Christy Sharon, Siriwardhana Chesmal, Lohmann Julia, Roberts Bayard, Smith Sarah
London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT, UK.
Institute of Global Health, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, Heidelberg 69120, Germany.
J Migr Health. 2021 Oct 8;4:100068. doi: 10.1016/j.jmh.2021.100068. eCollection 2021.
Accurate measurement of mental health disorders in conflict-affected populations is crucial for improving mental health care for these populations. Most studies to develop mental health questionnaires for conflict-affected populations are conducted in high income countries despite the vast majority of conflict-affected populations residing in Low and Middle Income Countries (LAMICs). The aim of this systematic review is to assess the quality of questionnaires for mental disorders that have been either developed or validated in conflict- affected settings in LAMICs.
A systematic review of 5 databases (CINAHL Plus, EMBASE, Global Health, MEDLINE and PsycINFO) was conducted to identify validation studies for questionnaires measuring mental health disorders in adult conflict-affected population in LAMICs. Well-established psychometric criteria evaluating reliability, validity and responsiveness of questionnaires were applied for quality appraisal.
Thirty validation studies were included in this review, which reported on data for 33 questionnaires. Twenty-four were questionnaires that had been originally developed in different settings and adapted for use with a new conflict-affected population and 9 had been newly developed for the conflict-affected population being studied. Overall, there was high variability in the quality of evidence for the questionnaires with moderate evidence for the validity and reliability of included questionnaires but no responsiveness data reported.
There has been increasing recognition of the particular importance of psychometrics in this field to facilitate the development of good quality mental health questionnaires suitable for use in LAMICs. However, this review highlighted the current limited quantity and quality of such questionnaires.
准确测量受冲突影响人群的心理健康障碍对于改善这些人群的心理健康护理至关重要。尽管绝大多数受冲突影响的人群居住在低收入和中等收入国家（LAMICs），但大多数为受冲突影响人群开发心理健康问卷的研究是在高收入国家进行的。本系统评价的目的是评估在LAMICs受冲突影响环境中开发或验证的精神障碍问卷的质量。
对5个数据库（CINAHL Plus、EMBASE、全球健康、MEDLINE和PsycINFO）进行系统评价，以确定在LAMICs受冲突影响的成年人群中测量心理健康障碍问卷的验证研究。应用评估问卷可靠性、有效性和反应性的成熟心理测量标准进行质量评估。
本评价纳入了30项验证研究，报告了33份问卷的数据。其中24份问卷最初是在不同环境中开发的，并适用于新的受冲突影响人群，9份是为正在研究的受冲突影响人群新开发的。总体而言，问卷证据质量差异很大，纳入问卷的有效性和可靠性证据中等，但未报告反应性数据。
人们越来越认识到心理测量学在该领域的特殊重要性，以促进开发适用于LAMICs的高质量心理健康问卷。然而，本评价突出了此类问卷目前数量有限且质量不高的问题。
