Validation of the Arabic version of the refugee health screener-13 among postpartum Syrian refugees in Lebanon

IF 0.7 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
N. Alnaji, L. Struwe, D. Bagenda
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Abstract

Purpose Refugee mothers are at a significantly increased risk of suffering from postpartum depression. However, available tools to screen for it often use a Western paradigm of mental health, which may not be culturally appropriate, and may not account for the background stress experienced by refugees. The purpose of this study is to test and validate refugee health screener-13 (RHS-13), which was developed by consultation with refugees from different backgrounds among a group of Syrian refugee mothers living in Beqaa’s valley in Lebanon. Design/methodology/approach The tool was tested on a sample of 103 women. Internal consistency of the items for each subscale was assessed using Cronbach’s alpha. An interitem correlation was performed to examine the most correlated items on the scale. Pearson correlation coefficient was calculated between each subscale and its diagnostic proxy. To find the best fit cutoff point between sensitivity and 1-specificity, ROC curves were used. Findings RHS-13 is a reliable and valid tool to detect depression and anxiety among postpartum Syrian mothers (internal consistency 0.803, correlation with patient health questionnaire: 0.63 and correlation with generalized anxiety disorder-7: 0.73). The best fit cutoff points were 12, 15 and 25, indicating the severity of symptoms from mild to severe, respectively. Originality/value RHS-13 is a valid tool among postpartum refugees in Lebanon and can be used by primary care physicians, mental health providers and social workers working with refugees from the Middle East to screen mothers for depression and anxiety.
阿拉伯版难民健康筛查-13在黎巴嫩产后叙利亚难民中的验证
目的难民母亲患产后抑郁症的风险显著增加。然而,现有的筛查工具通常使用西方的心理健康模式,这可能在文化上不合适,也可能无法解释难民所经历的背景压力。本研究的目的是测试和验证难民健康筛查-13(RHS-13),该筛查是通过与居住在黎巴嫩贝卡谷地的一群叙利亚难民母亲中来自不同背景的难民协商而开发的。设计/方法/方法该工具在103名妇女的样本上进行了测试。每个分量表项目的内部一致性使用Cronbachα进行评估。进行项目间相关性检查量表上最相关的项目。计算每个分量表与其诊断指标之间的Pearson相关系数。为了找到灵敏度和1-特异性之间的最佳拟合截止点,使用ROC曲线。FindingsRHS-13是检测叙利亚产后母亲抑郁和焦虑的可靠有效工具(内部一致性0.803,与患者健康问卷的相关性0.63,与广泛性焦虑障碍的相关性7:0.73)。最佳拟合截止点分别为12、15和25,表明症状的严重程度从轻度到重度。独创性/价值RHS-13是黎巴嫩产后难民的有效工具,初级保健医生、心理健康提供者和与中东难民合作的社会工作者可以使用它来筛查母亲的抑郁和焦虑。
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来源期刊
International Journal of Migration Health and Social Care
International Journal of Migration Health and Social Care PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.30
自引率
0.00%
发文量
21
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