[{"data":1,"prerenderedAt":1050},["ShallowReactive",2],{"assessment-primary-care-ptsd-screen-pc-ptsd-5":3,"all-assessments-nav":230,"related-assessments-query":896},{"id":4,"title":5,"body":6,"category":213,"categoryTitle":213,"clinicalCitations":213,"copyright":214,"description":215,"disclaimer":216,"downloadLink":213,"extension":217,"faqs":213,"i18nReady":218,"icon":213,"lastReviewed":213,"meta":219,"navigation":220,"path":221,"permissionsNote":222,"recommendedFrequency":223,"relatedConditions":213,"reviewedBy":213,"seo":224,"slug":225,"stem":226,"summary":227,"takeaways":213,"type":228,"usedToDiagnose":213,"__hash__":229},"assessments\u002Fhelp\u002Fassessment-library\u002Fprimary-care-ptsd-screen-pc-ptsd-5.md","Primary Care PTSD Screen for DSM-5-TR (PC-PTSD-5)",{"type":7,"value":8,"toc":201},"minimark",[9,14,18,21,25,33,62,65,69,76,81,89,94,115,119,124,132,136,150,154,175,179,196],[10,11,13],"h3",{"id":12},"foundational-context","Foundational Context",[15,16,17],"p",{},"PTSD is frequently underdetected in primary care despite its strong association with physical health conditions, chronic pain, sleep disturbance, anxiety, and depression. The original PC-PTSD aligned with DSM-IV criteria, and the PC-PTSD-5 was developed to reflect the updated symptom structure and diagnostic requirements of DSM-5-TR.",[15,19,20],{},"In a large validation sample of U.S. veterans, Prins et al. (2016) demonstrated that the PC-PTSD-5 has strong sensitivity and specificity, especially when using a cutoff of three symptoms. Its streamlined design makes it ideal for rapid screening before administering a more comprehensive assessment (e.g., PCL-5). The PC-PTSD-5 is specifically optimized for medical settings where time and resources are limited but early identification is essential.",[10,22,24],{"id":23},"what-the-assessment-measures","What the Assessment Measures",[15,26,27,28,32],{},"The PC-PTSD-5 assesses the presence of ",[29,30,31],"strong",{},"core PTSD symptoms"," experienced in the past month, including:",[34,35,36,42,47,52,57],"ul",{},[37,38,39],"li",{},[29,40,41],{},"Intrusive memories or nightmares",[37,43,44],{},[29,45,46],{},"Avoidance of trauma reminders",[37,48,49],{},[29,50,51],{},"Negative thoughts or feelings related to the trauma",[37,53,54],{},[29,55,56],{},"Hyperarousal or excessive startle response",[37,58,59],{},[29,60,61],{},"Functional impact or emotional distress",[15,63,64],{},"Each item reflects clinically meaningful symptom domains closely aligned with DSM-5-TR criteria.",[10,66,68],{"id":67},"interpretation-guidelines","Interpretation Guidelines",[15,70,71,72,75],{},"The PC-PTSD-5 yields a total score between ",[29,73,74],{},"0–5",", based on the number of “Yes” responses.",[15,77,78],{},[29,79,80],{},"Recommended cutoff:",[34,82,83],{},[37,84,85,88],{},[29,86,87],{},"≥3"," indicates a positive screen for probable PTSD and the need for further diagnostic evaluation.",[15,90,91],{},[29,92,93],{},"Interpretation Notes:",[34,95,96,103,106,109,112],{},[37,97,98,99,102],{},"A positive screen does ",[29,100,101],{},"not"," confirm PTSD; the PC-PTSD-5 is a triage tool.",[37,104,105],{},"Use in combination with a full PTSD assessment (e.g., PCL-5) or clinical interview.",[37,107,108],{},"A score of 1–2 may still represent trauma-related distress that warrants further discussion.",[37,110,111],{},"Screening should be contextualized with recent trauma exposure, functional impairment, cultural considerations, and comorbid conditions.",[37,113,114],{},"Avoid administering the tool during acute crisis states where responses may be transiently elevated.",[10,116,118],{"id":117},"psychometric-properties","Psychometric Properties",[120,121,123],"h4",{"id":122},"reliability","Reliability",[34,125,126,129],{},[37,127,128],{},"High internal consistency for a 5-item screener",[37,130,131],{},"Strong test–retest stability in primary care and veteran samples",[120,133,135],{"id":134},"validity","Validity",[34,137,138,141,144,147],{},[37,139,140],{},"Strong sensitivity and specificity at the ≥3 cutoff (Prins et al., 2016)",[37,142,143],{},"Very efficient predictor of PTSD in primary care populations",[37,145,146],{},"Useful across diverse clinical settings and trauma populations",[37,148,149],{},"Validated against criterion-standard PTSD diagnostic interviews including CAPS-5",[10,151,153],{"id":152},"administration-considerations","Administration