Diagnosis of depressed young people in primary health care--a validation of HSCL-10

Haavet, Ole Rikard; Sirpal, Manjit Kaur; Haugen, Wenche; Christensen, Kaj Sparle

doi:10.1093/fampra/cmq078

Cited by 63 publications

(73 citation statements)

References 33 publications

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“…PROs may not replace a structured clinical diagnostic evaluation of an individual, which is the gold standard in psychiatric examinations [26]. Nevertheless, cut-off scores are very useful proxy indicators of psychological distress for use in comparisons of the health status in different strata of a population.…”

Section: Introductionmentioning

confidence: 99%

Do Norwegian Sami and non-indigenous individuals understand questions about mental health similarly? A SAMINOR 2 study

Sørlie

Hansen

Friborg

2018

International Journal of Circumpolar Health

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The Western culturally developed Hopkins Symptom Checklist (HSCL-10) is a self-report measure of mental distress widely used for both clinical and epidemiological purposes – also in the multiethnic epidemiological SAMINOR studies in Northern Norway, but without any proper cross-cultural validation. Our objective was to test invariance of the HSCL-10 measurements among Sami and the non-indigenous majority population in Northern Norway (participants in the SAMINOR 2 study) and whether the previously used HSCL-10 cut-off level (1.85) fits the Sami subgroups in the study. Participants belonged to Sami core, Sami affiliation, Sami background or majority Norwegian groups. The confirmatory factor analysis framework adapted for testing of measurement invariance showed no significant measurement invariance between the groups indicating that the HSCL-10 response scale predominantly was used in the same way and that significantly different meanings were not ascribed to the same set of questions. The cut-off criteria of 1.85 as indicative of psychological distress based on Norwegian data equal a score of 1.89, 1.94 and 1.91 in the Sami core, Sami affiliation and Sami background groups, respectively. Thus, the same cut-off criterion 1.85 may be safely used in all groups. However, one should still be looking for culture-specific expressions of mental stress.

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Section: Introductionmentioning

confidence: 99%

Do Norwegian Sami and non-indigenous individuals understand questions about mental health similarly? A SAMINOR 2 study

Sørlie

Hansen

Friborg

2018

International Journal of Circumpolar Health

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“…While there is at least one suitable and valid screening instrument for detecting depression in young people in primary care, 19 there is no solution to the problem of engaging young people in therapy.…”

Section: Resultsmentioning

confidence: 99%

Therapeutic identification of depression in young people: lessons fromthe introduction of a new technique in general practice

Iliffe¹,

Gallant²,

Kramer³

et al. 2012

Br J Gen Pract

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BackgroundMild-to-moderate depression in young people is associated with impaired social functioning and high rates of affective disorder in adult life. Earlier recognition of depression in young people has the potential to reduce the burden of depression in adulthood. However, depression in teenagers is underdiagnosed and undertreated. AimTo assess the usability and usefulness of a cognitive-behavioural-therapy-based technique for Therapeutic Identification of Depression in Young people (TIDY). Design and settingA qualitative study of four group practices in northwest London. MethodFace-to-face semi-structured interviews were conducted with practitioners who had been trained in the use of the TIDY technique. ResultsTwenty-five GPs and six nurses were interviewed. The key themes that emerged from the interviews were: practitioners were 'making sense of teenage depression' when interpreting signs and symptoms; the training in the technique was variable in its impact on practitioners' attitudes and practice; and time factors constrained practitioners in the application of the technique. ConclusionThe TIDY technique is usable in routine practice, but only if practitioners are allowed to use it selectively. This need for selectivity arises partly from concerns about time management, and partly to avoid medicalisation of psychological distress in young people. The perceived usefulness of the TIDY technique depends on the practitioner's prior knowledge, experience, and awareness. . 16 They specifically recommend that primary care professionals should be trained in the detection of depression but there has been little systematic study of how this can be achieved.There are two problems that must be overcome if the NICE guidelines are to be implemented. First, young people with psychological morbidity are difficult to engage in psychological therapies, 17 although such therapies appear to be effective in reducing symptoms and case prevalence. 18 Second, specialist child and young people's mental health services are already struggling to meet the demand for services. It is therefore important that specialist services are focused on those with the more severe disorder.Improved skills in primary care would improve identification of those with severe depression requiring referral, and facilitate intervention for mild-to-moderate depressive disorders within the primary care setting, thus broadening access to treatment for many young people. While there is at least one suitable and valid screening instrument for detecting depression in young people in primary care, 19 there is no solution to the problem of engaging young people in therapy.An approach that supports GPs in both identifying hidden psychological morbidity and engaging young persons in therapy ('therapeutic identification') in an opportunistic way during routine consultations would fit the NICE proposals.Such an intervention has been developed in a joint project between specialists in adolescent psychiatry and GPs, 20 and consists of a workplace-based trai...

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“…The invitation letter contained information about study objectives and procedures as well as a form with the individual key code containing two questionnaires. A letter was sent to each of the participating adolescents together with the questionnaires HSCL-6, HSCL-10, 27 and WHO-5. Analyses of these results will not be treated further in this article.…”

Section: Methodsmentioning

confidence: 99%

“…A previous study, however, found the Hopkins Symptom Checklist-10 (HSCL-10) to be a valid instrument for identifying depression among adolescents in primary care. 27 Because GPs work to tight timetables, in their first meetings with adolescent patients they would benefit from having short and reliable assessment tools to hand. It is suggested that the three key questions validated by Arroll et al 1 for identifying depression in adults could also be used in meetings with young patients.…”

Section: Introductionmentioning

confidence: 99%

Identifying depression among adolescents using three key questions: a validation study in primary care

et al. 2016

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Diagnosis of depressed young people in primary health care--a validation of HSCL-10

Abstract: HSCL-10 is a suitable and valid instrument for detecting depression in young people in primary care.

Cited by 63 publications

References 33 publications

Do Norwegian Sami and non-indigenous individuals understand questions about mental health similarly? A SAMINOR 2 study

Do Norwegian Sami and non-indigenous individuals understand questions about mental health similarly? A SAMINOR 2 study

Therapeutic identification of depression in young people: lessons fromthe introduction of a new technique in general practice

Identifying depression among adolescents using three key questions: a validation study in primary care

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