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Assessing the Predictive Validity of Early Post-injury CAPS-5 for Later Posttraumatic Stress Disorder Diagnosis.
Kim, Jae-Min; Kim, Ju-Wan; Kang, Hee-Ju; Lee, Ju-Yeon; Jang, Hyunseok; Jeong, Inseok; Kim, Jung-Chul; Kim, Sung-Wan; Shin, Il-Seon.
Afiliación
  • Kim JM; Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Kim JW; Corresponding Author: Jae-Min Kim, MD, PhD, Department of Psychiatry, Chonnam National University Medical School, 160 Baekseoro, Dong-gu, Gwangju 501-746, Republic of Korea (jmkim@chonnam.ac.kr).
  • Kang HJ; Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Lee JY; Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Jang H; Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Jeong I; Division of Trauma, Department of Surgery, Chonnam National University Medical School and Hospital, Gwangju, Republic of Korea.
  • Kim JC; Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School and Hospital, Gwangju, Republic of Korea.
  • Kim SW; Division of Trauma, Department of Surgery, Chonnam National University Medical School and Hospital, Gwangju, Republic of Korea.
  • Shin IS; Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
J Clin Psychiatry ; 85(3)2024 Aug 05.
Article en En | MEDLINE | ID: mdl-39145677
ABSTRACT
Abstract.

Objective:

The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) is a widely recognized tool with exceptional reliability and validity in evaluating and diagnosing PTSD. This study aimed to determine the predictive values of CAPS-5 assessed early postinjury for subsequent development of PTSD during a 2-year follow-up period.

Methods:

Patients with moderate to severe physical injuries were recruited from a trauma center at a university hospital in South Korea between June 2015 and January 2021. At baseline, 1,142 patients underwent evaluations using CAPS-5 for the diagnosis of acute stress disorder (ASD) along with total scores. They were followed up for PTSD using the CAPS-5 evaluations at 3, 6, 12, and 24 months post-baseline. Area under receiver operating curve (AUROC) analyses were conducted to identify predictive values of the CAPS-5 for later PTSD development.

Results:

CAPS-5 diagnosis of ASD at baseline displayed fair to failed performance (AUROCs 0.555-0.722) for predicting follow-up PTSD. However, CAPS-5 scores of ≥15 exhibited good to fair predictive accuracy (AUROCs 0.767-0.854) for later PTSD development. Notably, for patients with intentional injuries or a history of previous trauma, a higher CAPS-5 score of ≥16 showed improved predictive accuracy.

Conclusion:

A CAPS-5 score of ≥15 would be an effective and practical cutoff for early prediction of PTSD following physical injuries. In cases of intentional injuries or a documented trauma history, a cutoff of ≥16 may offer enhanced predictive precision. Future research in diverse settings and populations is needed to confirm the generalizability of our findings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Clin Psychiatry Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Clin Psychiatry Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos