IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v54y2008i1p21-33.html
   My bibliography  Save this article

Detecting Depressive Disorder With a 19-Item Local Instrument in Tanzania

Author

Listed:
  • Sylvia F. Kaaya

    (Muhimbili University College of Health Sciences)

  • Bandy Lee

    (Yale University School of Medicine, blee@aya.yale.edu)

  • Jessie K. Mbwambo

    (Muhimbili University College of Health Sciences)

  • Mary C. Smith-Fawzi

    (Harvard University Medical School)

  • Melkizedek T. Leshabari

    (Muhimbili University Institute of Public Health)

Abstract

Background: Based on experience with the Hopkins Symptom Checklist-25 (HSCL-25) in a Tanzanian population, this study attempted to develop a locally specific screen that employs indigenous expressions. Aim and method: Thirty ethnographically derived local idioms were added and the final 47-item questionnaire administered to 787 randomly selected antenatal clinic attendees. Results: Logistic regression identified 19 items for the Dar-es-Salaam Symptom Questionnaire (DSQ), which demonstrated good internal consistency (Cronbach's α = 0.84), interrater reliability (intraclass r = 0.89), and test-retest reliability (intraclass r = 0.82). Positive endorsement overall increased only slightly, but the report of mild symptoms was more frequent with the DSQ (15.0%) than the HSCL-25 (10.8%). Content and discriminant validation of the local scale conformed to expectation, but depressed affect failed to emerge as an important feature. Conclusion: Locally derived expressions may aid in the reporting of illness and illness severity. Further studies are recommended to uncover universal aspects and culturally specific manifestations of illness expression. Declaration of interest: None to report.

