Validation of the Arabic Version of the Community Assessment of Psychic Experiences (CAPE-42) in a Large Sample of Young Adults from the General Population

Fekih‐Romdhane, Feten; Farah, Nour; Malaeb, Diana; Cheour, Majda; Obeïd, Sahar; Hallit, Souheil

doi:10.1007/s11469-023-01011-3

Cited by 13 publications

(7 citation statements)

References 95 publications

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“…Future studies need to duplicate our findings using structured clinical interviews. Last, the questionnaires were used in the French language, due to the unavailability of their Arabic validated versions at the start of the survey (e.g., the Arabic validated CAPE-42 [Fekih-Romdhane, Farah, et al, 2023; Fekih-Romdhane, Jahrami, et al, 2023] was made available in 2023). Although Tunisian high-school students have a good command of the French language, it is important that future studies consider using measures that are translated, cross-culturally adapted, and validated in respondents’ native language (i.e., Arabic).…”

Section: Discussionmentioning

confidence: 99%

“…One of the potential explaining mechanisms might be via the mediating effects of body image disturbances, which represent a core central clinical feature of, and a specific risk factor for, DE that has not been previously investigated (Zipfel & Giel, 2018). Finally, although both PEs (Fekih-Romdhane, Farah, et al 2023; Fekih-Romdhane, Jahrami, et al 2023; Fekih-Romdhane, Pandi-Perumal, et al, 2022) and DE (Fekih-Romdhane, Daher-Nashif, et al, 2022) are subject to wide cultural variations, the relationship between the two conditions has not been examined yet in an Arab context and population.). Motivated by these knowledge gaps, the present study aimed to explore the hypothesis that the pathways from PEs to DE and body-mass index (BMI) are mediated by body-image disturbances in a sample of adolescents from the general population.…”

Section: Introductionmentioning

confidence: 99%

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Body image as a mediator in the relationship between psychotic experiences and later disordered eating: A 12-month longitudinal study in high school adolescents

Fekih-Romdhane,

Houissa,

Cheour

et al. 2023

Int J Soc Psychiatry

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Background: The relationship between psychosis and disordered eating remains a challenging area of research to which little interest was paid. Using longitudinal data, we aimed to explore the hypothesis that the pathways from psychotic experiences (PEs) to disordered eating (DE) and body-mass index (BMI) are mediated by body-image disturbances. Methods: A prospective longitudinal study was performed. High-school students ( N = 510, 61.2% females, mean age of 16.05 ± 1.01 years) were asked to complete three scheduled assessments (Baseline, 6 months, and 12 months). Results: Two body image components, that is, Overweight Preoccupation and Body Area Satisfaction, mediated the prospective association between baseline PEs and DE 12 months later. Direct effects were significant. After accounting for indirect effects through more severe body image concerns at 6 months, higher baseline PEs were significantly associated with greater DE at 12 months. Baseline PEs and 6-month body image explained a significant proportion of variance in 12-month DE. However, we did not find evidence of a direct prospective association between PEs and BMI. Conclusion: This study is the first to assess the mediating role of body image between PEs and DE. Findings offer promising new avenues for early intervention to help mitigate the effects of PEs on DE in adolescents.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Body image as a mediator in the relationship between psychotic experiences and later disordered eating: A 12-month longitudinal study in high school adolescents

Fekih-Romdhane,

Houissa,

Cheour

et al. 2023

Int J Soc Psychiatry

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“…This is a 21-item self-report scale (Loewy et al, 2005; Loewy et al, 2011), validated in Arabic (Fekih-Romdhane et al, 2023), and used to assess the positive psychotic symptoms experienced over the past month. All items are rated as no or yes type of answer.…”

Section: Methodsmentioning

confidence: 99%

The relationship between climate change anxiety and psychotic experiences is mediated by death anxiety

