Measuring common mental disorders in women in Ethiopia: reliability and construct validity of the comprehensive psychopathological rating scale

Charlotte Hanlon; Girmay Medhin; Atalay Alem; Mesfin Araya; Abdulreshid Abdulahi; Markos Tesfaye; Dawit Wondimagegn; Hassan Taha; Birke Anbesse; Yonas Baheretibeb; Michael Dewey; Martin Prince

doi:10.1007/s00127-008-0342-0

Measuring common mental disorders in women in Ethiopia: reliability and construct validity of the comprehensive psychopathological rating scale

Charlotte Hanlon, Girmay Medhin, Atalay Alem, Mesfin Araya, Abdulreshid Abdulahi, Markos Tesfaye, Dawit Wondimagegn, Hassan Taha, Birke Anbesse, Yonas Baheretibeb, Michael Dewey, Martin Prince

Research output: Contribution to journal › Article › peer-review

23 Citations (Scopus)

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.

Original language	English
Pages (from-to)	653 - 659
Number of pages	7
Journal	Social Psychiatry and Psychiatric Epidemiology
Volume	43
Issue number	8
DOIs	https://doi.org/10.1007/s00127-008-0342-0
Publication status	Published - Aug 2008

Keywords

Adolescent
Adult
Ethiopia
Female
Humans
Mental Disorders
Middle Aged
Psychiatric Status Rating Scales
Reproducibility of Results
Women's Health
Young Adult

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10.1007/s00127-008-0342-0

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Hanlon, C., Medhin, G., Alem, A., Araya, M., Abdulahi, A., Tesfaye, M., Wondimagegn, D., Taha, H., Anbesse, B., Baheretibeb, Y., Dewey, M., & Prince, M. (2008). Measuring common mental disorders in women in Ethiopia: reliability and construct validity of the comprehensive psychopathological rating scale. Social Psychiatry and Psychiatric Epidemiology, 43(8), 653 - 659. https://doi.org/10.1007/s00127-008-0342-0

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title = "Measuring common mental disorders in women in Ethiopia: reliability and construct validity of the comprehensive psychopathological rating scale",

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.",

keywords = "Adolescent, Adult, Ethiopia, Female, Humans, Mental Disorders, Middle Aged, Psychiatric Status Rating Scales, Reproducibility of Results, Women's Health, Young Adult",

author = "Charlotte Hanlon and Girmay Medhin and Atalay Alem and Mesfin Araya and Abdulreshid Abdulahi and Markos Tesfaye and Dawit Wondimagegn and Hassan Taha and Birke Anbesse and Yonas Baheretibeb and Michael Dewey and Martin Prince",

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language = "English",

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pages = "653 -- 659",

journal = "Social Psychiatry and Psychiatric Epidemiology",

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Hanlon, C , Medhin, G, Alem, A, Araya, M, Abdulahi, A, Tesfaye, M, Wondimagegn, D, Taha, H, Anbesse, B, Baheretibeb, Y, Dewey, M & Prince, M 2008, 'Measuring common mental disorders in women in Ethiopia: reliability and construct validity of the comprehensive psychopathological rating scale', Social Psychiatry and Psychiatric Epidemiology, vol. 43, no. 8, pp. 653 - 659. https://doi.org/10.1007/s00127-008-0342-0

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T1 - Measuring common mental disorders in women in Ethiopia

T2 - reliability and construct validity of the comprehensive psychopathological rating scale

AU - Hanlon, Charlotte

AU - Medhin, Girmay

AU - Alem, Atalay

AU - Araya, Mesfin

AU - Abdulahi, Abdulreshid

AU - Tesfaye, Markos

AU - Wondimagegn, Dawit

AU - Taha, Hassan

AU - Anbesse, Birke

AU - Baheretibeb, Yonas

AU - Dewey, Michael

AU - Prince, Martin

PY - 2008/8

Y1 - 2008/8

N2 - 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.

AB - 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.

KW - Adolescent

KW - Adult

KW - Ethiopia

KW - Female

KW - Humans

KW - Mental Disorders

KW - Middle Aged

KW - Psychiatric Status Rating Scales

KW - Reproducibility of Results

KW - Women's Health

KW - Young Adult

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DO - 10.1007/s00127-008-0342-0

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SN - 1433-9285

VL - 43

SP - 653

EP - 659

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

IS - 8

ER -

Measuring common mental disorders in women in Ethiopia: reliability and construct validity of the comprehensive psychopathological rating scale

Abstract

Keywords

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