Request PDF on ResearchGate The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and Initial Psychometric Evaluation in Military.

Methods Data was obtained from three samples. Sample 1 was composed of 106 children (mean (SD) age = 11.7(0.7), 50% females) victims of an industrial disaster. Sample 2 was composed of 50 children (mean (SD) age = 10.8(2.6), 44% females) who had received an orthopaedic surgical procedure after an accident. Sample 3 was composed of 106 children (mean (SD) age = 11.7(2.2), 44% females) admitted to an emergency department after a road traffic accident. We tested internal consistency using Cronbach's alpha.

We examined test-retest reliability using intraclass correlation coefficient. In order to assess the convergent validity of the French version of the CPTS-RI and the Clinician Administered PTS Scale-Child and Adolescent (CAPS-CA), spearman-correlation coefficient was computed. To verify the validity of the cut-off scores, a ROC curve was constructed which evaluated the sensitivity and specificity of each score compared to the diagnosis with the CAPS-CA. We also used principal components analysis with varimax rotation to study the structure of the French version of the CPTS-RI.

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Introduction The relevance of a diagnosis of post-traumatic stress disorder (PTSD) in children has been the subject of discussion since the first description of this condition. Zaryadnoe ustrojstvo elektron 3m remont 3. In 1987 the revised DSM-III took into consideration diagnostic factors specific to children and adolescents. Since then, many studies have confirmed the existence of PTSD in school-age children and adolescents, and some have verified the relevance of the DSM-III-R diagnostic criteria,,. In line with this, the DSM-IV has confirmed that PTSD can occur at any age, including during childhood. However, it appears that children may tend to protect their parents from information concerning the real impact of the trauma,. In addition, research has also found that parents often underestimate the post-traumatic reactions of their children,,.

This highlights the importance of directly questioning children and adolescents to evaluate their symptoms of PTSD,. In this context, a number of tools have been developed and revised allowing a better assessment of PTSD in children.

Although it is sometimes difficult to establish a diagnosis of PTSD, it is important to detect PTSD symptoms early in children and adolescents as untreated symptoms may lead to developmental problems,. PTSD can be associated with poorer outcomes including cognitive function, initiative, personality traits, self-esteem and impulse control. Changes in personality have also been described, as well as regressive behaviour, a marked tendency to pessimism and the feeling of a foreshortened future,. Post-traumatic symptoms can be evaluated using clinical interviews, semi-directive structured interviews, or interviewer rated- or self-rated questionnaires. Of interest, self-rated questionnaires pick out internalised reactions and the consequences of trauma which cannot be identified by observation.

Among the self-rated questionnaires, the Child Post-Traumatic Stress Reaction-Index (CPTS-RI) in its English original version, is the best studied and most widely used tools,, in trauma-exposed children and adolescents. Hawkins et al. Reported that the CPTS-RI was the most frequently used tool, 33 times out of 65 in studies evaluating post-traumatic symptoms in five reviews from 1995 to 2004 ( Journal of Clinical Child and Adolescent Psychology, Journal of Consulting and Clinical Psychology, Journal of Paediatric Psychology, Journal of the American Academy of Child and Adolescent Psychiatry, and Journal of Traumatic Stress). The CPTS-RI is a scale comprised of 20 Likert-type items, intended for children from 6 to 16 years, which evaluates the symptoms of PTSD after exposure to various traumatic events. It was designed to be administered by a clinician, but may also be used as a self-rated questionnaire in children >8-years of age,,.

Each item frequency is rated on a 5-point scale, from never ( = 0) to almost always ( = 4). The global score consists of the sum of the 20 items and ranges from 0 to 80, with higher scores indicating higher PTSD symptom severity. The time required for completion of the scale is 15–20 min. The scale was one of the first used to measure post-traumatic symptomatology,. It is an adaptation of a scale originally developed for adults.

While the development was originally based on DSM-III-RW criteria, the DSM diagnostic criteria have undergone some changes since then. The CPTS-RI is a flexible tool and has been adapted for children or adolescents from different cultures, exposed to various traumatic experiences. It has been translated into many languages (Arabic, Croatian, Kuwaiti, Norwegian, Vietnamese and French). The existence of many studies using different versions of this scale confirms its good adaptation to children of different ages and cultures, or victims of various traumatic events. It has, for example, been used in Armenian children who survived an earthquake, in Kuwaiti children who lived through the first Gulf war, in Cambodian children who survived the war,, in American adolescents who were victims of sexual abuse, in children who have received bone marrow, or liver transplants, and in children victims of road traffic accidents,.