Subclinical psychotic symptoms in Indian adults: Application of the Community Assessment of Psychic Experiences (CAPE)

Asian J Psychiatr. 2023 Mar:81:103451. doi: 10.1016/j.ajp.2023.103451. Epub 2023 Jan 6.

Abstract

Background: The study investigated the psychometric properties of the Community, Assessment of Psychic Experiences (CAPE-42), a self-report instrument in Indians.

Method: CAPE-42 was translated in Hindi and tested on 312 Indian adults recruited online and through paper-pencil assessment. Confirmatory factor analysis (CFA) was employed to establish the factor structure of the positive, negative and depressive dimensions of CAPE-42: the bifactor model was tested to evaluate whether items converge into a major single factor defining psychotic-proneness in individuals. Latent class analysis (LCA) was conducted to identify subgroups with a different endorsement of subclinical psychotic symptoms.

, results: CAPE-Hindi showed good reliability (Cronbach's alpha>0.80). CFA confirmed, a good fit for the bifactor model, factor loading was acceptable for all items in the general factor (Omega-h =0.83) and explained the primary variance of the subscales. Residual variance was explained by the positive, negative and depressive factors (Omega H =0.33, 0.04 and 0.12, respectively). LCA identified three classes traceable, to the three dimensions; a low endorsement group (n = 155; 50 %); a less consistent, group with endorsement on positive and depressive items (n = 117; 38 %), and a high, endorsement group (n = 40;13 %).

Conclusion: Hindi CAPE-42 showed good reliability and factorial validity.

Keywords: CAPE-42; Indian adults; Psychometry; Psychosis proneness.

MeSH terms

  • Adult
  • Humans
  • Psychometrics
  • Psychotic Disorders* / diagnosis
  • Reproducibility of Results
  • Self Report
  • Surveys and Questionnaires