Culturally sensitive assessment of anxious-depressive distress in the Cambodian population: Avoiding category truncation.
| Autor: | Seponski, Desiree M., Khann, Sareth, Armes, Stephanie E., Lahar, Cindy J., Kao, Sovandara, Schunert, Tanja, Hinton, Devon E. |
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| Předmět: |
DIAGNOSIS of mental depression
SLEEP disorder diagnosis CAMBODIANS CRITICAL thinking MENTAL depression DIZZINESS HEART PATHOLOGICAL psychology QUESTIONNAIRES STOMACH PSYCHOLOGICAL stress SURVEYS VISION disorders LOGISTIC regression analysis CULTURAL awareness PSYCHOSOCIAL factors ANXIETY disorders SEVERITY of illness index RECEIVER operating characteristic curves |
| Zdroj: | Transcultural Psychiatry; Aug2019, Vol. 56 Issue 4, p643-666, 24p |
| Abstrakt: | In a large national survey in Cambodia (N = 2689), the present study investigated the prominence of certain culturally salient symptoms and syndromes in the general population and among those with anxious-depressive distress (as determined by the Hopkins Symptom Checklist-25, or HSCL). Using an abbreviated Cambodian Symptom and Syndrome Addendum (CSSA), we found that the CSSA complaints were particularly elevated among those with anxious-depressive distress. Those with anxious-depressive distress had statistically greater mean scores on all the CSSA items as well as severity of endorsement analyzed by percentage: among those with HSCL caseness, 75.3% were bothered "quite a bit" or "extremely" by "thinking a lot" (vs. 27.5% without caseness); 53.8% were bothered by "standing up and feeling dizzy" (vs. 13.8%); and 45.6% by blurry vision (vs. 16.8%). In a logistic regression analysis to predict anxious-depressive distress, 51% of the variance was accounted for by five predictors: "weak heart," "thinking a lot," dizziness, " khyâl hitting up from the stomach," and sleep paralysis. Using ROC analysis, a cut-off score of 1.81 on the CSSA was optimal as a screener to indicate anxious-depressive distress, giving a sensitivity of 0.86. The study results suggest that to avoid category truncation (i.e., the omission of key complaints that are part of an assessed distress domain) when profiling anxious-depressive distress among Cambodia population that items other than those in standard psychopathology measures should be assessed such as "thinking a lot," "weak heart," "blurry vision," and "dizziness upon standing up." [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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