Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

The Application of the Clinician Administered Posttraumatic Stress Disorder Scale to Identify Combat Related Posttraumatic Stress Disorder

전투 관련 외상 후 스트레스 장애 진단에 있어서 임상가를 위한 외상 후 스트레스 장애 척도의 적용

  • Kim, Hae Jung (Department of Neuropsychiatry, Veterans Health Service Medical Center) ;
  • Kim, Tae Yong (Department of Neuropsychiatry, Veterans Health Service Medical Center) ;
  • Choi, Jin Hee (Department of Neuropsychiatry, Veterans Health Service Medical Center) ;
  • So, Hyung Seok (Department of Neuropsychiatry, Veterans Health Service Medical Center) ;
  • Chung, Moon Yong (Department of Neuropsychiatry, Veterans Health Service Medical Center) ;
  • Kim, Dong Su (Department of Neuropsychiatry, Veterans Health Service Medical Center) ;
  • Bang, Yu Jin (Department of Neuropsychiatry, Veterans Health Service Medical Center) ;
  • Chung, Hae Gyung (Department of Neuropsychiatry, Veterans Health Service Medical Center)
  • 김해정 (중앙보훈병원 정신건강의학과) ;
  • 김태용 (중앙보훈병원 정신건강의학과) ;
  • 최진희 (중앙보훈병원 정신건강의학과) ;
  • 소형석 (중앙보훈병원 정신건강의학과) ;
  • 정문용 (중앙보훈병원 정신건강의학과) ;
  • 김동수 (중앙보훈병원 정신건강의학과) ;
  • 방유진 (중앙보훈병원 정신건강의학과) ;
  • 정혜경 (중앙보훈병원 정신건강의학과)
  • Received : 2012.08.24
  • Accepted : 2012.10.10
  • Published : 2012.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this study is to assess the utility of clinician administered posttraumatic stress disorder scale (CAPS) to diagnose combat related posttraumatic stress disorder (PTSD) in Korean veterans of the Vietnam War. Methods : Sixty-one Korean male veterans of the Vietnam war participated in this study. We compared the diagnostic values of CAPS, Korean version of mini international neuropsychiatric interview (MINI) against the Structured Clinical Interview for DSM-IV (SCID) in diagnosing PTSD. Results : The overall internal consistency of CAPS was 0.93. Compared to the SCID, total severity 45 (TSEV45) showed the best results among 5 CAPS scoring rules. In detail, sensitivity was 71.4%, specificity was 85.1, positive predictive value was 58.8%, negative predictive value was 90.9%, and accuracy was 82.0. Conclusion : CAPS was demonstrated as a reliable tool to diagnose combat related PTSD in the elderly. The optimum CAPS scoring was TSEV45.

