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dc.contributor.authorNackers, F*
dc.contributor.authorRoederer, T*
dc.contributor.authorMarquer, C*
dc.contributor.authorAshaba, S*
dc.contributor.authorMaling, S*
dc.contributor.authorMwanga-Amumpaire, J*
dc.contributor.authorMuny, S*
dc.contributor.authorSokeo, C*
dc.contributor.authorShom, V*
dc.contributor.authorPalha, M*
dc.contributor.authorLefebvre, P*
dc.contributor.authorKirubi, BW*
dc.contributor.authorKamidigo, G*
dc.contributor.authorFalissard, B*
dc.contributor.authorMoro, MR*
dc.contributor.authorGrais, RF*
dc.date.accessioned2019-04-24T02:39:31Z
dc.date.available2019-04-24T02:39:31Z
dc.date.issued2019-04-12
dc.date.submitted2019-04-23
dc.identifier.issn1471-2431
dc.identifier.pmid30979364
dc.identifier.doi10.1186/s12887-019-1461-3
dc.identifier.urihttp://hdl.handle.net/10144/619377
dc.description.abstractIn 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.en_US
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.rightsWith thanks to BioMed Central.en_US
dc.subjectCambodia
dc.subjectKenya
dc.subjectLow-income population
dc.subjectMental health
dc.subjectPreschool children
dc.subjectPsychology
dc.subjectScreening
dc.subjectUganda
dc.subjectValidation
dc.titleA screening tool for psychological difficulties in children aged 6 to 36 months: cross-cultural validation in Kenya, Cambodia and Uganda.en_US
dc.identifier.journalBMC Pediatricsen_US
dc.source.journaltitleBMC pediatrics
refterms.dateFOA2019-04-24T02:39:32Z


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