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PCL-5

PTSD

PTSD Checklist for DSM-5

#PTSD#Trauma#DSM-5#Self-report#Severity

Overview

The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of Posttraumatic Stress Disorder (PTSD).

Scoring & Interpretation Reference

0 - 20 Low / Subclinical

Minimal or mild symptoms, well below the clinical threshold for PTSD.

21 - 32 Mild to Moderate

Mild to moderate trauma-related symptoms, below the standard clinical cutoff (31-33) for probable PTSD.

33 - 80 Probable PTSD

Score of 33 or higher meets or exceeds the clinical cutoff (31-33) indicative of probable PTSD. Comprehensive clinical evaluation is recommended.

Scale Content & Assessment Items

In the past month, how much have you been bothered by:

Cluster B: Intrusion Symptoms

1

Repeated, disturbing, and unwanted memories of the stressful experience?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
2

Repeated, disturbing dreams of the stressful experience?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
3

Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
4

Feeling very upset when something reminded you of the stressful experience?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
5

Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)

Cluster C: Avoidance

6

Avoiding memories, thoughts, or feelings related to the stressful experience?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
7

Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)

Cluster D: Negative Alterations in Cognitions and Mood

8

Trouble remembering important parts of the stressful experience?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
9

Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
10

Blaming yourself or someone else for the stressful experience or what happened after it?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
11

Having strong negative feelings such as fear, horror, anger, guilt, or shame?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
12

Loss of interest in activities that you used to enjoy?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
13

Feeling distant or cut off from other people?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
14

Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)

Cluster E: Alterations in Arousal and Reactivity

15

Irritable behavior, angry outbursts, or acting aggressively?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
16

Taking too many risks or doing things that could cause you harm?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
17

Being "superalert" or watchful or on guard?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
18

Feeling jumpy or easily startled?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
19

Having difficulty concentrating?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)
20

Trouble falling or staying asleep?

Options: Not at all (0) · A little bit (1) · Moderately (2) · Quite a bit (3) · Extremely (4)

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