Accuracy of a community mental health education and detection (CMED) tool for common mental disorders in KwaZulu-Natal, South Africa.
Accuracy of a community mental health education and detection (CMED) tool for common mental disorders in KwaZulu-Natal, South Africa.
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DOI：
10.1186/s13033-022-00554-7
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发表时间：
2022-08-23
影响因子：
3.6
通讯作者：
Bhana, Arvin
中科院分区：
文献类型：
--
作者：
Grant, Merridy;Petersen, Inge;Mthethwa, Londiwe;Luvuno, Zamasomi;Bhana, Arvin
心理健康障碍的筛查工具可以改善初级卫生保健（PHC）层面的检测。然而，许多有精神健康问题的人并不寻求治疗，因为他们缺乏关于精神健康的知识、对精神疾病的污名化以及对初级保健设施一级提供的精神健康服务缺乏认识。因此，在社区一级采取干预措施，提高对心理健康的认识，改善对心理健康状况的检测，对于增加需求和优化现有心理健康服务的供应至关重要。本研究旨在评估社区心理健康教育和检测（CMED）工具的准确性，在识别心理健康状况，使用图形插图。社区卫生工作者（CHWs）管理的CMED工具，以198名参与者对家庭进行例行访问。在使用该工具之前，患者家庭成员提供了基本的传记信息。为了确定CMED在识别家庭中可能存在精神健康障碍的个人方面的准确性，我们将使用CMED小插图识别的个人数量与经过验证的简明精神健康（BMH）筛查工具进行了比较。CMED在可接受的水平下进行，曲线下面积（AUC）为0.73（95% CI 0.67-0.79），确定79%（灵敏度）的参与者可能有心理健康问题，67%（特异性）的参与者没有心理健康问题。总的来说，家庭成员中有55.2%的家庭成员通过家庭医学诊断得到了肯定，而在家庭健康调查中只有49.5%的家庭成员得到了肯定。社区卫生工作者可在家庭一级使用社区医疗诊断作为精神健康筛查工具。
Screening tools for mental health disorders improve detection at a primary health care (PHC) level. However, many people with mental health conditions do not seek care because of a lack of knowledge about mental health, stigma about mental illness and a lack of awareness of mental health services available at a PHC facility level. Interventions at a community level that raise awareness about mental health and improve detection of mental health conditions, are thus important in increasing demand and optimising the supply of available mental health services. This study sought to evaluate the accuracy of a Community Mental Health Education and Detection (CMED) Tool in identifying mental health conditions using pictorial vignettes. Community Health Workers (CHWs) administered the CMED tool to 198 participants on routine visits to households. Consenting family members provided basic biographical information prior to the administration of the tool. To determine the accuracy of the CMED in identifying individuals in households with possible mental health disorders, we compared the number of individuals identified using the CMED vignettes to the validated Brief Mental Health (BMH) screening tool. The CMED performed at an acceptable level with an area under the curve (AUC) of 0.73 (95% CI 0.67–0.79), identifying 79% (sensitivity) of participants as having a possible mental health problem and 67% (specificity) of participants as not having a mental health problem. Overall, the CMED positively identified 55.2% of household members relative to 49.5% on the BMH. The CMED is acceptable as a mental health screening tool for use by CHWs at a household level.
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影响因子：
4.5
作者：
Horwood C;Butler L;Barker P;Phakathi S;Haskins L;Grant M;Mntambo N;Rollins N
通讯作者：
Rollins N
DOI：
10.1016/j.ssmmh.2021.100009
发表时间：
2021-12-01
期刊：
SSM-MENTAL HEALTH
影响因子：
--
作者：
Kemp, Christopher G.;Mntambo, Ntokozo;Petersen, Inge
通讯作者：
Petersen, Inge
影响因子：
20.4
作者：
Mandrekar, Jayawant N.
通讯作者：
Mandrekar, Jayawant N.
DOI：
10.3390/ijerph18031075
发表时间：
2021-01-26
影响因子：
--
作者：
Mohsin S;Waqas A;Atif N;Rabbani MW;Ali Khan S;Bilal S;Sharif M;Bibi A;Sikander S
通讯作者：
Sikander S
影响因子：
64.3
作者：
Shidhaye, Rahul;Murhar, Vaibhav;Patel, Vikram
通讯作者：
Patel, Vikram