Considerations",[34,155,156,159,162,169,172],{},[37,157,158],{},"Designed for primary care and can be administered verbally or via self-report",[37,160,161],{},"Functions as a first-step screener before administering the PCL-5",[37,163,164,165,168],{},"Should follow confirmation of a qualifying ",[29,166,167],{},"Criterion A"," trauma",[37,170,171],{},"May require clinician support for individuals with avoidance, dissociation, or difficulty recalling events",[37,173,174],{},"Works well in brief medical encounters, telehealth, and community health models",[10,176,178],{"id":177},"limitations","Limitations",[34,180,181,184,187,190,193],{},[37,182,183],{},"Not diagnostic on its own",[37,185,186],{},"May under-identify individuals with avoidance or dissociative presentations",[37,188,189],{},"False positives may occur in the context of depression, anxiety, or acute stress",[37,191,192],{},"Limited detail on symptom severity or functional impairment",[37,194,195],{},"Must be interpreted alongside clinical judgment and complete trauma history",[197,198,200],"h2",{"id":199},"references","References",{"title":202,"searchDepth":203,"depth":203,"links":204},"",2,[205,207,208,209,210,211,212],{"id":12,"depth":206,"text":13},3,{"id":23,"depth":206,"text":24},{"id":67,"depth":206,"text":68},{"id":117,"depth":206,"text":118},{"id":152,"depth":206,"text":153},{"id":177,"depth":206,"text":178},{"id":199,"depth":203,"text":200},null,"© U.S. Department of Veterans Affairs. Developed by the National Center for PTSD.","PC-PTSD-5: 5-item PTSD screen for primary care. Score ≥3 = positive screen. Covers DSM-5-TR intrusion, avoidance, cognition\u002Fmood, and arousal. National Center for PTSD. Prins et al., 2016.","This summary is for informational use only and is not a substitute for clinical judgment. HiBoop does not provide diagnostic services or interpret clinical results.","md",false,{},true,"\u002Fhelp\u002Fassessment-library\u002Fprimary-care-ptsd-screen-pc-ptsd-5","The PC-PTSD-5 is developed by the National Center for PTSD. It is free to use in clinical settings, but reproduction of full questionnaire items may require permission. Cite the National Center for PTSD and the original validation research when referencing the measure.https:\u002F\u002Fwww.ptsd.va.gov\u002Fprofessional\u002Fassessment\u002Fscreens\u002Fpc-ptsd.asp","At intake in primary care, mental health, or integrated care settings\n\nAnnually for high-risk populations (e.g., veterans, first responders, survivors of violence)\n\nFollowing known traumatic exposure or significant psychosocial events\n\nAs clinically indicated when PTSD symptoms or trauma histories emerge\n",{"title":5,"description":215},"primary-care-ptsd-screen-pc-ptsd-5","help\u002Fassessment-library\u002Fprimary-care-ptsd-screen-pc-ptsd-5","The PC-PTSD-5 is a brief, highly sensitive screening instrument designed to identify probable PTSD in primary care and general medical settings. Developed by Prins, Bovin, Smolenski, and colleagues (2016), this 5-item tool reflects DSM-5-TR PTSD criteria and focuses on intrusion, avoidance, cognitive\u002Fmood changes, and arousal. Its simplicity allows rapid identification of individuals who may benefit from a fuller diagnostic evaluation. A score of 3 or more “Yes” responses is the recommended threshold for a positive screen. The PC-PTSD-5 is widely used in primary care, VA systems, and community health settings due to its accuracy, brevity, and clinical practicality.","assessment","DNMLgGfne82KWpiTFFxQRkAvZMmUcDmLk0fiav6ws4g",[231,236,240,244,249,253,258,263,267,272,277,282,286,291,295,299,304,308,313,318,322,327,331,335,340,345,349,353,357,362,366,371,376,381,386,390,394,399,403,407,411,415,419,424,428,433,438,443,448,452,457,462,466,471,476,481,485,490,494,499,503,507,511,515,520,524,528,533,538,542,546,550,554,559,563,567,571,576,580,585,589,593,597,601,605,609,614,618,622,626,631,636,640,644,648,652,656,660,664,669,673,677,681,685,689,693,698,702,706,710,714,718,722,726,731,735,740,744,745,749,754,758,762,767,771,776,781,785,789,793,797,801,806,811,816,821,826,831,835,839,843,847,851,855,859,864,868,872,876,880,884,888,892],{"title":232,"slug":233,"path":234,"categoryTitle":235},"ACE Score","ace-score","\u002Fhelp\u002Fassessment-library\u002Face-score","Trauma 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