Skip to main content Accessibility help
×
Home

The Child and Adolescent Psychiatric Assessment (CAPA)

  • A. Angold (a1), M. Prendergast (a1), A. Cox (a1), R. Harrington (a1), E. Simonoff (a1) and M. Rutter (a1)...

Synopsis

Great advances have been made during the last 20 years in the development of structured and semi-structured interviews for use with psychiatric patients. However, in the field of child and adolescent psychiatry there have been weaknesses in the specification and definition of both symptoms and the psychosocial impairments resulting from psychiatric disorder. Furthermore, most of the available interviews for use with children have been tied to a single diagnostic system (DSM-III, DSM-III-R, or ICD-9). This has meant that symptom coverage has been limited and nosological comparisons have been inhibited. The Child and Adolescent Psychiatric Assessment (CAPA) represents an attempt to remedy some of these shortcomings. This paper outlines the principles adopted in the CAPA to improve the standardization, reliability and meaningfulness of symptom and diagnostic ratings. The CAPA is an interviewer-based diagnostic interview with versions for use with children and their parents, focused on symptoms occurring during the preceding 3 month period, adapted for assessments in both clinical and epidemiological research.

Copyright

Corresponding author

1Address for correspondence: Dr Adrian Angold, Developmental Epidemiological Program, Department of Psychiatry, Box 3454, Duke University Medical Center, Durham, NC 27710, USA.

