurement invariance of six language versions of the post-traumatic stress disorder checklist for DSM-5 in civilians after traumatic brain injury",

abstract = "Traumatic brain injury (TBI) is frequently associated with neuropsychiatric impairments such as symptoms of post-traumatic stress disorder (PTSD), which can be screened using self-report instruments such as the Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5). The current study aims to inspect the factorial validity and cross-linguistic equivalence of the PCL-5 in individuals after TBI with differential severity. Data for six language groups (n ≥ 200; Dutch, English, Finnish, Italian, Norwegian, Spanish) were extracted from the CENTER-TBI study database. Factorial validity of PTSD was evaluated using confirmatory factor analyses (CFA), and compared between four concurrent structural models. A multi-group CFA approach was utilized to investigate the measurement invariance (MI) of the PCL-5 across languages. All structural models showed satisfactory goodness-of-fit with small between-model variation. The original DSM-5 model for PTSD provided solid evidence of MI across the language groups. The current study underlines the validity of the clinical DSM-5 conceptualization of PTSD and demonstrates the comparability of PCL-5 symptom scores between language versions in individuals after TBI. Future studies should apply MI methods to other sociodemographic (e.g., age, gender) and injury-related (e.g., TBI severity) characteristics to improve the monitoring and clinical care of individuals suffering from PTSD symptoms after TBI.",

keywords = "Brain Injuries, Traumatic/complications, Checklist, Diagnostic and Statistical Manual of Mental Disorders, Humans, Language, Stress Disorders, Post-Traumatic/psychology",

author = "Fabian Bockhop and Marina Zeldovich and Katrin Cunitz and \{Van Praag\}, Dominique and \{van der Vlegel\}, Marjolein and Tim Beissbarth and York Hagmayer and \{von Steinbuechel\}, Nicole and Cecilia {\AA}kerlund and Krisztina Amrein and Nada Andelic and Lasse Andreassen and Audny Anke and Anna Antoni and G{\'e}rard Audibert and Philippe Azouvi and Azzolini, \{Maria Luisa\} and Ronald Bartels and P{\'a}l Barz{\'o} and Romuald Beauvais and Ronny Beer and Bellander, \{Bo Michael\} and Antonio Belli and Habib Benali and Maurizio Berardino and Luigi Beretta and Morten Blaabjerg and Peter Bragge and Alexandra Brazinova and Vibeke Brinck and Joanne Brooker and Camilla Brorsson and Andras Buki and Monika Bullinger and Manuel Cabeleira and Alessio Caccioppola and Emiliana Calappi and Calvi, \{Maria Rosa\} and Peter Cameron and Guillermo Carbayo Lozano and Marco Carbonara and Simona Cavallo and Giorgio Chevallard and Arturo Chieregato and Giuseppe Citerio and Hans Clusmann and Mark Coburn and Jonathan Coles and Cooper, \{Jamie D.\} and Peter Yl{\'e}n and \{CENTER-TBI participants and investigators\}",

note = "{\textcopyright} 2022. The Author(s).",

year = "2022",

month = oct,

day = "4",

doi = "10.1038/s41598-022-20170-2",

language = "English",

volume = "12",

journal = "Scientific Reports",

issn = "2045-2322",

publisher = "Springer Nature",

number = "1",

}

Bockhop, F, Zeldovich, M, Cunitz, K, Van Praag, D, van der Vlegel, M, Beissbarth, T, Hagmayer, Y, von Steinbuechel, N, Ylén, P & CENTER-TBI participants and investigators 2022, 'Measurement invariance of six language versions of the post-traumatic stress disorder checklist for DSM-5 in civilians after traumatic brain injury', Scientific Reports, vol. 12, no. 1, 16571. https://doi.org/10.1038/s41598-022-20170-2

TY - JOUR

T1 - Measurement invariance of six language versions of the post-traumatic stress disorder checklist for DSM-5 in civilians after traumatic brain injury