Suggested Citation

  • Sylvia F. Kaaya & Bandy Lee & Jessie K. Mbwambo & Mary C. Smith-Fawzi & Melkizedek T. Leshabari, 2008. "Detecting Depressive Disorder With a 19-Item Local Instrument in Tanzania," International Journal of Social Psychiatry, , vol. 54(1), pages 21-33, January.
    • Handle: RePEc:sae:socpsy:v:54:y:2008:i:1:p:21-33
    DOI: 10.1177/0020764006075024
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764006075024
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764006075024?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Patel, Vikram & Araya, Ricardo & de Lima, Mauricio & Ludermir, Ana & Todd, Charles, 1999. "Women, poverty and common mental disorders in four restructuring societies," Social Science & Medicine, Elsevier, vol. 49(11), pages 1461-1471, December.
    2. Harpham, Trudy, 1994. "Urbanization and mental health in developing countries: A research role for social scientists, public health professionals and social psychiatrists," Social Science & Medicine, Elsevier, vol. 39(2), pages 233-245, July.
    3. Schwartz, Sharon, 1991. "Women and depression: A Durkheimian perspective," Social Science & Medicine, Elsevier, vol. 32(2), pages 127-140, January.
    4. Kirmayer, Laurence J., 1989. "Cultural variations in the response to psychiatric disorders and emotional distress," Social Science & Medicine, Elsevier, vol. 29(3), pages 327-339, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lund, Crick & Breen, Alison & Flisher, Alan J. & Kakuma, Ritsuko & Corrigall, Joanne & Joska, John A. & Swartz, Leslie & Patel, Vikram, 2010. "Poverty and common mental disorders in low and middle income countries: A systematic review," Social Science & Medicine, Elsevier, vol. 71(3), pages 517-528, August.
    2. Morasae, Esmaeil Khedmati & Forouzan, Ameneh Setareh & Asadi-Lari, Mohsen & Majdzadeh, Reza, 2012. "Revealing mental health status in Iran's capital: Putting equity and efficiency together," Social Science & Medicine, Elsevier, vol. 75(3), pages 531-537.
    3. Schatz, Enid & Gómez-Olivé, Xavier & Ralston, Margaret & Menken, Jane & Tollman, Stephen, 2012. "The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?," Social Science & Medicine, Elsevier, vol. 75(10), pages 1864-1873.
    4. Ludermir, Ana Bernarda & Schraiber, Lilia B. & D'Oliveira, Ana F.P.L. & França-Junior, Ivan & Jansen, Henrica A., 2008. "Violence against women by their intimate partner and common mental disorders," Social Science & Medicine, Elsevier, vol. 66(4), pages 1008-1018, February.
    5. Izutsu, Takashi & Tsutsumi, Atsuro & Islam, Akramul Md. & Kato, Seika & Wakai, Susumu & Kurita, Hiroshi, 2006. "Mental health, quality of life, and nutritional status of adolescents in Dhaka, Bangladesh: Comparison between an urban slum and a non-slum area," Social Science & Medicine, Elsevier, vol. 63(6), pages 1477-1488, September.
    6. Jay P. Graham & Verónica Corella-Barud & Raquel Avitia-Diaz & Patrick Gurian, 2005. "The In-Home Environment and Household Health: A Cross-Sectional Study of Informal Urban Settlements in Northern México," IJERPH, MDPI, vol. 2(3), pages 1-9, December.
    7. Tol, Wietse A. & Kohrt, Brandon A. & Jordans, Mark J.D. & Thapa, Suraj B. & Pettigrew, Judith & Upadhaya, Nawaraj & de Jong, Joop T.V.M., 2010. "Political violence and mental health: A multi-disciplinary review of the literature on Nepal," Social Science & Medicine, Elsevier, vol. 70(1), pages 35-44, January.
    8. Masud Ahmed, Syed & Chowdhury, Mushtaque & Bhuiya, Abbas, 2001. "Micro-Credit and Emotional Well-Being: Experience of Poor Rural Women from Matlab, Bangladesh," World Development, Elsevier, vol. 29(11), pages 1957-1966, November.
    9. Schwartz, Sharon & Meyer, Ilan H., 2010. "Mental health disparities research: The impact of within and between group analyses on tests of social stress hypotheses," Social Science & Medicine, Elsevier, vol. 70(8), pages 1111-1118, April.
    10. Cole, Steven M. & Tembo, Gelson, 2011. "The effect of food insecurity on mental health: Panel evidence from rural Zambia," Social Science & Medicine, Elsevier, vol. 73(7), pages 1071-1079.
    11. Ice, Gillian H. & Sadruddin, Aalyia F.A. & Vagedes, Amy & Yogo, Jaja & Juma, Elizabeth, 2012. "Stress associated with caregiving: An examination of the stress process model among Kenyan Luo elders," Social Science & Medicine, Elsevier, vol. 74(12), pages 2020-2027.
    12. Amna Rehana Siddiqui & Sarah Mahasin & Roa Alsajjan & Marwah Hassounah & Zeinah Alhalees & Norah AlSaif & Fahad D. Alosaimi & AlJohara AlQuaiz, 2017. "Depression literacy in women attending university hospital clinics in Riyadh Saudi Arabia," International Journal of Social Psychiatry, , vol. 63(2), pages 99-108, March.
    13. Jin, Yinzi & Zhu, Dawei & He, Ping, 2020. "Social causation or social selection? The longitudinal interrelationship between poverty and depressive symptoms in China," Social Science & Medicine, Elsevier, vol. 249(C).
    14. Antonia Lopez Villavicencio & Maria Cervini, 2019. "The mental health consequences of globalisation," Working Papers hal-04141856, HAL.
    15. Tampubolon, Gindo & Hanandita, Wulung, 2014. "Poverty and mental health in Indonesia," Social Science & Medicine, Elsevier, vol. 106(C), pages 20-27.
    16. Srinivas Goli & Riddhi Doshi & Arokiasamy Perianayagam, 2013. "Pathways of Economic Inequalities in Maternal and Child Health in Urban India: A Decomposition Analysis," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-8, March.
    17. Rojas, Graciela & Araya, Ricardo & Lewis, Glyn, 2005. "Comparing sex inequalities in common affective disorders across countries: Great Britain and Chile," Social Science & Medicine, Elsevier, vol. 60(8), pages 1693-1703, April.
    18. Emmanouil Mentzakis & Bayard Roberts & Marc Suhrcke & Martin McKee, 2016. "Psychological Distress and Problem Drinking," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 337-356, March.
    19. Ferrazzi, Priscilla & Krupa, Terry, 2016. "“Symptoms of something all around us”: Mental health, Inuit culture, and criminal justice in Arctic communities in Nunavut, Canada," Social Science & Medicine, Elsevier, vol. 165(C), pages 159-167.
    20. Keys, Hunter M. & Kaiser, Bonnie N. & Kohrt, Brandon A. & Khoury, Nayla M. & Brewster, Aimée-Rika T., 2012. "Idioms of distress, ethnopsychology, and the clinical encounter in Haiti's Central Plateau," Social Science & Medicine, Elsevier, vol. 75(3), pages 555-564.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:54:y:2008:i:1:p:21-33. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.