title: Measuring common mental disorders in women in Ethiopia: reliability and construct validity of the comprehensive psychopathological rating scale.
abstract: BACKGROUND
  There is a dearth of methodological studies critically evaluating reliability, validity and feasibility of measures of common mental disorders (CMD) in low-income countries.
  
  
  METHODS
  Test-retest and inter-rater reliability of categorisation of CMD caseness, according to locally agreed criteria using the Comprehensive Psychopathological Rating Scale (CPRS), was measured in 99 women from out-patient clinics (inter-rater) and 99 women from a primary healthcare centre (test-retest) in Ethiopia. The construct validity of CMD as measured with CPRS was assessed with exploratory factor analysis using maximum likelihood with varimax rotation.
  
  
  RESULTS
  Test-retest reliability was fair (kappa = 0.29). Subsequent assessment of inter-rater reliability found excellent agreement (kappa = 0.82). The construct of CMD appeared unidimensional, combining depressive, anxiety and somatic symptoms.
  
  
  CONCLUSIONS
  Detection of socioculturally meaningful cases of CMD in Ethiopia can be reliably achieved with local psychiatrist assessment using CPRS, although thorough training is essential.
authors.affiliation: Health Services and Population Research Dept., King's College London, Institute of Psychiatry, P.O. Box 60, De Crespigny Park, Camberwell, London, SE5 8AF, UK. charlotte.hanlon@iop.kcl.ac.uk
authors.forename: Charlotte
authors.initials: C
authors.lastname: Hanlon
authors.forename: Girmay
authors.initials: G
authors.lastname: Medhin
authors.forename: Atalay
authors.initials: A
authors.lastname: Alem
authors.forename: Mesfin
authors.initials: M
authors.lastname: Araya
authors.forename: Abdulreshid
authors.initials: A
authors.lastname: Abdulahi
authors.forename: Markos
authors.initials: M
authors.lastname: Tesfaye
authors.forename: Dawit
authors.initials: D
authors.lastname: Wondimagegn
authors.forename: Hassan
authors.initials: H
authors.lastname: Taha
authors.forename: Birke
authors.initials: B
authors.lastname: Anbesse
authors.forename: Yonas
authors.initials: Y
authors.lastname: Baheretibeb
authors.forename: Michael
authors.initials: M
authors.lastname: Dewey
authors.forename: Martin
authors.initials: M
authors.lastname: Prince
mesh_terms: D000293:Adolescent; D000328:Adult; D005002:Ethiopia; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D016387:Women's Health; D055815:Young Adult