The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military veterans.

The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military veterans.
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DOI:
10.1037/pas0000486
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发表时间:
2018-03
影响因子:
3.6
通讯作者:
Marx BP
Marx BP
中科院分区:
心理学2区
文献类型:
--
作者:
Weathers FW;Bovin MJ;Lee DJ;Sloan DM;Schnurr PP;Kaloupek DG;Keane TM;Marx BP

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临床医生管理PTSD量表(CAPS)是一种广泛验证和广泛使用的创伤后应激障碍(PTSD)结构化诊断访谈。CAPS最近进行了修订,以符合精神障碍诊断和统计手册(DSM-5)第五版中的PTSD标准。本文介绍了DSM-5(CAPS-5)的发展,并提出了初步的心理测量评估的结果CAPS-5的分数在2个样本的退伍军人(NS = 165和207)。CAPS-5诊断显示出较强的评分者间信度(κ = 0.78至1.00,取决于评分规则)和重测信度(κ = 0.83),以及与基于CAPS的DSM-IV诊断的高度一致性(CAPS-IV;最佳校准时κ = 0.84)。CAPS-5严重程度总分显示出较高的内部一致性(α = .88)和评分者间信度(ICC = .91)以及良好的重测信度(ICC = .78)。它还表现出良好的收敛效度与CAPS-IV(r = 0.83)和DSM-5的PTSD检查表(r = 0.66)的总严重程度评分和良好的判别效度与焦虑,抑郁,躯体化,功能障碍,精神病和酒精滥用的措施(rs = 0.02至0.54)。总的来说,这些结果表明,CAPS-5是DSM-5 PTSD诊断和症状严重程度的心理测量学上合理的措施。重要的是,CAPS-5与CAPS-IV强烈对应,这表明与CAPS-IV的向后兼容性得以保持,并且CAPS-5在从DSM-IV到DSM-5标准的过渡中提供了PTSD循证评估的连续性。
The Clinician-Administered PTSD Scale (CAPS) is an extensively validated and widely used structured diagnostic interview for posttraumatic stress disorder (PTSD). The CAPS was recently revised to correspond with PTSD criteria in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM–5). This article describes the development of the CAPS for DSM–5 (CAPS-5) and presents the results of an initial psychometric evaluation of CAPS-5 scores in 2 samples of military veterans (Ns = 165 and 207). CAPS-5 diagnosis demonstrated strong interrater reliability (κ = .78 to 1.00, depending on the scoring rule) and test–retest reliability (κ = .83), as well as strong correspondence with a diagnosis based on the CAPS for DSM–IV (CAPS-IV; κ = .84 when optimally calibrated). CAPS-5 total severity score demonstrated high internal consistency (α = .88) and interrater reliability (ICC = .91) and good test–retest reliability (ICC = .78). It also demonstrated good convergent validity with total severity score on the CAPS-IV (r = .83) and PTSD Checklist for DSM–5 (r = .66) and good discriminant validity with measures of anxiety, depression, somatization, functional impairment, psychopathy, and alcohol abuse (rs = .02 to .54). Overall, these results indicate that the CAPS-5 is a psychometrically sound measure of DSM–5 PTSD diagnosis and symptom severity. Importantly, the CAPS-5 strongly corresponds with the CAPS-IV, which suggests that backward compatibility with the CAPS-IV was maintained and that the CAPS-5 provides continuity in evidence-based assessment of PTSD in the transition from DSM–IV to DSM–5 criteria.
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