Development and validation of a mental health screening tool for asylum-seekers and refugees: the STAR-MH.
BMC Psychiatry
; 18(1): 69, 2018 03 16.
Article
em En
| MEDLINE
| ID: mdl-29548315
ABSTRACT
BACKGROUND:
There is no screening tool for major depressive disorder (MDD) or post-traumatic stress disorder (PTSD) in asylum-seekers or refugees (ASR) that can be readily administered by non-mental health workers. Hence, we aimed to develop a brief, sensitive and rapidly administrable tool for non-mental health workers to screen for MDD and PTSD in ASR.METHODS:
The screening tool was developed from an extant dataset (n = 121) of multiply screened ASR and tested prospectively (N = 192) against the M.I.N.I. (Mini International Neuropsychiatric Interview) structured psychiatric interview. Rasch, Differential Item Functioning and ROC analyses evaluated the psychometric properties and tool utility.RESULTS:
A 9-item tool with a median administration time of six minutes was generated, comprising two 'immediate screen-in' items, and a 7-item scale. The prevalence of PTSD &/or MDD using the M.I.N.I. was 32%, whilst 99% of other diagnosed mental disorders were comorbid with one or both of these. Using a cut-score of ≥2, the tool provided a sensitivity of 0.93, specificity of 0.75 and predictive accuracy of 80.7%.CONCLUSIONS:
A brief sensitive screening tool with robust psychometric properties that was easy to administer at the agency of first presentation was developed to facilitate mental health referrals for asylum-seekers and new refugees.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Escalas de Graduação Psiquiátrica
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Refugiados
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Transtornos de Estresse Pós-Traumáticos
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Transtorno Depressivo Maior
Tipo de estudo:
Diagnostic_studies
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Evaluation_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
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Screening_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Africa
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Asia
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Oceania
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article