Measuring Community Mental Health in Developing Societies: Evaluation of a Checklist Format in Nepal
- 1 December 2003
- journal article
- research article
- Published by SAGE Publications in International Journal of Social Psychiatry
- Vol. 49 (4), 269-286
- https://doi.org/10.1177/0020764003494005
Abstract
Background: There is growing recognition of the importance of mental health problems in developing countries. In large part, however, we have very limited epidemiological data at national and/or community levels about the prevalence of mental illnesses. Aims: The purpose of this paper is to describe the reliability and validity characteristics of an assessment tool that may be useful for conducting community-level surveys (particularly in rural communities of developing countries) to obtain prevalence rates of mental illnesses. Methods: We used a sample of adults residing in a rural village in Nepal to assess disorders with a modified version of the DSM-III-R Checklist. We evaluated construct validity, scale reliability, convergent validity and discriminant validity. Results: There is strong evidence for the construct validity of generalized anxiety and depression in our sample. By contrast, the symptoms associated with mania and schizophrenia were not empirically distinct. Convergent validity is acceptable. As a test of validity characteristics, the pattern of sociodemographic correlations suggests that the specific social origins of disorder in Nepal will require further investigation. Conclusion: The first step in obtaining high quality information on the distribution of mental illness in developing countries is to establish some reliable and valid indicators of disorder. The checklist format for assessing disorder appears to meet this objective and offers the possibility that community-level prevalence studies can be reasonably conducted.Keywords
This publication has 9 references indexed in Scilit:
- The global burden of mental disorders.American Journal of Public Health, 1999
- Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United StatesArchives of General Psychiatry, 1994
- The Structured Clinical Interview for DSM-III-R (SCID)Archives of General Psychiatry, 1992
- Comparison of Composite International Diagnostic Interview and clinical DSM‐III‐R criteria checklist diagnosesActa Psychiatrica Scandinavica, 1992
- Cross-cultural Feasibility, Reliability and Sources of Variance of the Composite International Diagnostic Interview (CIDI)The British Journal of Psychiatry, 1991
- One-Month Prevalence of Mental Disorders in the United StatesArchives of General Psychiatry, 1988
- A Comparison of Clinical and Diagnostic Interview Schedule DiagnosesArchives of General Psychiatry, 1985
- The CES-D ScaleApplied Psychological Measurement, 1977
- Cornell Medical Index as a health measure in epidemiological studies. A test of the validity of a health questionnaire.Journal of Epidemiology and Community Health, 1965