scholarly journals 0209 Screening of common mental disorders among occupational groups: a review of dimensional structure of self reporting questionnaire–SRQ-20

2014 ◽  
Vol 71 (Suppl 1) ◽  
pp. A87.2-A87
Author(s):  
Kionna Bernardes ◽  
Fernando Carvalho ◽  
Tania Araujo
2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Kionna Oliveira Bernardes Santos ◽  
Fernando Martins Carvalho ◽  
Tânia Maria de Araújo

ABSTRACT OBJECTIVE To assess the internal consistency of the measurements of the Self-Reporting Questionnaire (SRQ-20) in different occupational groups. METHODS A validation study was conducted with data from four surveys with groups of workers, using similar methods. A total of 9,959 workers were studied. In all surveys, the common mental disorders were assessed via SRQ-20. The internal consistency considered the items belonging to dimensions extracted by tetrachoric factor analysis for each study. Item homogeneity assessment compared estimates of Cronbach’s alpha (KD-20), the alpha applied to a tetrachoric correlation matrix and stratified Cronbach’s alpha. RESULTS The SRQ-20 dimensions showed adequate values, considering the reference parameters. The internal consistency of the instrument items, assessed by stratified Cronbach’s alpha, was high (> 0.80) in the four studies. CONCLUSIONS The SRQ-20 showed good internal consistency in the professional categories evaluated. However, there is still a need for studies using alternative methods and additional information able to refine the accuracy of latent variable measurement instruments, as in the case of common mental disorders.


2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Kionna Oliveira Bernardes Santos ◽  
Fernando Martins Carvalho ◽  
Tânia Maria de Araújo

Background. The Self-Reporting Questionnaire (SRQ-20) is widely used for evaluating common mental disorders. However, few studies have evaluated the SRQ-20 measurements performance in occupational groups. This study aimed to describe manifestation patterns of common mental disorders symptoms among workers populations, by using latent class analysis.Methods. Data derived from 9,959 Brazilian workers, obtained from four cross-sectional studies that used similar methodology, among groups of informal workers, teachers, healthcare workers, and urban workers. Common mental disorders were measured by using SRQ-20. Latent class analysis was performed on each database separately.Results. Three classes of symptoms were confirmed in the occupational categories investigated. In all studies, class I met better criteria for suspicion of common mental disorders. Class II discriminated workers with intermediate probability of answers to the items belonging to anxiety, sadness, and energy decrease that configure common mental disorders. Class III was composed of subgroups of workers with low probability to respond positively to questions for screening common mental disorders.Conclusions. Three patterns of symptoms of common mental disorders were identified in the occupational groups investigated, ranging from distinctive features to low probabilities of occurrence. The SRQ-20 measurements showed stability in capturing nonpsychotic symptoms.


2007 ◽  
Vol 38 (2) ◽  
pp. 221-228 ◽  
Author(s):  
V. Patel ◽  
R. Araya ◽  
N. Chowdhary ◽  
M. King ◽  
B. Kirkwood ◽  
...  

BackgroundScreening of patients for common mental disorders (CMDs) is needed in primary-care management programmes. This study aimed to compare the screening properties of five widely used questionnaires.MethodAdult attenders in five primary-care settings in India were recruited through systematic sampling. Four questionnaires were administered, in pairs, in random order to participants: the General Health Questionnaire (GHQ, 12 items); the Primary Health Questionnaire (PHQ, nine items); the Kessler Psychological Distress Scale (K10, 10 items), and from which we could extract the score of the shorter 6-item K6; and the Self-Reporting Questionnaire (SRQ, 20 items). All participants were interviewed with a structured lay diagnostic interview, the Revised Clinical Interview Schedule (CIS-R).ResultsComplete data were available for 598 participants (participation rate 99.3%). All five questionnaires showed moderate to high discriminating ability; the GHQ and SRQ showed the best results. All five showed moderate to high degrees of correlation with one another, the poorest being between the two shortest questionnaires, K6 and PHQ. All five had relatively good internal consistency. However, the positive predictive value (PPV) of the questionnaires compared with the diagnostic interview ranged from 51% to 77% at the optimal cut-off scores.ConclusionsThere is little difference in the ability of these questionnaires to identify cases accurately, but none showed high PPVs without a considerable compromise on sensitivity. Hence, the choice of an optimum cut-off score that yields the best balance between sensitivity and PPV may need to be tailored to individual settings, with a higher cut-off being recommended in resource-limited primary-care settings.


