Properties of the Hopkins Symptom Checklist-25 (HSCL-25) and the Self-Reporting Questionnaire (SRQ-20) as screening instruments used in primary care in Afghanistan
Identifieur interne : 002025 ( Main/Exploration ); précédent : 002024; suivant : 002026Properties of the Hopkins Symptom Checklist-25 (HSCL-25) and the Self-Reporting Questionnaire (SRQ-20) as screening instruments used in primary care in Afghanistan
Auteurs : Peter Ventevogel [Afghanistan, Pays-Bas, Burundi, Royaume-Uni] ; Gieljan De Vries [Pays-Bas] ; Willem F. Scholte [Pays-Bas] ; Nasratullah Rasa Shinwari [Afghanistan] ; Hafizullah Faiz [Afghanistan] ; Ruhullah Nassery [Afghanistan] ; Wim Van Den Brink [Pays-Bas] ; Miranda Olff [Pays-Bas]Source :
- Social Psychiatry and Psychiatric Epidemiology [ 0933-7954 ] ; 2007-04-01.
Descripteurs français
- Wicri :
- geographic : Afghanistan.
English descriptors
- KwdEn :
Abstract
Abstract: Background: Recent epidemiological studies in Afghanistan using mental health questionnaires yielded high prevalence rates for anxiety and depression. Objectives: To explore the validity in the Afghan cultural context of two mental health questionnaires, the Hopkins Symptom Checklist-25 (HSCL-25) and the Self-Reporting Questionnaire-20 (SRQ-20). Methods: The two mental health questionnaires were compared against a ‘gold standard’ semi-structured psychiatric interview, the Psychiatric Assessment Schedule (PAS). All instruments were administered to a sample of 116 Pashto-speaking patients (53 men, 63 women) attending primary health care facilities in Eastern Afghanistan. Results: Both HSCL-25 and SRQ-20 had modest properties to correctly identify mental disorders, with an AUC (area under the curve) of 0.73 and 0.72 respectively. The optimal cut-off points for this population are different from those often used in transcultural research. For women the optimal cut-off points are higher than usual (2.25 for the HSCL-25 and 17 for the SRQ-20). For men the cut-off point for the HSCL-25 is lower than usual (1.50) and for the SRQ-20 it was 10). Conclusions: This study underlines the necessity of validating instruments along with cultural context and gender. Earlier studies in Afghanistan may have overestimated the prevalence of mental disorders among women and underestimated the prevalence in men.
Url:
DOI: 10.1007/s00127-007-0161-8
Affiliations:
- Afghanistan, Burundi, Pays-Bas, Royaume-Uni
- Hollande-Septentrionale
- Amsterdam
- Université d'Amsterdam
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Steinkopff-Verlag</publisher><pubPlace>Dordrecht</pubPlace><date type="published" when="2007-04-01">2007-04-01</date><biblScope unit="volume">42</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="328">328</biblScope><biblScope unit="page" to="335">335</biblScope></imprint><idno type="ISSN">0933-7954</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0933-7954</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Afghanistan</term><term>common mental disorders</term><term>gender differences</term><term>primary care</term><term>questionnaire</term><term>screening</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afghanistan</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Background: Recent epidemiological studies in Afghanistan using mental health questionnaires yielded high prevalence rates for anxiety and depression. Objectives: To explore the validity in the Afghan cultural context of two mental health questionnaires, the Hopkins Symptom Checklist-25 (HSCL-25) and the Self-Reporting Questionnaire-20 (SRQ-20). Methods: The two mental health questionnaires were compared against a ‘gold standard’ semi-structured psychiatric interview, the Psychiatric Assessment Schedule (PAS). All instruments were administered to a sample of 116 Pashto-speaking patients (53 men, 63 women) attending primary health care facilities in Eastern Afghanistan. Results: Both HSCL-25 and SRQ-20 had modest properties to correctly identify mental disorders, with an AUC (area under the curve) of 0.73 and 0.72 respectively. The optimal cut-off points for this population are different from those often used in transcultural research. For women the optimal cut-off points are higher than usual (2.25 for the HSCL-25 and 17 for the SRQ-20). For men the cut-off point for the HSCL-25 is lower than usual (1.50) and for the SRQ-20 it was 10). Conclusions: This study underlines the necessity of validating instruments along with cultural context and gender. Earlier studies in Afghanistan may have overestimated the prevalence of mental disorders among women and underestimated the prevalence in men.</div></front></TEI><affiliations><list><country><li>Afghanistan</li><li>Burundi</li><li>Pays-Bas</li><li>Royaume-Uni</li></country><region><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li></settlement><orgName><li>Université d'Amsterdam</li></orgName></list><tree><country name="Afghanistan"><noRegion><name sortKey="Ventevogel, Peter" sort="Ventevogel, Peter" uniqKey="Ventevogel P" first="Peter" last="Ventevogel">Peter Ventevogel</name></noRegion><name sortKey="Faiz, Hafizullah" sort="Faiz, Hafizullah" uniqKey="Faiz H" first="Hafizullah" last="Faiz">Hafizullah Faiz</name><name sortKey="Nassery, Ruhullah" sort="Nassery, Ruhullah" uniqKey="Nassery R" first="Ruhullah" last="Nassery">Ruhullah Nassery</name><name sortKey="Shinwari, Nasratullah Rasa" sort="Shinwari, Nasratullah Rasa" uniqKey="Shinwari N" first="Nasratullah Rasa" last="Shinwari">Nasratullah Rasa Shinwari</name></country><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Ventevogel, Peter" sort="Ventevogel, Peter" uniqKey="Ventevogel P" first="Peter" last="Ventevogel">Peter Ventevogel</name></region><name sortKey="De Vries, Gieljan" sort="De Vries, Gieljan" uniqKey="De Vries G" first="Gieljan" last="De Vries">Gieljan De Vries</name><name sortKey="Olff, Miranda" sort="Olff, Miranda" uniqKey="Olff M" first="Miranda" last="Olff">Miranda Olff</name><name sortKey="Scholte, Willem F" sort="Scholte, Willem F" uniqKey="Scholte W" first="Willem F." last="Scholte">Willem F. Scholte</name><name sortKey="Van Den Brink, Wim" sort="Van Den Brink, Wim" uniqKey="Van Den Brink W" first="Wim" last="Van Den Brink">Wim Van Den Brink</name></country><country name="Burundi"><noRegion><name sortKey="Ventevogel, Peter" sort="Ventevogel, Peter" uniqKey="Ventevogel P" first="Peter" last="Ventevogel">Peter Ventevogel</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Ventevogel, Peter" sort="Ventevogel, Peter" uniqKey="Ventevogel P" first="Peter" last="Ventevogel">Peter Ventevogel</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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