Scale properties of the Kreyòl Distress Idioms (KDI) screener

Association of an ethnographically-developed instrument with depression, anxiety, and sociocultural risk factors in rural Haiti

Datos Bibliográficos

ID12921461
AutoresBonnie N Kaiser (0000-0003-0742-1302, Emory University, autor de correspondencia), B A Kohrt (0000-0002-3829-4820, Duke Institute for Health Innovation), Bradley H Wagenaar (0000-0002-3351-7175, Seattle University), Michael R Kramer (0000-0002-6372-6170, Emory University), Kristen E Mclean (0000-0002-3733-6953, Yale University), A K Hagaman (0000-0002-8016-1036, Arizona State University), Nayla M Khoury (Cambridge Health Alliance), Hunter Keys (0000-0002-2906-4804)
Año2015
Volumen8
Número4
Páginas341-358
Fecha de publicación2015-09-11
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaInternational Journal of Culture and Mental Health (JOURNAL)
Identificadores de la revistaISSN: 1754-2863 • E-ISSN: 1754-2871
EditorialRoutledge (PUBLISHER • GB)
DOI10.1080/17542863.2015.1015580
OpenAlexW1914378882
IdiomaEN
Citas recibidas7
Referencias citadas70

Psychiatric instruments have limitations cross-culturally due to variations in conceptualizations and communication of mental distress. We evaluated a locally-developed screening tool for measuring mental distress in rural Haiti. We employed mixed methods to develop the Kreyòl Distress Idioms (KDI) screening tool. We piloted the KDI in an epidemiologic survey (n = 408) and assessed it using principal component analysis and comparison with the Beck Depression Inventory and Beck Anxiety Inventory (BDI, BAI). Linear regression was used to identify risk factors. Principal component analysis extracted four components: (1) lack of control over thoughts and behaviors, (2) worry and rumination, (3) somatic indicators of anxiety, and (4) fatigue and foreshortened future. The KDI correlated with the BAI (r = 0.67) and BDI (r = 0.52). Factors associated with KDI score included female gender, older age, alcohol consumption, traumatic exposures, and having a household member with mental distress. Belief that disasters cause distress was associated with higher KDI scores, whereas belief that interpersonal relationships cause distress was associated with lower scores. Associations with BDI and BAI scores and established predictors of mental distress support convergent and external validity of the KDI. The KDI provides a more ethnographically-valid measure for mental distress in Haiti than culturally-adapted psychiatric instruments

Anxiety · Beck Anxiety Inventory · Beck Depression Inventory · Cognition · Distress · Mental health · Psychiatry · Rumination · Clinical Psychology · Emergency and Acute Care Studies · Mental Health Treatment and Access · Migration, Health and Trauma · Psychology