2020 ◽  
Author(s):  
Kefyalew Dagne Gizachew ◽  
Gashaw Andargie Biks ◽  
Abate Dargie Wubetu

Abstract Introduction: The high prevalence of antenatal mental disorders in Sub-Saharan African countries is poorly understood. Pregnancy and childbirth are gaining recognition as significant risk factors for the development and exacerbation of mental health problems. In low- and lower-middle income countries about one in six pregnant women are experiencing antenatal common mental disorders (CMD). Objective: To assess prevalence and associated factors of common mental disorders (CMD) among pregnant women in Debre Berhan town, North Showa Zone, Amhara region, Ethiopia, 2016. Methods: Community based cross-sectional study was employed among 569 participants. Data was collected using face-to-face interviews with Amharic version of Self Reporting Questionnaire (SRQ-20) from seven selected kebeles. Kebeles were selected by simple random sampling and individuals were selected using cluster sampling. Crude and adjusted OR was analyzed using bivariate and multivariable logistic regression analysis and the level of significance for association was determined with 95% CI and at P- value < 0.05. Result: A total 557 study participants were completed the interview and the prevalence of antenatal common mental disorder was found to be 45.2%. Loss of loved one (AOR = 1.97; 95% CI: 1.19–3.27), history of chronic medical illness (AOR = 6.57; 95% CI: 2.17–19.94), unwanted pregnancy (AOR = 2.13; 95% CI: 1.15–3.95), nulliparity (AOR = 8.71; 95% CI: 1.58–47.94), one or less ANC consultations (AOR = 0.22; 95% CI: 0.08–0.64), two-three ANC consultations (AOR = 0.30; 95% CI: 0.11–0.83) and current obstetric complications (AOR = 4.45; 95% CI: 2.21–8.99) were important factors significantly associated with antenatal common mental disorder. Conclusion: The prevalence of antenatal common mental disorder (CMD) was high in this study that shows antenatal CMD is significant public health issue that requires a great emphasis. So, early screening and intervention for antenatal CMD should be integrated in primary health care and antenatal care service settings.


2010 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Jorge Luiz Lima da Silva ◽  
Adriana Cibelle Rodrigues da Nóbrega ◽  
Fabiane Gonçalves De Faria Brito ◽  
Renata Campos Gonçalves ◽  
Barbara Soares Avanci

ABSTRACT Objective: to identify the prevalence of mental disorders common and analyze factors related in nursing workers. Method: this is about a survey study performed with 80 workers in intensive care in a public university hospital in Rio de Janeiro city, Brazil. The CMD were assessed using the Self-Reporting Questionnaire (SRQ-20). It were described socio-demographic variables, work variables, the prevalence of CMD through univariate and bivariate. The Chi-square Test was used to assess the level of statistical significance. The study was approved by the Ethics in Research number 030/08 and the subjects were those who agreed with the purposes of the study and signed a formal term. Results: it was observed that the prevalence of TMC was significantly higher in those workers with monthly income above six minimum wages, job security, with and between those who work in coronary unit. Conclusion: the findings demonstrate the need for preventive actions aimed at better quality of life in promotion workplace and mental health for employees of nursing sectors of intensive care. Descriptors: stress; mental health; mental disorders.  RESUMO Objetivo: identificar a prevalência de transtornos mentais comuns e analisar fatores relacionados entre trabalhadores de enfermagem. Método: trata-se de um levantamento realizado com 80 trabalhadores de cuidados intensivos em um hospital público universitário de grande porte do Rio de Janeiro. Os transtornos mentais comuns foram avaliados por meio do Self-Reporting Questionnaire (SRQ-20). Foram descritas variáveis sócio-demográficas, variáveis laborais, a prevalência de TMC por meio de análises univariadas e bivariadas. O Teste do Qui-quadrado foi empregado para verificar o grau de significância estatística. O estudo foi aprovado pelo Comitê de Ética em Pesquisa sob o nº 030/08 e os sujeitos foram os que consentiram com os propósitos do estudo e assinaram termo formal. Resultados: foi observado que a prevalência de TMC esteve significativamente maior em trabalhadores que com renda mensal acima de seis salários mínimos, com vínculo estável e entre aqueles que trabalham em unidade coronariana. Conclusão: os achados demonstram a necessidade de ações preventivas que visem a melhor qualidade de vida no trabalho e promoção à saúde mental para os trabalhadores de enfermagem de setores de cuidados intensivos. Descritores: estresse; saúde mental; transtorno mental.  RESUMEN Objetivo: identificar la prevalecía de trastornos mentales comunes y analizar los factores relacionados en el personal de enfermería. Método: se trata de un estudio de encuesta con 80 trabajadores en cuidados intensivos en un hospital público universitario en el ciudad de Río de Janeiro, Brasil. Los trastornos mentales comunes se evaluaron utilizando el Self Reporting Questionnaire (SRQ-20). Se describen las variables socio demográficas, la labor de la prevalecía de CMD a través de análisis univariado y bivariado. La prueba de Chi cuadrado para evaluar el nivel de significación estadística. El estudio fue aprobado por el Comité de Ética en la Investigación con nº 030/08 y los participantes fueron los que estuvieron de acuerdo con los propósitos del estudio y firmaron un formulario de consentimiento. Resultados: hemos observado que la prevalecía de CMD fue significativamente mayor en los trabajadores con ingresos de más de seis veces el salario mínimo, con una estable y entre quienes trabajan en la unidad de cuidados coronarios. Conclusión: los resultados demuestran la necesidad de medidas preventivas destinadas a mejorar la calidad de la vida laboral y la promoción de la salud mental para el personal de enfer estrés; saludmería de los sectores de cuidados intensivos. Descriptores: mental; trastornos mentales.