AU - Bockhop, Fabian

AU - Zeldovich, Marina

AU - Cunitz, Katrin

AU - Van Praag, Dominique

AU - van der Vlegel, Marjolein

AU - Beissbarth, Tim

AU - Hagmayer, York

AU - von Steinbuechel, Nicole

AU - Åkerlund, Cecilia

AU - Amrein, Krisztina

AU - Andelic, Nada

AU - Andreassen, Lasse

AU - Anke, Audny

AU - Antoni, Anna

AU - Audibert, Gérard

AU - Azouvi, Philippe

AU - Azzolini, Maria Luisa

AU - Bartels, Ronald

AU - Barzó, Pál

AU - Beauvais, Romuald

AU - Beer, Ronny

AU - Bellander, Bo Michael

AU - Belli, Antonio

AU - Benali, Habib

AU - Berardino, Maurizio

AU - Beretta, Luigi

AU - Blaabjerg, Morten

AU - Bragge, Peter

AU - Brazinova, Alexandra

AU - Brinck, Vibeke

AU - Brooker, Joanne

AU - Brorsson, Camilla

AU - Buki, Andras

AU - Bullinger, Monika

AU - Cabeleira, Manuel

AU - Caccioppola, Alessio

AU - Calappi, Emiliana

AU - Calvi, Maria Rosa

AU - Cameron, Peter

AU - Carbayo Lozano, Guillermo

AU - Carbonara, Marco

AU - Cavallo, Simona

AU - Chevallard, Giorgio

AU - Chieregato, Arturo

AU - Citerio, Giuseppe

AU - Clusmann, Hans

AU - Coburn, Mark

AU - Coles, Jonathan

AU - Cooper, Jamie D.

AU - Ylén, Peter

AU - CENTER-TBI participants and investigators

PY - 2022/10/4

Y1 - 2022/10/4

N2 - Traumatic brain injury (TBI) is frequently associated with neuropsychiatric impairments such as symptoms of post-traumatic stress disorder (PTSD), which can be screened using self-report instruments such as the Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5). The current study aims to inspect the factorial validity and cross-linguistic equivalence of the PCL-5 in individuals after TBI with differential severity. Data for six language groups (n ≥ 200; Dutch, English, Finnish, Italian, Norwegian, Spanish) were extracted from the CENTER-TBI study database. Factorial validity of PTSD was evaluated using confirmatory factor analyses (CFA), and compared between four concurrent structural models. A multi-group CFA approach was utilized to investigate the measurement invariance (MI) of the PCL-5 across languages. All structural models showed satisfactory goodness-of-fit with small between-model variation. The original DSM-5 model for PTSD provided solid evidence of MI across the language groups. The current study underlines the validity of the clinical DSM-5 conceptualization of PTSD and demonstrates the comparability of PCL-5 symptom scores between language versions in individuals after TBI. Future studies should apply MI methods to other sociodemographic (e.g., age, gender) and injury-related (e.g., TBI severity) characteristics to improve the monitoring and clinical care of individuals suffering from PTSD symptoms after TBI.

AB - Traumatic brain injury (TBI) is frequently associated with neuropsychiatric impairments such as symptoms of post-traumatic stress disorder (PTSD), which can be screened using self-report instruments such as the Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5). The current study aims to inspect the factorial validity and cross-linguistic equivalence of the PCL-5 in individuals after TBI with differential severity. Data for six language groups (n ≥ 200; Dutch, English, Finnish, Italian, Norwegian, Spanish) were extracted from the CENTER-TBI study database. Factorial validity of PTSD was evaluated using confirmatory factor analyses (CFA), and compared between four concurrent structural models. A multi-group CFA approach was utilized to investigate the measurement invariance (MI) of the PCL-5 across languages. All structural models showed satisfactory goodness-of-fit with small between-model variation. The original DSM-5 model for PTSD provided solid evidence of MI across the language groups. The current study underlines the validity of the clinical DSM-5 conceptualization of PTSD and demonstrates the comparability of PCL-5 symptom scores between language versions in individuals after TBI. Future studies should apply MI methods to other sociodemographic (e.g., age, gender) and injury-related (e.g., TBI severity) characteristics to improve the monitoring and clinical care of individuals suffering from PTSD symptoms after TBI.

KW - Brain Injuries, Traumatic/complications

KW - Checklist

KW - Diagnostic and Statistical Manual of Mental Disorders

KW - Humans

KW - Language

KW - Stress Disorders, Post-Traumatic/psychology

UR - https://www.scopus.com/pages/publications/85139449944

U2 - 10.1038/s41598-022-20170-2

DO - 10.1038/s41598-022-20170-2

M3 - Article

C2 - 36195725

AN - SCOPUS:85139449944

SN - 2045-2322

VL - 12

JO - Scientific Reports

JF - Scientific Reports

IS - 1

M1 - 16571

ER -

Measurement invariance of six language versions of the post-traumatic stress disorder checklist for DSM-5 in civilians after traumatic brain injury

Abstract

Funding

Keywords

Access to Document

Other files and links

Fingerprint

Cite this