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修订版DSM-5临床医生用创伤后应激障碍量表(CAPS-5-R):创伤暴露社区样本的初步心理测量评估

The revised Clinician-Administered PTSD scale for DSM-5 (CAPS-5-R): Initial psychometric evaluation in a trauma-exposed community sample.

作者信息

Jackson Brianna N, Weathers Frank W, Jeffirs Stephanie M, Preston Thomas J, Brydon Cassidy M

机构信息

Department of Psychological Sciences, Auburn University, Auburn, Alabama, USA.

Behavioral Science Division, National Center for PTSD, Boston, Massachusetts, USA.

出版信息

J Trauma Stress. 2025 Feb;38(1):40-52. doi: 10.1002/jts.23093. Epub 2024 Aug 23.

Abstract

The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) is a widely used, well-validated structured interview for posttraumatic stress disorder (PTSD). It was recently revised to improve various aspects of administration and scoring. We conducted a psychometric evaluation of the revised version, known as the CAPS-5-R. Participants were 73 community residents with mixed trauma exposure (e.g., sexual assault, physical assault, transportation accident, the unnatural death of a loved one). CAPS-5-R PTSD diagnosis demonstrated good test-retest reliability, кs = .73-.79; excellent interrater reliability, кs = .86-.93; and good-to-excellent alternate forms reliability with the CAPS-5, кs = .79-.93. In addition, the CAPS-5-R total PTSD severity score demonstrated excellent test-retest reliability, intraclass correlation coefficient (ICC) = .86; interrater reliability, ICC = .98; and alternate forms reliability with the CAPS-5, r = .95. Further, the CAPS-5-R demonstrated good convergent validity with other measures of PTSD and good discriminant validity with measures of other constructs (e.g., depression, anxiety, alcohol problems, somatic concerns, mania). Given its strong psychometric performance in this study, as well as its improvements in administration and scoring, the CAPS-5-R appears to be a valuable update of the current CAPS-5.

摘要

《精神疾病诊断与统计手册》第5版临床医师用创伤后应激障碍量表(CAPS - 5)是一种广泛使用且经过充分验证的创伤后应激障碍(PTSD)结构化访谈工具。最近它进行了修订,以改进施测和评分的各个方面。我们对修订版,即CAPS - 5 - R进行了心理测量学评估。参与者为73名有多种创伤经历(如性侵犯、身体攻击、交通事故、亲人非自然死亡)的社区居民。CAPS - 5 - R创伤后应激障碍诊断显示出良好的重测信度,κ值 = 0.73 - 0.79;极好的评分者间信度,κ值 = 0.86 - 0.93;与CAPS - 5的交替形式信度良好至极好,κ值 = 0.79 - 0.93。此外,CAPS - 5 - R创伤后应激障碍严重程度总分显示出极好的重测信度,组内相关系数(ICC) = 0.86;评分者间信度,ICC = 0.98;与CAPS - 5的交替形式信度,r = 0.95。此外,CAPS - 5 - R与其他创伤后应激障碍测量方法具有良好的聚合效度,与其他构念(如抑郁、焦虑、酒精问题、躯体问题、躁狂)的测量方法具有良好的区分效度。鉴于其在本研究中的强大心理测量学表现,以及在施测和评分方面的改进,CAPS - 5 - R似乎是当前CAPS - 5的一次有价值的更新。

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