Psychometric properties of the Turkish version of the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (Turkish CAPS-5)

Murat Boysan,Ekrem Yilmaz,Pinar Guzel Ozdemir,Mehmet Celal Kefeli,Osman Özdemir,Yavuz Selvi

doi:10.1080/24750573.2017.1326746

Abstract

ABSTRACTBackground: In the subsequent revision of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; American Psychiatric Association, 2013) symptoms of diagnostic criteria for post-traumatic stress disorder (PTSD) are defined in four clusters and the number of PTSD symptoms was expanded to 20. The Clinician-Administered PTSD Scale (CAPS) is the most widely used structured clinical interview and recognized as the golden standard in PTSD diagnosis. The final revision of the clinical interview form as the CAPS for DSM-5 (CAPS-5) was advanced in line with the recent revisions in DSM-5 with regards to the PTSD definition. The aim of this study was to examine the psychometric properties of the Turkish version of CAPS-5 in clinical samples and healthy controls.Methods: In the present study, 30 inpatients with PTSD and 30 inpatients with major depressive disorder consecutively presented to the Psychiatry Outpatient Clinic Yuzuncu Yil University Research Hospital, and 30 healthy controls...

Highlights

Post-traumatic stress disorder (PSTD) was moved out of anxiety disorders into a distinct category of trauma and trauma-related disorders in the subsequent revision of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; American Psychiatric Association, 2013)
The symptom clusters are of monumental importance in diagnostic algorithms in a way that the symptoms are organized across the different symptom sets that eventually may lead to a variation in post-traumatic stress disorder (PTSD) diagnosis, and a change in CONTACT Pinar Guzel Ozdemir pguzelozdemir@yahoo.com Department of Psychiatry, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
The PTSD factor structures we tested were the one-factor model, the DSM-5 implied four-factor model, the five-factor Dysphoria model, the six-factor Anhedonia model, the six-factor Externalizing Behaviors model, and the seven-factor Hybrid model. We examined these models using confirmatory factor analysis (CFA) for the Clinician-Administered PTSD Scale (CAPS)-5, a clinician interview and PTSD Checklist for DSM-5 (PCL-5), a self-report measure separately

Summary

Introduction

Post-traumatic stress disorder (PSTD) was moved out of anxiety disorders into a distinct category of trauma and trauma-related disorders in the subsequent revision of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5; American Psychiatric Association, 2013). Identification of accurate dimensionality underlying PTSD can help to a better understanding of etiological and maintenance factors strongly tied to PTSD to culminate in developing and evaluating potential clinical interventions Those of trauma survivors who have experienced at least one re-experiencing symptom (Criterion B), at least one avoidance symptom (Criterion C), at least two symptoms of negative alterations in mood and cognitions (Criterion D) at least one-month of duration ensuing severe functional impairment meet a DSM-5 PTSD diagnosis. We used confirmatory factor analysis to compare a structured clinical interview (CAPS-5) and a self-report measure, the PCL-5 and to examine DSM-5 implied four-symptom clusters and several factor structures proposed in the literature to understand which model best represents the latent factor structure of PSTD symptoms.

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