[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-trauma-test":3,"all-assessments-nav":332,"related-assessments-query":979},{"id":4,"title":5,"body":6,"category":291,"categoryTitle":292,"clinicalCitations":293,"copyright":291,"description":306,"disclaimer":291,"downloadLink":291,"extension":307,"faqs":308,"featured":321,"i18nReady":321,"icon":291,"interpreter":291,"lastReviewed":322,"meta":323,"navigation":324,"path":325,"permissionsNote":291,"published":321,"recommendedFrequency":291,"relatedCodes":291,"relatedConditions":291,"reviewedBy":291,"seo":326,"slug":327,"stem":328,"summary":329,"takeaways":291,"timeline":291,"type":330,"usedToDiagnose":291,"__hash__":331},"assessments\u002Fassessments\u002Ftrauma-test.md","Trauma Test (PC-PTSD-5)",{"type":7,"value":8,"toc":282},"minimark",[9,13,18,21,24,27,31,34,40,43,77,83,87,90,164,167,171,174,272,275,279],[10,11,12],"p",{},"This trauma test uses the PC-PTSD-5 (Primary Care PTSD Screen for DSM-5-TR), a validated 5-item PTSD screener. Positive screen: ≥3 of 5 items. Used across primary care, emergency, and general clinical settings. Prins et al. (2016). Connects to the full PCL-5.",[14,15,17],"h2",{"id":16},"about-this-trauma-test","About This Trauma Test",[10,19,20],{},"The PC-PTSD-5 (Primary Care PTSD Screen for DSM-5-TR) is a brief, validated yes\u002Fno screener developed by Prins and colleagues (2016) for use in primary care and general medical settings. Updating the earlier PC-PTSD to align with DSM-5 criteria, it first asks about lifetime trauma exposure, then assesses the five symptom domains most discriminating for PTSD: re-experiencing, avoidance, negative mood, hyperarousal, and emotional numbing.",[10,22,23],{},"In the original veteran sample, the PC-PTSD-5 demonstrated excellent diagnostic accuracy (AUC = 0.941). A cut score of 3 maximizes sensitivity — the threshold recommended for screening contexts where missing a true case is the primary concern — while a cut score of 4 maximizes overall efficiency. Civilian primary care validation by Williamson et al. (2022) confirmed strong diagnostic accuracy (AUC = 0.933), supporting the instrument's use beyond VA settings.",[10,25,26],{},"A positive PC-PTSD-5 screen (≥3 items) warrants further assessment using the full PCL-5 (PTSD Checklist for DSM-5-TR), a 20-item self-report measure mapping to all DSM-5-TR PTSD symptom clusters. Evidence-based PTSD treatments — including Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and EMDR — are strongly recommended in major clinical practice guidelines.",[14,28,30],{"id":29},"trauma-screener-pc-ptsd-5","Trauma Screener (PC-PTSD-5)",[10,32,33],{},"Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example: a serious accident or fire; being physically or sexually assaulted or abused; seeing someone seriously injured or killed; a sudden, unexpected death of someone close to you; war or combat; natural disaster.",[10,35,36],{},[37,38,39],"strong",{},"Have you ever experienced this kind of event?",[10,41,42],{},"If yes, in the past month have you:",[44,45,46,53,59,65,71],"ol",{},[47,48,49,52],"li",{},[37,50,51],{},"Re-experiencing"," — Had nightmares about the event, or thought about it when you did not want to?",[47,54,55,58],{},[37,56,57],{},"Avoidance"," — Tried hard not to think about the event, or went out of your way to avoid situations that reminded you of it?",[47,60,61,64],{},[37,62,63],{},"Hyperarousal"," — Been constantly on guard, watchful, or easily startled?",[47,66,67,70],{},[37,68,69],{},"Numbing"," — Felt numb or detached from people, activities, or your surroundings?",[47,72,73,76],{},[37,74,75],{},"Negative mood"," — Felt guilty or unable to stop blaming yourself or others for the event or any problems it caused?",[10,78,79],{},[80,81,82],"em",{},"Each item is scored Yes (1) or No (0). Total score range: 0–5. A score of ≥3 is the recommended positive screen threshold.",[14,84,86],{"id":85},"ptsd-symptom-clusters-dsm-5-tr","PTSD