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    Jan 15, 2021
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    Validation of mental health screening instruments in the Kashmir Valley, India

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    Housen et al - 2018 - Validation ...
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    Authors
    Housen, T
    Lenglet, A
    Ariti, C
    Ara, S
    Shah, S
    Dar, M
    Hussain, A
    Paul, A
    Wagay, Z
    Viney, K
    Janes, S
    Pintaldi, G
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    Issue Date
    2018-03-19
    Submitted date
    2018-05-03
    
    Metadata
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    Journal
    Transcultural Psychiatry
    Abstract
    The present study aimed to culturally adapt, translate, and validate the Hopkins Symptom Checklist-25 (HSCL-25) and the Harvard Trauma Questionnaire-Posttraumatic Stress Symptoms Checklist (HTQ-16) prior to use in a cross-sectional mental health population survey in the Kashmir Valley. Cultural adaptation and translation of the HSCL-25 and the HTQ-16 employed multiple forms of transcultural validity check. The HSCL-25 and HTQ-16 were compared against a "gold standard" structured psychiatric interview, the Mini International Neuropsychiatric Interview (MINI). Interviews were conducted with 290 respondents recruited using consecutive sampling from general medical outpatient departments in five districts of the Kashmir Valley. Receiver operating characteristics (ROC) analysis was used to estimate the cut point with optimal discriminatory power based on sensitivity and specificity. Internal reliability of the HSCL-25 was high, Cronbach's alpha (α) = .92, intraclass correlation coefficient (ICC) = 0.75, with an estimated optimal cut point of 1.50, lower than the conventional cut point of 1.75. Separation of the instruments into subscales demonstrated a difference in the estimated cut point for the anxiety subscale and the depression subscale, 1.75 and 1.57, respectively. Too few respondents were diagnosed with posttraumatic stress disorder (PTSD) during structured psychiatric interview, and therefore the HTQ-16 could not be validated despite the fact that high internal reliability was demonstrated (α = .90). This study verified the importance of culturally adapting and validating screening instruments in particular contexts. The use of the conventional cut point of 1.75 would likely have misclassified depression in our survey, leading to an underestimate of this condition.
    Publisher
    SAGE Publications
    URI
    http://hdl.handle.net/10144/619112
    DOI
    10.1177/1363461518764487
    PubMed ID
    29553303
    Language
    en
    ISSN
    1461-7471
    ae974a485f413a2113503eed53cd6c53
    10.1177/1363461518764487
    Scopus Count
    Collections
    Mental Health

    entitlement

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