Modification of CAPS-1 for diagnosis of PTSD in Afghan refugees

Malekzai, A. Samad Bazger; Niazi, John M.; Paige, Stephen R.; Hendricks, Shelton E.; Fitzpatrick, Denis; Leuschen, M. Patricia; Millimet, C. Raymond

doi:10.1007/bf02104111

Cited by 23 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In English-speaking populations, the CAPS alpha coefficients for the subscales and total score generally range from .80 to .90, and the kappa with the SCID is above .70 (Weathers et al, 2001). In two studies of the translated CAPS, alpha coefficients for the subscales and total score ranged from .76 to .88 (Melekzai et al, 1996;Schnyder & Moergeli, 2002). There was a high prevalence of PTSD in the present sample of Cambodian refugees (56.4%), and the average CAPS score for the PTSD patients placed them in the severe range (Weathers et al, 2001).…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Assessment of posttraumatic stress disorder in Cambodian refugees using the Clinician-Administered PTSD Scale: Psychometric properties and symptom severity

Hinton¹,

Chhean²,

Pich³

et al. 2006

J. Traum. Stress

View full text Add to dashboard Cite

Posttraumatic stress disorder (PTSD) symptoms were assessed by using the Clinician-Administered PTSD Scale (CAPS) in a consecutive sample of Cambodian refugees attending a psychiatric clinic in the United States. Psychometric properties of the translated CAPS and severity of PTSD-related symptoms were examined. The CAPS demonstrated adequate psychometric properties, including coefficient alpha (.92) and item-total correlations (.48-.85). Of the sample 56% (101/179) met Diagnostic and Statistical Manual of Mental Disorders, fourth edition, criteria for current PTSD. Those patients who met criteria for current PTSD had significantly higher CAPS total scores (M = 65.3, SD = 18.1) than those who did not meet the criteria (M = 13.9, SD = 16.7).

show abstract

Section: Discussionmentioning

confidence: 97%

“…This study did not report reliability data for the CAPS. However, the CAPS has demonstrated excellent psychometric properties (Weathers, Keane, & Davidson, 2001) and has been translated and validated for several non-Englishspeaking groups, including Afghans (Melekzai et al, 1996) and Germans (Schnyder & Moergeli, 2002).…”

mentioning

confidence: 99%

Assessment of posttraumatic stress disorder in Cambodian refugees using the Clinician-Administered PTSD Scale: Psychometric properties and symptom severity

Hinton¹,

Chhean²,

Pich³

et al. 2006

J. Traum. Stress

View full text Add to dashboard Cite

show abstract

“…[13][14][15] The Life Event Checklist five 16 was used to assess lifetime exposure to 16 events known to potentially result in posttraumatic stress disorder (PTSD) or distress, as well as the PTSD Checklist For DSM-5, a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. [17][18][19] In addition we built a "number of traumatic events" variable: none, one to three, four or more traumatic events either self-experienced or witnessed, in accordance with the fact that cumulative exposure is critical in the risk of PTSD. 20 The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) 21 (see http://www.who.int/substance_abuse/ activities/assist/en/) from the WHO 21 was used to detect substance use and related problems.…”

Section: Instrumentsmentioning

confidence: 99%

Access to Care for Mental Health Problems in Afghanistan: A National Challenge

Kovess–Masféty

Karam

Keyes

et al. 2021

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: This paper describes the access to care for mental health problems in Afghanistan, according to the nature of the mental health problems and the service provider. Following the Andersen model, it evaluates the respective roles in access to care of "predisposing, " "needs, " "enabling" factors, and other "environmental" factors such as exposure to traumatic events and level of danger of the place of residence. Methods: Trans-sectional probability survey in general population by multistage sampling in 16 provinces, nationally representative: N = 4445 (15 years or older), participation rate of 81%. Face to face interviews using standardized measures of mental health (CIDI, Composite International Diagnostic Interview). Different logistic regression models are presented. Results: The 12-month rate of mental health help-seeking was 6.56% with substantial regional variation (2.35% to 12.65%). Providers were mainly from the health sector; the non-health sector (religious and healers) was also prevalent. Most consultations were held in private clinics (non-governmental organisation, NGO). The severity of mental health disorders as well as the perceived impairment due to mental health were independently very important: odds ratio (OR) = 6.04 for severe disorder, OR = 3.79 for perceived impairment. Living in a dangerous area decreased access to care: for high level of danger and for very high level: OR = 0.22. Gender, education and ethnicity were not associated with mental health help-seeking after controlling for exposure to trauma. Conclusion: Access to care for mental health problems depended mainly on the needs as defined as disorder severity level and impairment, and on environmental factors such as exposure to traumatic events. The system seems equitable; however, this is counterbalanced by a very challenging environment. This survey is a testimony to the hardship experienced by the Afghan population and by health professionals, and to the efforts to deliver organized mental healthcare in a challenging situation. This research may inform and support policy-makers and NGOs in other countries undergoing similar challenges.

show abstract

“…Post Traumatic Stress Disorder (PTSD) is a frequent but usually underdiagnosed phenomenon among refugees from war torn countries such as Afghanistan (Malekzai, 1996).…”

Section: Introductionmentioning

confidence: 99%

PTSD Symptoms in Afghan Refugees in the UK

Husni¹,

Rahim²,

Cernovsky³

2014

IJSSR

View full text Add to dashboard Cite

Objective: To evaluate anamnestic and sociodemographic correlates of PTSD symptoms in refugees from Afghanistan.Method: Fifty Afghan refugees in the UK (mean age 37.4 years, SD=12.1; 33 men, 17 women) underwent SCID interview for PTSD, administered in their native language (Pashtun or Dari).Results: Eighteen (36.0%) reported being tortured while in Afghanistan. More than half (54.0%) of these refugees met criteria for PTSD. While the diagnosis was not significantly Almost a half (46.0%) of these refugees reported nightmares about the circumstances of their escape from Afghanistan.Conclusions: Although PTSD symptoms were noted in more than a half of our sample, they were related neither to history of torture nor to sociodemographic variables (age, gender, education).

show abstract

Modification of CAPS-1 for diagnosis of PTSD in Afghan refugees

Cited by 23 publications

References 11 publications

Assessment of posttraumatic stress disorder in Cambodian refugees using the Clinician-Administered PTSD Scale: Psychometric properties and symptom severity

Assessment of posttraumatic stress disorder in Cambodian refugees using the Clinician-Administered PTSD Scale: Psychometric properties and symptom severity

Access to Care for Mental Health Problems in Afghanistan: A National Challenge

PTSD Symptoms in Afghan Refugees in the UK

Contact Info

Product

Resources

About