Epicentre, Paris, France.
Médecins Sans Frontières, Barcelona, Spain.
Int J Methods Psychiatr Res. 2021 Mar;30(1):e1850. doi: 10.1002/mpr.1850. Epub 2020 Sep 18.
We present the results of a cross-cultural validation of the Mental Health Global State (MHGS) scale for adults and adolescents (<14 years old).
We performed two independent studies using mixed methods among 103 patients in Hebron, Occupied Palestinian Territories and 106 in Cauca, Colombia. The MHGS was analyzed psychometrically, sensitivity and specificity, ability to detect clinically meaningful change, compared to the Clinical Global Impression-Severity scale (CGI-S). Principal component analysis was used to reduce the number of questions after data collection.
The scale demonstrated good internal consistency, with a Cronbach alpha score of 0.80 in both settings. Test retest reliability was high, ICC 0.70 (95% CI [0.41-0.85]) in Hebron and 0.87 (95% CI [0.76-0.93]) in Cauca; inter-rater reliability was 0.70 (95% CI [0.42-0.85]) in Hebron and 0.76 (95% CI [0.57-0.88]) in Cauca. Psychometric properties were also good, and the tool demonstrated a sensitivity of 85% in Hebron and 100% in Cauca, with corresponding specificity of 80% and 79%, when compared to CGI-S.
The MHGS showed promising results to assess global mental health thereby providing an additional easy to use tool in humanitarian interventions. Additional work should focus on validation in at least one more context, to adhere to best practices in transcultural validation.
我们呈现了心理健康全球状态（MHGS）量表在成人和青少年（<14 岁）中的跨文化验证结果。
我们在巴勒斯坦被占领土的希伯伦和哥伦比亚考卡进行了两项独立的混合方法研究，共有 103 名患者和 106 名患者参与。对 MHGS 进行了心理计量学分析、敏感性和特异性、与临床总体印象严重程度量表（CGI-S）相比检测临床有意义变化的能力。在数据收集后，使用主成分分析来减少问题的数量。
该量表在两个环境中均表现出良好的内部一致性，克朗巴赫 α 得分为 0.80。测试重测信度较高，在希伯伦的 ICC 为 0.70（95%CI [0.41-0.85]），在考卡的 ICC 为 0.87（95%CI [0.76-0.93]）；组内信度在希伯伦为 0.70（95%CI [0.42-0.85]），在考卡为 0.76（95%CI [0.57-0.88]）。心理计量学特性也较好，与 CGI-S 相比，该工具在希伯伦的敏感性为 85%，在考卡的敏感性为 100%，相应的特异性分别为 80%和 79%。
MHGS 显示出评估全球心理健康的有前途的结果，从而为人道主义干预提供了另一种易于使用的工具。进一步的工作应集中在至少另一个环境中的验证上，以遵循跨文化验证的最佳实践。
