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...
Main Authors: | , , , , , , , |
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Format: | Journal article |
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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. |
first_indexed | 2024-03-06T19:30:43Z |
format | Journal article |
id | oxford-uuid:1d5e952c-5eb4-44e1-b0eb-483c3290331e |
institution | University of Oxford |
last_indexed | 2024-03-06T19:30:43Z |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | dspace |
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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