Article2008

Detecting Depressive Disorder With the Hopkins Symptom Checklist-25 in Tanzania

Bandy Lee · Sylvia Kaaya · Jessie Mbwambo · Mary C. Smith-Fawzi · Melkizedeck Thomas Leshabari

93 citations0/0 files storedInternational Journal of Social Psychiatry

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychometric Methodologies and Testing Maternal Mental Health During Pregnancy and Postpartum

Abstract

BACKGROUND: Assessment of the growing prevalence of depression in developing countries is hampered by a lack of valid diagnostic instruments for the local settings. AIM AND METHOD: This study attempted to examine the validity of the 25-item Hopkins Symptom Checklist (HSCL-25) in a special primary care population in Dar es Salaam, Tanzania. RESULTS: 787 antenatal participants were recruited, and their responses revealed good internal consistency, interrater reliability, and test-retest reliability, and the scale was validated using content, construct, and discriminant validation methods. Factor analysis of the depression subscale, however, confirmed the need for a locally developed scale. CONCLUSIONS: Integrating universalist and relativist approaches, through the validation and modification of scales, may help in the detection of depression in cross-cultural settings.

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References

1992The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.1992The MOS 36-ltem Short-Form Health Survey (SF-36)1997Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study 1974The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory 1980Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries 1987Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees 1992International quality of life assessment (IQOLA) project 1980External validating criteria for psychiatric diagnosis: their application in affective disorders.

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