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    Jan 26, 2021
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    A screening tool for psychological difficulties in children aged 6 to 36 months: cross-cultural validation in Kenya, Cambodia and Uganda.

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    Nackers et al - 2019 - A Screening ...
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    Authors
    Nackers, F
    Roederer, T
    Marquer, C
    Ashaba, S
    Maling, S
    Mwanga-Amumpaire, J
    Muny, S
    Sokeo, C
    Shom, V
    Palha, M
    Lefebvre, P
    Kirubi, BW
    Kamidigo, G
    Falissard, B
    Moro, MR
    Grais, RF
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    Issue Date
    2019-04-12
    Submitted date
    2019-04-23
    
    Metadata
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    Journal
    BMC Pediatrics
    Abstract
    In low-resource settings, the lack of mental health professionals and cross-culturally validated screening instruments complicates mental health care delivery. This is especially the case for very young children. Here, we aimed to develop and cross-culturally validate a simple and rapid tool, the PSYCa 6-36, that can be administered by non-professionals to screen for psychological difficulties among children aged six to 36 months. A primary validation of the PSYCa 6-36 was conducted in Kenya (n = 319 children aged 6 to 36 months; 2014), followed by additional validations in Kenya (n = 215; 2014) Cambodia (n = 189; 2015) and Uganda (n = 182; 2016). After informed consent, trained interviewers administered the PSYCa 6-36 to caregivers participating in the study. We assessed the psychometric properties of the PSYCa 6-36 and external validity was assessed by comparing the results of the PSYCa 6-36 against a clinical global impression severity [CGIS] score rated by an independent psychologist after a structured clinical interview with each participant. The PSYCa 6-36 showed satisfactory psychometric properties (Cronbach's alpha > 0.60 in Uganda and > 0.70 in Kenya and Cambodia), temporal stability (intra-class correlation coefficient [ICC] > 0.8), and inter-rater reliability (ICC from 0.6 in Uganda to 0.8 in Kenya). Psychologists identified psychological difficulties (CGIS score > 1) in 11 children (5.1%) in Kenya, 13 children (8.7%) in Cambodia and 15 (10.5%) in Uganda, with an area under the receiver operating characteristic curve of 0.65 in Uganda and 0.80 in Kenya and Cambodia. The PSYCa 6-36 allowed for rapid screening of psychological difficulties among children aged 6 to 36 months among the populations studied. Use of the tool also increased awareness of children's psychological difficulties and the importance of early recognition to prevent long-term consequences. The PSYCa 6-36 would benefit from further use and validation studies in popula`tions with higher prevalence of psychological difficulties.
    Publisher
    BioMed Central
    URI
    http://hdl.handle.net/10144/619377
    DOI
    10.1186/s12887-019-1461-3
    PubMed ID
    30979364
    Language
    en
    ISSN
    1471-2431
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12887-019-1461-3
    Scopus Count
    Collections
    Paediatrics

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