Detecting Depressive Disorder With the Hopkins Symptom Checklist-25 in Tanzania

Bandy Lee, Sylvia F. Kaaya, Jessie K. Mbwambo, Mary C. Smith-Fawzi and Melkizedek T. Leshabari
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Bandy Lee: Yale University School of Medicine, New Haven, CT, USA, blee@aya.yale.edu
Sylvia F. Kaaya: Muhimbili University College of Health Sciences, Tanzania
Jessie K. Mbwambo: Muhimbili University College of Health Sciences, Tanzania
Mary C. Smith-Fawzi: Harvard University Medical School, USA
Melkizedek T. Leshabari: Muhimbili University Institute of Public Health, Tanzania

International Journal of Social Psychiatry, 2008, vol. 54, issue 1, 7-20

Abstract: Background: Assessment of the growing prevalence of depression in developing countries is hampered by a lack of valid diagnostic instruments for the local settings. Aim and method: This study attempted to examine the validity of the 25-item Hopkins Symptom Checklist (HSCL-25) in a special primary care population in Dar es Salaam, Tanzania. Results: 787 antenatal participants were recruited, and their responses revealed good internal consistency, interrater reliability, and test-retest reliability, and the scale was validated using content, construct, and discriminant validation methods. Factor analysis of the depression subscale, however, confirmed the need for a locally developed scale. Conclusions: Integrating universalist and relativist approaches, through the validation and modification of scales, may help in the detection of depression in cross-cultural settings.

Date: 2008
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:54:y:2008:i:1:p:7-20

DOI: 10.1177/0020764006074995

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