Validation of cross-cultural child mental health and psychosocial research instruments: adapting the Depression Self-Rating Scale and Child PTSD Symptom Scale in Nepal
2011

Validating Mental Health Tools for Children in Nepal

Sample size: 162 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kohrt Brandon A, Jordans Mark JD, Tol Wietse A, Luitel Nagendra P, Maharjan Sujen M, Upadhaya Nawaraj

Primary Institution: Transcultural Psychosocial Organization (TPO) Nepal

Hypothesis

Can culturally adapted mental health instruments effectively assess child mental health in Nepal?

Conclusion

The study successfully adapted and validated mental health instruments for children in Nepal, demonstrating their effectiveness in low-resource settings.

Supporting Evidence

  • The instruments showed moderate to good psychometric properties.
  • Transcultural translation was conducted with local mental health professionals.
  • Focus groups with children helped adapt the instruments to local contexts.
  • The study highlights the importance of culturally relevant mental health assessments.
  • Task-shifting to trained paraprofessionals was effective in low-resource settings.

Takeaway

This study shows that we can create and use mental health questionnaires for kids in Nepal that really work, even if there aren't many doctors around.

Methodology

The study involved focus groups with children and mental health professionals to adapt the Depression Self-Rating Scale and Child PTSD Symptom Scale, followed by validation with structured interviews.

Potential Biases

Potential bias from using a single psychosocial counselor for assessments.

Limitations

The study's findings may not be generalizable to all low-resource settings due to cultural differences.

Participant Demographics

Children aged 11-14 years, with a mix of genders and ethnic backgrounds.

Statistical Information

P-Value

<. 001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-244X-11-127

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