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association;2000.
  2. Steiner JL, Tebes JK, Sledge WH, Walker ML. A comparison of the Structured Clinical Interview for DSM-III-R and clinical diagnoses. J Nerv Ment Dis 1995;183:365-369. https://doi.org/10.1097/00005053-199506000-00003
  3. Hahn OS, Ahn JH, Song SH, Cho MJ, Kim JK, Bae JN, et al. Development of Korean version of structured clinical interview schedule for DSM-IV axis I disorder: interrater reliability. J Korean Neuropsychiatr Assoc 2000;39:362-371.
  4. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59:22-33.
  5. Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Gusman FD, Charney DS, et al. The development of a Clinician-Administered PTSD Scale. J Trauma Stress 1995;8:75-90. https://doi.org/10.1002/jts.2490080106
  6. Seo HJ, Kim TS, Chae JH. Assessment instruments for posttraumatic stress disorder. Anxiety and Mood 2010;6:3-9.
  7. Elhai JD, Gray MJ, Kashdan TB, Franklin CL. Which instruments are most commonly used to assess traumatic event exposure and posttraumatic effects?: a survey of traumatic stress professionals. J Trauma Stress 2005;18:541-545. https://doi.org/10.1002/jts.20062
  8. Lee BY, Kim Y, Yi SM, Eun HJ, Kim DI, Kim JY. A reliability and validity study of a clinician-administered PTSD scale. J Korean Neuropsychiatr Assoc 1999;38:514-522.
  9. Ku JI, Kim TH, Eun HJ, Choi MR, Lee SM, Cho SJ, et al. A study of reliability and validity on the Korean version of clinician administered PTSD scale for children and adolescents. J Korean Neuropsychiatr Assoc 2006;45:571-577.
  10. Kim TH, Kim Y, Yi SM, Eun HJ, Kim DI, Kwang YS. Posttraumatic stress disorder in physically injured patients after motor vehicle accidents. J Korean Neuropsychiatr Assoc 1998;37:650-660.
  11. Choi KS, Lim CK, Choi JW, Kang SK, Yum YT. Posttraumatic stress disorder among occupational accident patients. J Korean Neuropsychiatr Assoc 2002;41:461-471.
  12. Lee EJ, Lim KH, Kim JB, Ryu SY. Posttraumatic stress disorder of survivors in Daegu subway fire accident: a prospective study on predictors. J Korean Neuropsychiatr Assoc 2007;46:79-86.
  13. Averill PM, Beck JG. Posttraumatic stress disorder in older adults: a conceptual review. J Anxiety Disord 2000;14:133-156. https://doi.org/10.1016/S0887-6185(99)00045-6
  14. Hautamaki A, Coleman PG. Explanation for low prevalence of PTSD among older Finnish war veterans: social solidarity and continued significance given to wartime sufferings. Aging Ment Health 2001;5:165-174. https://doi.org/10.1080/13607860120038348
  15. Chung MY, Suh I, Jeong IJ, Kim DK, Min KH. The prevalence and the analysis of variables in veterans with posttraumatic stress disorder. J Korean Assoc Soc Psychiatry 2002;7:93-102.
  16. Kulka RA, Schlenger WE, Fairbank JA. Trauma and the Vietnam generation. New York: Wiley;1990. p.50-56.
  17. Schnyder U, Moergeli H. German version of Clinician-Administered PTSD scale. J Trauma Stress 2002;15:487-492. https://doi.org/10.1023/A:1020922023090
  18. Weathers FW, Ruscio AM, Keane TM. Psychometric properties of nine scoring rules for the Clinician-Administered Posttraumatic Stress Disorder scale. Psychol Assess 1999;11:124-133.
  19. Foa EB, Tolin DF. Comparison of the PTSD Symptom Scale-Interview Version and the Clinician-Administered PTSD Scale. J Trauma Stress 2000;13:181-191. https://doi.org/10.1023/A:1007781909213
  20. Yoo SW, Kim YS, Noh JS, Oh KS, Kim CH, Namkoong K, et al. Validity of Korean version of the Mini-International Neuropsychiatric Interview. Anxiety and Mood 2006;2:50-55.
  21. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychol 1998;59:22-33.
  22. Keane TM, Fairbank JA, Caddell JM, Zimering RT, Taylor KL, Mora CA. Clinical evaluation of a measure to assess combat exposure. J Consult Clin Psychol 1989;1:53-55.
  23. Choi JH, Chung MY, Chung IJ. The risk factors for posttraumatic stress disorder in veterans. J Korean Neuropsychiatr Assoc 1997;36:997-1003.
  24. Mai F. Somatization disorder: a practical review. Can J Psychiatry 2004;49:652-662.
  25. Blake DD, Weathers FW, Nagy LM, Kaloupeck DG, Klauminzer G, Charney DS, et al. A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. Behav Ther 1990;17:187-188.
  26. Breslau N, Davis GC, Andreski P, Peterson E. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry 1991;48:216-222. https://doi.org/10.1001/archpsyc.1991.01810270028003
  27. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of Impact of Event Scale-Revised. J Korean Neuropsychiatr Assoc 2005;44:303-310.
  28. Kim DH, Choi SK, Lee GW, Lee KH, Nam JH. Prevalence of traumatic events and posttraumatic stress disorder among inpatients with schizophrenia. J Korean Neuropsychiatr Assoc 2006;45:214-221.
  29. Radnitz CL, Hsu L, Willard J, Perez-Strumolo L, Festa J, Lillian LB, et al. Posttraumatic stress disorder in veterans with spinal cord injury: trauma-related risk factors. J Trauma Stress 1998;11:505-520. https://doi.org/10.1023/A:1024404729251
  30. Hovens JE, van der Ploeg HM, Klaarenbeek MT, Bramsen I, Schreuder JN, Rivero VV. The assessment of posttraumatic stress disorder: with the Clinician Administered PTSD scale: Dutch results. J Clin Psychol 1994;50:325-340. https://doi.org/10.1002/1097-4679(199405)50:3<325::AID-JCLP2270500304>3.0.CO;2-M
  31. Hyer L, Summers MN, Boyd S, Litaker M, Boudewyns P. Assessment of older combat veterans with the Clinician-Administered PTSD scale. J Trauma Stress 1996;9:587-593. https://doi.org/10.1002/jts.2490090314
  32. Hudson SA, Beckford LA, Jackson SD, Philpot MP. Validation of a screening instrument for posttraumatic stress disorder in a clinical sample of older adults. Aging Ment Health 2008;12:670-673. https://doi.org/10.1080/13607860802343274
  33. Taylor AJ, Frazer AG. The stress of post-disaster body handling and victim identification work. J Human Stress 1982;8:4-12.
  34. Ikin JF, Creamer MC, Sim MR, McKenzie DP. Comorbidity of PTSD and depression in Korean war veterans: prevalence, predictors, and impairment. J Affect Disord 2010;125:279-286. https://doi.org/10.1016/j.jad.2009.12.005
  35. Constans JI, Lenhoff K, McCarthy M. Depression subtyping in PTSD patients. Ann Clin Psychiatry 1997;9:235-240. https://doi.org/10.3109/10401239709147803