A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti
Abstract Background The Zanmi Lasante Depression Symptom Inventory (ZLDSI) is a screening tool for major depression used in 12 primary care clinics in Haiti’s Central Plateau. Although previously validated in a clinic-based sample, the present study is the first to evaluate the validity and clinical...
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | Conflict and Health |
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| Online Access: | http://link.springer.com/article/10.1186/s13031-020-0250-9 |
| _version_ | 1818064436533919744 |
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| author | Rupinder K. Legha Margaret E. Gerbasi Mary C. Smith Fawzi Eddy Eustache Tatiana Therosme J. Reginald Fils-Aime Giuseppe J. Raviola Emmeline Affricot Ermaze Louis Pierre Yoldie Alcindor Jennifer Severe Katherine A. Boyd David J. Grelotti Sarah Darghouth Andrew Rasmussen Anne E. Becker |
| author_facet | Rupinder K. Legha Margaret E. Gerbasi Mary C. Smith Fawzi Eddy Eustache Tatiana Therosme J. Reginald Fils-Aime Giuseppe J. Raviola Emmeline Affricot Ermaze Louis Pierre Yoldie Alcindor Jennifer Severe Katherine A. Boyd David J. Grelotti Sarah Darghouth Andrew Rasmussen Anne E. Becker |
| author_sort | Rupinder K. Legha |
| collection | DOAJ |
| description | Abstract Background The Zanmi Lasante Depression Symptom Inventory (ZLDSI) is a screening tool for major depression used in 12 primary care clinics in Haiti’s Central Plateau. Although previously validated in a clinic-based sample, the present study is the first to evaluate the validity and clinical utility of the ZLDSI for depression screening in a school-based population in central Haiti. Methods We assessed depressive symptoms in a school-based sample of transitional age youth (18–22 years; n = 120) with the ZLDSI. Other mental health-related assessments included a modified Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID) for current Major Depressive Episode, the Center for Epidemiologic Studies Depression Scale, and selected items adapted from the Global School-Based Health Survey mental health module. Diagnostic assignments of major depressive episode (MDE) were based on modified SCID interviews. Results The ZLDSI demonstrated good overall accuracy in identifying current MDE (Area under the Curve = .92, 95% CI = .86, .98, p < .001). We ascertained ≥12 as the optimal cut-off point to screen for depression with a sensitivity of 100% and a specificity of 73.9%. In addition, the ZLDSI was associated with other measures of depressive symptoms, suggesting that it demonstrates construct validity. Conclusions Study findings support that the ZLDSI has clinical utility for screening for depression among school-going transitional age youth. |
| first_indexed | 2024-12-10T14:35:58Z |
| format | Article |
| id | doaj.art-b8fc3690aaf9428eba63bd6be91de445 |
| institution | Directory Open Access Journal |
| issn | 1752-1505 |
| language | English |
| last_indexed | 2024-12-10T14:35:58Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Conflict and Health |
| spelling | doaj.art-b8fc3690aaf9428eba63bd6be91de4452022-12-22T01:44:49ZengBMCConflict and Health1752-15052020-02-011411910.1186/s13031-020-0250-9A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in HaitiRupinder K. Legha0Margaret E. Gerbasi1Mary C. Smith Fawzi2Eddy Eustache3Tatiana Therosme4J. Reginald Fils-Aime5Giuseppe J. Raviola6Emmeline Affricot7Ermaze Louis Pierre8Yoldie Alcindor9Jennifer Severe10Katherine A. Boyd11David J. Grelotti12Sarah Darghouth13Andrew Rasmussen14Anne E. Becker15Center for Health Services and Society, University of CaliforniaDepartment of Global Health and Social Medicine, Harvard Medical SchoolDepartment of Global Health and Social Medicine, Harvard Medical SchoolMental Health and Psychosocial Support Services Program, Zanmi LasanteMental Health and Psychosocial Support Services Program, Zanmi LasanteMental Health and Psychosocial Support Services Program, Zanmi LasanteDepartment of Global Health and Social Medicine, Harvard Medical SchoolMental Health and Psychosocial Support Services Program, Zanmi LasanteMental Health and Psychosocial Support Services Program, Zanmi LasanteMental Health and Psychosocial Support Services Program, Zanmi LasanteDepartment of Psychiatry, University of Michigan, University School of Medicine, 1500 East Medical Center DriveColorado School of Public Health, University of Colorado Anschutz Medical CampusDepartment of Psychiatry, University of California San DiegoDepartment of Psychiatry, Massachusetts General HospitalDepartment of Psychology, Fordham UniversityDepartment of Global Health and Social Medicine, Harvard Medical SchoolAbstract Background The Zanmi Lasante Depression Symptom Inventory (ZLDSI) is a screening tool for major depression used in 12 primary care clinics in Haiti’s Central Plateau. Although previously validated in a clinic-based sample, the present study is the first to evaluate the validity and clinical utility of the ZLDSI for depression screening in a school-based population in central Haiti. Methods We assessed depressive symptoms in a school-based sample of transitional age youth (18–22 years; n = 120) with the ZLDSI. Other mental health-related assessments included a modified Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID) for current Major Depressive Episode, the Center for Epidemiologic Studies Depression Scale, and selected items adapted from the Global School-Based Health Survey mental health module. Diagnostic assignments of major depressive episode (MDE) were based on modified SCID interviews. Results The ZLDSI demonstrated good overall accuracy in identifying current MDE (Area under the Curve = .92, 95% CI = .86, .98, p < .001). We ascertained ≥12 as the optimal cut-off point to screen for depression with a sensitivity of 100% and a specificity of 73.9%. In addition, the ZLDSI was associated with other measures of depressive symptoms, suggesting that it demonstrates construct validity. Conclusions Study findings support that the ZLDSI has clinical utility for screening for depression among school-going transitional age youth.http://link.springer.com/article/10.1186/s13031-020-0250-9Depression screening toolValidationSchool-based assessmentGlobal mental healthHaiti |
| spellingShingle | Rupinder K. Legha Margaret E. Gerbasi Mary C. Smith Fawzi Eddy Eustache Tatiana Therosme J. Reginald Fils-Aime Giuseppe J. Raviola Emmeline Affricot Ermaze Louis Pierre Yoldie Alcindor Jennifer Severe Katherine A. Boyd David J. Grelotti Sarah Darghouth Andrew Rasmussen Anne E. Becker A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti Conflict and Health Depression screening tool Validation School-based assessment Global mental health Haiti |
| title | A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti |
| title_full | A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti |
| title_fullStr | A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti |
| title_full_unstemmed | A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti |
| title_short | A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti |
| title_sort | validation study of the zanmi lasante depression symptom inventory zldsi in a school based study population of transitional age youth in haiti |
| topic | Depression screening tool Validation School-based assessment Global mental health Haiti |
| url | http://link.springer.com/article/10.1186/s13031-020-0250-9 |
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