Symptom Clusters (DSM-5-TR)",[10,88,89],{},"DSM-5-TR PTSD requires Criterion A (trauma exposure) plus symptoms across four clusters lasting more than one month with significant impairment in social, occupational, or other important areas of functioning.",[91,92,93,109],"table",{},[94,95,96],"thead",{},[97,98,99,103,106],"tr",{},[100,101,102],"th",{},"Cluster",[100,104,105],{},"Label",[100,107,108],{},"Examples",[110,111,112,126,138,151],"tbody",{},[97,113,114,120,123],{},[115,116,117],"td",{},[37,118,119],{},"B",[115,121,122],{},"Intrusion symptoms",[115,124,125],{},"Distressing memories, nightmares, flashbacks, intense psychological or physiological reactions to trauma cues",[97,127,128,133,135],{},[115,129,130],{},[37,131,132],{},"C",[115,134,57],{},[115,136,137],{},"Avoiding distressing memories\u002Fthoughts, or external reminders (people, places, conversations, activities)",[97,139,140,145,148],{},[115,141,142],{},[37,143,144],{},"D",[115,146,147],{},"Negative alterations in cognition and mood",[115,149,150],{},"Persistent negative cognitions about oneself or the world, distorted blame, persistent negative emotions, diminished interest, feelings of detachment, inability to experience positive emotions",[97,152,153,158,161],{},[115,154,155],{},[37,156,157],{},"E",[115,159,160],{},"Alterations in arousal and reactivity",[115,162,163],{},"Irritability, reckless behaviour, hypervigilance, exaggerated startle response, concentration problems, sleep disturbance",[10,165,166],{},"Complex PTSD (C-PTSD), recognized in ICD-11, develops after prolonged or repeated trauma such as childhood abuse, domestic violence, or captivity, and adds disturbances in self-organization — including emotion dysregulation, persistent negative self-concept, and relational difficulties — to the core PTSD symptom clusters above.",[14,168,170],{"id":169},"ptsd-and-trauma-screening-tools","PTSD and Trauma Screening Tools",[10,172,173],{},"Multiple validated instruments exist for PTSD screening and symptom monitoring, varying in length, purpose, and clinical context.",[91,175,176,192],{},[94,177,178],{},[97,179,180,183,186,189],{},[100,181,182],{},"Instrument",[100,184,185],{},"Items",[100,187,188],{},"Format",[100,190,191],{},"Primary Use",[110,193,194,210,226,241,257],{},[97,195,196,201,204,207],{},[115,197,198],{},[37,199,200],{},"PC-PTSD-5",[115,202,203],{},"5",[115,205,206],{},"Yes\u002FNo",[115,208,209],{},"Initial screen in primary care, emergency, or high-volume settings; cut score ≥3 for sensitivity",[97,211,212,217,220,223],{},[115,213,214],{},[37,215,216],{},"PCL-5",[115,218,219],{},"20",[115,221,222],{},"0–4 Likert",[115,224,225],{},"Symptom severity tracking and provisional PTSD diagnosis; optimal efficiency cut scores of 31–33 in veteran samples (Bovin et al., 2016)",[97,227,228,233,236,238],{},[115,229,230],{},[37,231,232],{},"ITQ",[115,234,235],{},"6 (+6)",[115,237,222],{},[115,239,240],{},"Screens for ICD-11 PTSD and Complex PTSD separately; especially relevant when prolonged or repeated trauma is the presenting history",[97,242,243,248,251,254],{},[115,244,245],{},[37,246,247],{},"CAPS-5",[115,249,250],{},"30",[115,252,253],{},"Structured interview",[115,255,256],{},"Clinician-administered criterion standard for PTSD diagnosis and severity rating; used as criterion measure in PC-PTSD-5 and PCL-5 validation studies",[97,258,259,264,267,269],{},[115,260,261],{},[37,262,263],{},"TSQ",[115,265,266],{},"10",[115,268,206],{},[115,270,271],{},"Rapid post-trauma screen (within weeks of event) used in acute care and crisis settings",[10,273,274],{},"The PC-PTSD-5 and PCL-5 are paired instruments in many clinical workflows: the 5-item screener identifies who needs fuller evaluation, and the PCL-5 provides detailed symptom mapping and a score suitable for monitoring treatment response over time.",[14,276,278],{"id":277},"ptsd-outcome-tracking-in-hiboop","PTSD Outcome Tracking in HiBoop",[10,280,281],{},"PCL-5, PC-PTSD-5, PHQ-9, and