Are visual measures of mood superior to questionnaire measures in non-Western settings?


Puertas, G; Patel, V; Marshall, T; (2004) Are visual measures of mood superior to questionnaire measures in non-Western settings? Social psychiatry and psychiatric epidemiology, 39 (8). p. 662. ISSN 0933-7954 DOI: https://doi.org/10.1007/s00127-004-0800-2

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Abstract

Objective. We hypothesised that, in a non-Western setting where literacy was not universal, a visual measure (the FACES test) would be more valid than a traditional psychiatric questionnaire [the General Health Questionnaire (GHQ)] as a screening test for mood disorders. Methods. The study was nested within a randomised controlled trial of 450 patients with a common mental disorder (CMD). Subjects were evaluated at 2, 6 and 12 months after enrolment with the Clinical Interview Standardised-Revised (CISR) (the gold standard), the GHQ5 (the shortened version of the GHQ-12) and the FACES test. Results. Correlation coefficients and Receiver Operating Characteristic (ROC) curves show superiority of the GHQ5 in the detection of CMD based on the CISR, compared with the visual FACES test. Lesseducated subjects had particular difficulty completing the FACES. The kappa coefficient of agreement between the two instruments, using the cut-off point for the GHQ5 estimated by the ROC curves, was between 0.70 and 0.75. Conclusions. Contrary to our hypothesis, the questionnaire-based measure was significantly superior to a visual measure of mood, especially for less-educated subjects. A short five-item version of the GHQ has a good discriminatory ability for CMD and may be used as a brief alternative to standardised interviews in clinical and survey settings.

Item Type: Article
Keywords: screening, developing countries, common mental disorders, questionnaire, Facial expressions, disorders, faces, india, care
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 15300377
Web of Science ID: 223125600010
URI: http://researchonline.lshtm.ac.uk/id/eprint/14437

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