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: Fellmeth, G, Plugge, E, Fazel, M, Carunwattana, P, Nosten, F, Fitzpatrick, R, Simpson, J, McGready, R
Format: Journal article
Published: Public Library of Science 2018
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author Fellmeth, G
Plugge, E
Fazel, M
Carunwattana, P
Nosten, F
Fitzpatrick, R
Simpson, J
McGready, R
author_facet Fellmeth, G
Plugge, E
Fazel, M
Carunwattana, P
Nosten, F
Fitzpatrick, R
Simpson, J
McGready, R
author_sort Fellmeth, G
collection OXFORD
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 oxford-uuid:1d5e952c-5eb4-44e1-b0eb-483c3290331e2022-03-26T11:10:24ZValidation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar borderJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1d5e952c-5eb4-44e1-b0eb-483c3290331eSymplectic Elements at OxfordPublic Library of Science2018Fellmeth, GPlugge, EFazel, MCarunwattana, PNosten, FFitzpatrick, RSimpson, JMcGready, RPerinatal 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.
spellingShingle Fellmeth, G
Plugge, E
Fazel, M
Carunwattana, P
Nosten, F
Fitzpatrick, R
Simpson, J
McGready, R
Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border
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
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