Confirmatory factor analysis of the Clinician-Administered PTSD Scale: Evidence for the dimensionality of posttraumatic stress disorder

被引:638
作者
King, DW
Leskin, GA
King, LA
Weathers, FW
机构
[1] Boston Dept Vet Affairs Med Ctr, Natl Ctr Posttraumat Stress Disorder, Behav Sci Div 116B2, Boston, MA 02130 USA
[2] Boston Univ, Sch Med, Boston, MA 02215 USA
[3] Boston Dept Vet Affairs Med Ctr, Natl Ctr Posttraumat Stress Disorder, Womens Hlth Sci Div, Boston, MA 02130 USA
[4] Tufts Univ, Sch Med, Medford, MA 02155 USA
[5] Auburn Univ, Dept Psychol, Auburn, AL 36849 USA
关键词
D O I
10.1037/1040-3590.10.2.90
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The Clinician-Administered PTSD Scale (CAPS; Blake et al., 1990) is a structured interview that assesses the 17 key symptoms of posttraumatic stress disorder (PTSD) as established in the Diagnostic and Statistical Manual of Menial Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994). CAPS data from 524 treatment-seeking male military veterans were submitted to confirmatory factor analysis to test a series of nested models reflecting alternative representations of PTSD dimensionality: (a) a 4-factor, 1st-order solution; (b) a 2-factor, higher order solution; (c) a single-factor, higher order solution; and (d) a single-factor, Ist-order solution. The model of best fit was the 4-factor, Ist-order solution, containing moderately to highly correlated yet distinct Ist-order factors corresponding to the reexperiencing, effortful avoidance, emotional numbing, and hyperarousal aspects of PTSD. Implications for theory, assessment, and future research are presented in this article.
引用
收藏
页码:90 / 96
页数:7
相关论文
共 31 条
[11]   EMOTIONAL PROCESSING OF FEAR - EXPOSURE TO CORRECTIVE INFORMATION [J].
FOA, EB ;
KOZAK, MJ .
PSYCHOLOGICAL BULLETIN, 1986, 99 (01) :20-35
[12]  
Horowitz M.J., 1986, STRESS RESPONSE SYND, V2nd
[13]  
James L., 1982, CAUSAL ANAL ASSUMPTI
[14]  
Joreskog K. G., 1996, LISREL 8: User reference guide
[15]  
Keane T., 1989, PSYCHOL ASSESSMENT, V1, P53, DOI DOI 10.1037/1040-3590.1.1.53
[16]   MISSISSIPPI SCALE FOR COMBAT-RELATED POSTTRAUMATIC STRESS DISORDER - 3 STUDIES IN RELIABILITY AND VALIDITY [J].
KEANE, TM ;
CADDELL, JM ;
TAYLOR, KL .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1988, 56 (01) :85-90
[17]  
King L.A., 1995, ASSESSMENT, V2, P1, DOI [DOI 10.1177/1073191195002001001, 10.1177/1073191195002001001]
[18]  
KING LA, 1994, ASSESSMENT, V1, P275, DOI DOI 10.1080/0969594940010301
[19]   Psychometric properties of the Civilian version of the Mississippi PTSD scale [J].
Lauterbach, D ;
Vrana, S ;
King, DW ;
King, LA .
JOURNAL OF TRAUMATIC STRESS, 1997, 10 (03) :499-513
[20]   EMOTIONAL NUMBING IN COMBAT-RELATED POSTTRAUMATIC-STRESS-DISORDER - A CRITICAL-REVIEW AND REFORMULATION [J].
LITZ, BT .
CLINICAL PSYCHOLOGY REVIEW, 1992, 12 (04) :417-432