Denckla Christy A, Ndetei David M, Mutiso Victoria N, Musyimi Christine W, Musau Abednego M, Nandoya Eric S, Anderson Kelly K, Milanovic Snezana, Henderson David, McKenzie Kwame
a Harvard TC Chan School of Public Health , Cambridge , MA , USA.
b Africa Mental Health Foundation , Nairobi , Kenya.
J Child Adolesc Ment Health. 2017 May;29(1):39-49. doi: 10.2989/17280583.2017.1310729. Epub 2017 Apr 12.
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).
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.
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.
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.
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.
研究表明，儿童和青少年的精神疾病极具致残性，而低收入和中等收入国家（LMICs）用于评估和治疗的资源匮乏。
本研究的主要目的是评估一种基于人种志的评估工具在检测肯尼亚农村儿童和青少年常见心理健康问题方面的信度、效度和潜在因素结构。
将恩代泰-奥西耶诺-卡图库量表（NOK）施用于2282名10至18岁的儿童。探索性因素分析确定了四个潜在因素。这一结构在随后的验证性因素分析中得到了证实。通过调查NOK因素与青少年自我报告DSM导向量表之间的关联来探索外部效度。
研究结果表明，NOK具有良好的内部信度和一个与抑郁、焦虑、躯体不适以及一个混合因素相对应的四因素潜在结构。在NOK因素与YSR DSM导向量表之间发现了效应大小从小到中等的显著关联。
探索性研究结果表明，NOK在该人群中具有足够的心理测量学特性。这种基于人种志的工具可能特别适合筛查肯尼亚儿童和青少年的心理健康问题。
