%0 Journal Article
%T A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti
%J Conflict and health
%D 2020
%A Legha, Rupinder K.
%A Gerbasi, Margaret E.
%A Smith Fawzi, Mary C.
%A Eustache, Eddy
%A Therosmé, Tatiana
%A Fils-Aimé, J. Reginald
%A Raviola, Giuseppe J.
%A Affricot, Emmeline
%A Pierre, Ermaze Louis
%A Alcindor, Yoldie
%A Severe, Jennifer
%A Boyd, Katherine A.
%A Grelotti, David J.
%A Darghouth, Sarah
%A Rasmussen, Andrew
%A Becker, Anne E.
%V 14
%N 
%P e13-e13
%X BACKGROUND: The Zanmi Lasante Depression Symptom Inventory (ZLDSI) is a screening tool for major depression used in 12 primary care clinics in Haiti's Central Plateau. Although previously validated in a clinic-based sample, the present study is the first to evaluate the validity and clinical utility of the ZLDSI for depression screening in a school-based population in central Haiti. <br><br>METHODS: We assessed depressive symptoms in a school-based sample of transitional age youth (18-22 years; <i>n</i> = 120) with the ZLDSI. Other mental health-related assessments included a modified Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID) for current Major Depressive Episode, the Center for Epidemiologic Studies Depression Scale, and selected items adapted from the Global School-Based Health Survey mental health module. Diagnostic assignments of major depressive episode (MDE) were based on modified SCID interviews. <br><br>RESULTS: The ZLDSI demonstrated good overall accuracy in identifying current MDE (Area under the Curve = .92, 95% CI = .86,.98, <i>p</i> < .001). We ascertained ≥12 as the optimal cut-off point to screen for depression with a sensitivity of 100% and a specificity of 73.9%. In addition, the ZLDSI was associated with other measures of depressive symptoms, suggesting that it demonstrates construct validity. <br><br>CONCLUSIONS: Study findings support that the ZLDSI has clinical utility for screening for depression among school-going transitional age youth.<br><br>© The Author(s). 2020.<p /> <p>Language: en</p>
%G en
%I Holtzbrinck Springer Nature Publishing Group - BMC
%@ 1752-1505
%U http://dx.doi.org/10.1186/s13031-020-0250-9