Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-03T02:49:54.771Z Has data issue: false hasContentIssue false

Reconstruction of MADRS in Benin: a contribution to the study of its cross-cultural validity

Published online by Cambridge University Press:  16 April 2020

G Bertschy
Affiliation:
University Department of Adult Psychiatry, Hôital de Cery, 1008Prilly-Lausanne, Switzerland
JF Viel
Affiliation:
Department of Biostatistics and Computer Medicine
S Vandel
Affiliation:
Department of Clinical Pharmacology, CHU Besançon, France
RG Ahyi
Affiliation:
Department of Neuro-psychiatry, CSHU Cotonou , BeninWest Africa
Get access

Summary

In order to evaluate the validity of the Montgomery and Asberg Depression Rating Scale (MADRS) in a Black African context, the MADRS construction study was replicated in Benin (West Africa) following the same initial procedure. Ninety-two Beninese French-speaking, major depressed out-patients were rated with the French version of the CPRS and were administered 75 mg/day clomipramine for 4 weeks. Forty-nine patients were rated at the end of the period. A list of items with a frequency higher than 70% was pre-selected from this data in strict accordance with the Montgomery and Asberg procedure; the ten items most sensitive to change Were then extracted from this list. The new scale shared eight of the ten MADRS items. Only pessimistic and suicidal thoughts, perhaps culture-bound, were absent and replaced in the new list by reported muscular tension and reduced sexual interest. None of the classic African symptoms involving somatic complaints or persecution ideas were selected by the procedure. The interest of using a shortened version of the MADRS, limited to the common eight items, is discussed.

Type
Origianl article
Copyright
Copyright © Elsevier, Paris 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adelekan, MLOgunlesi, AO (1990) Defaulting at the Nigerian National Neuropsychiatric Hospital Psychiatr Bull 14, 403405CrossRefGoogle Scholar
American Psychiatric Association (1983) DSM III: Diagnostic and Statistical Manual of Mental Disorders, 3rd edn, Washington, DC.Google Scholar
Asberg, MMontgomery, SAPerris, CSchalling, GSedvall, G (1978): A comprehensive psychopathological rating scale. Acta Psychiatr Scand suppl 271, 527CrossRefGoogle Scholar
Bertschy, GAhyi, RG (1991) Elaboration de criteres de la depression majeure adaptes a l' Afrique Noire. Ann Med Psychol (Paris) 6, 201204Google Scholar
Bertschy, GVandel, S (1992) Clomipramine plasma levels among depressed out-patients in Benin (West-Africa): drug compliance and comparison with Caucasian patients. J Clin Psychopharmacol 12, 334336CrossRefGoogle ScholarPubMed
Bertschy, GViel, JFAhyi, RG (1992) Depression in Benin: an assessment using the comprehensive psychiatric rating scale and the principal component analysis. J Affective Disord 25, 173180CrossRefGoogle ScholarPubMed
Binitie, A (1975) A factor analytical study of depression across cultures (African and European). Br J Psychiatry 127, 559563CrossRefGoogle ScholarPubMed
Binitie, A (1981) The clinical manifestations of depression in Africans, Psychopathol Afr 17, 3640Google Scholar
Dhadphale, MCooper, GCactwright-Taylor, (1989) Prevalence and prevention of depressive illness in a primary health care setting in Kenya. Am J Psychiatry 146, 659661Google Scholar
Fakhr El-Islam, MMoussa, MAAMalasi, TMSuleiman, MAMirza, IA (1988) Assessment of depression in Kuweit by principal component analysis. J Affective Disord 14, 109114CrossRefGoogle Scholar
Guelfi, JDWaintraub, LFermanian, JPayan, CLemperiere, Τ (1987) La version française de la CPRS. Comprehensive Psychopathological Rating Scale. Analyse factorielle sur un échantillon de 208 patients. Psychiatr Psychobiol 2, 395400Google Scholar
Johnson, DAW (1981) Depression: treatment compliance in general practice. Acta Psychiatr Scand suppl. 290, 447453CrossRefGoogle ScholarPubMed
Keegstra, HJ (1986) Depressive disorders in Ethiopia. A standardized assessment using the SASS schedule. Acta Psychiatr Scand 73, 658664CrossRefGoogle Scholar
Lader, M (1983) The problems of safety and compliance with conventional antidepressant drugs. Acta Psychiatr Scand 68, suppl. 308, 9195Google ScholarPubMed
Majodina, MZAttah-Johnson, FY (1983) Standardized assessment of depressive disorders (SADD) in Ghana. Br J Psychiatry 143, 442446CrossRefGoogle Scholar
Montgomery, SAAsberg, M (1979) A new depression scale designed to be sensitive to change. Br J Psychiatry 134, 382389CrossRefGoogle ScholarPubMed
Murphy, HBM (1978) The advent of guilt feelings as a common depressive symptom: a historical comparison on two continents. Psychiatry 41, 229242CrossRefGoogle ScholarPubMed
Orley, JWing, JK (1979) Psychiatric disorders in two african villages. Arch Gen Psychiatry 36, 513520CrossRefGoogle ScholarPubMed
WHO (1986) Effects of antidepressant medication in different populations. J Affective Disord suppl 2 S1S67Google Scholar
Submit a response

Comments

No Comments have been published for this article.