Transcultural Arabic validation of the Clinician-Administered PTSD Scale for DSM-5, Child and Adolescent version

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Published Mar 2, 2025
https://doi.org/10.62438/tunismed.v103i3.5255
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Vol. 103 No. 3 (2025): Tunis Med Mar 2025

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Nourchene Kouki
Child Psychiatry Ahlem Belhadj Department, Mongi Slim Hospital, La Marsa. University of Tunis El Manar, Faculty of medicine de Tunis, Tunis, Tunisia
https://orcid.org/0000-0001-5744-4575
Hela Rezgui
Child Psychiatry Ahlem Belhadj Department, Mongi Slim Hospital, La Marsa. University of Tunis El Manar, Faculty of medicine de Tunis, Tunis, Tunisia
Aida Naffeti
Forensic medicine department, Charles Nicolle, Tunis, Tunisia
Moncef Hamdoun
Forensic Medicine Department, Charles Nicolle Hospital, Tunis, Tunisia
Soumaya Bourgou
Child Psychiatry Ahlem Belhadj Department, Mongi Slim Hospital, La Marsa. Research Laboratory "Laboratoire Santé Mère-enfant LR22SP01". University of Tunis El Manar, Facuty of medicine of Tunis, Tunis, Tunisia
https://orcid.org/0000-0003-2345-5174
Ahlem Belhadj
Child Psychiatry Ahlem Belhadj Department, Mongi Slim Hospital, La Marsa. University of Tunis El Manar, Faculty of medicine de Tunis, Tunis, Tunisia

Abstract

Introduction : Posttraumatic stress disorder PTSD in the pediatric population has clinical features. The Clinician-Administered PTSD Scale for DSM-5,child and adolescent version (CAPS-CA-5) is the gold standard in positive diagnosis. Our study had two primary objectives, first, to translate the CAPS-CA-5 into Tunisian dialectal Arabic, and second, to validate the translated version within the Tunisian sociocultural context.


Methods: This is a descriptive cross-sectional study conducted in two hospital departments. We recruited children older than seven years who were exposed to a potentially traumatic event at least one month before. We validated the tool through translation, content, construct validity and reliability.


Results:  The validation was made on 146 records after the exclusion of 4 incompleted assessments. We initially translated the CAPS-CA-5 into Tunisian dialect. We validated the content through pre-test and scientific committee evaluation. Afterwards we validated the construction. We calculated the Bartlett's sphericity test (p<0.001) and the KMO index that was 0.766. Concerning the reliability study, we found a Cronbach's alpha coefficient equal to 0.92. We studied the inter-rater reliability via the intra-class coefficient which was between 0.8 and 1. 


Conclusion:  We validated the CAPS CA5 in our cultural context with satisfactory psychometric qualities. This tool will facilitate the early detection and diagnosis of PTSD in pediatric population.

Keywords:

Validation, translation, CAPS-CA-5, PTSD, children, adolescent

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