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Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border

Author

Listed:
  • Gracia Fellmeth
  • Emma Plugge
  • Mina Fazel
  • Prakaykaew Charunwattana
  • François Nosten
  • Raymond Fitzpatrick
  • Julie A Simpson
  • Rose McGready

Abstract

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.

Suggested Citation

  • Gracia Fellmeth & Emma Plugge & Mina Fazel & Prakaykaew Charunwattana & François Nosten & Raymond Fitzpatrick & Julie A Simpson & Rose McGready, 2018. "Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-17, May.
    • Handle: RePEc:plo:pone00:0197403
    DOI: 10.1371/journal.pone.0197403
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    References listed on IDEAS

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    1. Cathy Zimmerman & Ligia Kiss & Mazeda Hossain, 2011. "Migration and Health: A Framework for 21st Century Policy-Making," PLOS Medicine, Public Library of Science, vol. 8(5), pages 1-7, May.
    2. Rachel Jenkins & Robert Kydd & Paul Mullen & Kenneth Thomson & James Sculley & Susan Kuper & Joanna Carroll & Oye Gureje & Simon Hatcher & Sharon Brownie & Christopher Carroll & Sheila Hollins & Mai L, 2010. "International Migration of Doctors, and Its Impact on Availability of Psychiatrists in Low and Middle Income Countries," PLOS ONE, Public Library of Science, vol. 5(2), pages 1-9, February.
    3. Gemma-Claire Ali & Grace Ryan & Mary J De Silva, 2016. "Validated Screening Tools for Common Mental Disorders in Low and Middle Income Countries: A Systematic Review," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-14, June.
    4. Cathy Zimmerman & Ligia Kiss & Mazeda Hossain, 2011. "Migration and Health: A Framework for 21st Century Policy-Making," Working Papers id:4174, eSocialSciences.
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    1. Amir A. Afkhami & Katy Gorentz, 2019. "Addressing the Invisible Affliction: An Assessment of Behavioral Health Services for Newly Resettled Refugees in the United States," Journal of International Migration and Integration, Springer, vol. 20(1), pages 247-259, February.

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