TY - JOUR
PY - 2024//
TI - Validation of a brief screener for broad-spectrum mental and substance-use disorders in South Africa
JO - Global mental health (Cambridge, England)
A1 - Stockton, Melissa Ann
A1 - Mazinyo, Ernesha Webb
A1 - Mlanjeni, Lungelwa
A1 - Nogemane, Kwanda
A1 - Ngcelwane, Nondumiso
A1 - Sweetland, Annika C.
A1 - Basaraba, Cale Neil
A1 - Bezuidenhout, Charl
A1 - Sansbury, Griffin
A1 - Lovero, Kathryn L.
A1 - Olivier, David
A1 - Grobler, Christoffel
A1 - Wall, Melanie M.
A1 - Medina-Marino, Andrew
A1 - Nobatyi, Phumza
A1 - Wainberg, Milton L.
SP - e4
EP - e4
VL - 11
IS -
N2 - In low-resource settings, valid mental health screening tools for non-specialists can be used to identify patients with psychiatric disorders in need of critical mental health care. The Mental Wellness Tool-13 (mwTool-13) is a 13-item screener for identifying adults at risk for common mental disorders (CMDs) alcohol-use disorders (AUDs), substance-use disorders (SUD), severe mental disorders (SMDs), and suicide risk (SR). The mwTool-13 is administered in two steps, specifically, only those who endorse any of the initial three questions receive the remaining ten questions. We evaluated the performance of mwTool-13 in South Africa against a diagnostic gold standard. We recruited a targeted, gender-balanced sample of adults, aged ≥18 years at primary and tertiary healthcare facilities in Eastern Cape Province. Of the 1885 participants, the prevalence of CMD, AUD, SMD, SR, and SUD was 24.4%, 9.5%, 8.1%, 6.0%, and 1.6%, respectively. The mwTool-13 yielded high sensitivities for CMD, SMD, and SR, but sub-optimal sensitivities for AUD and SUD (56.7% and 64.5%, respectively). Including a single AUD question in the initial question set improved the tool's performance in identifying AUD and SUD (sensitivity > 70%), while maintaining brevity, face-validity, and simplicity in the South African setting. Language: en
LA - en
SN - 2054-4251
UR - http://dx.doi.org/10.1017/gmh.2023.89
ID - ref1
ER -