2019 ◽  
Vol 14 (41) ◽  
pp. 1911
Author(s):  
Amine Selim de Salles Gonçalves Melado ◽  
Filipe Alvarenga Caetano Vitorino ◽  
Ana Rosa Murad Szpilman ◽  
Wanêssa Lacerda Poton

Objective: To identify the prevalence of common mental disorders (CMD) in medical students at Vila Velha University (UVV), ES, and its associated factors. Methods: A cross-sectional study was conducted with 360 medical students from February to April 2018. A self-administered, confidential and online questionnaire was used, including sociodemographic, economic data, family support, friends’ network, physical activity and academic performance, as well as Self-Reporting Questionnaire (SRQ-20). Statistical analysis was performed using the STATA program, version 13.0. The Ethics Committee on Research with Humans approved the study, under number 2.108.290. Results: The prevalence of CMD among students was 45.6%. Risk factors were mental disorder in the family (RR 1.24, 95% CI 1.01-1.54), poor sleep quality (RR 1.49, 95% CI 1.17-1.90), fear that impaired the academic result (RR 1.33, 95% CI 1.01-1.77), feeling rejected by friends (RR 1.45, 95% CI 1.07-1.96), thinking about giving up the course (RR 1.67, 95% CI 1.29-2.17) and physical discomfort during the test (RR 1.63, 95% CI, 1.21-2.20). Conclusions: The overall prevalence of CMD among students was high, and the risk factors were significant. It is recommended that educational institutions and responsible government agencies be able to formulate and subsidize preventive actions and care for the mental health of medical students.  


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Samuel Scott ◽  
Alejandra Arrieta ◽  
Neha Kumar ◽  
Purnima Menon ◽  
Agnes Quisumbing

Abstract Objectives The mental wellbeing of mothers with young children has been shown to positively affect child development. Little, however, is known about which factors are related to optimal maternal mental health in high poverty rural contexts where women face a broad array of challenges at multiple levels daily. Methods Data were from 1644 mother-infant pairs in five Indian states as part of the Women Improving Nutrition through Group-based Strategies study. Common mental disorders (CMD) were assessed through the 20-item Self Reporting Questionnaire. We report on factors spanning nutritional (women's weight, fertility, food security, child illness), occupational (self-reported type of work, time spent in labor, domestic and caretaking activities), social (group membership, decision-making, gender attitudes, household dependents) and environmental (shocks, water, sanitation) aspects of life. Logistic regression models with district controls were used to examine associations between these factors and CMD. Results On average, women were 26 years old and their children were 15 months old. CMD was present in 262 (16%) of the mothers. Risk factors for CMD included having a failed pregnancy (AOR 1.40, 95% CI 1.01-1.93), and food insecurity (1.13, 1.07-1.20). Protective factors included being engaged in agricultural labor as a main occupation relative to being a housewife (0.20, 0.11-0.35) more time working (AOR associated with 1 more hour of work: 0.88, 0.81-0.97), higher decision-making (0.91, 0.86-0.96), group membership (non-significant trend; 0.76, 0.56-1.02), and having an improved toilet (0.51, 0.35-0.73). Conclusions In a sample of rural and mostly tribal Indian households, we found a moderate prevalence of poor mental wellbeing among mothers with young children. We also found that the determinants span a range of factors. Future research should aim to better understand the ways in which working outside the home, albeit in rigorous agricultural work, appears to protect the wellbeing of women in this context. It is plausible that agricultural work mitigates food insecurity, connects women with others and generates income, but these pathways need empirical and ethnographic examination. Funding Sources Bill & Melinda Gates Foundation; CGIAR Research Program on Agriculture for Nutrition and Health.


