Recent changes to diagnostic criteria for serious conduct problems in children and adolescents have included the presence of elevated callous-unemotional traits to define etiologically and clinically important subgroups of youth with a conduct problem diagnosis. The Clinical Assessment of Prosocial Emotions (CAPE) is an intensive assessment of the symptoms of this limited prosocial emotions specifier that uses a structured professional judgment method of scoring, which may make it useful in clinical settings when diagnoses may require more information than that provided by behavior rating scales. The present study adds to the limited tests of the CAPE's reliability and validity, using a sample of clinic-referred children ages 6-17 years of age, who were all administered the CAPE by trained clinicians. The mean age of the sample was 10.13 years (SD = 2.64); 54% of the sample identified as male and 46% identified as female; and 67% of participants identified as White, 29% identified as Black, and 52% identified as another race/ethnicity (i.e., Asian, Hispanic/Latinx, or other). The findings indicated that CAPE scores demonstrated strong interrater reliability. The scores also were associated with measures of conduct problems and aggression, even when controlling for behavior ratings of callous-unemotional traits. Further, when children with conduct problem diagnoses were divided into groups based on the presence of the limited prosocial emotions specifier from the CAPE, the subgroup with the specifier showed more severe conduct problems and aggression. The results support cautious clinical use of the CAPE, its further development and testing, and research into ways to make its use feasible in many clinical settings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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亲社会情绪的临床评估（CAPE）：对临床转介的儿童和青少年样本进行可靠性和有效性的初步测试。


儿童和青少年严重品行问题的诊断标准最近发生了变化，其中包括出现冷酷无情的特征，以定义具有品行问题诊断的青少年的病因学和临床上重要的亚群。亲社会情绪的临床评估 (CAPE) 是对这种有限的亲社会情绪说明符的症状的强化评估，它使用结构化的专业判断评分方法，当诊断可能需要比所提供的信息更多的信息时，这可能在临床环境中有用。行为评定量表。本研究使用临床转介的 6-17 岁儿童样本，对 CAPE 的可靠性和有效性进行了有限的测试，这些儿童均由经过培训的临床医生进行了 CAPE。样本的平均年龄为 10.13 岁（SD = 2.64）； 54% 的样本被确定为男性，46% 的样本被确定为女性； 67% 的参与者被认为是白人，29% 被认为是黑人，52% 被认为是其他种族/民族（即亚洲人、西班牙裔/拉丁裔或其他）。研究结果表明，CAPE 分数表现出很强的参与者间可靠性。即使在控制冷酷无情特征的行为评级时，这些分数也与行为问题和攻击性的衡量相关。此外，当根据 CAPE 中有限亲社会情绪说明符的存在将行为问题诊断的儿童分组时，具有该说明符的亚组表现出更严重的行为问题和攻击性。结果支持 CAPE 的谨慎临床使用、其进一步开发和测试，以及研究使其在许多临床环境中使用可行的方法。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。