Development and validation of the child psychosocial distress screener in Burundi.
Abstract
In non-Western countries, efficient and contextually valid methods of community screening are scarce. The present study describes the validation of a new, brief, 7-item multi-informant screener for conflict-affected children (Child Psychosocial Distress Screener; CPDS). To determine concurrent validity, the CPSD was administered to 65 children and their teachers. CPDS scores were compared with indication for psychosocial treatment based on an in-depth clinical assessment by a psychiatrist and psychologist. Construct validity was assessed by testing the measurement equivalence of the CPDS in a community sample (N = 2,240) in Burundi. The CPDS identifies indication for treatment with an accurateness of .81(sensitivity of .84; specificity of .60). Test?retest reliability of the instrument is good (.83). A robust and invariant factor structure provides evidence for the construct validity of the CPSD. The CPDS appears to be a useful multidimensional tool that measures nonspecific child psychosocial distress, detecting children with an indication for treatment. Because of brevity and the ability to be administered by nonspecialists, the CPDS can be an appropriate instrument to screen large populations of conflict-affected children.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the studies reviewed, very few used locally validated mental health assessments to perform pre/post-intervention evaluations.
“In the studies reviewed here, very few used locally validated mental health assessments to perform pre/post-intervention evaluations.49,133”
From Interventions for Children Affected by War: An Ecological Perspective on Psychosocial Support and Mental Health Care (2013) · cites this paper as [133]
Cites
KESSLER, R. C., ANDREWS, G., COLPE, L. J., HIRIPI, E., MROCZEK, D. K., NORMAND, S.-L. T., WALTERS, E. E., & ZASLAVSKY, A. M. (2002) · Psychological Medicine · doi:10.1017/s0033291702006074 · Cited by 10,327 · see citing works
KAUFMAN, J., BIRMAHER, B., BRENT, D., RAO, U., FLYNN, C., MORECI, P., WILLIAMSON, D., & RYAN, N. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199707000-00021 · Cited by 10,148 · see citing works
(1993) · Medical Entomology and Zoology · Cited by 7,690 · see citing works
Byrne, B. M., Shavelson, R. J., & Muthén, B. (1989) · Psychological Bulletin · doi:10.1037/0033-2909.105.3.456 · Cited by 3,928 · see citing works
Model modifications in covariance structure analysis: The problem of capitalization on chance.
MacCallum, R. C., Roznowski, M., & Necowitz, L. B. (1992) · Psychological Bulletin · doi:10.1037/0033-2909.111.3.490 · Cited by 1,676 · see citing works
Detecting anxiety and depression in general medical settings.
Goldberg, D., Bridges, K., Duncan-Jones, P., & Grayson, D. (1988) · BMJ · doi:10.1136/bmj.297.6653.897 · Cited by 1,210 · see citing works
Cross-Validation Of Covariance Structures
Cudeck, R. A., & Browne, M. W. (1983) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr1802_2 · Cited by 857 · see citing works
Lynch, M., & Cicchetti, D. (1998) · Development and Psychopathology · doi:10.1017/s095457949800159x · Cited by 657 · see citing works
Uses and abuses of screening tests
Grimes, D. A., & Schulz, K. F. (2002) · The Lancet · doi:10.1016/s0140-6736(02)07948-5 · Cited by 545 · see citing works
Promoting child and adolescent mental health in low and middle income countries
Patel, V., Flisher, A. J., Nikapota, A., & Malhotra, S. (2008) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2007.01824.x · Cited by 433 · see citing works
Common mental disorders in postconflict settings
de Jong, J. T., Komproe, I. H., & Van Ommeren, M. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13692-6 · Cited by 421 · see citing works
Self-citationDevins, G. M., Orme, C. M., Costello, C. G., Binik, Y. M., Frizzell, B., Stam, H. J., & Pullin, W. M. (1988) · Psychology & Health · doi:10.1080/08870448808400349 · Cited by 412 · see citing works
Trauma, War, and Violence: Public Mental Health in Socio-Cultural Context
de Jong, J. T. V. M. (2002) · Kluwer Academic Publishers eBooks · doi:10.1007/b109606 · Cited by 348 · see citing works
The psychosocial aspects of children exposed to war: practice and policy initiatives
Barenbaum, J., Ruchkin, V., & Schwab‐Stone, M. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1046/j.0021-9630.2003.00304.x · Cited by 341 · see citing works
van Ommeren, M., Sharma, B., Thapa, S. B., Makaju, R., Prasain, D., Bhattarai, R., & de Jong, J. T. V. M. (1999) · Transcultural Psychiatry · doi:10.1177/136346159903600304 · Cited by 338 · see citing works
BOLTON, P. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200104000-00005 · Cited by 239 · see citing works
Miller, K. E., Omidian, P. A., Quraishy, A. S., Quraishy, N., Nasiry, M. N., Nasiry, S., Karyar, N. M., & Yaqubi, A. A. (2006) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.76.4.423 · Cited by 226 · see citing works
An alternative approach to cross-cultural function assessment
Bolton, P., & Tang, A. M. (2002) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-002-0580-5 · Cited by 224 · see citing works
Ecological Influences on the Sequelae of Child Maltreatment: A Review of the Literature
Zielinski, D. S., & Bradshaw, C. P. (2005) · Child Maltreatment · doi:10.1177/1077559505283591 · Cited by 214 · see citing works
An ecological perspective on the effects of violence on children
Garbarino, J. (2001) · Journal of Community Psychology · doi:10.1002/jcop.1022 · Cited by 211 · see citing works
Should we screen for depression?
