This article was originally published on June 17, 2013. Subsequently, the misidentification of the Hopkins Symptom Checklist was corrected, and the corrected version was published online on July 11, 2013.
MEASURING DEPRESSION AND ANXIETY IN SUB-SAHARAN AFRICA
Version of Record online: 18 JUN 2013
© 2013 Wiley Periodicals, Inc.
Depression and Anxiety
Anxiety and Depression Co-Morbidity and the 2014 Klein Award Winner
Volume 31, Issue 3, pages 223–232, March 2014
How to Cite
Sweetland, A. C., Belkin, G. S. and Verdeli, H. (2014), MEASURING DEPRESSION AND ANXIETY IN SUB-SAHARAN AFRICA. Depress. Anxiety, 31: 223–232. doi: 10.1002/da.22142
- Issue online: 7 MAR 2014
- Version of Record online: 18 JUN 2013
- Manuscript Accepted: 10 MAY 2013
- Manuscript Revised: 3 APR 2013
- Manuscript Received: 13 DEC 2012
- brief screening instruments;
- sub-Saharan Africa
Despite being one of the leading causes of disability worldwide, fewer than 10% of depressed individuals in low-resource settings have access to treatment. Mounting evidence suggests that nonspecialist workers are capable of providing counseling and case management at the community level. They often use brief psychiatric screening instruments as clinical tools to identify cases and monitor symptoms over time. In order for such tools to be used in diverse settings, they must demonstrate adequate reliability and validity in addition to cross-cultural relevance. To be used to guide routine care they also need to be flexibly adapted and sensitive to change. The goal of this paper is to assess the cross-cultural validity of brief psychiatric screening instruments in sub-Saharan Africa, identify best practices, and discuss implications for clinical management and scale-up of mental health treatment in resource-poor settings.
Systematic review of studies assessing the validity of screening instruments for depression, anxiety, and mental distress in sub-Saharan Africa using Medline and PsycINFO.
Sixty-five studies from 16 countries assessing the validity of brief screening instruments for depression, anxiety, and/or mental distress.
Despite evidence of underlying universality in the experience of depression and anxiety in sub-Saharan Africa, differences in the salience, manifestation, and expression of symptoms suggest the need for the local adaptation of instruments. Rapid ethnographic assessment has emerged as a promising, low-cost, and efficient strategy for doing so.