TY  - JOUR
PY  - 2020//
TI  - A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti
JO  - Conflict and health
A1  - Legha, Rupinder K.
A1  - Gerbasi, Margaret E.
A1  - Smith Fawzi, Mary C.
A1  - Eustache, Eddy
A1  - Therosmé, Tatiana
A1  - Fils-Aimé, J. Reginald
A1  - Raviola, Giuseppe J.
A1  - Affricot, Emmeline
A1  - Pierre, Ermaze Louis
A1  - Alcindor, Yoldie
A1  - Severe, Jennifer
A1  - Boyd, Katherine A.
A1  - Grelotti, David J.
A1  - Darghouth, Sarah
A1  - Rasmussen, Andrew
A1  - Becker, Anne E.
SP  - e13
EP  - e13
VL  - 14
IS  - 
N2  - 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>
LA  - en
SN  - 1752-1505
UR  - http://dx.doi.org/10.1186/s13031-020-0250-9
ID  - ref1
ER  -