Comprehension and Motivation in Responses to a Psychiatric Screening Instrument Validity of the SRQ in Ethiopia

Frank Kortmann · Sineke G. H. M. M. ten Horn

64 citations0/0 files storedThe British Journal of Psychiatry

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Mental Health Treatment and Access Psychological Testing and Assessment Health Education and Validation

Abstract

The Self Reporting Questionnaire (SRQ), a psychiatric-case-finding instrument designed by the WHO for developing countries, was tested in Ethiopia. It was submitted to 40 patients attending a psychiatric clinic, 30 at a somatic clinic, and 40 subjects not attending a clinic. Forty per cent of the yes-answers were rated as invalid. The concept-invalidity contributed mainly to the rather poor criterion-validity of the SRQ. In addition, clinic patients seemed to heighten the number of yes-answers to express their need for help. The SRQ measured not only psychiatric complaints but also illness behaviour, even without the presence of any illness. This is a substantial disadvantage if the SRQ is applied to detect the psychiatric cases in the primary-care facilities.

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References

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2020Mental distress, perceived need, and barriers to receive professional mental health care among university students in Ethiopia 1997Etic and emic criteria for non-psychotic mental disorder: a study of the CISR and care provider assessment in Harare 2010Comparative Validity of Screening Instruments for Mental Distress in Zambia

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