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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 8/2008

Open Access 01-08-2008 | ORIGINAL PAPER

Measuring common mental disorders in women in Ethiopia

Reliability and construct validity of the comprehensive psychopathological rating scale

Authors: Dr. Charlotte Hanlon, Girmay Medhin, Atalay Alem, Mesfin Araya, Abdulreshid Abdulahi, Markos Tesfaye, Dawit Wondimagegn, Hassan Taha, Birke Anbesse, Yonas Baheretibeb, Michael Dewey, Martin Prince

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 8/2008

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Abstract

Background

There is a dearth of methodological studies critically evaluating reliability, validity and feasibility of measures of common mental disorders (CMD) in low-income countries.

Methods

Test-retest and inter-rater reliability of categorisation of CMD caseness, according to locally agreed criteria using the Comprehensive Psychopathological Rating Scale (CPRS), was measured in 99 women from out-patient clinics (inter-rater) and 99 women from a primary healthcare centre (test-retest) in Ethiopia. The construct validity of CMD as measured with CPRS was assessed with exploratory factor analysis using maximum likelihood with varimax rotation.

Results

Test-retest reliability was fair (κ = 0.29). Subsequent assessment of inter-rater reliability found excellent agreement (κ = 0.82). The construct of CMD appeared unidimensional, combining depressive, anxiety and somatic symptoms.

Conclusions

Detection of socioculturally meaningful cases of CMD in Ethiopia can be reliably achieved with local psychiatrist assessment using CPRS, although thorough training is essential.
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Metadata
Title
Measuring common mental disorders in women in Ethiopia
Reliability and construct validity of the comprehensive psychopathological rating scale
Authors
Dr. Charlotte Hanlon
Girmay Medhin
Atalay Alem
Mesfin Araya
Abdulreshid Abdulahi
Markos Tesfaye
Dawit Wondimagegn
Hassan Taha
Birke Anbesse
Yonas Baheretibeb
Michael Dewey
Martin Prince
Publication date
01-08-2008
Publisher
D. Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 8/2008
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0342-0

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