Journal
INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION
Volume 14, Issue 1, Pages 37-48Publisher
SPRINGER
DOI: 10.1007/s11469-015-9566-x
Keywords
Common mental disorder screening; Psychometric properties of the SRQ-20; Low- and middle-income country; Task-shifting; Emergency centre or department
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Funding
- Phodiso Program, Fogarty International [1 D43 TW007278]
- National Research Foundation (NRF)
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Common mental disorders are highly prevalent in emergency centre (EC) patients, yet few brief screening tools have been validated for low- and middle-income country (LMIC) ECs. This study explored the psychometric properties of the SRQ-20 screening tool in South African ECs using the Mini Neuropsychiatric Interview (MINI) as the gold standard comparison tool. Patients (n=200) from two ECs in Cape Town, South Africa were interviewed using the SRQ-20 and the MINI. Internal consistency, screening properties and factorial validity were examined. The SRQ-20 was effective in identifying participants with major depression, anxiety disorders or suicidality and displayed good internal consistency. The optimal cutoff scores were 4/5 and 6/7 for men and women respectively. The factor structure differed by gender. The SRQ-20 is a useful tool for EC settings in South Africa and holds promise for task-shifted approaches to decreasing the LMIC burden of mental disorders.
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