Cross-cultural use of the predetermined scale cutoff points in refugee mental health research

Social Psychiatry and Psychiatric Epidemiology
Masao IchikawaSusumu Wakai

Abstract

Cross-cultural use of the cutoff points determined in Indo-Chinese refugees of the Hopkins Symptom Checklist-25 (HSCL-25) and the Harvard Trauma Questionnaire (HTQ) is common in refugee mental health research but it might have caused misclassifications. We assessed the validity of the predetermined cutoff points in identifying depression and post-traumatic stress disorder (PTSD) cases among Afghan refugees, with the algorithm method as a gold standard. We estimated the prevalence of depression and PTSD, using the HSCL-25 and the HTQ with the cutoff points and the algorithm method, and calculated sensitivity, specificity, positive and negative predictive values of the cutoff points. Nine in ten PTSD cases/non-cases were correctly identified as cases/non-cases, and nine in ten respondents classified as PTSD cases/non-cases were actually cases/non-cases. In contrast, only one in three non-depression cases was correctly identified as a non-case, and three in five respondents who were classified as depression cases was actually a case. The prevalence of depression was estimated to be 86% with the cutoff points and 53% with the algorithm method, and that of PTSD 46% and 44%, respectively. The cutoff point approach might have low spec...Continue Reading

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Citations

Apr 1, 2010·Social Psychiatry and Psychiatric Epidemiology·Jerome KrollKoji Fujiwara
Nov 29, 2013·The Journal of Nervous and Mental Disease·Jasim AnwarKaye E Brock
Dec 6, 2008·Health and Quality of Life Outcomes·Bayard RobertsEgbert Sondorp
Apr 10, 2014·BMC Psychiatry·Angela NickersonRichard A Bryant
Oct 3, 2014·Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater·Maximus BergerMartin Aigner
Aug 21, 2013·Journal of Immigrant and Minority Health·Eboni M TaylorHeather Burke
Jun 21, 2013·Journal of Immigrant and Minority Health·Qais AlemiMichael Racadio
Oct 12, 2013·Bulletin of the World Health Organization·Bouavanh SouthivongChanhpheng Southivong
Jan 27, 2011·Journal of Traumatic Stress·Angela NickersonJack Chen
Sep 19, 2014·Journal of Affective Disorders·Taiwo Lateef SheikhOluwatosin Adekeye
Apr 1, 2018·Journal of Traumatic Stress·Niveen Rizkalla, Steven P Segal
Feb 24, 2011·The International Journal of Social Psychiatry·Kenneth CarswellChris Barker
Aug 24, 2017·Infant Mental Health Journal·Sanna IsosäviRaija-Leena Punamäki

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