2007 ◽  
Vol 29 (3) ◽  
pp. 250-253 ◽  
Author(s):  
Letícia Marín-León ◽  
Helenice Bosco de Oliveira ◽  
Marilisa Berti de Azevedo Barros ◽  
Paulo Dalgalarrondo ◽  
Neury José Botega

OBJECTIVE: To analyze the association between the socioeconomic characteristics of individuals and common mental disorders. METHOD: A cross-sectional survey of a representative sample of the urban population, 14 years and older, in Campinas (Brazil) (n = 515) was conducted using a multipurpose instrument that included the Self-Reporting Questionnaire (SRQ-20) to assess common mental disorders in the previous 3 months. Weighted prevalence of common mental disorders was calculated for each independent variable. Crude and adjusted prevalence ratios were estimated using Poisson regression. RESULTS: The overall prevalence was 17% (95% CI 12.8-22.3), 8.9% in males and 24.4% in females. An inverse association was found between common mental disorders and the socioeconomic characteristics (schooling and employment) even after controlling for all the other variables. Higher common mental disorders prevalence was observed in those with less than 5 years of schooling (PR = 5.5) and unemployed or underemployed (PR = 2.0). CONCLUSIONS: As in other studies, common mental disorders were unevenly distributed; it was significantly more frequent in socially disadvantaged individuals. Specific actions to reduce inequalities in the general and mental health system should be studied.


2009 ◽  
Vol 25 (1) ◽  
pp. 59-67 ◽  
Author(s):  
Fábio Monteiro da Cunha Coelho ◽  
Ricardo Tavares Pinheiro ◽  
Bernardo Lessa Horta ◽  
Pedro Vieira da Silva Magalhães ◽  
Carla Maria Maia Garcias ◽  
...  

A cross-sectional population-based study was conducted to identify the prevalence of common mental disorders and verify the association with chronic non-communicable diseases (NCDs) and the self-reported number of chronic diseases. The Self-Reporting Questionnaire (SRQ-20) was applied in a multi-stage random sample of 1,276 adults aged 40 and older. Socio-demographic, behavioral, and health-related variables were also obtained using a structured questionnaire. Prevalence of common mental disorders was 30.2%. Lower schooling and social class and the 46-55-year age bracket were associated with psychiatric morbidity. Each chronic illness was independently associated with common mental disorders. However, a stronger association was found between common mental disorders and the total number of self-reported chronic conditions, with a prevalence ratio of 4.67 (95%CI: 3.19-6.83) for five or more self-reported NCDs. The current study emphasizes the importance of common mental disorders in chronically ill patients, particularly in those with more total chronic conditions.


BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Anna Reuter ◽  
Sebastian Vollmer ◽  
A. Aiyub ◽  
Suryane Sulistiana Susanti ◽  
M. Marthoenis

Background The role of sociodemographic and economic characteristics in mental distress has been rarely investigated in Indonesia. Aims To investigate the prevalence of common mental disorders (CMD) and identify any associations between mental distress and sociodemographic and economic characteristics among communities living in urban and rural (peri-urban) areas. Method A community-based household survey was conducted in the province of Aceh, Indonesia, in 2018. The 20-item Self Reporting Questionnaire (SRQ-20) screening tool was used to measure symptoms of CMD. Information on sociodemographic characteristics, family functioning, labour market outcomes and healthcare costs was collected. Multivariate regressions were conducted to analyse the relationships between the measures of mental distress and sociodemographic and economic characteristics. Results We found that 14% of the respondents had CMD symptoms. SRQ-20 scores were higher for female, older and lower-educated individuals. CMD prevalence was higher among non-married participants and clustered within families. Participants with CMD perceive their families as performing significantly better in the dimensions of affective involvement and behaviour control compared with their counterparts. Their work was more often affected by negative feelings; they were also twice as likely to report a recent physical or mental health complaint and faced twice the treatment costs compared with their non-affected counterparts. Conclusions The prevalence of mental disorders is especially high in disadvantaged population groups. Moreover, mental distress is associated with a lower perceived productivity and a higher physical health burden.


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