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ArtikelAn Evaluation of Two Screening Methods To Identify Cases With Schizophrenia And Affective Disorders in a Community Survey in Rural Ethiopia  
Oleh: Kullgren, G. ; Jacobsson, L. ; Fekadu, D. ; Fekadu, A. ; Kibreab, S. ; Negash, A. ; Alem, A. ; Kebede, D. ; Shibre, T.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: International Relations vol. 48 no. 3 (Sep. 2002), page 200-208.
Fulltext: 200.IR48.3.pdf (613.02KB)
Isi artikelBackground: Detecting cases with psychiatric disordres in the general population is costly and it is not clear which is the method of choice for community surveys in low-income countries. Aim: To compare the performance of a standardized diagnostic layman interview instrument- the Composite International Diagnostic Interview ( CIDI 2.1) versus the Key Informant method in identifying cases with schizophrenia and major affective disorders in a community survey. Method: Both screening methods were tested against an expert interview - the schedule for Clinical Assesment in Neuropsychiatry ( SCAN 2.1) in a rural district in Ethiopia with 25,632 inhabitants. Result: CIDI identified 524 and key informants 192 individuals as probable cases who were invited for a further SCAN interview.The Kery Informant method alone detected more cases of schizophrenia, 59 vs. 29 for CIDI, whereas CIDI alone detectede more cases of affective disorders, 45 vs. 30.Key Informants performed better in detecting chronic cases. conclusion: For community surveys, which aim at identifying cases with major mental disorders in low-income countries like Ethiopia, the combined use of both CIDI and the Key Informant method is recommended
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