This thesis focuses on the initial validation of the PTSD Checklist for DSM-5 (PCL-5) in its Czech version. It is a self-report method that measures symptoms accompanying posttraumatic stress disorder (PTSD). The theoretical part of the thesis describes the development of the diagnosis of PTSD over time and its current criteria. It also presents a list of diagnostic tools for measuring PTSD, including the PCL-5 and its psychometric properties. The research part of the thesis describes the process of data collection and processing, the results of the hypotheses and discussion. The research sample consisted of 444 respondents (370 women; 74 men) with a mean age of 32,6 years (SD = 10,6). The mean PCL-5 score was 29,3 (SD = 19,9). When comparing the scores of women (M = 30,2; SD = 20) and men (M = 24,7; SD = 18,8), a statistically significant difference was observed (p = 0,029). When comparing respondents who were psychiatric patients (PP; M = 39,5; SD = 20) and those who were not (M = 21,7; SD = 16,6), a significant difference (p < 0,001) was also observed. In case of comparison of respondents by gender who were not PP, no statistically significant difference was confirmed. Cronbach's alpha for the whole questionnaire came out high: 0,955 (for clusters ranging from 0,831-0,908), which is consistent...

About 4 % women in general population and up to 19 % women in at-risk population suffer from PTSD related to childbirth. The main risk factors for postpartum PTSD are negative birth experience and obstetric emergencies. However, the findings about risk factors and prevalence rates vary across studies, which is mainly due to the inconsistency in the diagnostics of postpartum PTSD. Researchers use various PTSD measures that differ in the number and type of symptoms monitored and many of these measures do not cover all DSM criteria for PTSD. Furthermore, the PTSD diagnostic criteria have been significantly modified in the new DSM-5 and the existing instruments need to be revised. The first part of the thesis presents the concept of PTSD related to childbirth. Special attention is paid to the risk factors identified in previous research and to the analysis of PTSD diagnostic and screening measures used in the postpartum context. The aim of the second part of the thesis is to evaluate the psychometric properties of the unpublished Childbirth-Related PTSD Questionnaire on a sample of 620 Czech women. The factor validity of the scale, the internal consistency of the total scale and the subscales resulting from the factor analysis; and the criterion validity of the instrument are verified. With regard to...

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京都大学 / 新制・課程博士 / 博士(医学) / 甲第24797号 / 医博第4989号 / 新制||医||1066(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 花川 隆, 教授 髙橋 良輔, 教授 高橋 淳 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

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Excerpt: The above study has many of strengths, including an important topic, excellent sample size, well-articulated design and questionnaire, thorough factor analysis with goodness-of-fit tests, a clear explanation of the rationale for the findings, as well as their current applications in the medical field. Despite these strengths, the fit of the findings to the five-factor model of Elhai and Palmieri (2011) would appear to be lower than the fit to a two-factor model, a model that explains the data well. Therefore, we recommend that practitioners refrain from adopting and implementing the five-factor model for PTSD treatment in traumatic spinal injury victims due to insufficient support at this time.