Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)

Background: In 2013, the Clinician-Administered PTSD Scale, the golden standard to assess PTSD, was adapted to the DSM-5 (CAPS-5). Objective: This project aimed to develop a clinically relevant Dutch translation of the CAPS-5 and to investigate its psychometric properties. Method: We conducted a ste...

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Main Authors: Manon A. Boeschoten, Niels Van der Aa, Anne Bakker, F. Jackie June Ter Heide, Marthe C. Hoofwijk, Ruud A. Jongedijk, Agnes Van Minnen, Bernet M. Elzinga, Miranda Olff
Format: Article
Language:English
Published: Taylor & Francis Group 2018-01-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2018.1546085
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author Manon A. Boeschoten
Niels Van der Aa
Anne Bakker
F. Jackie June Ter Heide
Marthe C. Hoofwijk
Ruud A. Jongedijk
Agnes Van Minnen
Bernet M. Elzinga
Miranda Olff
author_facet Manon A. Boeschoten
Niels Van der Aa
Anne Bakker
F. Jackie June Ter Heide
Marthe C. Hoofwijk
Ruud A. Jongedijk
Agnes Van Minnen
Bernet M. Elzinga
Miranda Olff
author_sort Manon A. Boeschoten
collection DOAJ
description Background: In 2013, the Clinician-Administered PTSD Scale, the golden standard to assess PTSD, was adapted to the DSM-5 (CAPS-5). Objective: This project aimed to develop a clinically relevant Dutch translation of the CAPS-5 and to investigate its psychometric properties. Method: We conducted a stepped translation including Delphi rounds with a crowd of 44 Dutch psychotrauma experts and five senior psychotrauma experts. Using partial crowd-translations, two professional translations and the official Dutch translation of the DSM-5, each senior expert aggregated one independent translation. Consensus was reached plenary. After back-translation, comparison with the original CAPS-5 and field testing, a last round with the senior experts resulted in the final version. After implementation clinicians conducted CAPS-5 interviews with 669 trauma-exposed individuals referred for specialized diagnostic assessment. Reliability of the Dutch CAPS-5 was investigated through internal consistency and interrater reliability analyses, and construct validity through confirmatory factor analysis (CFA). Results: CAPS-5 total severity score showed high internal consistency (α = .90) and interrater reliability (ICC = .98, 95% CI: .94–.99). CAPS-5 diagnosis showed modest interrater reliability (kappa = .59, 95% CI: .20–.98). CFA with alternative PTSD models revealed adequate support for the DSM-5 four-factor model, but a six-factor (Anhedonia) model fit the data best. Conclusions: The Dutch CAPS-5 is a carefully translated instrument with adequate psychometric properties. Current results add to the growing support for more refined (six and seven) factor models for DSM-5 PTSD indicating that the validity and clinical implications of these models should be objective of further research.
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spelling doaj.art-ec407ccbe39f42a4bf24914bdfc294902023-01-12T15:31:30ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662018-01-019110.1080/20008198.2018.15460851546085Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)Manon A. Boeschoten0Niels Van der Aa1Anne Bakker2F. Jackie June Ter Heide3Marthe C. Hoofwijk4Ruud A. Jongedijk5Agnes Van Minnen6Bernet M. Elzinga7Miranda Olff8The Netherlands | Partner in Arq Psychotrauma Expert GroupThe Netherlands | Partner in Arq Psychotrauma Expert GroupAcademic Medical CenterThe Netherlands | Partner in Arq Psychotrauma Expert GroupThe Netherlands | Partner in Arq Psychotrauma Expert GroupThe Netherlands | Partner in Arq Psychotrauma Expert GroupThe Netherlands & Radboud UniversityLeiden University, Leiden, The Netherlands & Leiden Institute for Brain and CognitionAcademic Medical CenterBackground: In 2013, the Clinician-Administered PTSD Scale, the golden standard to assess PTSD, was adapted to the DSM-5 (CAPS-5). Objective: This project aimed to develop a clinically relevant Dutch translation of the CAPS-5 and to investigate its psychometric properties. Method: We conducted a stepped translation including Delphi rounds with a crowd of 44 Dutch psychotrauma experts and five senior psychotrauma experts. Using partial crowd-translations, two professional translations and the official Dutch translation of the DSM-5, each senior expert aggregated one independent translation. Consensus was reached plenary. After back-translation, comparison with the original CAPS-5 and field testing, a last round with the senior experts resulted in the final version. After implementation clinicians conducted CAPS-5 interviews with 669 trauma-exposed individuals referred for specialized diagnostic assessment. Reliability of the Dutch CAPS-5 was investigated through internal consistency and interrater reliability analyses, and construct validity through confirmatory factor analysis (CFA). Results: CAPS-5 total severity score showed high internal consistency (α = .90) and interrater reliability (ICC = .98, 95% CI: .94–.99). CAPS-5 diagnosis showed modest interrater reliability (kappa = .59, 95% CI: .20–.98). CFA with alternative PTSD models revealed adequate support for the DSM-5 four-factor model, but a six-factor (Anhedonia) model fit the data best. Conclusions: The Dutch CAPS-5 is a carefully translated instrument with adequate psychometric properties. Current results add to the growing support for more refined (six and seven) factor models for DSM-5 PTSD indicating that the validity and clinical implications of these models should be objective of further research.http://dx.doi.org/10.1080/20008198.2018.1546085caps-5ptsdcrowd-translationpsychometric evaluation
spellingShingle Manon A. Boeschoten
Niels Van der Aa
Anne Bakker
F. Jackie June Ter Heide
Marthe C. Hoofwijk
Ruud A. Jongedijk
Agnes Van Minnen
Bernet M. Elzinga
Miranda Olff
Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
European Journal of Psychotraumatology
caps-5
ptsd
crowd-translation
psychometric evaluation
title Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
title_full Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
title_fullStr Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
title_full_unstemmed Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
title_short Development and Evaluation of the Dutch Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
title_sort development and evaluation of the dutch clinician administered ptsd scale for dsm 5 caps 5
topic caps-5
ptsd
crowd-translation
psychometric evaluation
url http://dx.doi.org/10.1080/20008198.2018.1546085
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