The Cardiff Anomalous Perceptions Scale (CAPS): A New Validated Measure of Anomalous Perceptual Experience
Open accessAbstract
The study describes the Cardiff Anomalous Perceptions Scale (CAPS), a new validated measure of perceptual anomalies. The 32-item CAPS measure is a reliable, self-report scale, which uses neutral language, demonstrates high content validity, and includes subscales that measure distress, intrusiveness, and frequency of anomalous experience. The CAPS was completed by a general population sample of 336 participants and 20 psychotic inpatients. Approximately 11% of the general population sample scored above the mean of the psychotic patient sample, although, as a group, psychotic inpatients scored significantly more than the general population on all CAPS subscales. A principal components analysis of the general population data revealed 3 components: "clinical psychosis" (largely Schneiderian first-rank symptoms), "temporal lobe disturbance" (largely related to temporal lobe epilepsy and related seizure-like disturbances) and "chemosensation" (largely olfactory and gustatory experiences), suggesting that there are multiple contributory factors underlying anomalous perceptual experience and the "psychosis continuum."
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A shift in visual information processing that favors prior knowledge over sensory evidence might be a marker for the mechanisms underlying the role of altered perceptual experiences in psychosis.
“Given that the CAPS is selective for measuring schizotypal perceptual phenomena rather than targeting schizotypy in general (16), our findings indicate that a shift in visual information processing that favors prior knowledge over sensory evidence might be a marker for the mechanisms underlying this observation.”
From Shift toward prior knowledge confers a perceptual advantage in early psychosis and psychosis-prone healthy individuals (2015) · cites this paper as [16]
The Cardiff Anomalous Perception Scale (CAPS) and the Peters Delusion Inventory (PDI) are specific to clinical features relating to hallucinations and delusions respectively.
“Note that, although other schizotypy scales such as Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE) (27) and Schizotypal Personality Questionnaire (SPQ) (28) characterize a number of schizotypal features, CAPS and PDI are specific to clinical features relating to hallucinations and delusions respectively.”
From Shift toward prior knowledge confers a perceptual advantage in early psychosis and psychosis-prone healthy individuals (2015) · cites this paper as [16]
A study reported a correlation between predisposition to anomalous experiences/hallucinations (CAPS) and the number of visual distortions from viewing aversive gratings during active and sham tDCS.
“Interestingly, using tDCS, a recent study also investigated the excitability of the occipital cortex in healthy subjects, and reported a correlation between the predisposition to anomalous experiences/hallucinations score measured by the Cardiff Anomalous Perceptions Scale (CAPS) 85 and the number of visual distortions that occurred from viewing aversive gratings during active and sham tDCS.86”
From Are hallucinations due to an imbalance between excitatory and inhibitory influences on the brain? (2016) · cites this paper as [85]
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- Authors
- Bell, V., Halligan, P. W., & Ellis, H. D.
- Affiliations
- Cardiff University (GB)
- Corresponding author
- Halligan, Peter W
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-10-29
- Volume
- 32
- Issue
- 2
- Pages
- 366-377
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC2632213
- OpenAlex
- W2158535717
- Cited by
- 288
- References
- 61
- Citations by year
- 2026: 18 · 2025: 20 · 2024: 15 · 2023: 29 · 2022: 16 · 2021: 20 · 2020: 30 · 2019: 18 · 2018: 14 · 2017: 18 · 2016: 10 · 2015: 14 · 2014: 10 · 2013: 10 · 2012: 7
- FWCI
- 2.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Schizophrenia Bulletin (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Paranormal Experiences and Beliefs
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- MeSH terms
- Adolescent, Adult, Cognition Disorders, Female, Hospitalization, Humans, Male, Middle Aged, Perceptual Disorders, Psychotic Disorders, Surveys and Questionnaires, Schizophrenia, Reproducibility of Results
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