Topic: Disasters, terror and stress management

Diagnostic utility of CPSS vs. CAPS-CA for assessing posttraumatic stress symptoms in children and adolescents

Hukkelberg, S. S., Ormhaug, S. M., Holt, T., Wentzel-Larsen, T., & Jensen, T. K. (2014). Diagnostic utility of CPSS vs. CAPS-CA for assessing posttraumatic stress symptoms in children and adolescents. Journal of Anxiety Disorders, 28(1), 51-56. doi:10.1016/j.janxdis.2013.11.001

We examined the diagnostic utility of the CPSS with the CAPS-CA. CPSS reached medium effect sizes, good sensitivity, but low specificity. Diagnostic inter-test agreement between the two instruments was low.

Objectives

This study compared the diagnostic utility of the symptom part of the child PTSD symptom scale (CPSS) screening instrument with the clinician-administered PTSD scale for children and adolescents (CAPS-CA).

Methods

The study included a clinical sample of traumatized children and adolescents (mean age 15.1, range 10–18) living in Norway, who were assessed for posttraumatic stress symptoms using the CPSS and the CAPS-CA. Diagnostic utility was investigated using receiver operating characteristic analyses.

Results

The results showed that CPSS reached medium effect sizes (AUC from .63 to .76). The sensitivity was good (.80), but the specificity was relatively low (.56). Kappa between CPSS and CAPS-CA was low (κ = .27).

Conclusions

Findings suggests that CPSS is a good tool for screening purposes, but not as a diagnostic instrument in an early phase of assessment. Implications and limitations of the findings are discussed.

The Researchers