The development of a clinician-administered PTSD scale
Corresponding Author
Dudley David Blake
Psychology Service (116B), Boise VA Medical Center, 500 W. Fort Street, Boise, ID 83702–4598
Clinical Laboratory and Education Division, National Center for PTSD, Palo Alto Department of Veterans Affairs Medical Center
Psychology Service (116B), Boise VA Medical Center, 500 W. Fort Street, Boise, ID 83702–4598Search for more papers by this authorFrank W. Weathers
Behavioral Science Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center and Tufts University School of Medicine
Search for more papers by this authorLinda M. Nagy
Neurosciences Division, National Center for PTSD, West Haven Department of Veterans Affairs Medical Center and Yale University School of Medicine
Search for more papers by this authorDanny G. Kaloupek
Behavioral Science Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center and Tufts University School of Medicine
Search for more papers by this authorFred D. Gusman
Clinical Laboratory and Education Division, National Center for PTSD, Palo Alto Department of Veterans Affairs Medical Center
Search for more papers by this authorDennis S. Charney
Neurosciences Division, National Center for PTSD, West Haven Department of Veterans Affairs Medical Center and Yale University School of Medicine
Search for more papers by this authorTerence M. Keane
Behavioral Science Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center and Tufts University School of Medicine
Search for more papers by this authorCorresponding Author
Dudley David Blake
Psychology Service (116B), Boise VA Medical Center, 500 W. Fort Street, Boise, ID 83702–4598
Clinical Laboratory and Education Division, National Center for PTSD, Palo Alto Department of Veterans Affairs Medical Center
Psychology Service (116B), Boise VA Medical Center, 500 W. Fort Street, Boise, ID 83702–4598Search for more papers by this authorFrank W. Weathers
Behavioral Science Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center and Tufts University School of Medicine
Search for more papers by this authorLinda M. Nagy
Neurosciences Division, National Center for PTSD, West Haven Department of Veterans Affairs Medical Center and Yale University School of Medicine
Search for more papers by this authorDanny G. Kaloupek
Behavioral Science Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center and Tufts University School of Medicine
Search for more papers by this authorFred D. Gusman
Clinical Laboratory and Education Division, National Center for PTSD, Palo Alto Department of Veterans Affairs Medical Center
Search for more papers by this authorDennis S. Charney
Neurosciences Division, National Center for PTSD, West Haven Department of Veterans Affairs Medical Center and Yale University School of Medicine
Search for more papers by this authorTerence M. Keane
Behavioral Science Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center and Tufts University School of Medicine
Search for more papers by this authorAbstract
Several interviews are available for assessing PTSD. These interviews vary in merit when compared on stringent psychometric and utility standards. Of all the interviews, the Clinician-Administered PTSD Scale (CAPS-1) appears to satisfy these standards most uniformly. The CAPS-1 is a structured interview for assessing core and associated symptoms of PTSD. It assesses the frequency and intensity of each symptom using standard prompt questions and explicit, behaviorally-anchored rating scales. The CAPS-1 yields both continuous and dichotomous scores for current and lifetime PTSD symptoms. Intended for use by experienced clinicians, it also can be administered by appropriately trained paraprofessionals. Data from a large scale psychometric study of the CAPS-1 have provided impressive evidence of its reliability and validity as a PTSD interview.
References
- American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders ( 3rd ed.). Washington, DC: Author.
- American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders ( 3rd ed., rev.). Washington, DC: Author.
- Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J., (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 53–63.
- Blake, D. D., Weathers, F., Nagy, L. M., Kaloupek, D. G., Klauminzer, G., Charney, D. S., & Keane, T. M., (1990). A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. The Behavior Therapist, 13, 187–188.
- Blake, D. D., Weathers, F., Nagy, L., Kaloupek, D. G., Klauminzer, G., Charney, D., & Keane, T. M., (1992, October). The development of a structured interview for Post-traumatic Stress Disorder. In D. D. Blake (Chair), An update on the Clinician Administered PTSD Scales (CAPS-1 and CAPS-2). Symposium presented at the meeting of the International Society of Traumatic Stress Studies, Los Angeles.
- Blanchard, E. B., Gerardi, R. J., Kolb, L. C., & Barlow, D. H., (1986). The utility of the Anxiety Disorders Schedule (ADIS) in the diagnosis of Post-traumatic Stress Disorder (PTSD) in Vietnam veterans. Behavior Research and Therapy, 24, 577–580.
- Centers for Disease Control. (1988). Health status of Vietnam veterans: I. Psychosocial characteristics. Journal of the American Medical Association, 259, 2701–2707.
- Davidson, J., Kudler, H., & Smith, R., (1990). The Structured Interview for PTSD (ST-PTSD). Unpublished measure available from authors at Dept. of Psychiatry, Box 3812, Duke University Medical Center, Durham, NC 27710.
- Davidson, J., Smith, R., & Kudler, H., (1989). The validity and reliability of the DSM-III-R criteria for post-traumatic stress disorder. Journal of Nervous and Mental Disease, 177, 336–341.
- DiNardo, P. A., & Barlow, D. H., (1988). Anxiety Disorders Interview Scale — Revised. Center for Phobia and Anxiety Disorders, Albany, New York.
- Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O., (1993). Reliability and validity of a brief instrument for assessing Post-traumatic Stress Disorder. Journal of Traumatic Stress, 6, 459–473.
- Hamilton, M., (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50–55.
- Hamilton, M., (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278–296.
- Helzer, J. E., Robins, L. N., & McEvoy, M. A., (1987). Post-traumatic stress disorder in the general population. New England Journal of Medicine, 317, 956–960.
