Annika C. Sweetland|Gary S. Belkin|Helena Verdeli
MEASURING DEPRESSION AND ANXIETY IN SUB-SAHARAN AFRICA
Columbia College|Royal College of Physicians|Columbia University|New York University|University School|Columbia University
despite one leading causes disability worldwide fewer 10 depressed individuals lowresource settings access treatment mounting evidence suggests nonspecialist workers capable providing counseling case management community level often use brief psychiatric screening instruments clinical tools identify cases monitor symptoms time order tools used diverse settings must demonstrate adequate reliability validity addition crosscultural relevance used guide routine care also need flexibly adapted sensitive change goal paper assess crosscultural validity brief psychiatric screening instruments subsaharan africa identify best practices discuss implications clinical management scaleup mental health treatment resourcepoor settingssystematic review studies assessing validity screening instruments depression anxiety mental distress subsaharan africa using medline psycinfosixtyfive studies 16 countries assessing validity brief screening instruments depression anxiety andor mental distressdespite evidence underlying universality experience depression anxiety subsaharan africa differences salience manifestation expression symptoms suggest need local adaptation instruments rapid ethnographic assessment emerged promising lowcost efficient strategy