Adaptation and Latent Structure of the Swahili Version of Beck Depression Inventory-II in a Low Literacy Population in the Context of HIV
Adaptation and Latent Structure of the Swahili Version of Beck Depression Inventory-II in a Low Literacy Population in the Context of HIV
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DOI：
10.1371/journal.pone.0151030
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发表时间：
2016-06-03
期刊：
影响因子：
3.7
通讯作者：
Van de Vijver, Fons
中科院分区：
文献类型：
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作者：
Abubakar, Amina;Kalu, Raphael Birya;Van de Vijver, Fons
我们着手适应贝克抑郁症量表（BDI）-II在肯尼亚，并研究其factorial structure.MethodsIn第一阶段，我们进行了深入的访谈，涉及29名成年成员的社会，以引起他们的理解抑郁症，并确定方面的BDI-II，需要适应。在第二阶段，BDI-II的修改版本被管理到221个成年人随机选择的社区，以允许其心理测量性能的评价。在第三阶段的研究中，我们评估了区分效度的BDI-11通过比较随机选择的社区样本（n = 29）与照顾者的青少年受HIV（n = 77）。ResultsA相当大的重叠BDI症状和那些在采访中产生的观察。相关的习语和症状，如“想得太多”和“Kuchoka moyo（心累）”被确定。必须修改BDI的管理，使其适合我们参与者的低识字水平。几个模型（单因子、双因子模型和三因子模型）的拟合指数均在可接受范围内。有证据表明，虽然多维模型可以拟合，但因素之间的强相关性意味着单因素模型可能是最适合的解决方案（α [0.89]，与本地识别项目的显著相关性[r = 0.51]）证实了适应BDI-II的良好心理测量特性。没有发现证据支持躯体化更普遍的假设。最后，与从社区随机选择的成年人相比，受艾滋病毒影响的青少年的照顾者具有显著更高的分数F（1，121）= 23.31，p < .001，表明适应的BDI = II的区分效度。BDI-II提供了抑郁症状的适当衡量标准，可与其他衡量标准一起用于低识字率人群的适当诊断。
ObjectiveWe set out to adapt the Beck Depression Inventory (BDI)-II in Kenya and examine its factorial structure.MethodsIn the first phase we carried out in-depth interviews involving 29 adult members of the community to elicit their understanding of depression and identify aspects of the BDI-II that required adaptation. In the second phase, a modified version of BDI-II was administered to 221 adults randomly selected from the community to allow for the evaluation of its psychometric properties. In the third phase of the study we evaluated the discriminative validity of BDI-11 by comparing a randomly chosen community sample (n = 29) with caregivers of adolescents affected by HIV (n = 77).ResultsA considerable overlap between the BDI symptoms and those generated in the interviews was observed. Relevant idioms and symptoms such as 'thinking too much' and 'Kuchoka moyo (having a tired heart)' were identified. The administration of the BDI had to be modified to make it suitable for the low literacy levels of our participants. Fit indices for several models (one factorial, two-factor model and a three factor model) were all within acceptable range. Evidence indicated that while multidimensional models could be fitted, the strong correlations between the factors implied that a single factor model may be the best suited solution (alpha [0.89], and a significant correlation with locally identified items [r = 0.51]) confirmed the good psychometric properties of the adapted BDI-II. No evidence was found to support the hypothesis that somatization was more prevalent. Lastly, caregivers of HIV affected adolescents had significantly higher scores compared to adults randomly selected from the community F(1, 121) = 23.31, p < .001 indicating the discriminative validity of the adapted BDI = II.ConclusionsWith an adapted administration procedure, the BDI-II provides an adequate measure of depressive symptoms which can be used alongside other measures for proper diagnosis in a low literacy population.