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Validation of a Chichewa version of the self-reporting questionnaire (SRQ) as a brief screening measure for maternal depressive disorder in Malawi, Africa.
J Affect Disord. 2009 Jan; 112(1-3):126-34.JA

Abstract

BACKGROUND

Depressive disorder affecting women during the perinatal period is common in low-income countries. The detection and study of maternal depression in a resource-poor setting requires a brief screening tool that is both accurate and practical to administer.

METHOD

A Chichewa version of the Self Reporting Questionnaire (SRQ) was developed through a rigorous process of forward and back translation, focus-group discussion and piloting. Criterion validation was conducted as part of a larger study in a sample of women who had brought their infants to a child health clinic in rural Malawi, using DSM-IV major and minor depressive episode as the gold standard diagnoses.

RESULTS

The criterion validation was conducted on 114 subjects who did not differ on health and sociodemographic characteristics from the total study sample (n=501). Test characteristics for each possible SRQ cut-off were calculated and Receiver Operator Characteristic (ROC) curves derived. Area under the ROC curve (AUROC) for detection of current major depressive disorder was 0.856 (95% CI 0.813 to 0.900), and for current major or minor depressive disorder was 0.826 (95% CI 0.783 to 0.869). Internal consistency of the SRQ was high (Cronbach's alpha 0.85).

LIMITATION

Inter-rater reliability testing was not conducted.

CONCLUSION

This Chichewa version of the SRQ shows utility as a brief screening measure for detection of probable maternal depression in rural Malawi.

Authors+Show Affiliations

Department of Community Health, College of Medicine, Blantyre, Malawi. robcstewart@mac.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

18504058

Citation

Stewart, Robert C., et al. "Validation of a Chichewa Version of the Self-reporting Questionnaire (SRQ) as a Brief Screening Measure for Maternal Depressive Disorder in Malawi, Africa." Journal of Affective Disorders, vol. 112, no. 1-3, 2009, pp. 126-34.
Stewart RC, Kauye F, Umar E, et al. Validation of a Chichewa version of the self-reporting questionnaire (SRQ) as a brief screening measure for maternal depressive disorder in Malawi, Africa. J Affect Disord. 2009;112(1-3):126-34.
Stewart, R. C., Kauye, F., Umar, E., Vokhiwa, M., Bunn, J., Fitzgerald, M., Tomenson, B., Rahman, A., & Creed, F. (2009). Validation of a Chichewa version of the self-reporting questionnaire (SRQ) as a brief screening measure for maternal depressive disorder in Malawi, Africa. Journal of Affective Disorders, 112(1-3), 126-34. https://doi.org/10.1016/j.jad.2008.04.001
Stewart RC, et al. Validation of a Chichewa Version of the Self-reporting Questionnaire (SRQ) as a Brief Screening Measure for Maternal Depressive Disorder in Malawi, Africa. J Affect Disord. 2009;112(1-3):126-34. PubMed PMID: 18504058.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validation of a Chichewa version of the self-reporting questionnaire (SRQ) as a brief screening measure for maternal depressive disorder in Malawi, Africa. AU - Stewart,Robert C, AU - Kauye,Felix, AU - Umar,Eric, AU - Vokhiwa,Maclean, AU - Bunn,James, AU - Fitzgerald,Margaret, AU - Tomenson,Barbara, AU - Rahman,Atif, AU - Creed,Francis, Y1 - 2008/05/27/ PY - 2008/03/07/received PY - 2008/04/11/revised PY - 2008/04/11/accepted PY - 2008/5/28/pubmed PY - 2009/5/28/medline PY - 2008/5/28/entrez SP - 126 EP - 34 JF - Journal of affective disorders JO - J Affect Disord VL - 112 IS - 1-3 N2 - BACKGROUND: Depressive disorder affecting women during the perinatal period is common in low-income countries. The detection and study of maternal depression in a resource-poor setting requires a brief screening tool that is both accurate and practical to administer. METHOD: A Chichewa version of the Self Reporting Questionnaire (SRQ) was developed through a rigorous process of forward and back translation, focus-group discussion and piloting. Criterion validation was conducted as part of a larger study in a sample of women who had brought their infants to a child health clinic in rural Malawi, using DSM-IV major and minor depressive episode as the gold standard diagnoses. RESULTS: The criterion validation was conducted on 114 subjects who did not differ on health and sociodemographic characteristics from the total study sample (n=501). Test characteristics for each possible SRQ cut-off were calculated and Receiver Operator Characteristic (ROC) curves derived. Area under the ROC curve (AUROC) for detection of current major depressive disorder was 0.856 (95% CI 0.813 to 0.900), and for current major or minor depressive disorder was 0.826 (95% CI 0.783 to 0.869). Internal consistency of the SRQ was high (Cronbach's alpha 0.85). LIMITATION: Inter-rater reliability testing was not conducted. CONCLUSION: This Chichewa version of the SRQ shows utility as a brief screening measure for detection of probable maternal depression in rural Malawi. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/18504058/Validation_of_a_Chichewa_version_of_the_self_reporting_questionnaire__SRQ__as_a_brief_screening_measure_for_maternal_depressive_disorder_in_Malawi_Africa_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(08)00151-1 DB - PRIME DP - Unbound Medicine ER -