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Original Articles

HIV/AIDS Cost Study

Construct Validity and Factor Structure of the PTSD Checklist in Dually Diagnosed HIV-Seropositive Adults

, , , , , , & show all
Pages 29-51 | Received 31 Aug 2005, Accepted 19 Jun 2006, Published online: 15 Oct 2008
 

Abstract

Published findings are mixed regarding the underlying factor structure of the PTSD Checklist (PCL). Studies have found two-, three-, and four-factor solutions, which are only partially consistent with DSM-IV-defined PTSD symptom clusters (reexperiencing, avoidance, and hyperarousal). The current study examined the reliability, validity, and factor structure of the PCL in a sample of dually diagnosed (substance use disorder and other psychiatric disorder) participants living with HIV/AIDS. Results supported the robust psychometric properties of the PCL, with high reliability and validity. Using confirmatory factor analysis, two models, a second-order (two-factor) and a first-order (four-factor) solution were supported. The utility of the PCL and implications for the dimensionality of PTSD in this population are discussed

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