Psychometric properties of the Ndetei-Othieno-Kathuku (NOK) Scale: A mental health assessment tool for an African setting.

IF 0.3 Q4 PSYCHOLOGY, CLINICAL Journal of Child and Adolescent Mental Health Pub Date : 2017-05-01 Epub Date: 2017-04-12 DOI:10.2989/17280583.2017.1310729

Christy A Denckla, David M Ndetei, Victoria N Mutiso, Christine W Musyimi, Abednego M Musau, Eric S Nandoya, Kelly K Anderson, Snezana Milanovic, David Henderson, Kwame McKenzie

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引用次数: 5

Abstract

Background: Research suggests that psychiatric conditions in children and adolescents are highly debilitating, with sparse resources for assessment and treatment in low- and middle-income countries (LMICs).

Objectives: The primary aim of this study was to evaluate the reliability, validity, and latent factor structure of an ethnographically-grounded assessment instrument for detecting common mental health complaints among rural Kenyan children and adolescents.

Methods: The Ndetei-Othieno-Kathuku Scale (NOK) was delivered to 2 282 children aged 10 to 18 years old. Exploratory factor analysis identified four latent factors. This structure was confirmed in subsequent confirmatory factor analyses. External validity was explored by investigating associations among NOK factors and Youth Self-Report DSM-oriented scales.

Results: Findings suggest the NOK possesses good internal reliability and a four-factor latent structure corresponding to depression, anxiety, somatic complaints, and a mixed factor. Significant associations ranging from small to medium effect sizes were noted between NOK factors and YSR DSM-oriented scales.

Conclusions: Exploratory findings suggest that the NOK possesses adequate psychometric properties among this population. This ethnographically-grounded instrument may be uniquely suited to screening for mental health complaints among Kenyan children and adolescents.

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Ndetei-Othieno-Kathuku (NOK)量表的心理测量特性:非洲环境下的心理健康评估工具。

背景:研究表明，在低收入和中等收入国家(LMICs)，儿童和青少年的精神状况非常衰弱，用于评估和治疗的资源很少。目的:本研究的主要目的是评估一种基于民族志的评估工具的信度、效度和潜在因素结构，该工具用于检测肯尼亚农村儿童和青少年中常见的心理健康投诉。方法:采用Ndetei-Othieno-Kathuku量表(NOK)对2 282例10 ~ 18岁儿童进行分娩。探索性因素分析确定了四个潜在因素。该结构在随后的验证性因子分析中得到证实。通过调查NOK因素与青年自我报告dsm导向量表之间的关联来探讨外部效度。结果:NOK具有良好的内部信度，具有抑郁、焦虑、躯体主诉和混合因子的四因子潜伏结构。NOK因子与YSR dsm导向量表之间存在小到中等效应量的显著关联。结论:探索性发现表明，NOK在这一人群中具有足够的心理测量特性。这种以人种学为基础的工具可能特别适合于筛查肯尼亚儿童和青少年的心理健康投诉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Child and Adolescent Mental Health PSYCHOLOGY, CLINICAL-

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).