Caps Clinician Administered Ptsd Scale Pdf Acrobat
The CAPS-CA is based on the CAPS, which is considered a gold standard for assessing PTSD in individuals over age 15. It assesses the frequency and intensity of the 17 symptoms of PTSD, with items developed to be consistent with the DSM-IV.It also evaluates the impact of the symptoms on the child’s social, occupational, and developmental functioning; subjective distress; global severity; and validity of the interview. A global improvement rating since baseline can also be made, as can ratings of associated symptoms and Acute Stress Disorder symptoms.The measure yields diagnostic information regarding PTSD as well as scores for Reexperiencing, Avoidance and Numbing, Hyperarousal, and total PTSD. When current PTSD is not diagnosed, the interview permits assessment of lifetime PTSD.
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Nader, K.O., Newman, E., Weathers, F.W., Kaloupek, D.G., Kriegler, J.A., & Blake, D.D. National Center for PTSD Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA) Interview Booklet. Los Angeles: Western Psychological Services. Newman, E., Weathers, F.W., Nader, K., Kaloupek, D.G., Pynoos, R.S., Blake, D.D., & Kriegler, J.A. Clinician-Administered PTSD Scale for Children and Adolescents (CAPSCA)Interviewer's Guide. Los Angeles: Western Psychological Services. DomainsScaleSample ItemsPTSD SymptomatologySymptomatologyReexperiencingDid you think about EVENT even when you didn't want to?
Did you see pictures in your head (mind) or hear the sounds in your head (mind) from EVENT? What were they like?Avoidance and NumbingDid you try to stay away from people, things or activities that made you think about (remember) what happened?HyperarousalHave you been getting angry (mad, bothered, annoyed) more quickly than you used to?Associated FeaturesDid you think that EVENT was your fault?Acute Stress Disorder SymptomsHave there been times when things going on around you seemed very strange, when you didn't know whether it was real or not?
From the manual:The CAPS-CA is based on the CAPS (also reviewed in this database), the adult version, and was designed to be comparable. The following modifications were made to make the measure more appropriate for children:1. Added a practice section to introduce respondents to the interview format.2. Developed a systematic procedure for identifying the relevant timeframe.3. Developed optional picture response options to correspond to the frequency and intensity anchors.4.
Modified prompt and follow-up questions so as to be appropriate for children aged 8-15 who are seen in inpatient or outpatient settings.Earlier versions of the CAPS-CA (e.g., CAPS-C) differ slightly from this revision. The latest CAPS-CA was revised in the following ways:1. Added a more thorough trauma inquiry consistent with DSM-IV Criteria A.2. Removed reference to “at the worst” for intensity ratings to eliminate confusion as to the time period being asked about.3. Changed anchors to make them more comprehensive (the descriptors for intensity items arespecific to the items).4. Added inquiry for lifetime PTSD for cases where the person does not meet criteria of current PTSD.5. Added questions about acute, chronic, and delayed onset.6.
Added questions related to DSM-IV criteria E and F, symptom duration, and distress and impairment.7. Changed scoring so that items with questionable validity are no longer included in the score.8. Removed the “cued” versus “uncued” distinction from the item on intrusive memories because it is not required for diagnosis.9. Rewrote cues for the intensity prompts to reflect the interviewer’s language rather than the child’s, and reduced tendency to use the measure as a self-report form.10. Eliminated items that were problematic and not psychometrically useful, such as time skew and general health complaints. The manual reports that a modified parent-reportversion of the CAPS-CA for young children is being developed. The manual reports that a modified parent-report version of the CAPS-CA for young children is being developed.INTERNAL CONSISTENCYErwin, Newman, McMackin, Morrisey, & Kaloupek (2000) used the CAPS-CA with 51 male adolescent offenders recruited from juvenile treatment facilities.
They reported the following internal consistencies: Reexperiencing (.81), Numbing (.75), and Arousal (.79). These numbers are reported in the above table, as these are the data cited in the manual.INTERRATER RELIABIILTYA number of different studies have provided evidence that the CAPS-CA can be administered reliably by different interviewers.1. Erwin, Newman, McMackin, Morrisey, & Kaloupek (2000) conducted reliability on 9.8% of 51 interviews and reported a kappa coefficient of.80. These data reported in the table.2. Carrion, Weems, Ray, & Reiss (2002) reported an intraclass correlation of.97 with a subsample of 10 interviews that were coded by two interviewers: Dr. Carrion and Dr.Newman (one of the developers of the CAPS-CA).3.
Stallard, Slater, & Velleman (2004) had two interviewers independently rate taped interviews and reported Cohen’s kappa as.85 for 10 tapes and for another 6 tapes as.81.4. Stallard, Velleman, & Baldwin (2001) reported interrater agreement as 93.1% for four researchers who conducted joint assessments. They did not report the number of interviews for which joint interviews were conducted, or the procedure for conducting these joint interviews.
The CAPS-CA is based on the CAPS. The CAPS manual notes that “the CAPS was written and revised by a team of experts in the field of traumatic stress at the various branches of the National Center for PTSD.
The test was based directly on the diagnostic criteria for PTSD in the DSM-III-R and DSM-IV, and represents these criteria faithfully” (Weathers, 2004 p. The CAPS revision that followed the publication of the DSM-IV integrated changes related to changes in PTSD criteria and also reflected formal and informal feedback from CAPS users. The literature reviewed focused only on those studies that used the CAPS-C or CAPS-CA. It should be noted that there are slightly different versions of the CAPS-CA, and it was often difficult to determine which version was used, but the versions should share psychometric properties.
