Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.

Perinatal depression is common, and left untreated can have significant and long-lasting consequences for women, their children and their families. Migrant women are at particular risk of perinatal depression as a result of a multitude of stressors experienced before, during and after migration. Ide...

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Main Authors: Gracia Fellmeth, Emma Plugge, Mina Fazel, Prakaykaew Charunwattana, François Nosten, Raymond Fitzpatrick, Julie A Simpson, Rose McGready
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5962314?pdf=render
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author Gracia Fellmeth
Emma Plugge
Mina Fazel
Prakaykaew Charunwattana
François Nosten
Raymond Fitzpatrick
Julie A Simpson
Rose McGready
author_facet Gracia Fellmeth
Emma Plugge
Mina Fazel
Prakaykaew Charunwattana
François Nosten
Raymond Fitzpatrick
Julie A Simpson
Rose McGready
author_sort Gracia Fellmeth
collection DOAJ
description Perinatal depression is common, and left untreated can have significant and long-lasting consequences for women, their children and their families. Migrant women are at particular risk of perinatal depression as a result of a multitude of stressors experienced before, during and after migration. Identification of perinatal depression among migrant women-particularly those living in low- and middle-income regions-remains challenging, partly due to the lack of locally-validated and culturally appropriate screens tools. This study formally validates Burmese and Sgaw Karen versions of the Refugee Health Screener-15 (RHS-15) as a screening tool for perinatal depression among migrant women living on the Thai-Myanmar border. The Structured Clinical Interview for the Diagnosis of DSM-IV Disorders (SCID) was used as the gold-standard comparator. Complete results were obtained for 235 Burmese-speaking and 275 Sgaw Karen-speaking women. Despite displaying reasonable psychometric properties, a number of shortcomings associated with the RHS-15 limited its utility in this setting. The Likert-type response categories of the RHS-15 proved problematic in this low-literacy population. Combined with the relative superiority and greater ease of administration of the SCID, the RHS-15 is not recommended as the tool of choice for detecting perinatal depression in this setting.
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spelling doaj.art-cd7d056dbdb6422e88e85ff1035e52642022-12-22T01:55:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01135e019740310.1371/journal.pone.0197403Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.Gracia FellmethEmma PluggeMina FazelPrakaykaew CharunwattanaFrançois NostenRaymond FitzpatrickJulie A SimpsonRose McGreadyPerinatal depression is common, and left untreated can have significant and long-lasting consequences for women, their children and their families. Migrant women are at particular risk of perinatal depression as a result of a multitude of stressors experienced before, during and after migration. Identification of perinatal depression among migrant women-particularly those living in low- and middle-income regions-remains challenging, partly due to the lack of locally-validated and culturally appropriate screens tools. This study formally validates Burmese and Sgaw Karen versions of the Refugee Health Screener-15 (RHS-15) as a screening tool for perinatal depression among migrant women living on the Thai-Myanmar border. The Structured Clinical Interview for the Diagnosis of DSM-IV Disorders (SCID) was used as the gold-standard comparator. Complete results were obtained for 235 Burmese-speaking and 275 Sgaw Karen-speaking women. Despite displaying reasonable psychometric properties, a number of shortcomings associated with the RHS-15 limited its utility in this setting. The Likert-type response categories of the RHS-15 proved problematic in this low-literacy population. Combined with the relative superiority and greater ease of administration of the SCID, the RHS-15 is not recommended as the tool of choice for detecting perinatal depression in this setting.http://europepmc.org/articles/PMC5962314?pdf=render
spellingShingle Gracia Fellmeth
Emma Plugge
Mina Fazel
Prakaykaew Charunwattana
François Nosten
Raymond Fitzpatrick
Julie A Simpson
Rose McGready
Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.
PLoS ONE
title Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.
title_full Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.
title_fullStr Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.
title_full_unstemmed Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.
title_short Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border.
title_sort validation of the refugee health screener 15 for the assessment of perinatal depression among karen and burmese women on the thai myanmar border
url http://europepmc.org/articles/PMC5962314?pdf=render
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