Abstract:
BACKGROUND:There is a dearth of methodological studies critically evaluating reliability, validity and feasibility of measures of common mental disorders (CMD) in low-income countries. METHODS:Test-retest and inter-rater reliability of categorisation of CMD caseness, according to locally agreed criteria using the Comprehensive Psychopathological Rating Scale (CPRS), was measured in 99 women from out-patient clinics (inter-rater) and 99 women from a primary healthcare centre (test-retest) in Ethiopia. The construct validity of CMD as measured with CPRS was assessed with exploratory factor analysis using maximum likelihood with varimax rotation. RESULTS:Test-retest reliability was fair (kappa = 0.29). Subsequent assessment of inter-rater reliability found excellent agreement (kappa = 0.82). The construct of CMD appeared unidimensional, combining depressive, anxiety and somatic symptoms. CONCLUSIONS:Detection of socioculturally meaningful cases of CMD in Ethiopia can be reliably achieved with local psychiatrist assessment using CPRS, although thorough training is essential.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Hanlon C,Medhin G,Alem A,Araya M,Abdulahi A,Tesfaye M,Wondimagegn D,Taha H,Anbesse B,Baheretibeb Y,Dewey M,Prince Mdoi
10.1007/s00127-008-0342-0subject
Has Abstractpub_date
2008-08-01 00:00:00pages
653-9issue
8eissn
0933-7954issn
1433-9285journal_volume
43pub_type
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