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Hopkins Symptoms Checklist 25(HSCL-25) Urdu translation: an instrument for detecting anxiety and depression in torture and trauma victims.

INTRODUCTION AND BACKGROUND: The two major psychiatric illnesses associated with trauma and torture are major depression and post-traumatic stress disorder. Obtaining accurate knowledge of traumatic event and symptoms and properly classifying them into a diagnostic system is fundamental for providing effective treatment and good therapeutic intervention. The Harvard Trauma Questionnaire (HTQ) measures symptoms associated with diagnostic criteria for post-traumatic stress disorder as defined by DSMIII R manual and symptoms. Therefore an attempt is made to translate the HTQ, the only cross-culturally validated screening instrument for the assessment of trauma and torture related to mass violence and their sequelae. METHODOLOGY: The Harvard Trauma Questionnaire (HTQ) was translated into Urdu by a team of psychiatrists and linguistic experts proficient in national languages belonging to different ethnic backgrounds. Each member translated HTQ independently and subsequently a work shop was arranged to develop the standard translation and finally it was approved. Subsequently back translation of the approved questionnaire was carried out by independent multilingual psychiatrist to test the accuracy of the approved translation and was formally accepted.

Anxiety Disorders↗

[Reliability of diagnostic instruments: investigating the psychiatric DSM-III checklist applied to community samples].

This study focused on the reliability of the DSM-III inventory of psychiatric symptoms in representative general population samples in three Brazilian cities. Reliability was assessed through two different designs: inter-rater reliability and internal consistency. Diagnosis of lifetime (k = 0.46) and same-year generalized anxiety (k = 1.00), lifetime depression (k = 0.77), and lifetime alcohol abuse and dependence (k = 1.00) was consistently reliable in the two methods. Lifetime diagnosis of agoraphobia (k = 1.00), simple phobia (k = 0.77), non-schizophrenic psychosis (k = 1.00), and psychological factors affecting physical health (1.00) showed excellent reliability as measured by the kappa coefficient. The main reliability problem in general population studies is the low prevalence of certain diagnoses, resulting in small variability in positive answers and hindering kappa estimation. Therefore it was only possible to examine 11 of 39 diagnoses in the inventory. We recommend test and re-test methods and a short time interval between interviews to decrease the errors due to such variations.

Humans↗