Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5).

Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5).
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DOI:
10.1080/20008198.2018.1546085
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发表时间:
2018
影响因子:
5
通讯作者:
Olff M
Olff M
中科院分区:
医学2区
文献类型:
--
作者:
Boeschoten MA;Van der Aa N;Bakker A;Ter Heide FJJ;Hoofwijk MC;Jongedijk RA;Van Minnen A;Elzinga BM;Olff M

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背景:2013年,临床医生-管理者PTSD量表(评估PTSD的金标准)适用于DSM-5(CAPS-5)。目的:本项目旨在开发一个临床相关的荷兰语翻译的CAPS-5,并调查其心理测量学特性。方法:我们对44名荷兰精神创伤专家和5名高级精神创伤专家进行了包括德尔菲轮在内的分步翻译。使用部分群众翻译,两个专业翻译和DSM-5的荷兰官方翻译,每个高级专家汇总一个独立的翻译。全体会议达成共识。经过回译、与原始CAPS-5的比较和实地测试,与高级专家进行了最后一轮的最终版本。实施后,临床医生进行了CAPS-5采访669创伤暴露的个人转介专门的诊断评估。荷兰CAPS-5的可靠性进行了调查,通过内部一致性和评分员间的信度分析,结构效度通过验证性因素分析(CFA)。结果:CAPS-5严重程度总分显示出较高的内部一致性(α = .90)和评分者间可靠性(ICC = .98,95%CI:.94-.99)。CAPS-5诊断显示出中等的评价者间可靠性(kappa = 0.59,95%CI:0.20 - 0.98)。CFA与其他PTSD模型显示,DSM-5四因素模型有足够的支持,但六因素(快感缺失)模型最适合数据。结论:荷兰CAPS-5是一个精心翻译的工具,具有足够的心理测量特性。目前的研究结果增加了对DSM-5 PTSD的更精细(6和7)因素模型的支持,表明这些模型的有效性和临床意义应该是进一步研究的目标。
Background: In 2013, the Clinician-Administered PTSD Scale, the golden standard to assess PTSD, was adapted to the DSM-5 (CAPS-5). Objective: This project aimed to develop a clinically relevant Dutch translation of the CAPS-5 and to investigate its psychometric properties. Method: We conducted a stepped translation including Delphi rounds with a crowd of 44 Dutch psychotrauma experts and five senior psychotrauma experts. Using partial crowd-translations, two professional translations and the official Dutch translation of the DSM-5, each senior expert aggregated one independent translation. Consensus was reached plenary. After back-translation, comparison with the original CAPS-5 and field testing, a last round with the senior experts resulted in the final version. After implementation clinicians conducted CAPS-5 interviews with 669 trauma-exposed individuals referred for specialized diagnostic assessment. Reliability of the Dutch CAPS-5 was investigated through internal consistency and interrater reliability analyses, and construct validity through confirmatory factor analysis (CFA). Results: CAPS-5 total severity score showed high internal consistency (α = .90) and interrater reliability (ICC = .98, 95% CI: .94–.99). CAPS-5 diagnosis showed modest interrater reliability (kappa = .59, 95% CI: .20–.98). CFA with alternative PTSD models revealed adequate support for the DSM-5 four-factor model, but a six-factor (Anhedonia) model fit the data best. Conclusions: The Dutch CAPS-5 is a carefully translated instrument with adequate psychometric properties. Current results add to the growing support for more refined (six and seven) factor models for DSM-5 PTSD indicating that the validity and clinical implications of these models should be objective of further research.
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