The CAPS-CA should also share psychometric properties with the CAPS, adult version, which is reviewed in this database.CORRELATIONS WITH OTHER MEASURES1. (2000) reported that the mean CAPS-CA intensity rating was significantly related to the mean total of the PTSD checklist (r=.64).2. Carrion et al., (2002) reported a significant correlation between the CAPS-CA total score and the Child PTSD Reaction Index (20-item version: r=.51, p. The manual (Weathers, 2004) reports that there is information from only a single study about the characteristics of the CAPS-CA. That study is cited as Newman, McMackin, Morriseey, and Erwin (1997), which was published in Traumatic Stresspoints. Similar data were also published in a peer-reviewed journal article by Erwin, Newman, McMackin, Morrisey, & Kaloupek (2000). This study included 51 male adolescent offenders recruited from juvenile treatment facilities.
The mean age was 17.5 years (SD=1.5). The ethnicity/racial background of participants was 57% Caucasian, 28% African American,12% Hispanic. Specific data regarding reason for incarceration, substance use, and violence in interpersonal relationships are reported in the article.Of note, while conducting this review, we identified additional articles that reported on the psychometrics of the CAPS-CA, although they are not psychometric studies of the CAPSCA. Provides an in-depth assessment of PTSD for children and adolescents based on DSMIV criteria, and yields both diagnostic information and continuous symptoms scores.2. Allows for the assessment of both frequency and intensity of PTSD symptoms. As noted by researchers (e.g., Carrion et al., 2002) there is a utility in assessing both intensity and frequency).
Carrion et al. (2002) found, for example, that intensity symptoms predict PTSD diagnosis or functional impairment independently of frequency.3. Has been shown to be sensitive to treatment. The interview form is somewhat complicated and requires training to administer.2. The measure is lengthy and is costly to administer with regard to clinician time (Ohan, Myers, & Collett, 2002).3.
Can be cumbersome to administer because respondents are asked to rate frequency and severity of each symptom (Ohan et al., 2002).4. Psychometric properties are not well researched. Although there have been studies published on the CAPS and the two measures should share psychometric properties, there have been no studies published focusing directly on the psychometrics of the CAPS-CA. NOT A CON, JUST A NOTE: The CAPS requires that the child endorses having experienced at least one traumatic event, which means it would not be an appropriate interview for children who deny exposure.
Clinician-Administered PTSD Scale (CAPS)by Frank W. Weathers, Ph.D., Elana Newman, Ph.D., Dudley D. Blake, Ph.D., Linda M.
Clinician Administered Ptsd Scale For Dsm 5
Nagy, M.D., Paula P. Schnurr, Danny G.
Ptsd Scale Pdf
Kaloupek, Ph.D., Dennis S. Charney, M.D., and Terence M.
Caps Clinician Administered Ptsd Scale Pdf Acrobat Reader
Keane, Ph.DDeveloped at the National Center for PTSD, the Clinician- Administered PTSD Scale (CAPS) has become the 'gold standard' for assessing posttraumatic stress disorder in individuals over age 15. This user-friendly structured interview is ideal for screening, differential diagnosis, confirmation of a PTSD diagnosis, or identifying Acute Stress Disorder.DSM-IV Criteria for PTSDThe CAPS consists of 30 carefully worded interview questions that target DSM-IV criteria for PTSD without leading the respondent. These items assess core PTSD symptoms and related issues:.Reexperiencing Symptoms.Avoidance and Numbing Symptoms.Hyperarousal Symptoms.Trauma-Related Guilt.Dissociation.Subjective Distress.Functional Impairment.Onset.Duration.Symptom Severity.Symptom Improvement.Response ValidityThe interview gives you a clear picture of symptom severity and sufficient information to determine whether a current or lifetime diagnosis of PTSD is indicated. In addition, the CAPS includes a protocol for assessing Criterion A, a diagnostic requirement that the patient has experienced at least one traumatic event involving both life threat or serious injury and an overwhelming emotional response.
The scale also offers an optional Life Events Checklist, with just 17 items, that can be completed by the patient to help identify precipitating traumatic events.While the CAPS is designed for use with older adolescents and adults, there is a version of the interview that is appropriate for use with children and younger adolescents (ages 8 to 15). The Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA) is a semistructured interview that assesses the frequency and intensity of PTSD symptoms and their impact on developmental, social, and academic functioning. It helps clinicians evaluate reports of exposure to trauma, assess overall symptom severity, and determine whether a current or lifetime diagnosis of PTSD is indicated. Like the adult form, the CAPS-CA is sensitive to clinical change and therefore useful in monitoring treatment progress.International AcceptanceAlthough initially developed with combat veterans, the CAPS has been successfully used with many trauma populations, including victims of rape, car accidents, incest, torture, cancer, and the Holocaust. It has gained international acceptance because it is psychometrically sound and because it is flexible and easy to use.
The CAPS provides several administration and scoring options suited to various clinical needs. For example, you might choose a comprehensive administration or assess Criteria A-F only. You might check just the 17 core symptoms or measure symptoms within various time frames.
You might choose to obtain continuous severity scores for individual symptoms, symptom clusters, or the entire PTSD syndrome. In addition, different scoring rules (lenient to stringent) can be used for different assessment tasks (screening versus diagnosis, for example).Supported by 10 years of research, the CAPS is a highly useful and flexible tool for evaluating PTSD.