GAD-7 are integrated into HiBoop for trauma and PTSD outcome monitoring across outpatient, VA, and trauma-specialized programs. Tracking responses over time allows clinicians to monitor symptom trajectories, adjust treatment intensity, and meet measurement-based care standards for PTSD and co-occurring mood and anxiety conditions.",{"title":283,"searchDepth":284,"depth":284,"links":285},"",2,[286,287,288,289,290],{"id":16,"depth":284,"text":17},{"id":29,"depth":284,"text":30},{"id":85,"depth":284,"text":86},{"id":169,"depth":284,"text":170},{"id":277,"depth":284,"text":278},null,"Trauma & PTSD",[294,297,300,303],{"text":295,"link":296},"Prins A, Bovin MJ, Smolenski DJ, Marx BP, Kimerling R, Jenkins-Guarnieri MA, Kaloupek DG, Schnurr PP, Kaiser AP, Leyva YE, Tiet QQ. The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation Within a Veteran Primary Care Sample. J Gen Intern Med. 2016;31(10):1206-11.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F27170304\u002F",{"text":298,"link":299},"Bovin MJ, Marx BP, Weathers FW, Gallagher MW, Rodriguez P, Schnurr PP, Keane TM. Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in veterans. Psychol Assess. 2016;28(11):1379-1391.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F26653052\u002F",{"text":301,"link":302},"Williamson MLC, Stickley MM, Armstrong TW, Jackson K, Console K. Diagnostic accuracy of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) within a civilian primary care sample. J Clin Psychol. 2022;78(11):2299-2308.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F35763419\u002F",{"text":304,"link":305},"Tiet QQ, Tiet TN. Diagnostic Accuracy of the Primary Care PTSD for DSM-5 Screen (PC-PTSD-5) in Demographic and Diagnostic Subgroups of Veterans. J Gen Intern Med. 2024;39(11):2017-2022.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F38506961\u002F","Free trauma screener using the PC-PTSD-5 (Primary Care PTSD Screen for DSM-5-TR). 5 yes\u002Fno questions covering re-experiencing, avoidance, negative...","md",[309,312,315,318],{"question":310,"answer":311},"What score is positive on the PC-PTSD-5?","A score of 3 or more out of 5 is the recommended positive screen threshold. In the original validation by Prins et al. (2016), a cut score of 3 maximized sensitivity (κ[1] = 0.93), making it suitable for ruling out PTSD in primary care settings where missing a true case carries high risk.",{"question":313,"answer":314},"Can the PC-PTSD-5 diagnose PTSD?","No. The PC-PTSD-5 is a screener, not a diagnostic tool. A positive result (≥3) indicates that a more thorough assessment — typically the 20-item PCL-5 or a structured clinical interview — is warranted. Only a qualified clinician using established diagnostic criteria can confirm a PTSD diagnosis.",{"question":316,"answer":317},"Is the PC-PTSD-5 self-report or clinician-administered?","It is designed as a brief self-report measure that can also be administered verbally by a primary care provider. In the original validation study, patients expressed a preference for it to be reviewed with their primary care clinician rather than completed in isolation.",{"question":319,"answer":320},"How does the PC-PTSD-5 differ from the PCL-5?","The PC-PTSD-5 is a 5-item yes\u002Fno screener intended to identify individuals who may have PTSD — it is fast and broadly applicable. The PCL-5 is a 20-item self-report questionnaire that maps to all four DSM-5 PTSD symptom clusters and provides a continuous severity score used for diagnosis and treatment monitoring.",false,"2026-06-03",{},true,"\u002Fassessments\u002Ftrauma-test",{"title":5,"description":306},"trauma-test","assessments\u002Ftrauma-test","Free trauma screener using the PC-PTSD-5 (Primary Care PTSD Screen for DSM-5-TR). 5 yes\u002Fno questions covering re-experiencing, avoidance, negative mood, hyperarousal, and numbing. Positive screen ≥3. Links to full PCL-5. Prins et al. 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