- Horowitz, M. J., Wilner, N., & Alvarez, W., (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.
- Keane, T. M., Caddell, J. M., & Taylor, K. L., (1988). Mississippi Scale for Combat-Related Post-traumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85–90.
- Keane, T. M., Kolb, L. C., & Thomas, R. T., (1990). A psychophysiological study of chronic PTSD. Department of Veterans Affairs Cooperative Study #334.
- Keane, T. M., Malloy, P. F., & Fairbank, J. A., (1984). Empirical development of an MMPI subscale for the assessment of combat-related post-traumatic stress disorder. Journal of Consulting and Clinical Psychology, 52, 888–891.
- Kilpatrick, D. G., (1988). Rape Aftermath Symptom Test. In M. Hersen & A. S. Bellack (Eds.), Dictionary of behavioral assessment techniques. Oxford: Pergamon Press.
- Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S., (1988). Contractual report of findings from the National Vietnam Veterans Readjustment Study Volume 1: Executive summary, description of findings, and technical appendices. Research Triangle Park, NC: Research Triangle Park Institute.
- Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S., (1990). Trauma and the Vietnam war generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.
- McFall, M. E., Smith, D. E., Roszell, D. K., Tarver, D. J., & Malas, K. L., (1990). Convergent validity of measures of PTSD in Vietnam combat veterans. American Journal of Psychiatry, 147, 645–648.
- Nagy, L. M., Morgan, C. A., Southwick, S. M., & Charney, D. S., (1993). Open prospective trial of fluoxetine for post-traumatic stress disorder. Journal of Clinical Psychopharmacology, 13, 107–113.
- Robins, L. N., Helzer, J. E., Croughan, J. L., Williams, J. B. W., & Spitzer, R. L., (1981a). The NIMH diagnostic interview schedule. Version III. Rockville, MD: NIMH, Public Health Service. (Publication number ADM-T42-3 [5–81, 8–81]).
- Robins, L. N., Helzer, J. E., Croughan, J. L., Williams, J. B. W., & Spitzer, R. L., (1981b). The NIMH diagnostic interview schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 381–389.
- Robins, L. N., Helzer, J. E., Orvaschel, H., Anthony, J. C., Blazer, D. G., Burnam, A., & Burke, J. D., Jr., (1983). The Diagnostic Interview Schedule. In W. E. Eaton & L. G. Kessler (Eds.), Epidemiologic field methods in psychiatry: The NIMH epidemiologic catchment area program. (pp. 143–170) New York: Academic Press.
- Schnurr, P. P., Friedman, M. J., & Rosenberg, S. D., (1993). Premilitary MMPI scores as predictors of combat-related PTSD symptoms. American Journal of Psychiatry, 150, 479–483.
- Spielberger, C. D., Gorsuch, R. L., & Luschene, E., (1970). Manual for the State-Trait Anxiety Interview (self-evaluation questionnaire). Palo Alto, CA: Consulting Psychologists Press.
- Spitzer, R. L., & Williams, J. B., (1985). Structural Clinical Interview for DSM-III-R — patient edition (SCID-P). Biometrics Research Department, New York State Psychiatric Institute, New York, New York.
- Spitzer, R. L., Williams, J. B., Gibbon, M., & First, M. B., (1990). Structural Clinical Interview for DSM-III-R — Patient edition (With Psychotic Screen)-SCID-P. Washington, D. C.: American Psychiatric Press, Inc.
-
Watson, C. G.,
(1990).
Psychometric post-traumatic stress disorder measurement techniques: A review.
Psychological Assessment: A Journal of Consulting and Clinical Psychology,
2, 460–469.
10.1037/1040-3590.2.4.460 Google Scholar
-
Watson, C. G.,
Juba, M. P.,
Manifold, V.,
Kucala, T., &
Anderson, P. E. D.,
(1991).
The PTSD Interview: Rationale, description, reliability, and concurrent validity of a DSM-III-based technique.
Journal of Clinical Psychology,
47, 179–188.
10.1002/1097-4679(199103)47:2<179::AID-JCLP2270470202>3.0.CO;2-P CASPubMedWeb of Science®Google Scholar
- Weathers, F. W., Blake, D. D., Krinsley, K. E., Haddad, W., Huska, J. A., & Keane, T. M., (November, 1992a). The Clinician-Administered PTSD Scale (CAPS): Reliability and construct validity. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Boston, MA.
- Weathers, F. W., Blake, D. D., Krinsley, K., Haddad, W., Huska, J., & Keane, T. M., (October, 1992b). The Clinician-Administered PTSD Scale — Diagnostic Version (CAPS-1): Description, use, and psychometric properties. In D. D. Blake (Chairperson), An update on the Clinician Administered PTSD Scales (CAPS-1 and CAPS-2). Symposium presented at the meeting of the International Society of Traumatic Stress Studies, Los Angeles.
- Weathers, F. W., Blake, D. D., & Litz, B. T., (August, 1991). Reliability and validity of a new structured interview for PTSD. In T. M. Keane (Chairperson), Advances in psychometric assessment of combat-related post-traumatic stress disorder. Symposium presented at the meeting of the American Psychological Association, San Francisco, CA.
- Weathers, F. W., (1993). Rational and empirical scoring rules for the Clinician-Administered PTSD Scale. Unpublished manuscript.
- Weiss, D. S., Horowitz, M. J., & Wilner, N., (1984). The Stress Response Rating Scale: A clinician's measure for rating the response to serious life events. British Journal of Clinical Psychiatry, 23, 202–215.