Kurbi Helina Abebe, Abebe Solomon Mekonnen, Mengistu Nestanet Worku, Ayele Tadesse Awoke, Toni Alemayehu Teklu
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Kotebe Metropolitan University, Menelik II Health Science College, Department of Mental Health, Addis Ababa, Ethiopia.
Int J Womens Health. 2023 May 18;15:779-791. doi: 10.2147/IJWH.S402865. eCollection 2023.
The prevalence of prenatal common mental disorders afflicting the global community, including Ethiopia, is thriving. Therefore, a time-efficient and valid screening tool is required. This study aimed to culturally adapt and validate the self-reporting questionnaire-20 tool developed by the World Health Organization among pregnant mothers in Ethiopia.
A total of 310 pregnant women completed the questionnaire at two selected health centers in the regional state of Amhara. The World Health Organization's Self Reporting Questionnaire-20 tool was first translated into Amharic by two experts. The back translation was done by two English experts. Internal consistency and reliability were assessed using Cronbach's alpha. Convergent and discriminant validity were assessed using composite reliability and extracted mean variance. SRQ-20 was tested for reliability and validity using principal components analysis and the Kaiser-Meyer-Olkin measure of sample adequacy with a cutoff value of 0.50 for each item.
The Kaiser-Meyer-Olkin measure (KMO = 0.733) for sample adequacy and the Bartlett's sphericity test for the identity matrix indicated that the data were amenable to exploratory factor analysis. Principal components analysis identified six factors that explained 64% of the variation in the self-report questionnaire 20. Cronbach's alpha was 0.817 for the entire scale and the extracted mean variance was greater than 0.5 for all factors, indicating convergent validity. The extracted mean variance, composite reliability, and factor loadings were all greater than 0.75 for all factors in this study, indicating that convergent validity was satisfactory and that discriminatory validity was also satisfied. The composite factor reliability scores ranged from 0.74 to 0.84, and the square roots of the mean variances were greater than the factor correlation scores.
The interview-based, culturally-adapted 20-item Amharic version of the SRQ-20 tool demonstrated good cultural adaptation and was also found to be valid and reliable in the present context.
包括埃塞俄比亚在内，全球范围内困扰孕妇的产前常见精神障碍患病率呈上升趋势。因此，需要一种高效且有效的筛查工具。本研究旨在对世界卫生组织开发的自我报告问卷 - 20工具进行文化调适，并在埃塞俄比亚的孕妇中进行验证。
共有310名孕妇在阿姆哈拉州选定的两个健康中心完成了问卷。世界卫生组织的自我报告问卷 - 20工具首先由两位专家翻译成阿姆哈拉语。回译由两位英语专家完成。使用克朗巴哈系数评估内部一致性和信度。使用组合信度和提取平均方差评估收敛效度和区分效度。使用主成分分析和Kaiser - Meyer - Olkin样本充足性测度对SRQ - 20进行信度和效度测试，每个项目的临界值为0.50。
样本充足性的Kaiser - Meyer - Olkin测度（KMO = 0.733）以及单位矩阵的巴特利特球形度检验表明数据适合进行探索性因子分析。主成分分析确定了六个因子，这些因子解释了自我报告问卷20中64%的变异。整个量表的克朗巴哈系数为0.817，所有因子的提取平均方差均大于0.5，表明具有收敛效度。本研究中所有因子的提取平均方差、组合信度和因子载荷均大于0.75，表明收敛效度令人满意且区分效度也得到满足。组合因子信度得分在0.74至0.84之间，平均方差的平方根大于因子相关得分。
基于访谈、经过文化调适的20项阿姆哈拉语版SRQ - 20工具显示出良好的文化适应性，并且在当前背景下被发现是有效且可靠的。
