The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya
Background: The psychometric properties of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) are undocumented in Kenya and sub-Saharan Africa (SSA) at large. This study aimed to evaluate the psychometric properties of the Swahili version of the tool, S-PC-PTSD-5, in a community sample of adults 18...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Frontiers Media
2024
|
| _version_ | 1826314661637652480 |
|---|---|
| author | Mwangala, PN Guni, JN Mwangi, P Makandi, M Kerubo, A Odhiambo, R Abubakar, A |
| author_facet | Mwangala, PN Guni, JN Mwangi, P Makandi, M Kerubo, A Odhiambo, R Abubakar, A |
| author_sort | Mwangala, PN |
| collection | OXFORD |
| description | Background: The psychometric properties of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) are undocumented in Kenya and sub-Saharan Africa (SSA) at large. This study aimed to evaluate the psychometric properties of the Swahili version of the tool, S-PC-PTSD-5, in a community sample of adults 18 years and older drawn from Nairobi, Mombasa and Kwale counties in Kenya. Methods: Analysis of cross-sectional data from 1431 adults from the community was conducted, examining the reliability, factorial structure, measurement invariance, and convergent and divergent validity of the interviewer-administered S-PC-PTSD-5. Results: Out of 1431 adults who completed the S-PC-PTSD-5, 666 (46.5%) reported experiencing at least one traumatic event. Internal consistency of the S-PC-PTSD-5 was good overall, with alpha and omega values above 0.7. Confirmatory factor analysis (CFA) results indicated a one-factor structure of the S-PC-PTSD-5 for the overall sample. Multigroup CFA also demonstrated factorial invariance for sex for the one-factor structure of S-PC-PTSD-5. Scores for S-PC-PTSD-5 significantly correlated (positively) with those of generalized anxiety disorder (GAD7) and depressive symptoms (PHQ9), indicating convergent validity. S-PC-PTSD-5 scores also significantly correlated (negatively) with the WHO-5 wellbeing index, supporting divergent validity. Conclusions: The S-PC-PTSD-5 is a reliable and valid unidimensional measure. It appears to be a valuable screening measure for probable PTSD in both urban and rural community settings in Kenya. Nonetheless, to confidently identify those who may need treatment/additional support, further research on the reliability and validity of S-PC-PTSD-5 is required, especially its diagnostic accuracy at different cutoff scores. |
| first_indexed | 2024-09-25T04:35:54Z |
| format | Journal article |
| id | oxford-uuid:f686afd9-84e2-4bd6-ad84-331ade080f63 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-12-09T03:10:43Z |
| publishDate | 2024 |
| publisher | Frontiers Media |
| record_format | dspace |
| spelling | oxford-uuid:f686afd9-84e2-4bd6-ad84-331ade080f632024-10-01T20:03:30ZThe psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in KenyaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f686afd9-84e2-4bd6-ad84-331ade080f63EnglishJisc Publications RouterFrontiers Media2024Mwangala, PNGuni, JNMwangi, PMakandi, MKerubo, AOdhiambo, RAbubakar, ABackground: The psychometric properties of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) are undocumented in Kenya and sub-Saharan Africa (SSA) at large. This study aimed to evaluate the psychometric properties of the Swahili version of the tool, S-PC-PTSD-5, in a community sample of adults 18 years and older drawn from Nairobi, Mombasa and Kwale counties in Kenya. Methods: Analysis of cross-sectional data from 1431 adults from the community was conducted, examining the reliability, factorial structure, measurement invariance, and convergent and divergent validity of the interviewer-administered S-PC-PTSD-5. Results: Out of 1431 adults who completed the S-PC-PTSD-5, 666 (46.5%) reported experiencing at least one traumatic event. Internal consistency of the S-PC-PTSD-5 was good overall, with alpha and omega values above 0.7. Confirmatory factor analysis (CFA) results indicated a one-factor structure of the S-PC-PTSD-5 for the overall sample. Multigroup CFA also demonstrated factorial invariance for sex for the one-factor structure of S-PC-PTSD-5. Scores for S-PC-PTSD-5 significantly correlated (positively) with those of generalized anxiety disorder (GAD7) and depressive symptoms (PHQ9), indicating convergent validity. S-PC-PTSD-5 scores also significantly correlated (negatively) with the WHO-5 wellbeing index, supporting divergent validity. Conclusions: The S-PC-PTSD-5 is a reliable and valid unidimensional measure. It appears to be a valuable screening measure for probable PTSD in both urban and rural community settings in Kenya. Nonetheless, to confidently identify those who may need treatment/additional support, further research on the reliability and validity of S-PC-PTSD-5 is required, especially its diagnostic accuracy at different cutoff scores. |
| spellingShingle | Mwangala, PN Guni, JN Mwangi, P Makandi, M Kerubo, A Odhiambo, R Abubakar, A The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya |
| title | The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya |
| title_full | The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya |
| title_fullStr | The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya |
| title_full_unstemmed | The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya |
| title_short | The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya |
| title_sort | psychometric properties of the swahili version of the primary care post traumatic stress disorder screen for dsm 5 among adults in kenya |
| work_keys_str_mv | AT mwangalapn thepsychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT gunijn thepsychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT mwangip thepsychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT makandim thepsychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT keruboa thepsychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT odhiambor thepsychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT abubakara thepsychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT mwangalapn psychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT gunijn psychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT mwangip psychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT makandim psychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT keruboa psychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT odhiambor psychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya AT abubakara psychometricpropertiesoftheswahiliversionoftheprimarycareposttraumaticstressdisorderscreenfordsm5amongadultsinkenya |