Development and validation of a Haitian Creole screening instrument for depression.

Development and validation of a Haitian Creole screening instrument for depression.
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海地克里奥尔筛查工具的开发和验证。

DOI:
10.1177/1363461514543546
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发表时间:
2015-02
影响因子:
2.5
通讯作者:
Belkin GS
Belkin GS
中科院分区:
医学3区
文献类型:
--
作者:
Rasmussen A;Eustache E;Raviola G;Kaiser B;Grelotti DJ;Belkin GS

文献摘要

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在震后海地发展精神卫生保健能力受到缺乏评估的阻碍,这些评估包括海地人在讨论情绪困扰时使用的受文化约束的习语。目前的研究描述了一种新的emic-etic方法来开发健康伙伴/Zanmi Lasante的抑郁症筛查。在第一项研究中,海地的主要信息提供者被要求对症状进行分类,并描述常见精神障碍症状的类别。研究2测试了最接近抑郁症的症状集,在抑郁症和不抑郁的海地人的样本中,以选择筛选工具的项目。由此产生的13项工具产生的分数具有较高的内部可靠性,敏感的文化知情的诊断,和解释与结构和并发效度(维斯维斯功能障碍)。讨论的重点是适当地使用这一工具,并将主位的观点纳入全球发展的心理评估。筛选工具作为附录提供。
Developing mental health care capacity in post-earthquake Haiti is hampered by the lack of assessments that include culturally bound idioms Haitians use when discussing emotional distress. The current study describes a novel emic-etic approach to developing a depression screening for Partners In Health/Zanmi Lasante. In Study 1 Haitian key informants were asked to classify symptoms and describe categories within a pool of symptoms of common mental disorders. Study 2 tested the symptom set that best approximated depression in a sample of depressed and not depressed Haitians in order to select items for the screening tool. The resulting 13-item instrument produced scores with high internal reliability that were sensitive to culturally-informed diagnoses, and interpretations with construct and concurrent validity (vis-à-vis functional impairment). Discussion focuses on the appropriate use of this tool and integrating emic perspectives into developing psychological assessments globally. The screening tool is provided as an Appendix.