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The global mental health assessment tool-validation in hindi: A validity and feasibility study

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Author(s): Sharma Vimal | Jagawat Savita | Midha Aarti | Jain Anil | Tambi Anil | Mangwani Leena | Sharma Bhawna | Dubey Parul | Satija Vipin | Copeland John | Lepping Peter | Lane Steven | Krishna Murali | Pangaria Ashok

Journal: Indian Journal of Psychiatry
ISSN 0019-5545

Volume: 52;
Issue: 4;
Start page: 316;
Date: 2010;
Original page

Keywords: GMHAT | mental health assessment | primary care mental health | psychiatric diagnosis

ABSTRACT
Background: A computer-assisted interview, the Global Mental Health Assessment Tool-validation (GMHAT/PC) has been developed to assist general practitioners and other health professionals to make a quick, convenient, yet reasonably comprehensive standardized mental health assessment. GMHAT/PC has been translated into various languages including Hindi. This is the first study conducted in India, using the Hindi version GMHAT/PC of the series of studies assessing its validity in different cultures. Aim: The study aims to assess the feasibility of using a computer assisted diagnostic interview by health professionals and to examine the level of agreement between the Hindi version GMHAT/PC diagnosis and psychiatrists′ ICD-10 based clinical diagnosis. Design: Cross-sectional validation study. Setting : Psychiatric clinic of a General Hospital and an out patient (Neurology) clinic in the Teaching General Hospital in Jaipur, India. Materials and Methods: All consecutive patients attending the psychiatric out patient clinic were interviewed using GMHAT/PC and psychiatrists made a diagnosis applying ICD-10 criteria for a period of six weeks. A small sample of subjects was interviewed in a similar way in a Neurology clinic for four weeks. Results: The mean duration of interview was under 17 minutes. Most patients were pleased that they were asked about every aspect of their mental health. The agreement between psychologists′ GMHAT/PC interview diagnoses and psychiatrists′ clinical diagnoses was excellent (Kappa 0.96, sensitivity 1.00, and specificity 0.94). Conclusion: GMHAT/PC Hindi version detected mental disorders accurately and it was feasible to use GMHAT/PC in Indian settings.
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