Fekih-Romdhane,

Malaeb,

Postigo

et al. 2024

Int J Soc Psychiatry

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Background: As climate change persists, accelerates, and intensifies, and since mitigating factors are absent, mental health impacts are expected to follow the same patterns. Therefore, it appears of utmost importance to deepen and broaden the knowledge and understanding of how and through which mechanisms climate change anxiety (CCA) may interplay with mental health outcomes. Based on the stress-vulnerability model of psychosis, the present study proposed to examine the relationship between CCA and psychotic experiences (PEs), and to test the theoretically-driven hypothesis that death anxiety acts as a mediator in this relationship. Method: This study adopted a cross-sectional approach involving a sample of young adults aged 18 to 35 years (mean age = 24.56 ± 22.49 years; 63.9% females) originating from, and residing in Lebanon. Results: The results of the mediation analysis showed that death anxiety partially mediated the association between CCA and PEs. Higher CCA was significantly associated with higher death anxiety; higher death anxiety was significantly associated with more PEs. Finally, higher CCA was directly and significantly associated with more PEs. Conclusion: Drawing from the present preliminary findings, the key tentative recommendation is that addressing death anxiety might alleviate the association between CCA and PEs. In addition, government decision-makers need to recognize the necessity of considering climate change implications on mental health in policy and decision-making.

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“…Chinese [27], Persian [28], and Arabic [29]. A review and meta-analysis by Mark and Toulopoulou [17] comprehensively explored psychometric characteristics of the CAPE across 15 different countries, and found that its factorial validity was satisfactory, and that high reliability coe cients were obtained for general population samples in the majority of studies included.…”

Section: The Cape-pmentioning

confidence: 99%

Validation of the Arabic language version of the shortest form of the Community Assessment of Psychic Experiences (CAPE-9) in a young adult population-based sample

Fekih-Romdhane,

Malaeb,

Sakr

et al. 2024

Preprint

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Background: While self-report questionnaires measuring psychotic experiences (PEs) in community individuals have recently been made available in the Arabic language, their length may be a barrier to PEs assessment in settings in lower-to-middle income Arab countries, that often operate under severe resources constraints. The purpose of the present study was to investigate the psychometric properties of the Arabic-language version of the shortest version of the Community Assessment of Psychic Experiences-Positive (CAPE-P), i.e. the CAPE-9, in a sample of community adults. Methods: A cross-sectional study was carried-out using a web-based questionnaire. A total of 685 Arabic-speaking adults from the general population of Lebanon (mean age of 23.54 ± 4.58 years, 66.0% females) participated. Results: The internal structure of the Arabic CAPE-9 demonstrated that the overall model fit of the tridimensional factor structure (consisting of “Persecutory Ideation”, “Bizarre Experiences”, and “Perceptual abnormalities” sub-dimensions) was acceptable. A unidimensional model was tested and exhibited borderline fit indices, with all nine items loading onto one factor. Internal consistency coefficients estimates were of alpha=.84 and omega=.84 for the total score, and ranged from .64 - .70 for omega and alpha values for the three sub-scores. Measurement invariance between males and females was established for both models, with no significant difference noticed between genders. Finally, significant positive associations were found between PEs and anxiety, depression, insomnia severity, and aggression, indicating the validity of the scale. Conclusion: As a short, simple, economic, and convenient-to-administer measure of PEs, the CAPE-9 is amenable to widespread use. It has, therefore, the potential to foster research and clinical practice by easing data collection, lessening burden and enhancing engagement of respondents. It may substantially improve recognition of a substantial proportion of undetected patients with psychotic disorders, and contribute to reducing the very long duration of untreated psychosis still observed in Arab countries.

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Validation of the Arabic Version of the Community Assessment of Psychic Experiences (CAPE-42) in a Large Sample of Young Adults from the General Population

Cited by 13 publications

References 95 publications

Body image as a mediator in the relationship between psychotic experiences and later disordered eating: A 12-month longitudinal study in high school adolescents

Body image as a mediator in the relationship between psychotic experiences and later disordered eating: A 12-month longitudinal study in high school adolescents

The relationship between climate change anxiety and psychotic experiences is mediated by death anxiety

Validation of the Arabic language version of the shortest form of the Community Assessment of Psychic Experiences (CAPE-9) in a young adult population-based sample

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