Gilbody, S. M., Sheldon, T., & Wessely, S. C. (2006) · BMJ · doi:10.1136/bmj.332.7548.1027 · Cited by 195 · see citing works
Questionnaire screening for mental health problems in Bangladeshi children: a preliminary study
Mullick, M. S. I., & Goodman, R. (2001) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050295 · Cited by 189 · see citing works
Miller, K. E., Kulkarni, M., & Kushner, H. (2006) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.76.4.409 · Cited by 188 · see citing works
Minefields in their hearts: the mental health of children in war and communal violence
(1997) · Choice Reviews Online · doi:10.5860/choice.34-4546 · Cited by 182 · see citing works
Ventevogel, P., De Vries, G., Scholte, W. F., Shinwari, N. R., Faiz, H., Nassery, R., van den Brink, W., & Olff, M. (2007) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-007-0161-8 · Cited by 179 · see citing works
Self-citationAttia, J. (2003) · Australian Prescriber · doi:10.18773/austprescr.2003.082 · Cited by 166 · see citing works
de Jong, J. T. V. M., & van Ommeren, M. (2002) · Transcultural Psychiatry · doi:10.1177/136346150203900402 · Cited by 117 · see citing works
Mental Health in the Aftermath of Disasters: Consensus and Controversy
Weiss, M. G., Saraceno, B., Saxena, S., & van Ommeren, M. (2003) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000087188.96516.a3 · Cited by 97 · see citing works
Screening for Depression and PTSD in a Cambodian Population Unaffected by War
Silove, D. M., Manicavasagar, V. L., Mollica, R. F., Thai, M., Khiek, D., Lavelle, J., & Tor, S. (2007) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000254747.03333.70 · Cited by 94 · see citing works
Assessing adolescent mental health in war-affected societies: the significance of symptoms
JONES, L. M., & Kafetsios, K. G. (2002) · Child Abuse & Neglect · doi:10.1016/s0145-2134(02)00381-2 · Cited by 62 · see citing works
Stichick, T. L. (2001) · PubMed · Cited by 52 · see citing works
Screening and Assessment for Children's Psychosocial Needs Following War and Terrorism
Balaban, V., Steinberg, A. M., Brymer, M. J., et al. (2005) · Cited by 25 · see citing works
Validation study of a nonspecific psychological distress scale
Poulin, C., Lemoine, O., Poirier, L.-R., & Lambert, J. (2005) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-005-0961-7 · Cited by 23 · see citing works
Public Awareness of Child and Adolescent Mental Health: A Review of the Literature
Tyano, S., & Fleischman, A. (2007) · doi:10.1002/9780470512555.ch2 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Jordans, M. J. D., Komproe, I. H., Tol, W. A., Kohrt, B. A., Luitel, N. P., Macy, R. D., & De Jong, J. T. V. M. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02209.x · Cited by 337 · see citing works
Self-citationBetancourt, T. S., Meyers-Ohki, S. E., Charrow, A. P., & Tol, W. A. (2013) · Harvard Review of Psychiatry · doi:10.1097/hrp.0b013e318283bf8f · Cited by 326 · see citing works
Self-citationKohrt, B. A., Jordans, M. J., Tol, W. A., Luitel, N. P., Maharjan, S. M., & Upadhaya, N. (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-127 · Cited by 213 · see citing works
Self-citationTOL, W. A., KOMPROE, I. H., JORDANS, M. J. D., VALLIPURAM, A., SIPSMA, H., SIVAYOKAN, S., MACY, R. D., & DE JONG, J. T. (2012) · World Psychiatry · doi:10.1016/j.wpsyc.2012.05.008 · Cited by 176 · see citing works
Self-citationIdioms of distress, ethnopsychology, and the clinical encounter in Haiti's Central Plateau
Keys, H. M., Kaiser, B. N., Kohrt, B. A., Khoury, N. M., & Brewster, A.-R. T. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.03.040 · Cited by 160 · see citing works
Haroz, E. E., Bolton, P., Nguyen, A. J., Lee, C., Bogdanov, S., Bass, J., Singh, N. S., Doty, B., & Murray, L. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4097-y · Cited by 70 · see citing works
Jordans, M. J. D., Komproe, I. H., Tol, W. A., Susanty, D., Vallipuram, A., Ntamatumba, P., Lasuba, A. C., & De Jong, J. T. V. M. (2011) · Community Mental Health Journal · doi:10.1007/s10597-010-9301-9 · Cited by 53 · see citing works
Self-citation
- Authors
- Jordans, M. J. D., Komproe, I. H., Ventevogel, P., Tol, W. A., & de Jong, J. T. V. M.
- Affiliations
- HealthNet TPO (NL)
- Vrije Universiteit Amsterdam (NL)
- Venue
- American Journal of Orthopsychiatry
- Published
- 2008
- Volume
- 78
- Issue
- 3
- Pages
- 290-299
- ISSN
- 0002-9432 (ISSN-L)
- 1939-0025
- OpenAlex
- W2006187771
- Cited by
- 45
- References
- 34
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 8 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 3 · 2012: 5
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Orthopsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- PLAN
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- psychosocial distress, children in armed conflict, screening tool validation, multi-informant assessment, teacher ratings, measurement invariance, construct validity, test-retest reliability, Burundi, humanitarian settings, child mental health
- MeSH terms
- Adolescent, Mental Disorders, Burundi, Child, Child Behavior, Female, Humans, Male, Mass Screening, Poverty, Psychiatric Status Rating Scales, Psychology, Severity of Illness Index, Stress, Psychological, Warfare
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review