PLoS ONE
Volume 13, Issue 5, 2018

Validation of the refugee health screener-15 for the assessment of perinatal depression among karen and Burmese women on the Thai-myanmar border (Article) (Open Access)

Fellmeth G.* , Plugge E. , Fazel M. , Charunwattana P. , Nosten F. , Fitzpatrick R. , Simpson J.A. , McGready R.
  • a Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
  • b Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom
  • c Department of Psychiatry, University of Oxford, Oxford, United Kingdom
  • d Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
  • e Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand, Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom
  • f Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
  • g Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia
  • h Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Mae Sot, Thailand, Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom

Abstract

Perinatal depression is common, and left untreated can have significant and long-lasting consequences for women, their children and their families. Migrant women are at particular risk of perinatal depression as a result of a multitude of stressors experienced before, during and after migration. Identification of perinatal depression among migrant women—particularly those living in low- and middle-income regions—remains challenging, partly due to the lack of locally-validated and culturally appropriate screens tools. This study formally validates Burmese and Sgaw Karen versions of the Refugee Health Screener-15 (RHS-15) as a screening tool for perinatal depression among migrant women living on the Thai-Myanmar border. The Structured Clinical Interview for the Diagnosis of DSM-IV Disorders (SCID) was used as the gold-standard comparator. Complete results were obtained for 235 Burmese-speaking and 275 Sgaw Karen-speaking women. Despite displaying reasonable psychometric properties, a number of shortcomings associated with the RHS-15 limited its utility in this setting. The Likert-type response categories of the RHS-15 proved problematic in this low-literacy population. Combined with the relative superiority and greater ease of administration of the SCID, the RHS-15 is not recommended as the tool of choice for detecting perinatal depression in this setting. © 2018 Fellmeth et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Author Keywords

[No Keywords available]

Index Keywords

Likert scale statistical analysis depression receiver operating characteristic refugee demography ROC Curve Thailand pregnancy complication Pregnancy Complications human validation study Refugees middle aged Burmese ethnic group controlled study Structured Clinical Interview for DSM Disorders procedures Refugee Health Screener 15 Karen (people) Surveys and Questionnaires Young Adult Humans migrant geography Adolescent female questionnaire Myanmar pregnancy diagnostic test accuracy study Psychometrics sensitivity and specificity psychometry Article perinatal depression major clinical study adult migration pregnant woman depression assessment Transients and Migrants gold standard
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047420472&doi=10.1371%2fjournal.pone.0197403&partnerID=40&md5=f1242f893c25ddf31fc1074445572373
DOI: 10.1371/journal.pone.0197403
ISSN: 19326203
Cited by: 1
Original Language: English