Development of a patient rated scale for mental health global state for use during humanitarian interventions
Llosa, Augusto E. (Epicentre)
Martínez-Viciana, Carmen (Médecins Sans Frontières)
Carreño, Cristina (Médecins Sans Frontières)
Evangelidou, Stella (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Casas, German (Universidad de Los Andes)
Marquer, Caroline (Epicentre)
Moro, Marie Rose (Université de Paris)
Falissard, Bruno (CESP/INSERM U1018. Epidemiology and Population Health)
Grais, Rebecca F. (Epicentre)

Data:	2020
Resum:	We present the results of a cross-cultural validation of the Mental Health Global State (MHGS) scale for adults and adolescents (<14 years old). We performed two independent studies using mixed methods among 103 patients in Hebron, Occupied Palestinian Territories and 106 in Cauca, Colombia. The MHGS was analyzed psychometrically, sensitivity and specificity, ability to detect clinically meaningful change, compared to the Clinical Global Impression-Severity scale (CGI-S). Principal component analysis was used to reduce the number of questions after data collection. The scale demonstrated good internal consistency, with a Cronbach alpha score of 0. 80 in both settings. Test retest reliability was high, ICC 0. 70 (95% CI [0. 41-0. 85]) in Hebron and 0. 87 (95% CI [0. 76-0. 93]) in Cauca; inter-rater reliability was 0. 70 (95% CI [0. 42-0. 85]) in Hebron and 0. 76 (95% CI [0. 57-0. 88]) in Cauca. Psychometric properties were also good, and the tool demonstrated a sensitivity of 85% in Hebron and 100% in Cauca, with corresponding specificity of 80% and 79%, when compared to CGI-S. The MHGS showed promising results to assess global mental health thereby providing an additional easy to use tool in humanitarian interventions. Additional work should focus on validation in at least one more context, to adhere to best practices in transcultural validation.
Nota:	Funding: Médecins Sans Frontières
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Conflict ; Global scale ; Humanitarian intervention ; Mental health ; Psychology
Publicat a:	International Journal of Methods in Psychiatric Research, Vol. 30 (september 2020) , ISSN 1557-0657

DOI: 10.1002/mpr.1850
PMID: 32945587

9 p, 764.3 KB

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