References

Hide All
Angold, A. (1989). Structured assessments of psychopathology in children and adolescents. In The Instruments of Psychiatric Research (ed. Thompson, C.), pp. 271304. John Wiley & Sons: New York.
Angold, A. (1994). Clinical interviewing with children and adolescents. In Child and Adolescent Psychiatry–Modern Approaches, 3rd edn. (ed. Rutter, M., Taylor, E. and Hersov, L.), pp. 5163. Blackwell Scientific Publications: Oxford.
Angold, A. & Costello, E. J. (1995). A test–retest reliability study of child-reported psychiatric symptoms and diagnoses using the Child and Adolescent Psychiatric Assessment (CAPA-C). Psychological Medicine 25, 755762.
Bird, H. R., Canino, G., Rubio-Stipec, M. & Ribera, J. C. (1987). Further measures of the psychometric properties of the children's global assessment scale. Archives of General Psychiatry 44, 821824.
Breslau, N. (1987). Inquiring about the bizarre: false positives in diagnostic interview schedule for children (DISC) ascertainment of obsessions, compulsions, and psychotic symptoms. Journal of the American Academy of Child and Adolescent Psychiatry 26, 639644.
Cantwell, D. P. (1988). DSM-III studies. In Assessment and Diagnosis in Child Psychopathology (ed. Rutter, M., Hussain Tuma, A. and Lann, I. S.), pp. 336. The Guilford Press: New York.
Chambers, W. J., Puig-Antich, J., Hirsch, M., Paez, P., Ambrosini, P. J., Tabrizi, M. A. & Davies, M. (1985). The assessment of affective disorders in children and adolescents by semistructured interview: test–retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version. Archives of General Psychiatry 42, 696702.
Costello, A. J. (1986). Assessment and diagnosis of affective disorders in children. Journal of Child Psychology and Psychiatry 27, 565574.
Costello, A. J., Edelbrock, C., Kalas, R., Kessler, M. D. & Klaric, S. H. (1982). The National Institute of Mental Health Diagnostic Interview Schedule for Children (DISC). National Institute of Mental Health: Rockville, MD.
Costello, E. J., Edelbrock, C. S. & Costello, A. J. (1985). Validity of the NIMH Diagnostic Interview Schedule for Children: a comparison between psychiatric and pediatric referrals. Journal of Abnormal Child Psychology 13, 579595.
Edelbrock, C. & Costello, A. J. (1988). Structured psychiatric interviews for children. In Assessment and Diagnosis in Child Psychopathology (ed. Rutter, M., Tuma, A. H. and Lann, I. S.), pp. 87112. The Guilford Press: New York.
Fisher, P., Shaffer, D., Piacentini, J., Lapkin, J., Kafantaris, V., Leonard, H. & Herzog, D. (1993). Sensitivity of the Diagnostic Interview Schedule for Children, 2nd edition (DISC-2.1) for specific diagnoses of children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 32, 666673.
Gould, M. S., Shaffer, D., Rutter, M. & Sturge, C. (1988). UK/WHO study of ICD-9. In Assessment and Diagnosis in Child Psychopathology (ed. Rutter, M., Hussain Tuma, A. and Lann, I. S.), pp. 3765. The Guilford Press: New York.
Graham, P. & Rutter, M. (1968). The reliability and validity of the psychiatric assessment of the child. II. Interview with the parent. British Journal of Psychiatry 114, 581592.
Harrington, R., Hill, J., Rutter, M., John, K., Fudge, H., Zoccolillo, M. & Weissman, M. M. (1988). The assessment of lifetime psychopathology: a comparison of two interviewing styles. Psychological Medicine 18, 487493.
Herjanic, B. & Campbell, W. (1977). Differentiating psychiatrically disturbed children on the basis of a structured interview. Journal of Abnormal Child Psychology 5, 127134.
Herjanic, B. & Reich, W. (1982). Development of a structured psychiatric interview for children: agreement between child and parent on individual symptoms. Journal of Abnormal Child Psychology 10, 307324.
Hodges, K. (1993). Structured interviews for assessing children. Journal of Child Psychology and Psychiatry and Allied Disciplines 34, 4968.
Hodges, K. & Saunders, W. (1989). Internal consistency of a diagnostic interview for children: the child assessment schedule. Journal of Abnormal Child Psychology 17, 691701.
Hodges, K., Klein, J., Fitch, P., McKnew, D. & Cytryn, L. (1981). The Child Assessment Schedule. Catalog Selected Documents Psychology 11, 56.
Hodges, K., Kline, J., Stern, L., Cytryn, L. & McKnew, D. (1982 a). The development of a child assessment interview for research and clinical use. Journal of Abnormal Child Psychology 10, 173189.
Hodges, K., McKnew, D., Cytryn, L., Stern, L. & Kline, J. (1982 b). The child assessment schedule (CAS) diagnostic interview: a report on reliability and validity. Journal of the American Academy of Child Psychiatry 21, 468473.
Hodges, K., McKnew, D., Burbach, D. J. & Roebuck, L. (1987). Diagnostic concordance between the child assessment schedule (CAS) and the schedule for affective disorders and schizophrenia for school-age children (k-SADS) in an outpatient sample using lay interviews. Journal of the American Academy of Child and Adolescent Psychiatry 26, 654661.
Hodges, K., Cools, J. & McKnew, D. (1989). Test–retest reliability of a clinical research interview for children: the child assessment schedule. Psychological Assessment: Journal of Consulting and Clinical Psychology 1, 317322.
Hodges, K., Saunders, W., Kashani, J., Hamlett, K. & Thompson, R. J. Jr. (1990). Internal consistency of DSM-III diagnoses using the symptom scales of the child assessment schedule. Journal of the American Academy of Child and Adolescent Psychiatry 29, 635641.
Kovacs, M. (1983). The Children's Depression Inventory: a self-rated depression scale for school-aged youngsters. University of Pittsburgh, School of Medicine: Pittsburgh. (Unpublished report.)
Piacentini, J., Shaffer, D., Fisher, P., Schwab-Stone, M., Davies, M. & Gioia, P. (1993). The Diagnostic Interview Schedule for Children – revised version (DISC-R). III. Concurrent criterion validity. Journal of the American Academy of Child and Adolescent Psychiatry 32, 658665.
Remschmidt, H. (1988). German study of ICD-9. In Assessment and Diagnosis in Child Psychopathology (ed. Rutter, M., Hussain Tuma, A. and Lann, I. S.), pp. 6683. Guilford Press: London.
Robins, E. & Guze, S. B. (1970). Establishment of diagnostic validity in psychiatric illness: its application to schizophrenia. American Journal of Psychiatry 126, 107111.
Rutter, M. & Graham, P. (1968). The reliability and validity of the psychiatric assessment of the child. I. Interview with the child. British Journal of Psychiatry 114, 563579.
Rutter, M., Bolton, P., Harrington, R., Le Couteur, A., Macdonald, H. & Simonoff, E. (1990). Genetic factors in child psychiatric disorders. I. A review of research strategies. Journal of Child Psychology and Psychiatry and Allied Disciplines 31, 337.
Schwab-Stone, M., Fisher, P., Piacentini, J., Shaffer, D., Davies, M. & Briggs, M. (1993). The Diagnostic Interview Schedule for Children – revised version (DISC-R). II. Test–retest reliability. Journal of the American Academy of Child and Adolescent Psychiatry 32, 651657.
Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P. J., Fisher, P., Bird, H. R. & Aluwahlia, S. (1983). A children's global assessment scale (CGAS). Archives of General Psychiatry 40, 12281231.
Shaffer, D., Schwab-Stone, M., Fisher, P., Cohen, P., Piacentini, J., Davies, M., Conners, C. K. & Regier, D. (1993). The Diagnostic Interview Schedule for Children – revised version (DISC-R). I. Preparation, field testing, interrater reliability and acceptability. Journal of the American Academy of Child and Adolescent Psychiatry 32, 643650.
Wing, J. K. (1974). Measurement and Classification of Psychiatric Symptoms, Oxford University Press: Oxford.

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed